PHYSICIAN - Advanced Gastroenterology

Local GI market

16 gastroenterologists

within 30 miles. That is 23.1 per 100,000 adults aged 45-74, 70% more than the US average (13.6).

25% 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

52% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 1,019 colonoscopies, 605 EGDs, 157 ERCPs, 174 EUS.

ERCP volume is heavy and EUS is heavy for the population, compared with the US (adjusted for Medicare Advantage share). 100% done in a hospital or surgery center; 89% by gastroenterologists.

66.4% of adults 45-75 in this county are up to date on colorectal screening, 2.3 points below the state (68.7%).

65% of Medicare patients here are in Medicare Advantage (state: 57%). Medicare procedure counts above cover only the other 35%.

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 Minnesota are 1.4% below the US average.

$780k here buys what $791k buys in an average-priced state

Minnesota state income tax on $780k: about $71k (9.1%), 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

5 hospitals, 4 surgery centers

within 30 miles. 4 of the hospitals run an emergency department; 1 of 2 rated hold 4 or 5 CMS stars.

Nearest: Essentia Health St Mary's Medical Center (3 mi, 4 stars); Essentia Health Duluth (3 mi); St Lukes Hospital (3 mi, 3 stars).

2 of the surgery centers reported 216 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

Noncompetes are void for nearly all workers, physicians included. Minn. Stat. § 181.988, from 2023-07-01. 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.

Source

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 Minnesota: 13, median $385k.

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