Gastroenterology - Nurse Practitioner or Physician Assistant

Local GI market

231 gastroenterologists

within 30 miles. That is 18 per 100,000 adults aged 45-74, 32% more than the US average (13.6).

34% 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: 47,186 colonoscopies, 19,754 EGDs, 1,225 ERCPs, 783 EUS.

ERCP volume is typical and EUS is typical for the population, compared with the US (adjusted for Medicare Advantage share). 93% done in a hospital or surgery center; 71% by gastroenterologists.

66.2% of adults 45-75 in this county are up to date on colorectal screening, 2.2 points below the state (68.4%).

39% of Medicare patients here are in Medicare Advantage (state: 36%). Medicare procedure counts above cover only the other 61%.

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 Massachusetts are 5.8% above the US average.

$109k here buys what $103k buys in an average-priced state

Massachusetts state income tax on $109k: about $5k (5%), single filer, before deductions. Local taxes not included.

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

Hospitals and surgery centers

29 hospitals, 34 surgery centers

within 30 miles. 27 of the hospitals run an emergency department; 12 of 25 rated hold 4 or 5 CMS stars.

Nearest: Sturdy Memorial Hospital (0 mi, 3 stars); The Miriam Hospital (8 mi, 4 stars); Our Lady of Fatima Hospital (9 mi, 3 stars).

14 of the surgery centers reported 29,569 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

Physician noncompetes are void. Mass. Gen. Laws ch. 112, § 12X. 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.

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 Massachusetts: 10, median $418k.

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