Gastroenterologist with advanced endoscopy training who treats bile duct, pancreas and digestive tract disease through scopes instead of open surgery. Medscape Physician Compensation Report 2026 puts typical pay at $530,000 a year (2025). BLS does not publish separate figures for general internal medicine physicians; it counts them within general internal medicine physician (SOC 29-1216), whose median pay is $256,560 a year (BLS OEWS, May 2025). Typical entry-level education: Doctoral or professional degree.
- SOC 29-1216
- Healthcare Practitioners and Technical
- Last updated October 9, 2026
At a glance
Interventional Gastroenterologist in four numbers
- Median pay
- $256,560a year, or $123.35/hrBLS OEWS, May 2025Lowest 10% $74KTop 10% $475K
US median, all jobs: $50,980
- Projected growth
- +4.0%About as fast as averageBLS EP, 2025–2035This career+4%All jobs+3.5%
Projected employment change, 2025–2035 Item Value This career +4% All jobs +3.5% - Openings a year
- 1,90073,100 jobs todayBLS EP, 2025–2035
- Jobs in 202573.1K
- Projected 203576K
Employment, 2025–2035 Item Value Jobs in 2025 73.1K Projected 2035 76K - Typical education
- Doctorateneeded to enterBLS EP, 2025–2035; mix: O*NET
- Doctorate47%
- Post-doctoral training53%
Highest education held by general internal medicine physicians Segment Value Doctorate 47% Post-doctoral training 53%
Also advertised as: Advanced Endoscopist, Therapeutic Endoscopist, Advanced Endoscopy Gastroenterologist, Pancreaticobiliary Endoscopist.
Pay
How much do General Internal Medicine Physicians make?
Industry-reported pay
$530,000
Average total annual compensation (salary, bonus and profit sharing), full-time US physicians in gastroenterology, the narrowest published survey group that includes interventional gastroenterologists.
Source: Medscape Physician Compensation Report 2026, 2025 (published compensation survey). This is not a BLS figure: BLS counts general internal medicine physicians within general internal medicine physician, whose pay is shown below. Medscape Physician Compensation Report 2026 · The DO: What physicians are getting paid in 2026 (Medscape 2026 specialty figures) · Doximity Physician Compensation Report 2025
Every interventional gastroenterologist in the US, by percentile of annual wage
Median
$256,560
Middle half earn $124,470 to $374,850
- 10th
- $73,570
- 25th
- $124,470
- 75th
- $374,850
- 90th
- $475,430
All US occupations: $50,980
| Percentile | Value |
|---|---|
| 10th | $73,570 |
| 25th | $124,470 |
| Median | $256,560 |
| 75th | $374,850 |
| 90th | $475,430 |
| All US occupations | $50,980 |
Source: BLS OEWS, May 2025
- Median annual wage
- $256,560
- Median hourly wage
- $123.35/hr
- Mean annual wage
- $267,200
- People employed
- 67,150
Versus all US occupations
At $256,560, General Internal Medicine Physicians earn 403% above the $50,980 median across all US occupations, a difference of $205,580 a year.
Versus healthcare practitioners and technical occupations
Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 150% above the group median.
Pay range
The top 10% earn $475,430 or more while the bottom 10% earn $73,570, 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 97% of the 1,741 occupations in the NueCareer career bank.
Highest-paying state
Georgia pays the most at $425,460, and still leads at $441,839 once local prices are taken into account.
Pay by state
Which states pay General Internal 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.
| State | Median | COL-adjusted | Employed |
|---|---|---|---|
| 1Georgia | $425,460 | $441,839 | 5,440 |
| 2Rhode Island | $379,490 | $371,031 | 300 |
| 3Minnesota | $373,700 | $378,925 | 2,270 |
| 4Wisconsin | $367,160 | $390,201 | 1,450 |
| 5Alaska | $366,080 | $357,643 | 110 |
| 6South Carolina | $359,500 | $383,471 | 1,260 |
| 7Idaho | $355,390 | $372,160 | 130 |
| 8Washington | $340,010 | $317,728 | 1,100 |
| 9North Dakota | $338,400 | $380,400 | 200 |
| 10Utah | $331,720 | $335,532 | 210 |
Job outlook
Is Interventional Gastroenterologist a growing career?
