2026 Salary — North Dakota
Updated April 29, 2026
Physician Salary in North Dakota: $218K Median
Physicians in North Dakota earn between $166K and $380K per year.
That's -5% below the US national median.
Quick Answer
As of April 2026, the median Physician salary in North Dakota is $217,835 per year — -5% below the US national median of $229,300. Salaries range from $166,250 (entry, 25th percentile) to $380,000 (90th percentile). North Dakota's cost-of-living index is 94. State income tax applies.
Median
$217,835
+560.0% YoY
Entry
$190,000
Experienced
$332,500
Top 10%
$380,000
About Physicians in North Dakota
Physicians diagnose and treat illnesses, prescribe medications, and provide preventive care. Specialties range widely in compensation.
Hot 2026 Skills
TelemedicineAI-assisted diagnosisConcierge medicineSpecialty practiceEHR efficiency
ATS Keywords
MDboard certifiedpatient careEHR (Epic)clinical researchspecialtyresidency
How to Negotiate Your Physician Salary in North Dakota
Walk-away anchor: $198,032.
Leverage Points
- Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
- Compact license / multi-state authority and willingness to float between units
- Night, weekend, and holiday shift differentials add up to $10K-$25K annually
- Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage
Negotiate Beyond Base
Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend
Physician Salary FAQ — North Dakota
What is the average Physician salary in North Dakota?
The average Physician salary in North Dakota is $217,835 per year as of April 2026. Salaries range from $166,250 (entry, 25th percentile) up to $380,000 (90th percentile). State income tax applies.
How does Physician pay in North Dakota compare to the US average?
Physicians in North Dakota earn approximately 5% less than the US national median ($229,300 nationally vs $217,835 in North Dakota). North Dakota's cost-of-living index of 94 amplifies the real purchasing power.
Did Physician salaries in North Dakota increase in 2026?
Yes — Physician salaries in North Dakota grew approximately 560.0% year-over-year, from $33,005 in 2025 to $217,835 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telemedicine and AI-assisted diagnosis demand.
Which North Dakota cities pay Physicians the most?
North Dakota has no major metros in our database — fallback to the closest tracked city for detailed breakdowns.
What's the job outlook for Physicians in North Dakota?
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+. North Dakota's top industries include Energy (Bakken Oil), Agriculture, Manufacturing, and the state's unemployment rate is 2.5% — a tight labor market favoring candidates.
Does North Dakota have state income tax?
Yes, North Dakota has state income tax. This affects take-home pay — at $217,835, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.
What skills are most in demand for Physicians in 2026?
Hottest 2026 skills: Telemedicine, AI-assisted diagnosis, Concierge medicine, Specialty practice, EHR efficiency. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with North Dakota employers.
How can I increase my Physician salary in North Dakota?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Beyond base, negotiate: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%). Walk-away anchor for North Dakota: $198,032.
Methodology
North Dakota Physician salary is the BLS national median ($229,300) adjusted by North Dakota's state multiplier (0.95×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Physician Salary in Other States
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