Advanced Practice Provider (NP/PA), Gastroenterology

Local GI market

209 gastroenterologists

within 30 miles. That is 14.4 per 100,000 adults aged 45-74, close to the US average (13.6).

35% of them finished medical school 30 or more years ago (US: 36%).

Source: CMS Doctors and Clinicians file; Census ACS 2019-2023.

Procedure mix nearby

68% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 54,520 colonoscopies, 23,133 EGDs, 1,476 ERCPs, 1,025 EUS.

ERCP volume is typical and EUS is typical for the population, compared with the US (adjusted for Medicare Advantage share). 96% done in a hospital or surgery center; 62% by gastroenterologists.

64.8% of adults 45-75 in this county are up to date on colorectal screening, 2.5 points below the state (67.3%).

37% of Medicare patients here are in Medicare Advantage (state: 40%). Medicare procedure counts above cover only the other 63%.

Source: CMS Medicare Physician and Other Practitioners by provider and service, 2024 (fee-for-service only; services for fewer than 11 patients hidden). CMS MA penetration; CDC PLACES 2025 (2022 survey).

Cost of living

Prices in Virginia are 1.1% above the US average.

Virginia state income tax on $450k: about $26k (5.7%), single filer, before deductions. Local taxes not included. ($450k is a reference salary; this ad states none.)

Source: BEA regional price parities, 2024. State level; big metros cost more. Tax: Tax Foundation 2026 state brackets.

Hospitals and surgery centers

26 hospitals, 78 surgery centers

within 30 miles. 24 of the hospitals run an emergency department; 11 of 23 rated hold 4 or 5 CMS stars.

Nearest: Sentara Northern Virginia Medical Center (1 mi, 3 stars); Fort Belvoir Community Hospital (7 mi); Inova Mount Vernon Hospital (11 mi, 4 stars).

26 of the surgery centers reported 42,503 Medicare outpatient colonoscopies in a year. More endoscopy centers usually means more ASC ownership and partnership options.

Source: CMS Care Compare, Hospital General Information and ASC Quality Reporting (ASC-12 colonoscopy cases, Medicare fee-for-service). Located by ZIP code.

State rules for your contract

Noncompete: Void for physicians

Noncompetes for health care professionals licensed by the Board of Medicine are void. Va. Code § 40.1-28.7:8, from 2026-07-01. Usually covers only contracts signed after that date.

Interstate Medical Licensure Compact: not a member.

State law summary, not legal advice. Have a contract lawyer read your agreement. Source; IMLC states; all states.

Employer

Physician group (private equity-backed), For-profit

Private equity: OMERS Private Equity (since 2021). Checked 2026-09-28.

For-profit employer. Jobs here do not count toward PSLF.

Source

Visas (H-1B / J-1)

No H-1B filings for GI physicians from this employer in the data we hold. That does not mean it will not sponsor.

All GI H-1B filings in Virginia: 14, median $510k.

Parts of this county are federal primary care shortage areas (HPSAs). Check the exact practice address. Conrad 30 J-1 waiver jobs usually must be in a shortage area; each state sets its own rules. State J-1 waiver contacts (3RNET).

Source: US Dept. of Labor LCA disclosure data (certified H-1B, FY2024-FY2026); HRSA HPSA data. All GI H-1B employers