Healthcare Practitioners and Technical

Aerospace Medicine Physician Salary (2026), outlook and how to become one

A physician who keeps pilots, aircrew, and astronauts healthy and fit to fly, and studies how flight and space affect the body.

Median pay
$265,930
Growth to 2035
+3.4%
Openings a year
9,400
Typical entry
Doctorate

A physician who keeps pilots, aircrew, and astronauts healthy and fit to fly, and studies how flight and space affect the body. BLS does not publish separate figures for preventive medicine physicians; it counts them within preventive medicine physician (SOC 29-1229), whose median pay is $265,930 a year (BLS OEWS, May 2025). Typical entry-level education: Doctoral or professional degree.

  • SOC 29-1229
  • Healthcare Practitioners and Technical
  • Last updated October 9, 2026

At a glance

Aerospace Medicine Physician in four numbers

Median pay
$265,930a year, or $127.85/hr
Lowest 10% $69KTop 10% $452K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+3.4%About as fast as average
This career
+3.4%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+3.4%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
9,400367,400 jobs today
  • Jobs in 2025367.4K
  • Projected 2035380.1K
Employment, 2025–2035
ItemValue
Jobs in 2025367.4K
Projected 2035380.1K
BLS EP, 2025–2035
Typical education
Doctorateneeded to enter
  • Doctorate26.3%
  • Post-doctoral training73.7%
Highest education held by preventive medicine physicians
SegmentValue
Doctorate26.3%
Post-doctoral training73.7%
BLS EP, 2025–2035; mix: O*NET

Also advertised as: Flight Surgeon, Aerospace Medicine Specialist, Aviation Medical Examiner, Space Medicine Physician, Aeromedical Physician.

Pay

How much do Preventive Medicine Physicians make?

Annual pay, lowest-paid to highest-paid

Every aerospace medicine physician in the US, by percentile of annual wage

Median

$265,930

Middle half earn $102,930 to $378,770

10th
$69,170
25th
$102,930
75th
$378,770
90th
$452,360

All US occupations: $50,980

Aerospace Medicine Physician annual wages
PercentileValue
10th$69,170
25th$102,930
Median$265,930
75th$378,770
90th$452,360
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$265,930
Median hourly wage
$127.85/hr
Mean annual wage
$262,040
People employed
342,720

Versus all US occupations

At $265,930, Preventive Medicine Physicians earn 422% above the $50,980 median across all US occupations, a difference of $214,950 a year.

Versus healthcare practitioners and technical occupations

Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 159% above the group median.

Pay range

The top 10% earn $452,360 or more while the bottom 10% earn $69,170, a gap of 6.5×. That is an unusually wide spread, which usually tracks specialisation, employer type and years of experience.

Rank in the bank

This median pays more than 98% of the 1,741 occupations in the NueCareer career bank.

Highest-paying state

North Dakota pays the most at $454,550, and still leads at $510,966 once local prices are taken into account.

Pay by state

Which states pay Preventive Medicine Physicians the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Preventive Medicine Physicians
StateMedianCOL-adjustedEmployed
1North Dakota$454,550$510,966740
2Montana$438,850$463,680580
3Maine$419,410$432,1591,340
4Wisconsin$391,740$416,3246,350
5Minnesota$367,320$372,4565,350
6Indiana$366,190$392,3656,760
7New Hampshire$361,300$346,8541,000
8Alaska$355,100$346,916270
9Louisiana$350,920$397,8374,740
10Oregon$347,180$335,8914,130
See all 52 states, sortable, with cost-of-living adjustments

Job outlook

Is Aerospace Medicine Physician a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Preventive Medicine Physicians
+3.4%
All US occupations
+3.5%

About as fast as average. +3.4% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Preventive Medicine Physicians+3.4%
All US occupations+3.5%

Source: BLS EP, 2025–2035

About as fast as average

BLS projects employment of Preventive Medicine Physicians to change 3.4% over 2025–2035, against 3.5% projected for all occupations. That is 12,600 more jobs.

Annual openings

About 9,400 openings are projected each year, 2.6% of the 367,400 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Getting in

How to become an Aerospace Medicine Physician

Aerospace medicine physicians complete medical school (MD or DO) and then a residency in aerospace medicine, a specialty within preventive medicine. Residencies exist at programs run by the US Air Force, Navy, and Army, NASA-affiliated academic centers, and a small number of civilian universities, and they include a master's degree in public health.

Graduates can become board certified in aerospace medicine through the American Board of Preventive Medicine (ABPM). Many enter the field through the military, where physicians train as flight surgeons. Civilian doctors can also be designated by the FAA as Aviation Medical Examiners after a training course.

  1. 1

    Typical entry-level education

    Doctoral or professional degree

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    Internship/residency

  4. 4

    Preparation needed (O*NET job zone)

    Considerable preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

What education people in the job have

O*NET incumbent survey: the highest level of education reported by people already working as preventive medicine physicians.

  • Post-Doctoral Training73.7%
  • Doctoral Degree26.3%
Highest education held by preventive medicine physicians
ItemValue
Post-Doctoral Training73.7%
Doctoral Degree26.3%

Source: O*NET 31.0 Database

The work

What does an Aerospace Medicine Physician do?

Aerospace medicine physicians care for people who work in the air and in space. They perform flight physicals, decide whether pilots with medical conditions can safely fly, and manage the effects of altitude, acceleration, fatigue, and spatial disorientation. Military flight surgeons fly with their squadrons and treat aircrew and their families.

