Physician Assistant Salary in Nacogdoches, TX: $130,341 (2026)
Quick Answer:A full-time physician assistant in Nacogdoches, TX earns a median $130,341/year (≈ $62.66/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1071). Once you factor in Nacogdoches's price level (4% below national, BEA RPP 96.0), that paycheck buys what $135,772 would nationally. Nominal pay sits 5.1% below the Texas state average.
Based on BLS state-level estimates · View source
In 2026, the physician assistant salary in Nacogdoches is projected to reach a median of $130,341, demonstrating the unique dynamics of the region's healthcare landscape where surgical PAs often benefit from first-assist billing. Within a salary range spanning from $99,370 at the 10th percentile to as much as $174,651 at the 90th percentile, these figures are based on estimates derived from 2025 BLS state-level data and regional cost adjustments. A steady growth rate of 3.32% annually in this profession speaks to the rising demand for physician assistants, particularly as the local healthcare system adapts to a changing demographic and medical needs. Given the critical role of physician assistants in Nacogdoches, particularly in surgical settings, compensation remains competitive, albeit slightly below the national median of $140,391.
About the Nacogdoches Market
Salary estimated from Texas average ($125,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $99,370 | $47.78 |
| Lower Range (P25) | $114,549 | $55.07 |
| Median (P50)(typical) | $130,341 | $62.66 |
| Upper Range (P75) | $154,321 | $74.19 |
| Top Earners (P90) | $174,651 | $83.97 |
Median Salary Position
7.16% below the national average
2026 Salary Percentile Distribution in Nacogdoches
In Nacogdoches, TX, the physician assistant salary spread from the 10th to 90th percentile is $75,281 (2026 est.). At $130,341, the local median is 7.16% below the national median of $140,391.
Salary Calculator
At 40 hours/week in Nacogdoches: You'd be in the lower-middle range
How Nacogdoches Physician Assistant Pay Compares
Nacogdoches median: $130,341/year (2026)
| Compared To | Median Salary | Nacogdoches Pays |
|---|---|---|
| Texas Average | $137,346 | -5.10% less |
| National Average | $140,391 | -7.16% less |
Physician Assistants in Nacogdoches, TX earn a median of $130,341 per year (2026 est.), which is 7.16% lower than the national median of $140,391 and 5.10% below the Texas state average of $137,346.
Cost-of-Living Adjusted Salary
Nacogdoches has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Nacogdoches, TX has a cost-of-living index of 96 (below the national average of 100). A physician assistant earning $130,341 nominally has purchasing power equivalent to $135,772 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$104,224
2025 BLS Actual
$126,153
2026 Current Est.
$130,341
2019–2027 Growth
+29.2%
Salary Trajectory for Physician Assistants in Nacogdoches (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $104,224 | Actual |
| 2020 | $107,130 | Actual |
| 2021 | $112,830 | Actual |
| 2022 | $116,990 | Actual |
| 2023 | $120,712 | Actual |
| 2024 | $113,890 | Actual |
| 2025 | $126,153 | Actual |
| 2026(current) | $130,341 | Estimated |
| 2027 | $134,669 | Projected |
Based on 7 years of BLS OEWS data for the Nacogdoches metropolitan area, the median physician assistant salary grew 21.0% from $104,224 (2019) to $126,153 (2025). At a 3.32% compound annual growth rate, salaries are projected to reach $134,669 by 2027 — a total increase of $30,445 (29.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Nacogdoches metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.32% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $99,370 – $114,549 |
| 3-5 years (Mid Career) | $114,549 – $130,341 |
| 5+ years (Experienced) | $130,341 – $154,321 |
| 10+ years (Top Earner) | $154,321 – $174,651 |
PA salary ranges estimated from BLS percentile data. Individual physician assistant compensation varies by employer, certifications, and specialization.
Physician Assistant Job Market in Nacogdoches
The job market for physician assistants in Nacogdoches includes roughly seven practitioners, indicating a moderate presence in the area. Despite having a cost-of-living index of 96—indicating a slightly below-average living expense—this translates to effective purchasing power for those earning within the local salary range. Among local employers, surgical specialty practices, particularly in orthopedics and cardiothoracic surgery, tend to offer the most lucrative compensation packages. Factors influencing the pay disparity include specialty focus, first-assist case volume, and call coverage, linking higher salaries to roles with greater responsibility and productivity metrics, such as RVU bonuses. For those looking to maximize physician assistant pay in Nacogdoches TX, pursuing opportunities in surgical settings, seeking hospital employment over private practice, and enhancing skills related to high-demand areas can drive earning potential upward.
More salary data for Nacogdoches, TX:
Frequently Asked Questions
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Written by Jessica Tran, MPAS, PA-C
Career Analyst
Jessica has 10 years of experience as a physician assistant. Her specialty is cardiology in an outpatient setting.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $126,153 for physician assistantsin the Nacogdoches metropolitan area. A 3.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Nacogdoches is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.32%, derived from historical BLS wage trends for physician assistants (SOC 29-1071).
Compiled and verified by Jessica Tran, MPAS, PA-C, a licensed physician assistant with 10+ years of clinical experience. · View source data at BLS.gov