Nurse Practitioner or Physician Assistant I - Gastroenterology

Local GI market

140 gastroenterologists

within 30 miles. That is 26.2 per 100,000 adults aged 45-74, 93% more than the US average (13.6).

31% 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

61% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 28,323 colonoscopies, 16,373 EGDs, 685 ERCPs, 1,149 EUS.

ERCP volume is heavy and EUS is heavy for the population, compared with the US (adjusted for Medicare Advantage share). 99% done in a hospital or surgery center; 65% by gastroenterologists.

66.8% of adults 45-75 in this county are up to date on colorectal screening, about the same as the state (65.6%).

54% of Medicare patients here are in Medicare Advantage (state: 57%). Medicare procedure counts above cover only the other 46%.

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 Florida are 3.4% above the US average.

Florida has no state income tax on wages.

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

Hospitals and surgery centers

12 hospitals, 28 surgery centers

within 30 miles. 12 of the hospitals run an emergency department; 7 of 12 rated hold 4 or 5 CMS stars.

Nearest: Ascension St Vincent's Riverside (2 mi, 3 stars); Shands Jacksonville (3 mi, 4 stars); Baptist Health Medical Center - Jacksonville (3 mi, 4 stars).

12 of the surgery centers reported 22,554 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 only in a county where one employer employs every physician in that specialty. Otherwise courts decide. Fla. Stat. § 542.336. 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

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 Florida: 23, median $573k.

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