Gastroenterology remains one of medicine’s highest-paid specialties, ranking 13th in Doximity’s 2025 Physician Compensation Report, with an average annual income of $537,870 based on 2024 data from more than 37,000 full-time physicians. GI compensation sits above otolaryngology and below urology, reflecting continued financial strength despite growing clinical and operational pressures.
However, headline salary figures may mask wide variation across practice settings, according to Shazia Siddique, MD, spokesperson for the American Gastroenterological Association and assistant professor at the University of Pennsylvania. She noted that gastroenterology has shifted rapidly from independent practice models to consolidated academic and private equity–backed groups, where physicians involved in leadership and business operations may earn substantially more—highlighting the need for compensation data stratified by practice structure, not just specialty.