Gastroenterology Physician Assistant

Local GI market

60 gastroenterologists

within 30 miles. That is 15 per 100,000 adults aged 45-74, close to the US average (13.6).

62% of them finished medical school 30 or more years ago (US: 36%). Expect retirements to open up patient volume.

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

Procedure mix nearby

62% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 13,749 colonoscopies, 7,368 EGDs, 476 ERCPs, 443 EUS.

ERCP volume is typical and EUS is typical for the population, compared with the US (adjusted for Medicare Advantage share). 81% done in a hospital or surgery center; 71% by gastroenterologists.

70.2% of adults 45-75 in this county are up to date on colorectal screening, 3.5 points above the state (66.7%).

42% of Medicare patients here are in Medicare Advantage (state: 54%). Medicare procedure counts above cover only the other 58%.

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 New York are 7.9% above the US average.

$120k here buys what $111k buys in an average-priced state

New York state income tax on $120k: about $7k (5.4%), 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

9 hospitals, 12 surgery centers

within 30 miles. 9 of the hospitals run an emergency department; 3 of 7 rated hold 4 or 5 CMS stars.

Nearest: Vassar Brothers Medical Center (1 mi, 3 stars); Montefiore St Luke's Cornwall (13 mi, 2 stars); Northern Dutchess Hospital (16 mi, 4 stars).

7 of the surgery centers reported 8,561 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: Courts decide

No physician-specific statute. Courts decide case by case whether the time, distance and scope are reasonable.

Interstate Medical Licensure Compact: not a member (bill introduced).

State law summary, not legal advice. Have a contract lawyer read your agreement. 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 New York: 8, median $478k.

This county has no current primary care shortage designation. 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