Employment change over 2025–2035, against every US occupation
About as fast as average. +4.0% projected growth vs 3.5% for all occupations.
| Item | Value |
|---|---|
| General Internal Medicine Physicians | +4% |
| All US occupations | +3.5% |
Source: BLS EP, 2025–2035
About as fast as average
BLS projects employment of General Internal Medicine Physicians to change 4.0% over 2025–2035, against 3.5% projected for all occupations. That is 2,900 more jobs.
Annual openings
About 1,900 openings are projected each year, 2.6% of the 73,100 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.
Getting in
How to become an Interventional Gastroenterologist
The path is medical school, a three-year internal medicine residency and a three-year ACGME-accredited gastroenterology fellowship, followed by an additional advanced endoscopy fellowship, usually one year, focused on ERCP and endoscopic ultrasound.
The American Board of Internal Medicine certifies physicians in internal medicine and gastroenterology. The American Society for Gastrointestinal Endoscopy (ASGE) sets training standards for advanced endoscopy and lists fellowship programs. Gastroenterology fellowship is one of the more competitive internal medicine fellowships, and advanced endoscopy positions are fewer still. Applicants usually show a high volume of procedures during general GI fellowship, research in pancreaticobiliary disease and letters from advanced endoscopists.
- 1
Typical entry-level education
Doctoral or professional degree
- 2
Work experience in a related occupation
None
- 3
Typical on-the-job training
Internship/residency
- 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 general internal medicine physicians.
- Post-Doctoral Training53%
- Doctoral Degree47%
| Item | Value |
|---|---|
| Post-Doctoral Training | 53% |
| Doctoral Degree | 47% |
Source: O*NET 31.0 Database
The work
What does an Interventional Gastroenterologist do?
Interventional gastroenterologists use endoscopes to diagnose and treat complex digestive disease. They perform ERCP to clear bile duct stones and place stents, endoscopic ultrasound to sample tumors of the pancreas and nearby organs, and procedures that remove large precancerous growths or early cancers from the esophagus, stomach and colon without surgery.
They also drain fluid collections around the pancreas, treat swallowing disorders with endoscopic muscle cutting, and stop serious bleeding. Like other gastroenterologists, they see patients in clinic and perform routine colonoscopy and upper endoscopy, but their referrals come largely from other gastroenterologists and surgeons.
Day-to-day tasks
- Perform ERCP to remove bile duct stones and place biliary and pancreatic stents
- Perform endoscopic ultrasound and fine-needle sampling of pancreatic and other tumors
- Remove large polyps and early cancers with endoscopic resection techniques
- Drain pancreatic fluid collections through the stomach wall
- Treat achalasia and other swallowing disorders endoscopically
- Control upper and lower gastrointestinal bleeding
- See patients in clinic and coordinate care with surgeons and oncologists
Typical tasks, researched by NueCareer from the sources below.
Working conditions and hours
Interventional gastroenterologists work in hospitals, academic centers and large GI groups with endoscopy units and fluoroscopy suites. Days are procedure-heavy, with call for bleeding and bile duct emergencies. ERCP uses X-ray, so radiation protection is routine.
Where the work happens
Indoors, climate-controlled
NeverEvery dayIndoors, in a climate-controlled space, every day.
Outdoors in all weather
NeverEvery dayAlmost never works outdoors.
Physical demands
Sitting
NeverAlmost all the timeStanding
NeverAlmost all the timeBending or twisting
NeverAlmost all the time
Working with people
Contact with other people
NoneConstantConstant contact with other people.
Face-to-face discussions
NeverEvery dayFace-to-face discussions every day.
Dealing with the public
Not importantExtremely importantDealing with customers or the public is very important.
Pressure and stakes
Strict deadlines
NeverEvery dayMeeting strict deadlines at least weekly.
Conflict situations
NeverEvery dayCost of a mistake
Not seriousExtremely seriousMistakes carry very serious consequences.
