Physician Extender- (CRNP or PA) - Gastroenterology Clinic - FT

Local GI market

12 gastroenterologists

within 30 miles. That is 8.8 per 100,000 adults aged 45-74, 35% fewer than the US average (13.6). Fewer GIs usually means fuller schedules sooner.

67% 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

70% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 2,357 colonoscopies, 993 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; 53% by gastroenterologists.

66.7% of adults 45-75 in this county are up to date on colorectal screening, about the same as the state (67%).

63% of Medicare patients here are in Medicare Advantage (state: 62%). Medicare procedure counts above cover only the other 37%.

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 Alabama are 11.2% below the US average.

Alabama state income tax on $450k: about $22k (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

7 hospitals, 3 surgery centers

within 30 miles. 7 of the hospitals run an emergency department; 2 of 5 rated hold 4 or 5 CMS stars.

Nearest: Jackson Hospital & Clinic Inc (1 mi, 2 stars); Va Central Alabama Healthcare System - Montgomery (3 mi, 4 stars); Baptist Medical Center South (6 mi, 2 stars).

2 of the surgery centers reported 1,448 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

Courts treat physicians as professionals exempt from noncompetes. Ala. Code § 8-1-190 et seq. and case law. 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.

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 Alabama: 5, median $300k.

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