LIVE MARKET·3,104 POSTINGS · LAST 180 DAYS

Physician (MD/DO) salaries: $90.09/hr median.

Physicians provide medical diagnosis, treatment, and care coordination across primary care and every specialty.

Showing 39 titles (35 with pay data) across 27 tracks and 84 states. Latest data as of April 30, 2026.

Titles
39
35 with data
Postings
3,104
2,890 unique
Median /hr
$90.09
$187,388/yr
Tracks
27
84 states
04·WHERE PHYSICIAN (MD/DO) PAYS·POSTING-WEIGHTED MEDIAN

Physician (MD/DO) pay across every state with live data.

01Alabama21 postings
$65.43/hr
02Arizona83 postings
$93.96/hr
03Arkansas9 postings
$245.00/hr
04California331 postings
$99.19/hr
05Colorado66 postings
$77.60/hr
06Connecticut47 postings
$119.59/hr
07Delaware5 postings
$150.00/hr
08Florida88 postings
$34.26/hr
09Georgia32 postings
$78.08/hr
10Idaho5 postings
$150.00/hr
11Illinois109 postings
$64.69/hr
12Indiana18 postings
$42.33/hr
13Iowa5 postings
$150.00/hr
14Kansas8 postings
$150.00/hr
15Kentucky6 postings
$150.00/hr
16Louisiana5 postings
$55.00/hr
17Maryland74 postings
$68.55/hr
18Massachusetts92 postings
$43.33/hr
19Minnesota27 postings
$81.67/hr
20Missouri41 postings
$75.79/hr
21Nebraska8 postings
$228.75/hr
22Nevada35 postings
$105.64/hr
23New Jersey91 postings
$88.19/hr
24New Mexico19 postings
$86.79/hr
25New York245 postings
$64.62/hr
26North Carolina81 postings
$38.25/hr
27Ohio58 postings
$63.41/hr
28Oklahoma28 postings
$197.50/hr
29Oregon9 postings
$150.00/hr
30Pennsylvania35 postings
$75.26/hr
31Rhode Island11 postings
$93.82/hr
32South Carolina15 postings
$87.00/hr
33South Dakota5 postings
$25.00/hr
34Tennessee14 postings
$87.25/hr
35Texas98 postings
$98.49/hr
36Utah17 postings
$83.82/hr
37Virginia38 postings
$100.54/hr
38Washington83 postings
$94.34/hr
39Wisconsin27 postings
$93.72/hr

Showing all 39 states with live data. Bars scale to the highest-paying state.

05·HOW TO BECOME·CAREER PATHWAY

How to become a Physician (MD/DO).

Physicians diagnose, treat, prescribe, and lead the medical decision-making for patients across every specialty in healthcare. US physicians hold either an MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) — the two degrees are equivalent for licensure, residency, and practice. The pathway is the longest in clinical medicine: four years of medical school plus 3-7+ years of residency training before independent practice.

Education·Min: MD or DO · Preferred: MD or DO + completed residency

The full US pathway: 4-year bachelor's (with premed prerequisites) → MCAT → 4 years of medical school → USMLE Step 1 (P/F) and Step 2 CK → residency match → 3-7 years of residency → board certification → optional fellowship (1-3 years). Total time from college to independent practice ranges from 11 years (family medicine, internal medicine) to 15+ years (surgical sub-specialties, interventional radiology).

DegreeDurationNotes
Doctor of MedicineMD4 years post-bachelorAllopathic medical degree. Schools accredited by the LCME. Year 1-2 preclinical, year 3-4 clinical clerkships. USMLE Steps 1-2 taken during med school.
Doctor of Osteopathic MedicineDO4 years post-bachelorOsteopathic medical degree. Schools accredited by the COCA. Equivalent clinical training plus osteopathic manipulative medicine (OMM). Take USMLE or COMLEX (or both).
Combined MD/PhDMD/PhD7-8 yearsPhysician-scientist track. Common in academic-medicine careers. Most US MD/PhD spots are funded MSTP programs.
International medical graduate routeIMGVariableForeign-trained physicians pursue ECFMG certification (USMLE Steps 1-2, OET/clinical skills) before applying to US residency through ERAS.
Licenses & Exams·4 credentials
State medical licensePhysician license (MD or DO)Required
Issued by: State medical board

Required in every state to practice medicine independently. Eligibility requires completing USMLE/COMLEX Steps 1-3, at least one year of accredited residency (usually three), and a background check.

