Physician Salary in North Dakota (2026)
The average Physician in North Dakota earns around $270,000/year. After taxes, your estimated take-home is $191,234/year ($15,936/month).
Take-Home Pay Breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $191,234 |
Monthly Take-Home Pay | $15,936 |
Biweekly Take-Home Pay | $7,355 |
Hourly Take-Home Pay based on 2,080 hrs/year | $92/hr |
Federal Tax | $57,704 |
State Tax | $5,078 |
FICA Taxes | $15,984 |
Effective Tax Rate total taxes ÷ gross salary | 29.17% |
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Physician Salary Ranges in North Dakota
Not all Physicians earn the same — not even close
North Dakota's physician market is anchored by Sanford Health Bismarck + Fargo (multi-state ND-SD-MN-IA + Sanford USD Medical Center affiliation + Sanford Children's + Sanford Bismarck + Sanford Fargo Medical Center), Essentia Health Fargo (substantial Catholic multi-state Duluth MN-HQ + Essentia Fargo + Essentia Health-Mid Dakota), Altru Health System Grand Forks (substantial regional health system serving NE ND + NW MN), CHI St. Alexius Health Bismarck (CommonSpirit Health + the substantial CHI St. Alexius post-2018 CHI-Dignity merger) + Trinity Health Minot, University of North Dakota School of Medicine & Health Sciences Grand Forks (the only ND MD-granting institution + ~80 MDs/yr + UND-Sanford partnership), the substantial Indian Health Service IHS ND (Standing Rock IHS + Spirit Lake IHS + Three Affiliated Tribes IHS New Town + Turtle Mountain IHS Belcourt + the substantial ND IHS reservation health), VA Fargo + VA Bismarck VAHCS, plus ND NP FPA since 2011.
Senior Specialist (Sanford / Essentia / CHI Cancer / Cardiology)
$385,000–$745,000+ bonus
Sanford + Essentia + CHI St. Alexius specialist · ND multi-system referral
Senior Hospitalist (Sanford / Essentia / CHI)
$245,000–$385,000+ bonus
Sanford Bismarck + Fargo + Essentia + Altru + CHI St. Alexius + Trinity Minot hospitalist
Senior PCP (Multi-System / FQHC)
$215,000–$315,000+ bonus
Primary care at Sanford + Essentia + Altru + CHI + ND FQHC community health
Senior Pediatrician (Sanford Children Fargo)
$215,000–$345,000+ bonus
Sanford Children Hospital Fargo · the substantial ND pediatric referral
Senior Emergency Medicine
$285,000–$465,000+ bonus
Sanford + Essentia + Altru + CHI + Trinity ED · EM physician band
Senior Trauma Surgeon
$445,000–$815,000+ bonus
Sanford Bismarck Level 2 + Sanford Fargo + CHI St. Alexius + Altru · trauma surgery
Senior Radiologist
$425,000–$815,000+ bonus
Radiology at ND health systems + the substantial ND teleradiology
Senior IHS Reservation Physician
$225,000–$345,000+ loan repayment + housing
Standing Rock + Spirit Lake + MHA Nation + Turtle Mountain IHS · USPHS + LRP
Senior Federal Civilian (VA Fargo / Bismarck)
$235,000–$385,000
VA Fargo + VA Bismarck VAHCS + Minot AFB + Grand Forks AFB · federal civilian
Resident / Fellow
$58,000–$80,000
UND School of Medicine + Sanford + Essentia + CHI residency · only ND GME
Worth knowing: Sanford Health ND + Essentia + Altru + CHI St. Alexius + Trinity Minot multi-system + UND School of Medicine UND-Sanford partnership is one of the country's distinctive concentrated US single-state multi-system healthcare + the only ND MD-granting institution anchor and a feature most national physician surveys understate for ND. Sanford Health ND (the substantial Sanford Bismarck + Sanford Fargo Medical Center + Sanford Children Hospital Fargo + the substantial Sanford multi-state SD-ND-MN-IA + the substantial post-2014 Sanford-Fairview proposed $11B merger blocked + the substantial Sanford USD Medical Center Sioux Falls affiliation + the substantial Sanford World Clinic global + the substantial Sanford Castle of Care) supports substantial ND physician work. Senior Sanford ND specialists clear $385-815K+ bonus. Essentia Health Catholic (Duluth MN-HQ multi-state + Essentia Fargo + Essentia Health-Mid Dakota) + Altru Health Grand Forks regional + CHI St. Alexius CommonSpirit Bismarck + Trinity Health Minot supports broad ND physician practice. The substantial Indian Health Service IHS ND (Standing Rock IHS + Spirit Lake IHS + Three Affiliated Tribes IHS + Turtle Mountain IHS + the substantial ND IHS Loan Repayment Program LRP + IHS Scholarship + USPHS Commissioned Corps pathway). UND School of Medicine & Health Sciences as the only ND MD-granting institution + the substantial UND-Sanford partnership + the substantial UND TRUST rural primary care. ND NP FPA since 2011 affects physician supervision economics. ND flat 1.95%/2.5% top + ND RTW since 1948 anchor the ND physician proposition.
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More on North Dakota
Salaries by profession, top-paying roles by industry, and an economic breakdown for North Dakota in 2026.
Tax brackets, standard deductions, and take-home estimates for North Dakota in 2026.
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