Podiatrists fly under the radar. There are only about 10,000 podiatrists in the United States right now, even though they work on one of the more important and complex parts of the body, the feet.
The foot and ankle region of the body has dozens of bones, tendons and muscles. Any injuries to the lower extremities can cause a chain reaction of problems through the hips and back. The work that podiatrists do is critical to a person’s overall bodily structure and alignment.
Because of the complexity involved, the time and cost to become a doctor of podiatric medicine (DPM) is significant. The journey to become a podiatrist starts with earning a bachelor’s degree, followed by four years at a school of podiatric medicine and a three-year residency. It takes the same amount of time for an MD to become an attending physician, and medical school tuition is not cheap. Oftentimes, it’s more expensive than most other graduate schools.
So, is the potential podiatrist salary worth the typical amount of medical school debt required to become a podiatrist? Take a look at the average podiatrist salary and student loan debt. In the end, we’ll put together a sample student loan repayment strategy and equip you with the information you need to decide whether the typical amount of student debt is worth pursuing a career in podiatric medicine.
What is the average podiatrist salary?
Let’s examine a few different sources to see how much podiatrists make because it’s hard to find a consistent answer.
The Bureau of Labor Statistics, for example, shows that the mean salary for podiatrists is $148,000 after completing their residency. Salary.com shows a median salary of $204,510, whereas ZipRecruiter says the average podiatrist salary is $133,982, and Indeed says the average salary for podiatrists is $116,432.
The Bureau of Labor Statistics information consists of the most comprehensive data on almost all 10,000 podiatrists out there. The other sites have merit, though, because that’s where employers are advertising jobs and that’s the data employers and candidates are considering in salary negotiations. These sites’ numbers might show more volatile swings based upon the marketplace from week to week, whereas the BLS might be more steady.
Podiatrist salaries vary widely by city and state
Surprisingly, the upper Midwest claims some of the highest podiatrist income out there. Sticking with the BLS data, the average salary of the 60 DPMs in the Milwaukee area is $229,000, while the 110 podiatrists in the Minneapolis-St Paul area earn about $196,000 each.
Indianapolis has 130 podiatrists with an average income of $212,000, and the Chicagoland area is in the top 10 at $177,000.
Rhode Island ($226,030), Nebraska ($219,670), Wisconsin ($201,060), South Carolina ($195,380) and North Carolina ($186,510) are top five highest paying states for podiatrists.
As far as the lowest paying states, Oregon ($95,120) and Montana ($119,040) are the worst paying. California is near the bottom too ($120,750).
There’s a great deal of fluctuation by year, too. There’s an article by Forbes showing the fluctuation in podiatrist salaries from 2013 to 2018. Podiatrist income dropped by 30% in Connecticut and 29% in Oregon. Rhode Island and Iowa were among the largest increases at 106% and 30%, respectively.
For podiatrists, location does matter. It’s about $130,000 from top to bottom between different states. Just keep in mind that salaries can fluctuate quite a bit.
Average podiatrist student debt is high
Podiatrists go through extensive training, and podiatry school is one of the more expensive medical schools out there.
Kent State University College of Podiatric Medicine’s tuition, for example, is projected to cost over $81,000 per year for four years. The average DPM from Western University of Health Sciences graduates with $237,000 in debt.
At Student Loan Planner, the average podiatrist we’ve worked with has $295,000 in student loans. That student loan balance is among the highest for the graduate-level professionals we work with.
So, what’s the best way for podiatrists to pay back these student loans?
Smart student loan repayment strategies for podiatrists
We’ve worked with over 3,300 individual clients across all different professions advising on $850,000,000 in student loans. Starting with the the bigger picture, we’ve found is that there are two optimal ways to pay back student loans:
1. Aggressive repayment: The strategy here is to do everything you can to pay off debt as fast as possible. This plan should take no more than 10 years. You want to pay as little in interest as possible, so it often means refinancing to pay less in interest and put more money toward paying off the loan.
This method works best for podiatrists who owe less than 1.5 times their income in student debt, such as a podiatrist who makes $150,000 and owes $225,000 or less in debt.
2. Use an income-driven repayment (IDR) plan to maximize loan forgiveness: This strategy involves signing up for PAYE, REPAYE or IBR to keep the monthly payments as low as possible. Then, take advantage of the low payments to save aggressively, preferably by maxing out pre-tax retirement contributions and by saving up for the potential tax bomb you might have to pay on forgiven student loan debt.
This strategy works best for podiatrists who owe more than twice their income in student loans, such as a podiatrist who makes $150,000 and owes $300,000 or more in student loans.
When podiatrists should refinance student loans
Let’s look at a hypothetical example to illustrate repayment options: Jason has $200,000 at 6.8% in student debt with a podiatrist salary of $150,000. His income is projected to grow slow and steady at 3% per year. Should he take the aggressive approach or go on income-driven repayment?