DEA registrationDEA prescriber numberOptional
Issued by: US Drug Enforcement Administration

Required to prescribe controlled substances. Standard for any patient-facing role.

Board certificationSpecialty board certificationOptional
Issued by: ABMS or AOABOS member board

Technically optional but required by virtually every hospital and payer to credential. Maintained by completing CME and recertification (MOC/OCC) every 7-10 years.

BLS / ACLS / PALS / ATLSLife Support certificationsRequired
Issued by: American Heart Association / American College of Surgeons

Set varies by specialty. Hospital medicine and EM typically require BLS + ACLS; pediatrics adds PALS; trauma/EM adds ATLS.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
ABMS / AOABOS board certification
Specialty board certification
Taken after residency. Required in practice by virtually all employers and payers. Examples: ABIM (internal medicine), ABEM (EM), ABS (surgery), ABFM (family medicine).
ABMS or AOABOS member boardEffectively required
Fellowship sub-specialty certification
Subspecialty board certification
Completed after a 1-3 year fellowship in a sub-specialty (e.g. cardiology, GI, hem/onc, interventional radiology, surgical sub-specialties). Sub-specialty pay is typically materially higher than the parent specialty.
ABMS member board+30-100%
Career Path·6 steps
  1. Year 1 of residency
    Intern (PGY-1)

    First post-graduate year. Highly supervised inpatient and outpatient rotations. Eligible to take USMLE Step 3 mid-year.

  2. Years 2-3 (or 2-7 for surgical/long programs)
    Resident (PGY-2 to PGY-3+)

    Progressive clinical autonomy. Chief resident year in some programs. Residency length varies: 3 years (IM, FM, peds), 4 years (EM, OB, anesthesiology), 5+ years (general surgery and surgical sub-specialties).

  3. 1-3 years post-residency
    Fellow (optional)

    Sub-specialty training in fields like cardiology, GI, ICU, hem/onc, interventional radiology, surgical sub-specialties. Adds materially to lifetime earning potential.

  4. 0-5 years post-training
    Attending physician (early career)

    Independent practicing physician. Often a mix of clinical work, supervising trainees, and (in academic centers) teaching/research.

  5. 5-12 years
    Senior attending / specialty lead

    Owns a clinical service line or sub-specialty within a department. Mentors junior attendings. Common point at which partnership or buy-in happens in private practice.

  6. 12+ years
    Department chair / Chief Medical Officer

    Department leadership in academic or community systems. CMOs own clinical strategy, quality, and physician workforce for a hospital or system.

Work Environment
Academic medical centersCommunity hospitalsPrivate practice and partnershipsHealth-system employed groupsTelehealth and virtual careVA / federal healthLocum tenens

Schedule. Highly specialty-dependent. Outpatient specialties (derm, FM, primary care IM) run business hours. Hospital-based (hospitalists, EM, ICU) work 7-on/7-off or shift work including nights and weekends. Surgical specialties carry call. Procedural specialties (cardiology, GI, IR) split between scheduled procedure days and call.

Physical demands. Cognitively demanding above all. Procedural and surgical specialties add long stretches standing, sterile-field positioning, and lead aprons in fluoroscopy. Call burden is a major lifestyle factor in surgical and hospital-based specialties.

Job Outlook·Strong
+3% (2022-2032)

Aggregate physician growth looks modest, but specialty-level demand is uneven. Primary care, psychiatry, hospital medicine, EM, and rural specialties all face persistent shortages. Surgical sub-specialty and procedural roles continue to command the highest pay. AI-augmented diagnostics and APP expansion are reshaping the workload mix but have not reduced demand for trained physicians.

FAQ — Becoming this role·3 questions
MD vs DO — does it matter?

For licensure, residency, and practice, no. Both degrees take the same time, sit for the same residencies and board exams, and earn the same in equivalent specialties. DO programs include OMM training. Historically MDs had slightly easier match outcomes in highly competitive specialties; the gap has narrowed since the single-accreditation residency merger.

How long does it take to become a physician in the US?

Minimum 11 years from college start: 4 years undergrad + 4 years med school + 3-year residency. Specialties like general surgery (5-year residency + 1-3 year fellowship) push it to 13-15 years.

How much does medical school cost?

Median total cost of attendance is roughly $250,000-$350,000 across the four years (higher at private schools). Average graduating debt is around $200,000-$250,000. Public service loan forgiveness, military scholarships (HPSP), NHSC, and academic-center tuition coverage can change the math materially.