Who Earns What
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🩺 How much does a medical doctor make?

A typical U.S. doctor earns about $276,000 a year (the median). Neurosurgeons, the highest-paid specialty in a 2026 report, average about $829,000.

Pay varies by specialty and workplace; many Japanese doctors also earn extra from side jobs, and the U.S. top figure is a specialty average.

US Most people, typical, the top

Medical doctor — US
WhoYearly earningsBased on
Typical U.S. doctor (median)$275,930BLS median, May 2025
Neurosurgeons (highest specialty average)$829,161Doximity 2026 specialty average

Per month and per day

Medical doctor — US
WhoPer monthPer day (÷365)
Typical U.S. doctor (median)$22,994$756
Neurosurgeons (highest specialty average)$69,097$2,272

Where does the money come from?

  • Base salary: Many physicians receive a set salary as part of their pay. Source
  • Productivity pay: Some employers link part of a doctor's pay to work or productivity measures. Source
  • Bonus: Some physicians also receive bonuses under their employer's pay plan. Source

How pay changes with experience

StageAmountSource
MSM PGY-1 resident$71,267 EstimateMSM's 2026–27 resident stipend schedule lists this annual salary. (Source)
MSM PGY-8 resident$89,887 EstimateMSM's 2026–27 resident stipend schedule lists this annual salary. (Source)

How do you become a medical doctor?

In the United States, first earn a bachelor's degree, then complete medical school for an MD or DO, usually in four years. Pass the required licensing exams, complete specialty residency training, and apply for a license from a state medical board.

  1. Complete college and earn a bachelor's degree.
  2. Attend medical school and earn an MD or DO degree.
  3. Take USMLE Steps 1 and 2 during medical school.
  4. Train in a specialty residency and pass USMLE Step 3.
  5. Apply for and obtain a medical license from a state.

Qualifications and exams

In the United States, physicians need an MD or DO, pass the USMLE or COMLEX-USA, complete at least one year of postgraduate training, and obtain a state license. Some states require more training.

A day as a medical doctor

A doctor asks patients about their symptoms and health history, examines them, and reviews test results to plan treatment. Doctors also update records, explain medicine and prevention, and work with nurses and other staff.

Next up

Who earns more?

Common questions

Do doctors get paid during residency?

Yes. AAMC data put the preliminary typical stipend for the first year after medical school at $65,100 in 2024. Source

Does a doctor's specialty change their pay?

Yes. Doximity's 2026 report lists 2025 average compensation of $501,003 for general surgeons and $325,040 for family medicine physicians. Source

Which U.S. metro area has the highest doctor pay?

In Doximity's 2025 metro-area averages, Oklahoma City had the highest physician compensation, at $495,617. Source

Can seeing more patients raise a doctor's pay?

Sometimes. In the AMA's 2024 survey, 55% of physicians received at least some compensation based on productivity, though pay plans differ by workplace. Source

Do doctors work nights or take call?

Many physicians work long shifts, including irregular or overnight hours, and some are on call to respond to patient needs. Source

Do medical students graduate with loans?

Many do. For the U.S. medical school class of 2024, 71% had education debt; among those with debt, the mean was $212,341. Source

This section summarizes public sources. We only show numbers that have a source.

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In Japan

Most people, typical, the top

Medical doctor — Japan
WhoYearly earningsBased on
Most common reported income band, including side work$93,333–$106,667Most common band in a 2025 survey of 2,055 doctors
Employed doctors, official survey average$100,8172025 MHLW wage survey average
Some survey respondents: ¥30 million or more$200,0002025 doctor survey; open-ended top band

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Data table and sources