Autonomy
Freedom to decide
NoneA lotA 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 Comprehension4.1
- Active Listening4.1
- Writing4.0
- Speaking4.0
- Science4.0
- Critical Thinking4.0
- Active Learning3.9
- Monitoring3.9
| Item | Value |
|---|---|
| Reading Comprehension | 4.1 |
| Active Listening | 4.1 |
| Writing | 4.0 |
| Speaking | 4.0 |
| Science | 4.0 |
| Critical Thinking | 4.0 |
| Active Learning | 3.9 |
| Monitoring | 3.9 |
Source: O*NET 31.0 Database
Transferable skills
O*NET importance, 1 to 5
- Social Perceptiveness4.0
- Complex Problem Solving4.0
- Judgment and Decision Making4.0
- Service Orientation3.8
- Coordination3.3
- Systems Analysis3.3
- Persuasion3.1
- Instructing3.1
| Item | Value |
|---|---|
| Social Perceptiveness | 4.0 |
| Complex Problem Solving | 4.0 |
| Judgment and Decision Making | 4.0 |
| Service Orientation | 3.8 |
| Coordination | 3.3 |
| Systems Analysis | 3.3 |
| Persuasion | 3.1 |
| Instructing | 3.1 |
Source: O*NET 31.0 Database
Tools and software
- Medical software · in demand
- Office suite software · in demand
- Spreadsheet software · in demand
- Billing and invoicing software
- Calendar and scheduling software
- Electronic mail software
- Information retrieval or search software
- Internet browser 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 Interventional Gastroenterologist?
NueCareer estimate (Holland code IRS) built on O*NET's General Internal Medicine Physician profile, scored 1 to 7
| Axis | Interventional Gastroenterologist |
|---|---|
| Realistic | 5 |
| Investigative | 7 |
| Artistic | 1 |
| Social | 6 |
| Enterprising | 2 |
| Conventional | 4 |
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.
- Investigative6.8
- Social6.1
- Realistic5.0
- Conventional3.6
- Enterprising2.1
- Artistic1.4
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.
Explore further
Careers related to Interventional Gastroenterologist
O*NET related occupations
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
- Healthcare Practitioners and Technical
More healthcare practitioners and technical careers
Median annual pay, with general internal medicine physicians highlighted
- Anesthesiologist$391,490
- Interventional Gastroenterologist$256,560
- Physician Assistant$135,880
- Nurse Practitioner$132,300
- Physical Therapist$102,760
- Dental Hygienist$98,100
- Diagnostic Medical Sonographer$96,590
- Radiologic Technologist and Technician$80,110
- Surgical Technologist$64,650
| Item | Value |
|---|---|
| Anesthesiologist | $391,490 |
| Interventional Gastroenterologist | $256,560 |
| Physician Assistant | $135,880 |
| Nurse Practitioner | $132,300 |
| Physical Therapist | $102,760 |
| Dental Hygienist | $98,100 |
| Diagnostic Medical Sonographer | $96,590 |
| Radiologic Technologist and Technician | $80,110 |
| Surgical Technologist | $64,650 |
Source: BLS OEWS, May 2025
Lists Interventional Gastroenterologist appears on
Questions
Interventional Gastroenterologist: frequently asked questions
How much do General Internal Medicine Physicians make?
Medscape Physician Compensation Report 2026 reports $530,000 (average total annual compensation (salary, bonus and profit sharing), full-time US physicians in gastroenterology, the narrowest published survey group that includes interventional gastroenterologists, 2025). BLS does not publish a separate wage for general internal medicine physicians. It counts them within general internal medicine physician, whose median pay is $256,560 a year (BLS OEWS, May 2025). The middle half of that occupation earn between $124,470 and $374,850, and the top 10% earn $475,430 or more.
Do you need a degree to become an Interventional Gastroenterologist?
Yes, and beyond a bachelor's: BLS lists a doctoral or professional degree as the typical entry requirement for General Internal Medicine Physicians. BLS also lists internship/residency as typical on-the-job training. In O*NET's survey of people already doing the job, 53.0% hold post-doctoral training.
Is Interventional Gastroenterologist a growing career?
It is stable rather than fast-growing: employment is projected to change 4.0% over 2025–2035, about the same as the 3.5% projected across all occupations (BLS EP, 2025–2035). BLS still projects about 1,900 openings a year, mostly from workers retiring or moving to other work.
What does an Interventional Gastroenterologist do?
Interventional gastroenterologists use endoscopes to diagnose and treat complex digestive disease. A typical task: perform ERCP to remove bile duct stones and place biliary and pancreatic stents. Employers most often ask for Medical software, Office suite software, Spreadsheet software.
Which states pay General Internal Medicine Physicians the most?
The highest state medians for General Internal Medicine Physicians are Georgia ($425,460), Rhode Island ($379,490), Minnesota ($373,700) (BLS OEWS, May 2025).
What personality type suits an Interventional Gastroenterologist?
O*NET scores General Internal 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. On NueCareer's MBTI-to-interest mapping the closest types are ISTJ, ISTP, ISFJ. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.