Advanced Practice Provider (NP-PA), Gastroenterology

Local GI market

41 gastroenterologists

within 30 miles. That is 10.4 per 100,000 adults aged 45-74, 24% fewer than the US average (13.6). Fewer GIs usually means fuller schedules sooner.

34% of them finished medical school 30 or more years ago (US: 36%).

Source: CMS Doctors and Clinicians file; Census ACS 2019-2023.

Procedure mix nearby

72% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 16,401 colonoscopies, 5,908 EGDs, 423 ERCPs, 141 EUS.

ERCP volume is typical and EUS is thin for the population, compared with the US (adjusted for Medicare Advantage share). 88% done in a hospital or surgery center; 63% by gastroenterologists.

69.8% of adults 45-75 in this county are up to date on colorectal screening, 3.7 points above the state (66.1%).

53% of Medicare patients here are in Medicare Advantage (state: 50%). Medicare procedure counts above cover only the other 47%.

Source: CMS Medicare Physician and Other Practitioners by provider and service, 2024 (fee-for-service only; services for fewer than 11 patients hidden). CMS MA penetration; CDC PLACES 2025 (2022 survey).

Cost of living

Prices in Washington are 7% above the US average.

Washington has no state income tax on wages.

Source: BEA regional price parities, 2024. State level; big metros cost more. Tax: Tax Foundation 2026 state brackets.

Hospitals and surgery centers

9 hospitals, 20 surgery centers

within 30 miles. 9 of the hospitals run an emergency department; 2 of 9 rated hold 4 or 5 CMS stars.

Nearest: Providence St Peter Hospital (5 mi, 3 stars); Capital Medical Center (7 mi, 3 stars); Mason General Hospital & Family of Clinics (18 mi, 2 stars).

5 of the surgery centers reported 13,352 Medicare outpatient colonoscopies in a year. More endoscopy centers usually means more ASC ownership and partnership options.

Source: CMS Care Compare, Hospital General Information and ASC Quality Reporting (ASC-12 colonoscopy cases, Medicare fee-for-service). Located by ZIP code.

State rules for your contract

Noncompete: Ban coming

All noncompetes become void on 2027-06-30. Until then, allowed above the state pay threshold. RCW 49.62 (HB 1155), from 2027-06-30. Usually covers only contracts signed after that date.

Interstate Medical Licensure Compact: member (faster multi-state licensing).

State law summary, not legal advice. Have a contract lawyer read your agreement. Source; IMLC states; all states.

Employer

Physician group (private equity-backed), For-profit

Private equity: OMERS Private Equity (since 2021). Checked 2026-09-28.

For-profit employer. Jobs here do not count toward PSLF.

Source

Visas (H-1B / J-1)

No H-1B filings for GI physicians from this employer in the data we hold. That does not mean it will not sponsor.

All GI H-1B filings in Washington: 8, median $488k.

Parts of this county are federal primary care shortage areas (HPSAs). Check the exact practice address. Conrad 30 J-1 waiver jobs usually must be in a shortage area; each state sets its own rules. State J-1 waiver contacts (3RNET).

Source: US Dept. of Labor LCA disclosure data (certified H-1B, FY2024-FY2026); HRSA HPSA data. All GI H-1B employers