Of course. Here is a comprehensive, in-depth article on pediatric physician assistant salaries, written in the requested tone and structure.
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Pursuing a career as a pediatric physician assistant (PA) offers not only the profound reward of caring for children but also a competitive and stable financial future. For those considering this dynamic field, understanding the earning potential is a critical step in career planning. A pediatric PA can expect to earn a compelling salary, typically ranging from $100,000 to over $140,000 annually, depending on a variety of key factors.
This in-depth guide will break down the salary you can expect as a pediatric PA, the factors that influence your earnings, and the robust career outlook for this essential healthcare profession.
What Does a Pediatric Physician Assistant Do?

Before diving into the numbers, it's important to understand the role. Pediatric physician assistants are state-licensed healthcare professionals who practice medicine in collaboration with physicians. They are a vital part of the pediatric healthcare team. Working in settings from private practices and community clinics to large children's hospitals, their responsibilities are extensive and impactful.
Key duties often include:
- Conducting well-child checkups and developmental screenings.
- Diagnosing and treating common childhood illnesses and injuries.
- Ordering and interpreting diagnostic tests.
- Prescribing medication.
- Administering immunizations.
- Performing minor procedures.
- Providing crucial education and guidance to parents and caregivers.
Their work ensures that children receive timely, high-quality, and compassionate care, making the role both challenging and deeply fulfilling.
Average Pediatric Physician Assistant Salary

While salaries can vary significantly, we can establish a strong baseline using data from leading industry sources.
According to the 2023 AAPA (American Academy of Physician Associates) Salary Report, the median base salary for a PA specializing in pediatrics was approximately $115,000 per year. It's important to note that "base salary" often excludes bonuses, profit-sharing, and other compensation, so total earnings can be higher.
For a broader perspective, the U.S. Bureau of Labor Statistics (BLS) reports that the median annual wage for all physician assistants was $126,010 as of May 2022. The slight difference is often attributed to the fact that certain PA specialties, like surgical or emergency medicine subspecialties, tend to command higher salaries than many primary care fields, including general pediatrics.
Salary aggregators provide a look at the typical range:
- Salary.com places the average salary for a pediatric PA in the United States between $112,236 and $127,159.
- Data from Payscale shows a range that extends from roughly $96,000 for entry-level positions to $135,000+ for highly experienced PAs.
This data illustrates a clear picture: a six-figure salary is the standard for pediatric PAs, with significant room for growth over the course of a career.
Key Factors That Influence Salary

Your specific salary as a pediatric PA isn't a single number; it's a dynamic figure influenced by several critical factors. Understanding these will help you maximize your earning potential.
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Level of Education
To become a PA, a Master's degree from an accredited PA program is the standard and required level of education. While a Doctor of Medical Science (DMSc) or similar doctoral degree is available for PAs, it does not currently translate into a guaranteed salary increase for most clinical roles. A doctorate may, however, provide a competitive advantage for leadership, administrative, or academic positions, which can lead to higher long-term earnings. For a purely clinical pediatric PA, the master's degree is the key that unlocks your earning potential.
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Years of Experience
Experience is one of the most significant drivers of salary growth. As you build clinical confidence, increase your efficiency, and take on more responsibility, your value to an employer rises.
- Entry-Level (0-2 years): New graduates can expect to earn on the lower end of the spectrum, typically starting between $95,000 and $110,000.
- Mid-Career (5-9 years): With solid experience, PAs can expect to earn closer to the national median and beyond, often in the $115,000 to $130,000 range.
- Experienced (10+ years): Senior PAs with a decade or more of experience, potentially with supervisory or specialized duties, can command the highest salaries, often exceeding $135,000 to $140,000.
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Geographic Location
Where you choose to practice has a major impact on your salary. States with a high cost of living and high demand for healthcare professionals often offer higher pay to compensate. According to the BLS, the top-paying states for physician assistants overall include:
1. Washington
2. California
3. Alaska
4. Nevada
5. New York
Conversely, salaries may be lower in states with a lower cost of living. However, practicing in a medically underserved or rural area may sometimes come with opportunities for loan repayment programs or other financial incentives that can significantly boost your overall financial health.
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Company Type / Work Setting
The type of facility you work in directly correlates with salary.
- Private Pediatric Practice/Outpatient Clinic: This is the most common setting for general pediatric PAs. Salaries here are typically stable and align with the national averages.
- Hospitals (Inpatient): PAs working within a hospital system—especially in a pediatric specialty unit like neonatology or critical care—often earn higher salaries. This is due to the higher acuity of patients, potential for on-call duties, and shift differentials for nights or weekends.
- Urgent Care Centers: Pediatric-focused urgent care centers may offer higher hourly wages or productivity-based bonuses to handle a high volume of patients.
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Area of Specialization
While "pediatrics" is a specialty, there are further subspecialties within it. A PA working in general pediatrics will earn a solid, competitive salary. However, those who pursue additional training or work in a high-demand pediatric subspecialty can earn significantly more. These areas include:
- Pediatric Surgery
- Pediatric Cardiology
- Pediatric Oncology
- Pediatric Emergency Medicine
- Neonatology (NICU)
These fields often involve more complex procedures and critical patient care, which commands higher compensation, often pushing salaries well above the overall PA median.
Job Outlook

The career outlook for physician assistants is outstanding. According to the U.S. Bureau of Labor Statistics, employment of physician assistants is projected to grow 27 percent from 2022 to 2032, which is vastly faster than the average for all occupations.
This explosive growth is driven by several factors, including an increased demand for healthcare services, a focus on team-based healthcare models, and the cost-effective, high-quality care that PAs provide. For those entering the field of pediatrics, this means exceptional job security and a wealth of opportunities across the country for years to come.
Conclusion

Choosing a career as a pediatric physician assistant is a decision to invest in a profession that is both personally and financially rewarding. With a strong starting salary and a median income well into the six figures, it offers a secure financial foundation.
Your earning potential is not static; it is something you can actively influence. By gaining experience, considering different work settings, choosing a strategic geographic location, and potentially pursuing a subspecialty, you can build a prosperous and impactful career. For those with a passion for pediatric care, the PA profession offers a clear and rewarding path that perfectly aligns financial stability with a meaningful mission.