If you're considering a career that combines medical expertise, direct patient care, and significant growth potential, becoming a Physician Assistant (PA) is an exceptional choice. For those looking to practice in the Empire State, the financial prospects are particularly bright. A Physician Assistant salary in New York is not only competitive but also ranks among the highest in the nation, reflecting the state's high demand for skilled healthcare professionals.
This guide provides a data-driven look at what you can expect to earn as a PA in New York, the factors that influence your salary, and the robust future of this dynamic profession.
What Does a Physician Assistant Do?

Physician Assistants are highly skilled, state-licensed medical professionals who work in collaboration with physicians to provide a wide range of healthcare services. Trained in the medical model, PAs are qualified to diagnose and treat illnesses, develop patient care plans, prescribe medication, perform procedures, and often serve as a patient's primary healthcare provider.
In New York's diverse healthcare landscape—from the bustling academic medical centers of New York City to community clinics in upstate regions—PAs are integral members of the healthcare team. They work in virtually every medical specialty and setting, including surgery, emergency medicine, pediatrics, and primary care.
*A note on the professional title: The national professional organization, the American Academy of Physician Assistants (AAPA), has officially changed its name to the American Academy of Physician Associates. While the legal title in New York is still "Physician Assistant," you will increasingly see the term "Physician Associate" used to better reflect the collaborative nature of the role.*
Average Salary for a Physician Assistant in New York

New York is one of the top-paying states for Physician Assistants in the United States. The salary you can expect depends on several factors, but data from authoritative sources provides a clear picture of earning potential.
According to the U.S. Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics (May 2023), the most recent comprehensive data available:
- The annual mean wage for Physician Assistants in New York is $143,490.
- This is significantly higher than the national annual mean wage of $130,490.
Salaries in New York can be broken down into a range, illustrating the potential for growth:
- Entry-Level (10th Percentile): $95,140
- Early Career (25th Percentile): $123,050
- Median (50th Percentile): $149,420
- Experienced (75th Percentile): $165,990
- Senior/Top Earners (90th Percentile): $187,710
Other reputable salary aggregators provide similar figures. For example, Salary.com reports the median PA salary in New York City as of May 2024 to be around $148,801, with a typical range falling between $137,052 and $163,083. This variance highlights how factors like location and experience create a wide spectrum of possible earnings.
Key Factors That Influence a Physician Assistant's Salary

While the average salary provides a great benchmark, your specific earnings will be influenced by a combination of key factors. Understanding these can help you maximize your career and financial growth.
### Level of Education
To become a licensed PA, you must graduate from an accredited PA program and pass the Physician Assistant National Certifying Examination (PANCE). The standard degree for entry into the profession is a Master's degree.
While having a doctorate will not necessarily lead to a higher clinical salary, pursuing a Certificate of Added Qualifications (CAQ) from the National Commission on Certification of Physician Assistants (NCCPA) can. A CAQ demonstrates advanced knowledge and experience in a specific specialty, such as Emergency Medicine, Pediatrics, or Orthopaedic Surgery, making you a more valuable candidate and potentially leading to higher compensation.
### Years of Experience
Experience is one of the most significant drivers of salary growth. As you gain more clinical autonomy, skills, and efficiency, your value to an employer increases.
- Entry-Level (0-2 years): New graduates in New York can expect to earn on the lower end of the state's salary range, typically starting between $95,000 and $125,000, depending on the location and specialty.
- Mid-Career (5-9 years): With several years of experience, PAs can expect to earn well above the state median, often in the $140,000 to $160,000 range.
- Senior/Experienced (10+ years): PAs with a decade or more of experience, especially those in leadership roles or high-demand specialties, can command salaries at the top end of the scale, often exceeding $170,000.
### Geographic Location
Within New York State, where you practice matters immensely. Salaries are closely tied to the cost of living and the demand for healthcare services in a specific metropolitan or rural area.
- New York City Metropolitan Area: The New York-Newark-Jersey City, NY-NJ-PA metropolitan area offers the highest salaries in the state to offset a high cost of living. The BLS reports an annual mean wage of $148,840 for PAs in this region.
- Upstate Metropolitan Areas: Salaries remain strong but are generally lower than in the NYC area. For instance, the Albany-Schenectady-Troy metro area has an annual mean wage of $134,840, while the Buffalo-Cheektowaga-Niagara Falls area is $132,150.
- Nonmetropolitan Areas: While salaries may be lower in rural parts of New York, the reduced cost of living can make these positions financially attractive. Furthermore, some rural facilities offer loan repayment programs or other incentives to attract talent.
### Company Type / Work Setting
The type of facility you work in has a direct impact on your compensation.
- Hospitals (State, Local, and Private): Hospitals, especially large academic medical centers, are among the highest-paying employers for PAs due to the complexity of care and the high-acuity environment.
- Outpatient Care Centers: These facilities offer competitive salaries and often provide a better work-life balance compared to hospital-based shift work.
- Physician Offices: While sometimes on the lower end of the pay scale, private practices can offer opportunities for bonuses based on practice performance.
- Specialty Surgical Centers: These highly specialized settings often offer top-tier compensation, particularly for PAs assisting in lucrative surgical fields.
### Area of Specialization
Your choice of medical specialty is a major determinant of your earning potential. According to the AAPA Salary Report, procedural and high-acuity specialties tend to offer the highest compensation.
- Top-Paying Specialties: Dermatology, Critical Care, Emergency Medicine, and surgical subspecialties (e.g., Cardiothoracic, Orthopedic, or Neurosurgery) are consistently the highest-paying fields for PAs.
- Mid-Range Specialties: Internal Medicine, Urgent Care, and Oncology offer strong, competitive salaries.
- Lower-Range Specialties: While still providing excellent compensation, specialties like Family Medicine and Pediatrics typically fall on the lower end of the PA salary spectrum.
Job Outlook for Physician Assistants

The future for Physician Assistants is exceptionally bright. The U.S. Bureau of Labor Statistics projects that employment for PAs will grow by 27% from 2022 to 2032, a rate that is much faster than the average for all occupations.
This explosive growth is driven by several factors:
- An aging population requiring more healthcare services.
- A growing emphasis on preventive care.
- The proven ability of PAs to provide high-quality, cost-effective medical care.
In New York, with its large population and world-class healthcare systems, the demand for PAs will remain robust, ensuring excellent job security and continued salary growth for years to come.
Conclusion

A career as a Physician Assistant in New York offers a powerful combination of meaningful work, professional respect, and outstanding financial compensation. With an average salary well above the national benchmark and six-figure earnings easily attainable, it is a financially sound career path.
For prospective students and practicing PAs, maximizing earning potential involves strategic choices. Focusing on high-demand specialties, gaining experience, and considering location are key. For those looking for a dynamic, impactful, and financially rewarding career in healthcare, becoming a Physician Assistant in New York presents a compelling and promising future.