Let’s compare the numbers for IDR versus refinancing:
This is a clear refinancing case because refinancing will save Jason the most money compared to the other two options.
REPAYE and IBR are out of the running. His income is high compared to his loans, which means that his payments will be high enough to pay off the loans in full before getting to any loan forgiveness. More specifically, he’d end up paying off a 6.8% loan over a long period of time when he could have paid off a 4.5% loan more aggressively.
PAYE is projecting to offer some loan forgiveness in the end but not nearly enough. Even with that forgiveness, it would cost about $111,000 more to pay back his student debt and double the amount of time until he’s debt free (20 years versus 10 years).
The refi payments are $1,000 higher per month versus his initial PAYE payment, but he can likely afford that on a $150,000 income. It’s worth it to save six-figures over the long run.
Why refinance with a private lender rather than leave it on the 10-year standard plan? Refinancing could lower his interest rate from 6.8% down to 4.5%, reducing the total cost of paying back his debt. His monthly payment would be lower by about $300 per month and he’d save nearly $35,000 over 10 years. Refinancing to save $30,000 would be worth it.
When podiatrists should get on an IDR plan
Let’s look at a different example involving IDR: Rebecca is a podiatrist who lives in Southern California. Her income is $120,000, and she owes $300,000 in student debt from undergrad and podiatry school. Her income should grow at the normal rate of 3% per year.
Although it looks like refinancing costs less out of pocket, it isn’t actually the most affordable or optimal plan. Those payments of $3,109 per month would be crushing on her salary.
Mathematically speaking, you want to go with the option that has the lowest net present value (NPV), or the cost in today’s dollars. Looking at it there, PAYE is nearly $70,000 less than refinancing. Essentially, this means it’s cheaper to keep the payments low so she can save a lot money.
Here’s what I mean by the lower NPV being more important than the total cost:
The combination of a high refinance payment ($3,109/month) and a lower salary doesn’t leave much room to reach other financial goals, like buying a house or saving for retirement.
Her lifestyle would be pretty much nil as well. Let’s say her take-home pay is about $7,500 per month. More than 40% would go toward her refinancing payments over the next 10 years. This leaves her with just over $4,000 for regular monthly outflows while living in expensive Southern California. That’s pretty much a no-go.
On PAYE, however, her payment would start at $848, which would leave her with about $6,500 per month in take-home pay. Now we’re talking.
Remember, though, that you need to save aggressively while on a PAYE plan. If Rebecca could save about $2,000 a month by maxing out her pre-tax retirement plan while also saving for the loan forgiveness tax bomb ($500/month), she could reach other financial milestones along the way. By sticking with this strategy consistently, she could be debt free, pay the tax bomb and still have a $500,000 nest egg in 20 years.
Is becoming a general podiatrist worth it?
Whether or not a DPM degree is worth it is a mixed bag. A podiatrist’s starting salary and the promise of a potentially fulfilling career can be attractive, but it’s scary to owe $300,000 in student loans.
This career path might not be worth it financially for those who are planning to move to a lower compensating area of the country. They’d also be much further ahead financially if they didn’t have $300,000 in student loans, even if they’re using an income-driven repayment plan to optimize their loan repayment.
On the other hand, podiatry could be very financially rewarding for those who set up a practice in a higher compensating area like the upper Midwest. They could earn enough money to take the aggressive approach to student loan repayment. They’d be debt free in 10 years or less and have the rest of their career to focus on saving aggressively with a high income.
The good news is that no matter what situation a podiatrist is in, there’s an optimal plan to pay back the cost of the degree, whether you’re in a situation where it makes more sense to refinance your medical school loans or get on a PAYE plan and aggressively save.
If being a podiatrist is something you really want, despite the potentially high student loan debt, then it is absolutely imperative to make lifestyle sacrifices early in your career so you can save aggressively to reach financial independence.
How to maximize a podiatrist’s salary and pay off debt
Podiatrists can find a clear path to pay back their student loans using actionable steps that save them money. Student Loan Planner can help you figure out which repayment strategy is right for you in just one hour. Plus, we also include email support after the consultation to answer follow-up questions and help you implement your plan. Learn more about our consultation process.
If you have a clear-cut refinancing case, there’s no need to get a consultation. But I’d suggest applying for a refinance loan using our cash-back link. You may be able to cut your interest rate and get the most affordable terms for your situation plus get a few hundred bucks cash.
I work with borrowers who owe more than $200,000 in student loans, which includes a bunch of podiatrists, so feel free to email me at email@example.com if you have any questions about this article. Our team of experts can help anyone, so choose the consultant you think would be right for you based on your individual circumstances and get started.