How much does a Physician make in North Dakota?

BLS puts the average Physician pay in North Dakota at $272,470 a year (BLS, May 2025). On that pay in North Dakota, after federal taxes, FICA, and North Dakota state taxes, your estimated take-home pay is approximately $193,864 annually ($16,155/month).

What is the take-home pay for a Physician in North Dakota?

On a $272,470 salary in North Dakota, your take-home pay is approximately $193,864/year or $16,155/month. Federal tax: $58,499. State tax: $4,065. FICA: $16,042.

Is $272,470 a good Physician salary?

$272,470 is the BLS average Physician pay in North Dakota, 7% above the US average of $255,820 (BLS, May 2025). The middle 50% in North Dakota earn between $228,630 and $297,870.

How do North Dakota taxes affect Physician salaries?

North Dakota levies state income tax on top of federal taxes. Your estimated state tax on $272,470 is $4,065. Your total effective tax rate is approximately 28.8%.

What are the career growth prospects for Physicians?

In North Dakota, the top 10% earn over $346,400 and the bottom 10% under $181,130 (BLS, May 2025). 3% growth through 2032 (about as fast as average). Related roles include: Family Doctor, Internist, Specialist, Surgeon, Hospitalist.

How can a Physician in North Dakota reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Physician Salary in North Dakota (2026)

Average Physician pay in North Dakota

$272,470/year

≈ $131/hour before tax

Middle 50% earn $228,630–$297,870

US average: $255,820

Source: BLS, May 2025 · Family Medicine Physicians

After tax (single filer)

$193,864/year

$16,155/month · effective tax rate 28.85%

Federal $58,499
State $4,065
FICA $16,042
Take-home

Pay by role in North Dakota

Senior Specialist (Sanford / Essentia / CHI Cancer / Cardiology)$385,000–$745,000+ bonus
Senior Hospitalist (Sanford / Essentia / CHI)$245,000–$385,000+ bonus
Senior PCP (Multi-System / FQHC)$215,000–$315,000+ bonus
Senior Pediatrician (Sanford Children Fargo)$215,000–$345,000+ bonus
Senior Emergency Medicine$285,000–$465,000+ bonus
Senior Trauma Surgeon$445,000–$815,000+ bonus

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$193,864
Monthly Take-Home Pay	$16,155
Biweekly Take-Home Pay	$7,456
Hourly Take-Home Pay based on 2,080 hrs/year	$93/hr
Federal Tax	$58,499
State Tax	$4,065
FICA Taxes	$16,042
Effective Tax Rate total taxes ÷ gross salary	28.85%

Estimates only — not tax advice. · Full disclaimer →

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.

Sources & Methodology

Salary figures are market estimates for Physicians in North Dakota and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and North Dakota 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.

Run your own numbers