Physician-Gastroenterologist
Veterans Health Administration
Cheyenne, WY
$385,000 - $400,000 · Full-time · ERCP/EUS named · ABIM
The full job description, benefits, and contact are on the employer's site.
Apply on employer siteThe contract: what this ad says, and what to ask
The ad does not say. Ask the recruiter:
- Pay model. Base salary, wRVU rate and threshold, or collections percentage? What did year-2 doctors actually earn?
- Call. Call ratio, weekends, GI bleed call, and is advanced (ERCP) call separate?
- Partnership. Years to partner, buy-in amount, and what you buy: ASC units, ancillaries, or a title without equity?
- Schedule. Endoscopy days versus clinic half-days per week, and how many hospitals you cover.
- Advanced procedures. How many ERCPs and EUS a year would a new hire actually get?
- APP and staff support. How many APPs, nurses, and schedulers per physician?
- Malpractice. Occurrence or claims-made, and who pays for tail coverage if you leave?
- Noncompete. Radius in miles and length in months, and does it apply if they end your contract?
- Visa. Who files the petition, are they cap-exempt, and have they placed a Conrad 30 J-1 physician before?
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Know before you apply
Public data about this job's location and employer, collected in one place.
Local GI market
4 gastroenterologists
within 30 miles. That is 10.3 per 100,000 adults aged 45-74, 24% fewer than the US average (13.6). Fewer GIs usually means fuller schedules sooner.
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
73% colonoscopy
Medicare fee-for-service procedures billed within 30 miles in 2024: 1,577 colonoscopies, 570 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; 43% by gastroenterologists.
61.8% of adults 45-75 in this county are up to date on colorectal screening, 2.5 points above the state (59.3%).
24% of Medicare patients here are in Medicare Advantage (state: 15%). Medicare procedure counts above cover only the other 76%.
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 Wyoming are 7.3% below the US average.
$385k here buys what $415k buys in an average-priced state
Wyoming 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
2 hospitals, 4 surgery centers
within 30 miles. 2 of the hospitals run an emergency department; 1 of 2 rated hold 4 or 5 CMS stars.
Nearest: Cheyenne Regional Medical Center (7 mi, 3 stars); Cheyenne Va Medical Center (7 mi, 5 stars).
1 of the surgery centers reported 2,261 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
Physician noncompetes are void. Wyo. Stat. § 1-23-108, from 2025-07-01. 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
Federal (VA), Government
The employer is a government employer. W-2 jobs with it usually count toward Public Service Loan Forgiveness (PSLF). Confirm which entity pays you.
Visas (H-1B / J-1)
This employer filed 4 H-1B wage filings for attending GI physicians (2024), at $337k-$384k (median $361k).
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.