Family Medicine Physicians in North Dakota

A stethoscope and folded scrubs in a sunlit clinical workspace.

May 2025 wages · tax year 2026

You keep

$198,401

after federal, FICA and North Dakota tax

Tax takes

$81,699

29.2% of the whole

Worth, in national money

$224,000

North Dakota costs less than average

One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.

Median here

$280,100

Kept after tax

$198,401

Worth in national money

$224,000

State rank

14

of 51 states

What this pays, and what it is worth

  • This is a good state for the work. North Dakota pays family medicine physicians a middle wage of $280,100, ranking 14 of 51 states and sitting about 14.71% above the national middle.
  • Within North Dakota this is well-paid work. Of 460 occupations with published figures in the state, family medicine physicians ranks 2 — in the top quarter of everything people do there.
  • Here is where North Dakota does better than its wage suggests. From a median of $280,100 you keep $198,401, and because things cost less here than the national average, that behaves like $224,000 would elsewhere. The average is lower, $272,470, so pay clusters nearer the top than usual.
  • North Dakota's median for family medicine physicians is $280,100, about 14.71% above the national figure and 14 of 51 states reporting. Whether that premium reaches the worker depends on the two adjustments below, which is the part a wage table cannot tell you.
  • Ranked against every occupation North Dakota publishes a median for, family medicine physicians sits 2 of 460 — the upper quartile of the state's wage distribution. National standing and within-state standing are separate questions, and a job can occupy very different positions on each.
  • After federal, FICA and North Dakota income tax, retained pay for family medicine physicians on $280,100 is $198,401. Deflating by the state's price level — below the national average — gives $224,000 in national-average terms. ⚠️ That figure is purchasing power, not a wage, and nobody is paid it; it is what the take-home buys. The mean of $272,470 falls below the median, a left skew that is uncommon in wage data.

Compare this career across states

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Pay band: Family Medicine Physicians

The state median for this job

50thpercentile, roughly
Lowest tenth earn under$181,130
Half earn under$280,100
Top tenth earn over$346,400
This salary$280,100

Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.

The same pay, somewhere else

The state median for this job

Compare with
+$4,308take-home per year in Texas
Take-home in North Dakota$198,401
Take-home in Texas$202,709
Once local prices are leveledBEA price parity−$15,397

The raise and the real gain point in opposite directions here.

State income tax and state price levels only. No city income tax, and no housing market.

What you would need there

The state median for this job

Moving to
$0$303,983
$303,983in Texas, for the same life
To match take-home only$273,223
Raise you would need+$23,883
Prices in Texas97 vs 89

State taxes and state price levels only. No city tax, and no housing market.

Sources and assumptions
  • Half the people doing this work in North Dakota earn less than $280,100. The published range is $181,130 up to $346,400, so an individual figure can sit a long way from the middle in either direction.
  • That $198,401 take-home in North Dakota comes from $280,100. It is the no-frills case: single filer, standard deduction, nothing set aside before tax. Real circumstances almost always reduce the tax. City and school-district taxes are not counted at all. Locally the work ranks 2 of 460.
  • One number stands for prices across all of North Dakota, which is a simplification — big cities cost far more than small towns. Read $224,000, the adjusted value of that $280,100 median, as a way to compare states fairly, not as a quote for any particular place. The two datasets are also from different years. This job sits at 2 of 460 in the state.
  • Reported values are medians; for family medicine physicians in North Dakota the tenth-to-ninetieth percentile band is $181,130 to $346,400. Neither the median nor the band is an offer rate, and neither accounts for hours, shift differentials or overtime.
  • Retained pay of $198,401, from $280,100, assumes a single North Dakota filer with the standard deduction and no elective deferrals. Pre-tax retirement or HSA contributions, dependants and itemized deductions all reduce it further; local income taxes, excluded here, would increase it in the states that levy them. This occupation ranks 2 of 460 locally, and the state ranks 14 of 51 for it.
  • Price deflation uses one statewide parity for North Dakota, so $224,000 — the adjusted value of that $280,100 median — establishes comparability between states rather than accuracy within one. The wage and parity series are dated independently, each following its own publication cycle, and neither is projected forward. This occupation sits at 2 of 460 locally.

Questions people ask

How much does pay for this job actually vary?

Most of these jobs pay within a close range — $181,130 at the tenth percentile, $346,400 at the ninetieth.

What does this pay actually buy where I live?

More than the figure suggests. Prices in North Dakota sit below the national level, so take-home here stretches like $224,000 would elsewhere. The wage is the same; the ground it covers is larger.

Where does the difference between the wage and my paycheck go?

Into four separate taxes, not one. Federal income tax, Social Security and Medicare apply everywhere, and North Dakota adds its own income tax on top — which is why $198,401 of this wage survives to your account.

Can I compare this job across every state?

This occupation is published everywhere — all 51 of them — so comparing states measures real differences rather than gaps in the data.

What is the dispersion of this occupation's wage distribution?

The tenth-to-ninetieth percentile span ($181,130 to $346,400) sits at or below the family's median dispersion, indicating relatively standardized compensation. Percentiles are published per state, so this dispersion is specific to North Dakota rather than a national figure.

What is this occupation's price-adjusted compensation in this state?

North Dakota's regional price parity is at or below the national average, so nominal wages understate purchasing power. Take-home deflated by the state price level is $224,000 in national-average terms. The adjustment uses an all-items index and does not isolate housing.

What accounts for the gap between gross wage and take-home here?

Take-home of $198,401 reflects federal income tax, OASDI, Medicare and North Dakota income tax for a single filer with no adjustments. The state layer is levied in addition to the federal one; only its rate and base differ between states.

Is this occupation's state coverage complete?

State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.