tebra-mcp-server (jamesrosing/tebra-mcp-server) is an MCP server listed on the M8ven Trust Index. M8ven has not graded it: we have no way to read this server ourselves. No publisher has claimed this listing.
MCP server for Tebra practice management that gives AI agents access to 45 tools for patients, appointments, billing, documents, and clinical data via SOAP and FHIR APIs.
Caution. Specific findings reduced this grade. They are listed on the page. Grades reflect the full trust pyramid: code, verification depth, and reputation. New projects cap at C until adoption is earned.
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jamesrosing
Source: Glama
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Disclosed vulnerabilities in this server's declared npm dependencies (via OSV). Whether each is reachable depends on the installed versions.
Model Context Protocol (MCP) TypeScript SDK does not enable DNS rebinding protection by default
TEBRA_CUSTOMER_KEYYes Customer key from Tebra PM adminTEBRA_FHIR_BASE_URLNo FHIR R4 base URL (defaults to https://fhir.prd.cloud.tebra.com/fhir-request)TEBRA_FHIR_CLIENT_IDFor FHIR OAuth2 client ID from Tebra appSphere registrationTEBRA_FHIR_CLIENT_SECRETFor FHIR OAuth2 client secretTEBRA_FHIR_SCOPENo OAuth2 scope (defaults to system/.read; match your appSphere registration)TEBRA_FHIR_TOKEN_URLNo OAuth2 token endpoint (defaults to Tebra production)TEBRA_SOAP_DEBUGTEBRA_SOAP_ENDPOINTNo Override SOAP endpoint (for testing)TEBRA_SOAP_PASSWORDYes SOAP API passwordTEBRA_SOAP_USERYes SOAP API user (email)Tool annotations
No tools have read-only/destructive annotations
Add readOnlyHint or destructiveHint annotations to every tool so hosts can warn users before invoking.
All four hints declared on every tool
47/47 tools missing one or more hints — tebra_create_appointment (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint); tebra_update_appointment (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint); tebra_update_appointment_status (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint), +44 more. OpenAI's directory rejects tools where any of the four hints are missing or non-boolean.
For every tool, set all four hints (readOnlyHint, destructiveHint, idempotentHint, openWorldHint) to explicit true/false values that match the handler’s actual behaviour.
Tool test coverage
Only 2/47 tools referenced in tests (4%)
Write tests that reference each tool by name so every tool has at least one test.
Production dependencies are patched
0 critical, 1 high severity in production deps — @modelcontextprotocol/sdk@1.0.0 (high)
Run npm audit fix, or upgrade the affected packages to a non-vulnerable version.
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