Full-time · ABIM
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Local GI market
9 gastroenterologists
within 30 miles. That is 12.2 per 100,000 adults aged 45-74, close to the US average (13.6).
33% 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
70% colonoscopy
Medicare fee-for-service procedures billed within 30 miles in 2024: 4,064 colonoscopies, 1,716 EGDs, 0 ERCPs, 0 EUS.
No ERCPs billed nearby and no EUS for the population, compared with the US (adjusted for Medicare Advantage share). 100% done in a hospital or surgery center; 55% by gastroenterologists.
72.5% of adults 45-75 in this county are up to date on colorectal screening, 5.9 points above the state (66.6%).
50% of Medicare patients here are in Medicare Advantage (state: 38%). Medicare procedure counts above cover only the other 50%.
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 Iowa are 12.2% below the US average.
Iowa state income tax on $450k: about $17k (3.8%), 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
9 hospitals, 2 surgery centers
within 30 miles. 9 of the hospitals run an emergency department; 3 of 4 rated hold 4 or 5 CMS stars.
Nearest: Mercyone Waterloo Medical Center (3 mi, 4 stars); Allen Hospital (5 mi, 3 stars); Sartori Memorial Hospital, Inc (7 mi).
2 of the surgery centers reported 2,837 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: Limited by state law
Void for University of Iowa Health Care physicians only. Other employers: courts decide. Iowa HF 2254, from 2026. Usually covers only contracts signed after that date.
Interstate Medical Licensure Compact: member (faster multi-state licensing).
State law summary, not legal advice. Have a contract lawyer read your agreement. Source; IMLC states; all states.
Employer
Nonprofit health system, 501(c)(3)
The employer is a 501(c)(3) nonprofit. W-2 jobs with it usually count toward Public Service Loan Forgiveness (PSLF). Confirm which entity pays you.
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 Iowa: 15, median $575k.
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
Data as of CMS clinicians 2026-09-28; Medicare claims 2024; MA 2026-09; BEA 2024; tax 2026; H-1B through 2026-09-28; ownership 2026-09-28. Something wrong? Report an error.