Others work for NASA and commercial spaceflight companies, preparing astronauts for missions, monitoring them in orbit, and researching how microgravity and radiation affect bone, muscle, vision, and the heart. They also investigate aviation accidents for human factors, set medical standards for the Federal Aviation Administration, and advise airlines on crew and passenger health.

Day-to-day tasks

  1. Perform flight physicals and determine medical fitness to fly
  2. Treat pilots, aircrew, and astronauts for illness and injury
  3. Advise on the effects of altitude, acceleration, and fatigue
  4. Monitor astronaut health before, during, and after missions
  5. Research physiological effects of spaceflight and long flights
  6. Investigate aviation accidents for medical and human factors
  7. Develop medical standards and waiver policies for aviators
  8. Teach aircrew about hypoxia, disorientation, and survival

Typical tasks, researched by NueCareer from the sources below.

Working conditions and hours

Aerospace medicine physicians work at military air bases, NASA centers, the FAA, airlines, commercial space companies, and academic research programs. Military flight surgeons fly regularly with aircrews and may deploy. Civilian roles are mostly clinic and office based, with travel for missions, research, and accident investigations.

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

Physical demands

  • Sitting

    NeverAlmost all the time

    Seated for more than half the working day.

  • Standing

    NeverAlmost all the time
  • Bending or twisting

    NeverAlmost all the time

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

Pressure and stakes

  • Strict deadlines

    NeverEvery day
  • Conflict situations

    NeverEvery day
  • Cost of a mistake

    Not seriousExtremely serious

Autonomy

  • Freedom to decide

    NoneA lot

    A lot of freedom to make decisions without checking first.

Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Core skills

O*NET importance, 1 to 5

  • Reading Comprehension4.4
  • Active Listening4.3
  • Speaking4.3
  • Critical Thinking4.3
  • Writing4.1
  • Monitoring4.1
  • Active Learning4.0
  • Science3.8
Core skills for Preventive Medicine Physicians
ItemValue
Reading Comprehension4.4
Active Listening4.3
Speaking4.3
Critical Thinking4.3
Writing4.1
Monitoring4.1
Active Learning4.0
Science3.8

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Complex Problem Solving4.3
  • Judgment and Decision Making4.3
  • Social Perceptiveness4.0
  • Coordination4.0
  • Instructing3.8
  • Service Orientation3.8
  • Systems Analysis3.8
  • Systems Evaluation3.8
Transferable skills for Preventive Medicine Physicians
ItemValue
Complex Problem Solving4.3
Judgment and Decision Making4.3
Social Perceptiveness4.0
Coordination4.0
Instructing3.8
Service Orientation3.8
Systems Analysis3.8
Systems Evaluation3.8

Source: O*NET 31.0 Database

Tools and software

  • Analytical or scientific software · in demand
  • Data base user interface and query software · in demand
  • Object or component oriented development software · in demand
  • Office suite software · in demand
  • Presentation software · in demand
  • Spreadsheet software · in demand
  • Word processing software · in demand
  • Calendar and scheduling software
  • Electronic mail software
  • Internet browser software
  • Medical software

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

Personality fit

What personality type suits an Aerospace Medicine Physician?

Interest profile

NueCareer estimate (Holland code ISR) built on O*NET's Preventive Medicine Physician profile, scored 1 to 7

Aerospace Medicine Physician · Realistic: 4Aerospace Medicine Physician · Investigative: 7Aerospace Medicine Physician · Artistic: 2Aerospace Medicine Physician · Social: 6Aerospace Medicine Physician · Enterprising: 2Aerospace Medicine Physician · Conventional: 3
Aerospace Medicine Physician interest profile
AxisAerospace Medicine Physician
Realistic4
Investigative7
Artistic2
Social6
Enterprising2
Conventional3

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around investigating, analysing and solving problems with ideas and data, combined with teaching, helping and working directly with other people.

  • Investigative6.7
  • Social5.6
  • Realistic4.0
  • Conventional3.4
  • Enterprising2.4
  • Artistic1.9

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Aerospace Medicine Physician: frequently asked questions

How much do Preventive Medicine Physicians make?

BLS does not publish a separate wage for preventive medicine physicians. It counts them within preventive medicine physician, whose median pay is $265,930 a year (BLS OEWS, May 2025). The middle half of that occupation earn between $102,930 and $378,770, and the top 10% earn $452,360 or more.

Do you need a degree to become an Aerospace Medicine Physician?

Yes, and beyond a bachelor's: BLS lists a doctoral or professional degree as the typical entry requirement for Preventive Medicine Physicians. BLS also lists internship/residency as typical on-the-job training. In O*NET's survey of people already doing the job, 73.7% hold post-doctoral training.

Is Aerospace Medicine Physician a growing career?

It is stable rather than fast-growing: employment is projected to change 3.4% over 2025–2035, about the same as the 3.5% projected across all occupations (BLS EP, 2025–2035). BLS still projects about 9,400 openings a year, mostly from workers retiring or moving to other work.

What does an Aerospace Medicine Physician do?

Aerospace medicine physicians care for people who work in the air and in space. A typical task: perform flight physicals and determine medical fitness to fly. Employers most often ask for Analytical or scientific software, Data base user interface and query software, Object or component oriented development software.

Which states pay Preventive Medicine Physicians the most?

The highest state medians for Preventive Medicine Physicians are North Dakota ($454,550), Montana ($438,850), Maine ($419,410) (BLS OEWS, May 2025).

What personality type suits an Aerospace Medicine Physician?

O*NET scores Preventive Medicine Physicians highest on the Investigative, Social and Realistic interest areas, so the work mixes investigating, analysing and solving problems with ideas and data with teaching, helping and working directly with other people. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.

Research sources for this career