Updated · 2026 tax rules · Data: IRS, BLS, BEA, HUD · How we calculate

General Internal Medicine Physician Salary

General Internal Medicine Physicians earn a median $239,200+ a year nationally. Healthcare Practitioners and Technical Occupations

U.S. median
$239,200+
BLS top-coded wage
Range
$73,570 – $239,200+
10th to 90th percentile
Employed
67,150
across the U.S.
Why does it say $239,200+? The Bureau of Labor Statistics does not publish exact wages above $239,200 a year — it reports them only as “$239,200 or more.” That means the typical general internal medicine physician earns at least this much, and many earn considerably more. In 19 states the median falls below the cap and is shown exactly in the state table below.

What general internal medicine physicians do

Diagnose and provide nonsurgical treatment for a wide range of diseases and injuries of internal organ systems. Provide care mainly for adults and adolescents, and are based primarily in an outpatient care setting.

Typical education
Doctoral or professional degree
Work experience
None required
On-the-job training
Internship/residency
Job outlook, 2025–35
+4.0% (about average)
Openings per year
1,900
Self-employed
4%

Employment of general internal medicine physicians is projected to grow 4.0% from 2025 to 2035, about the same as the 3.5% average for all occupations. About 1,900 openings are expected each year, on average, including jobs left by workers who retire or switch careers.

Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.

General Internal Medicine Physician take-home pay calculator

Starts at the national median. Pick your state to see your real paycheck.

General Internal Medicine Physician
Deductions, kids & local tax

2026 tax year. Federal brackets from IRS Rev. Proc. 2025-32.

Your take-home pay
$187,489
per year · effective tax rate 26.9%
$15,624Monthly
$7,812Twice a month
$7,211Every 2 weeks
$90.14Hourly
  • Federal income tax$53,403
  • Social Security (6.2%)$11,439
  • Medicare (1.45%)$4,229
  • Texas income tax$0
  • Take-home pay$187,489

Marginal rate: 32% federal + 0.00% state

Pay by experience

PercentileSalaryHourlyTake-home (no state tax)
10th percentile (entry level)$73,570$35.37$60,586
25th percentile$124,470$59.84$96,341
Median (50th)$256,560+$123.35$187,489
75th percentile$374,850+$180.22$262,070
90th percentile (top earners)$475,430+$228.57$325,084

Best cities for general internal medicine physicians (after tax & cost of living)

#Metro areaMedianTake-homeReal value*Jobs
1New York, NY$105,960$78,161$69,43810,380

*Take-home pay in U.S.-average dollars (BEA Regional Price Parities).

Highest-paying cities

General Internal Medicine Physician salary by state

StateMedian1-yr changeTake-homeRangeJobs
Georgia $239,200+—$272,319 $103,490 – $239,200+5,440
Rhode Island $239,200+—$246,364 $69,590 – $239,200+300
Minnesota $239,200+—$231,742 $197,440 – $239,200+2,270
Wisconsin $239,200+—$238,709 $74,160 – $239,200+1,450
Alaska $239,200+—$256,576 $163,230 – $239,200+110
South Carolina $239,200+—$232,041 $102,500 – $239,200+1,260
Idaho $239,200+—$232,151 $133,880 – $239,200+130
Washington $239,200+—$240,243 $222,990 – $239,200+1,100
North Dakota $239,200+—$233,469 $190,430 – $239,200+200
Utah $239,200+—$221,088 $161,890 – $239,200+210
Mississippi $239,200+—$218,929 $67,440 – $239,200+390
Maine $239,200+—$204,591 $185,760 – $239,200+270
Indiana $239,200+—$214,947 $177,830 – $239,200+2,380
California $239,200+—$194,836 $74,180 – $239,200+6,370
Alabama $239,200+—$206,887 $156,060 – $239,200+310
Colorado $239,200+—$202,679 $176,330 – $239,200+450
North Carolina $239,200+—$197,720 $123,810 – $239,200+1,700
Massachusetts $239,200+—$191,893 $84,750 – $239,200+1,590
South Dakota $239,200+—$202,973 $222,550 – $239,200+160
Texas $239,200+—$195,728 $69,460 – $239,200+3,850
Oregon $239,200+—$171,085 $228,850 – $239,200+230
Maryland $239,200+—$177,034 $135,630 – $239,200+3,250
Arizona $239,200+—$183,026 $65,610 – $239,200+2,570
Ohio $239,200+—$177,083 $84,180 – $239,200+1,540
Kentucky $239,200+—$169,285 $73,510 – $239,200+1,060
Hawaii $239,200+—$158,847 $239,200+ – $239,200+220
Arkansas $233,130—$163,228 $59,180 – $239,200+290
Tennessee $232,220+245.8%$171,509 $64,870 – $239,200+1,370
New Hampshire $229,210—$169,533 $69,840 – $239,200+450
Vermont $228,670−0.1%$155,587 $181,710 – $239,200+180
District of Columbia $223,250+6.7%$149,613 $48,710 – $239,200+490
Florida $222,600—$165,194 $85,220 – $239,200+2,390
Nebraska $221,360+23.9%$155,188 $70,920 – $239,200+900
Missouri $216,570—$151,889 $173,630 – $239,200+160
Oklahoma $216,570—$151,931 $67,270 – $239,200+490
Pennsylvania $213,310—$152,181 $67,360 – $239,200+990
Louisiana $210,390+3.3%$150,654 $184,700 – $239,200+—
Connecticut $208,000−2.9%$144,489 $66,740 – $239,200+980
New York $183,460+5.8%$126,877 $78,160 – $239,200+10,000
Michigan $149,990−34.0%$107,660 $59,440 – $239,200+2,060
Illinois $140,680−40.1%$100,602 $63,940 – $239,200+1,130
Iowa $122,920—$91,263 $71,420 – $239,200+380
Nevada $114,090−25.9%$89,092 $82,970 – $239,200+390
New Jersey $89,990−42.2%$68,596 $82,320 – $239,200+2,920
West Virginia $72,680−69.1%$57,392 $63,150 – $239,200+630

Related jobs

JobMedian salaryEducationGrowth 2025–35
Neurologist$239,200+Doctoral or professional degree+6.4%
Family Medicine Physician$239,200+Doctoral or professional degree+3.3%
Obstetrician and Gynecologist$239,200+Doctoral or professional degree+1.7%
Dermatologist$239,200+Doctoral or professional degree+6.8%
Emergency Medicine Physician$239,200+Doctoral or professional degree+3.2%
Anesthesiologist$239,200+Doctoral or professional degree+3.6%
Cardiologist$239,200+Doctoral or professional degree+4.8%
Physicians, All Other$239,200+Doctoral or professional degree+3.4%
Nurse Anesthetist$236,590Master's degree+9.7%
Psychiatrist$239,200+Doctoral or professional degree+7.2%

Frequently asked questions

How much does a general internal medicine physician make?

The national median salary for general internal medicine physicians is at least $239,200 a year. The lowest-paid 10% earn under $73,570 and the top 10% earn over $239,200+. Source: BLS, May 2025.

Which state pays general internal medicine physicians the most?

Georgia has the highest median pay at $239,200+. After taxes and local prices, New York, NY offers the best real take-home pay of any metro area.

How many general internal medicine physicians are there in the U.S.?

About 67,150 people work as general internal medicine physicians nationwide.