Nurse Practitioner or Physician Assistant - Hepatology

Local GI market

233 gastroenterologists

within 30 miles. That is 16.7 per 100,000 adults aged 45-74, 23% more than the US average (13.6).

42% 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

65% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 68,517 colonoscopies, 31,114 EGDs, 3,865 ERCPs, 2,013 EUS.

ERCP volume is heavy and EUS is heavy for the population, compared with the US (adjusted for Medicare Advantage share). 98% done in a hospital or surgery center; 55% by gastroenterologists.

60.6% of adults 45-75 in this county are up to date on colorectal screening, about the same as the state (60.1%).

52% of Medicare patients here are in Medicare Advantage (state: 52%). Medicare procedure counts above cover only the other 48%.

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 Arizona are 0.7% above the US average.

Arizona state income tax on $450k: about $11k (2.5%), 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

36 hospitals, 139 surgery centers

within 30 miles. 26 of the hospitals run an emergency department; 9 of 28 rated hold 4 or 5 CMS stars.

Nearest: Honor Health John C. Lincoln Medical Center (2 mi, 3 stars); St Josephs Hospital and Medical Center (4 mi, 4 stars); Abrazo Central Campus (4 mi, 2 stars).

39 of the surgery centers reported 63,266 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: member (faster multi-state licensing).

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

Employer

Academic medical center, 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.

Source

Visas (H-1B / J-1)

This employer filed 13 H-1B wage filings for attending GI physicians (2024-2026), at $383k-$754k (median $539k).

All GI H-1B filings in Arizona: 8, median $400k.

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