Is Nephrology a Good Career in 2026?

Based on 33 verified physician submissions

SalaryDr Career Intelligence

Based on 33 verified physician submissions

0
/ 100
Good

Score Breakdown

Salary
0
Satisfaction
0
Demand
0
Would Choose Again
0
Work-Life Balance
0
Training ROI
0
AI Resilience
0
$390,000
Median Salary
3.6/5
Satisfaction
82%
Would Choose Again

Nephrology Compensation & Earnings

Nephrology Compensation

$390,000

$335,000$433,000(P25–P75)

SalaryDr Median · 33 verified reports
See Full Nephrology Salary Data →

Nephrology Salary Progression

From medical school to senior attending — based on 33 verified submissions

Training
8 years
Med School Debt
$200,000
Attending Salary
$390,000
Break-Even
~1 years
1
Medical School
4 years
-$200,000
2
Residency
3-5 years
Limited data

1 submissions

3
Early Career
0-5 years experience
$319,000/yr

12 submissions

4
Mid-Career
6-15 years experience
$405,000/yr

16 submissions

5
Senior Attending
16+ years experience
$500,000/yr

5 submissions

+27% salary growth from early career ($319,000) to mid-career ($405,000)

Estimate Your Take-Home

Based on median Nephrology salary of $390K/yr

Select a state to see your estimated take-home pay

Full Take-Home Calculator

Take-Home Pay by State

How much a Nephrology physician actually keeps after federal, state, and FICA taxes

Highest Take-Home States

1
Alaska
Gross: $390,000 · 30.7% tax
$270,418
+$35,880/yr
2
Florida
Gross: $390,000 · 30.7% tax
$270,418
+$35,880/yr
3
Nevada
Gross: $390,000 · 30.7% tax
$270,418
+$35,880/yr
4
New Hampshire
Gross: $390,000 · 30.7% tax
$270,418
+$35,880/yr
5
South Dakota
Gross: $390,000 · 30.7% tax
$270,418
+$35,880/yr

Lowest Take-Home States

47
California
Gross: $390,000 · 39.9% tax
$234,538
$35,880/yr
48
Oregon
Gross: $390,000 · 39.7% tax
$235,318
$35,100/yr
49
District of Columbia
Gross: $390,000 · 39.6% tax
$235,708
$34,710/yr
50
Hawaii
Gross: $390,000 · 39.5% tax
$236,098
$34,320/yr
51
Minnesota
Gross: $390,000 · 38.9% tax
$238,438
$31,980/yr

Tax impact: A Nephrology physician keeps $35,880 more per year in Alaska vs. California — a 9.2% difference on gross income of $390,000.

Assumes single filer, standard deduction, W-2 employment. State rates from Tax Foundation 2025. Gross salaries from BLS OEWS May 2024. FICA includes Social Security (6.2% up to $168,600) and Medicare (1.45% + 0.9% above $200K). Actual take-home varies with deductions, filing status, and local taxes.

Median: $390,000/yr
Nephrology Physician Salary (2026)

How does your compensation compare?

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Career Lifestyle

Career Reality: By the Numbers

Real data from 33 verified Nephrology physicians — not job board estimates.

⏱️avg
50hrs
Avg Hours/Week
📟+67% vs avg
100%
Take Call
🌙
~5 days
all-physician avg
Avg Call Days/Mo
🏖️+86% vs avg
52 days
Avg PTO Days/Year
🤝
100%
Partnership Track
🌛
0%
Moonlighting

What Physicians Actually Say

Thematic analysis of career insights from Nephrology physicians. Based on 5 anonymized responses.

About the Career (2 responses)

Compensation

50%

1 physician mentioned this

There is less money in academic. Old colleagues in private practice are making 800k+ a year.Academic, 18 yrs

Team & Collaboration

50%

1 physician mentioned this

There is less money in academic. Old colleagues in private practice are making 800k+ a year.Academic, 18 yrs

About the Lifestyle (3 responses)

Family Time

67%

2 physicians mentioned this

i would say this atypical of Nephrology. 250,000 of my salary comes from dialysis center directorshop. I did not include my share from JV with dialysis units, but that has significantly decreased because of cut reimbursements to dialysis. It took me 5 years to become partner and i think that's ...Private Practice, 5 yrs
I do 13 weeks 24/7 with home call. Patient load 20-40 The rest I do 2.5 days clinic and then add dialysis on days I don’t do clinic. Generally I get Thursday off to do Administrative workAcademic, 3 yrs

Call Impact

67%

2 physicians mentioned this

I work 5 days a week, no call or weekends worked. Flexible schedhule and easily able to move around patients if necessary. Mostly medical directorship and academic work rather than full-time clinical.Academic, 18 yrs
I do 13 weeks 24/7 with home call. Patient load 20-40 The rest I do 2.5 days clinic and then add dialysis on days I don’t do clinic. Generally I get Thursday off to do Administrative workAcademic, 3 yrs

Good Work-Life Balance

33%

1 physician mentioned this

I work 5 days a week, no call or weekends worked. Flexible schedhule and easily able to move around patients if necessary. Mostly medical directorship and academic work rather than full-time clinical.Academic, 18 yrs

Predictable Schedule

33%

1 physician mentioned this

I work 5 days a week, no call or weekends worked. Flexible schedhule and easily able to move around patients if necessary. Mostly medical directorship and academic work rather than full-time clinical.Academic, 18 yrs
82% would choose nephrology again
Physician Satisfaction (2026)
Is Nephrology Worth It? →
Detailed ROI analysis, satisfaction deep-dive, and physician perspectives

Job Market & Future Outlook

Training & Getting Started

4 years of post-medical-school training

Explore Nephrology

Take the Next Step in Your Nephrology Career

Real compensation data from verified physicians. Know your market value before your next contract negotiation.

Powered by SalaryDr Career Intelligence

Data sources: SalaryDr verified physician submissions • BLS Occupational Employment Statistics (May 2024) • BLS Employment Projections (2024-2034)
Career Score methodology: salarydr.com/methodology

According to SalaryDr Career Intelligence data from 33 verified Nephrology Physicians (as of August 2026), the Physician Career Score for Nephrology is 60/100. Median total compensation is $390,000, career satisfaction is 3.6/5, and 82% would choose the specialty again.