For those passionate about holistic wellness and root-cause healing, a career as a Doctor of Naturopathic Medicine (ND) can be incredibly rewarding. But beyond the personal fulfillment, what is the financial reality? Understanding the potential salary is a crucial step in planning your educational and professional journey.
While income can vary significantly, most licensed Naturopathic Doctors can expect to earn a salary ranging from $65,000 to over $150,000 annually, with the most successful practice owners exceeding this figure. This article will break down the average dr. of naturopathic medicine salary, explore the key factors that influence your earnings, and examine the job outlook for this growing field.
What Does a Doctor of Naturopathic Medicine Do?

A Doctor of Naturopathic Medicine is a primary care physician who blends modern scientific knowledge with traditional and natural forms of medicine. They focus on treating the whole person—mind, body, and spirit—and emphasize prevention and the self-healing process.
Core responsibilities of an ND include:
- Conducting comprehensive patient consultations, including detailed health histories.
- Diagnosing and treating health conditions using a variety of therapeutic methods.
- Ordering and interpreting conventional and specialized lab tests.
- Creating personalized treatment plans that may include clinical nutrition, botanical medicine, homeopathy, lifestyle counseling, and physical medicine.
- Collaborating with other healthcare professionals, including MDs, DOs, and chiropractors, as part of an integrative care team.
NDs are trained as primary care providers and work in private practices, integrative clinics, hospitals, and academic institutions.
Average dr. of naturopathic medicine salary Salary

Determining a precise average salary for Naturopathic Doctors can be complex because the U.S. Bureau of Labor Statistics (BLS) does not track NDs as a distinct profession. They are often grouped into the broader category of "Health Diagnosing and Treating Practitioners, All Other."
However, data from reputable salary aggregators and industry insights provide a clear picture:
- Payscale reports that the average salary for a Naturopathic Physician is approximately $83,600 per year, with a typical range falling between $59,000 and $122,000.
- Salary.com places the median salary for a Naturopathic Physician in the United States at $96,981, with the salary range typically falling between $86,052 and $119,776.
- Glassdoor estimates a total pay of around $93,450 per year on average, including base pay and potential additional compensation.
It's important to remember that these figures often blend data from salaried employees and self-employed practice owners. For those just starting, an entry-level salary might be closer to $60,000-$70,000, while highly experienced NDs or successful practice owners can earn well over $150,000.
Key Factors That Influence Salary

Your earning potential as an ND is not a fixed number. It's influenced by a combination of professional and strategic choices. Here are the most significant factors.
### Level of Education
To legally use the title "ND" or "NMD," you must have a Doctor of Naturopathic Medicine degree from an accredited four-year, graduate-level naturopathic medical school. Following graduation, you must pass the Naturopathic Physicians Licensing Examinations (NPLEX) to become licensed. This rigorous educational standard is the baseline for entry into the profession. While the degree itself doesn't create salary tiers among licensed NDs, pursuing post-doctoral residencies or additional certifications in specialized areas can significantly enhance your expertise and, consequently, your earning potential.
### Years of Experience
As with most professions, experience is a primary driver of income growth.
- Entry-Level (0-2 years): New graduates, often working as associates in an established clinic, typically earn at the lower end of the salary spectrum as they build their patient base and practical skills.
- Mid-Career (3-10 years): With a solid patient roster and a proven track record, mid-career NDs see a significant jump in income. This is often the stage where they might consider opening their own private practice.
- Experienced (10+ years): Senior NDs with extensive experience, a strong reputation, and often a successful practice or specialized niche command the highest salaries in the field.
### Geographic Location
Where you practice has a massive impact on your salary. This is due to two main factors: state licensure and local market demand. Currently, 26 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands have licensing or registration laws for naturopathic doctors.
States with full licensure, a high cost of living, and a strong public interest in holistic health tend to offer the highest salaries. These often include:
- Washington
- Oregon
- California
- Arizona
- Connecticut
- Colorado
Practicing in a state with favorable laws and a large, health-conscious population can directly translate to higher patient volume and better compensation.
### Company Type
The structure of your employment is one of the most critical factors determining your income.
- Private Practice Owner: This model offers the highest earning potential. As an owner, your income is the practice's profit. However, it also comes with the greatest risk, including overhead costs (rent, staff, marketing, insurance) and the demands of running a business.
- Associate in a Group Practice: Many NDs begin their careers as associates. This provides a stable salary or a percentage of billings without the financial risk of ownership. It's an excellent way to gain experience.
- Integrative Medicine Clinic or Hospital: A growing number of NDs are being hired by conventional medical centers and large integrative clinics. These positions typically offer a competitive salary, benefits, and a stable work environment, though perhaps with less autonomy than private practice.
- Other Avenues: NDs also earn income through consulting for supplement companies, teaching at universities, writing, public speaking, and developing health products.
### Area of Specialization
Developing a niche can make you a sought-after expert, allowing you to attract more patients and command higher fees. Popular and lucrative specializations for Naturopathic Doctors include:
- Women’s Health and Fertility
- Pediatrics
- Gastroenterology (e.g., SIBO, IBS)
- Supportive Cancer Care (Oncology Support)
- Autoimmune Conditions
- Environmental Medicine and Detoxification
Specializing allows you to focus your marketing efforts and build a reputation as the go-to provider for specific conditions.
Job Outlook

The future for Naturopathic Medicine appears bright. While the BLS doesn't track NDs directly, its outlook for the closely related category, "Health Diagnosing and Treating Practitioners, All Other," is very positive. The BLS projects a 7% growth for this group between 2022 and 2032, which is much faster than the average for all occupations.
This growth is fueled by a major societal shift. Consumers are increasingly seeking preventative, personalized, and patient-centered healthcare. The growing interest in wellness, nutrition, and addressing the root causes of chronic disease aligns perfectly with the principles of naturopathic medicine, suggesting that demand for qualified NDs will continue to rise.
Conclusion

A career as a Doctor of Naturopathic Medicine offers a path to a fulfilling and financially stable profession. While the average salary provides a solid benchmark, your ultimate earning potential is largely in your hands.
Here are the key takeaways:
- A Solid Foundation: Expect an average salary in the $80,000 to $97,000 range, with significant upward potential.
- You're in Control: Your income is heavily influenced by your experience, location, practice model, and specialization.
- Business Acumen is Key: For those aiming for top-tier earnings, developing strong business and marketing skills to run a successful private practice is essential.
- A Growing Field: The job outlook is strong, driven by increasing patient demand for holistic and preventative care.
For those dedicated to the rigorous education and motivated by an entrepreneurial spirit, a career as a Doctor of Naturopathic Medicine is not only a way to change lives—it’s a pathway to building a prosperous and meaningful career.