20 highest, lowest paid physician specialties | 2025

Neurosurgeons are the most highly paid specialists, followed by thoracic surgeons and orthopedic surgeons. Many pediatric specialists were among the lowest paid, according to Doximity’s “Physician Compensation Report 2025.”

The report examines data from 37,000 physicians surveyed last year. The average physician reported a 3.7% increase in pay, beneath the nearly 6% increase reported last year.

“The modest growth comes amid several consecutive years of reimbursement cuts – a trend that many physicians worry could impact their ability to care for Medicare and Medicaid patients in the near future,” the report notes. “Many physicians also believe that current reimbursement policy has contributed to the steady decline of independent practices in their fields.”

The specialty with the highest pay growth was pediatric nephrology at 15.6%, followed by preventative medicine at 10% and pediatric medicine at 8.5%.

Below are the 20 highest and lowest paid physician specialties from Doximity.

Highest paid:

  1. Neurology: $749,140
  2. Thoracic surgery: $689,969
  3. Orthopedic surgery: $679,517
  4. General pediatric surgery: $647,721
  5. Plastic surgery: $621,445
  6. Oral and maxillofacial surgery: $616,748
  7. Radiation oncology: $588,678
  8. Cardiology: $587,360
  9. Vascular surgery: $576,452
  10. Interventional radiology: $572,617
  11. Radiology: $571,749
  12. Urology: $559,474
  13. Gastroenterology: $573,870
  14. Otolaryngology: $523,369
  15. Anesthesia: $523,277
  16. Dermatology: $508,401
  17. Oncology: $502,465
  18. Colon and rectal surgery: $487,085
  19. General surgery: $482,574
  20. Ophthalmology: $477,232

Lowest paid:

  1. Pediatric endocrinology: $230,426
  2. Pediatric rheumatology: $231,574
  3. Pediatric infectious disease: $248,322
  4. Pediatric hematology and oncology: $255,733
  5. Medical genetics: $259,564
  6. Pediatric nephrology: $263,031
  7. Pediatrics: $265,230
  8. Pediatric pulmonology: $282,000
  9. Child neurology: $289,738
  10. Endocrinology: $290,606
  11. Geriatrics: $291,968
  12. Medicine / pediatrics: $296,665
  13. Pediatric gastroenterology: $298,457
  14. Allergy and immunology: $308,846
  15. Preventative medicine: $310,177
  16. Pediatric emergency medicine: $312,271
  17. Family medicine: $318,959
  18. Infectious disease: $320,730
  19. Rheumatology: $324,954
  20. Internal medicine: $326,116

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