Physical Medicine and Rehabilitation (PM&R), also known as physiatry, continues to be a rewarding and growing specialty in the medical field. As the demand for non-surgical pain management and rehabilitation services increases, so does the interest in PM&R physician salaries. In 2025, physiatry salaries remain competitive, with multiple factors influencing total compensation.
๐ Average PM&R Salary in 2025
In 2025, the average annual salary for a PM&R physician in the United States is approximately $285,000โ$310,000, depending on experience, practice setting, and geographic location.
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Entry-level (0โ2 years): $210,000โ$240,000
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Mid-career (3โ9 years): $250,000โ$290,000
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Experienced (10+ years): $300,000โ$350,000
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Academic or non-profit roles: Tend to be on the lower end ($200,000โ$250,000)
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Private practice or partnership roles: Often exceed $350,000 with bonuses and ownership benefits
๐งพ Key Factors Influencing PM&R Salary
Several factors influence how much a physiatrist earns in 2025:
1. Geographic Location
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High-paying states: California, Texas, New York, Florida, and Illinois
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Urban vs. Rural: Urban centers offer higher salaries but often come with higher cost of living
2. Subspecialties and Certifications
Physiatrists with subspecialty certifications or fellowship training often command higher pay:
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Pain Medicine: $350,000+
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Sports Medicine: $280,000โ$320,000
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Interventional Spine: $300,000โ$400,000
3. Practice Setting
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Hospital-employed: Stable income and benefits; $250,000โ$290,000
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Private Practice: Higher earning potential through ownership and procedures
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Locum Tenens or Telehealth: Hourly or per diem rates can be very competitive
4. Education and Certification
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Board certification by the American Board of Physical Medicine and Rehabilitation (ABPMR) increases job opportunities and salary.
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Additional credentials (e.g., pain medicine subspecialty) often lead to enhanced compensation.
๐ผ Job Market Trends in 2025
The job outlook for PM&R physicians remains strong and growing:
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Aging population: Increases demand for rehabilitation and mobility care
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Emphasis on non-surgical treatment: Enhances PM&R’s role in multidisciplinary care
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Expanding telemedicine services: Adds flexibility and new income opportunities
More hospitals and outpatient centers are hiring physiatrists to meet growing demand for musculoskeletal, neurological, and chronic pain management care.
๐ธ Take-Home Pay for a $103K Salary
For reference, a $103,000 salary take-home after federal and state taxes (varies by location) would typically be around $70,000โ$76,000 per year depending on:
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Tax filing status
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State taxes (no income tax states like Texas or Florida offer higher net income)
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Benefits and deductions
This comparison helps contextualize why PM&Rโs average salary above $285K makes it a highly attractive field.
โ Benefits of a Career in PM&R
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Work-life balance: Often better than other medical specialties
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Diverse career paths: From clinical practice to research and education
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High job satisfaction: Due to long-term patient relationships and non-surgical care
๐ Certifications and Education Impact
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Medical degree (MD or DO) and residency in PM&R (4 years total)
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Optional fellowships (1โ2 years): Enhance earning potential
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Board certification: Strongly recommended for career advancement and salary boost
๐ง Summary: Why Consider PM&R in 2025?
The PM&R field offers a strong salary, stable job growth, and fulfilling patient relationships. With the right location, training, and subspecialty, a physiatrist can earn well above average and enjoy a meaningful, balanced career.
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