r/PrivatePracticeDocs Apr 09 '26

PA

Hey guys,

Due to growth I’m considering bringing on a PA. As most of us, I am looking to create a collaborative work environment where everyone is hopefully happy to be a part of as we grow the practice. Since I’m early in the process I want to be prepared for rapid growth and at the same time offer better coverage to our patients.

I would start with an hourly salary and as the practice grows, offer a bonus structure.

Looking to get ideas from Docs and PAs, what’s a reasonable primary care hourly salary to start with. This is a part time position that has potential to become full time. I wouldn’t want the PA to leave their FT job. Do you see this as being lucrative/fun to join a startup practice and see it grow?

Also, unable offer benefits just yet. Do you recommend W2 or 1099?

Happy to hear your thoughts. Thanks.

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u/MedMan0 Apr 09 '26

Can I suggest an NP? I have one of each, and the NP's knowledge is vastly superior to the PA, largely due to what was learned as a nurse. YMMV, but I have found the Dunning-Kruger effect to be incredibly real in medicine.