Confidential
Mohs Micrographic Surgeon up to $1.6M Total Compensation (Base + % Collections)
Confidential, Springfield, Missouri, us, 65899
What if your clinic flow finally worked for you?
What if every room was set, the scribe was already in the chart, and the MA team kept the next patient ready—so the only ceiling on your day was the speed and quality you choose to deliver? It sounds almost too simple. But that’s the point. When you remove friction, patient care—and physician earnings—move.
The Setting (no drama, just execution).
This is a high-performing private dermatology group in Springfield, Missouri. You’ll practice full-spectrum
general dermatology
in a newly remodeled flagship clinic with
six procedure rooms , surgical lighting, and
in-house dermatopathology . The design is not theoretical: scribe in the room, strong MA ratio (1–3 per provider), and access to
3–4 rooms
if you want the pace. There’s
no call . If you like a little variety, you may add optional days at a new regional site about 30 minutes away—purely your call. Who thrives here. You put patients first. You like clarity. You run toward responsibility. You don’t need micromanagement; you need a clean runway and a scoreboard. If that’s you, you’re already picturing how you’d run the template. Let’s talk numbers—because numbers tell the truth.
Compensation structure. You start with a
base guarantee ($400,000–$500,000, commensurate with experience/fit)
and earn
45% of net collections , with bonuses
advanced during the year
and a
year-end true-up . (Read that again: the base functions as a draw. This is not “base plus 45% stacked on top.” It’s transparent and aligned—exactly how high performers prefer to be paid.) What the current benchmark looks like. A general dermatologist at this site is
pacing ~$1.4M in net collections on a 4-day template —that’s roughly
$630k at plan (45%) . Now, what happens if you choose a
5-day
week? Add
APP oversight (+10% of APP net collections) ? Layer in a
measured cosmetic mix ? For top performers,
$1M+ total compensation
is not theory—it’s the logical outcome of leverage and pace.
(Actual results depend on schedule, payer mix, and case mix. Your call, your throttle.) Cash-flow sanity. You’re not waiting all year to see the upside. Bonuses are
advanced during the year
based on trend lines, then
trued up in December . That smooths cash flow without playing games. The clinical leverage you’ll feel on Day 1.
In-house dermpath (~15,000/yr). Shorter loops. Clearer answers. Collaboration is immediate. For exceptionally qualified physicians, a selective opportunity to
read your own slides
may be considered at leadership’s discretion. Operational efficiency. This is where most clinics say they’re “efficient,” then make you chase forms. Here, you’ll have
scribe support in the room , a
strong MA ratio , and
3–4 rooms
if you want the pace. Intake is streamlined. Turnover is tight. The goal is simple:
you are the limiting factor—not the staffing. Scope you control. Core is
100% general dermatology —new and return visits, biopsies (shave/punch), cryo, ILK, simple excisions/repairs, ED&C as comfortable.
Cosmetics are optional
(injectables, lasers/IPL, RF-/microneedling) with training/resources available if you want that lane. Schedule, Access & Ramp—what it looks like in real life.
Template. Standard
4 clinic days . If you want to lean in, flex to
4.5–5 . The clinic is built to absorb the pace. Throughput. A sustainable
35–45 patients/day
once you’re ramped, supported by scribe + MA and multiple rooms. You call the cadence; we keep the runway clear. Ramp. = 6 months
to a full template, backed by coordinated marketing and referral introductions. The demand is there; your schedule fills because access matters in this market. Sites. Primary in
Springfield . Optional regional days once open—not required. Benefits & Protections—because details become big things later.
Relocation:
Assistance
case-by-case
(simple and practical). Malpractice:
Claims-made
with
tail provided
when departing in good standing. Benefits:
Health & dental;
401(k)
(match discussed during interview);
4 weeks PTO
+ holidays; CME funds/days. Residents:
Early-commitment
“earn while you learn”
stipend available (with protective terms).
J-1
and
TN
considered. APP oversight (optional). If you supervise, you earn
+10% of the APP’s net collections . If that doesn’t fit your style, don’t elect it. If it does, it’s a meaningful lever. The conversation you should be having with yourself.
“What would my day feel like if my scribe were always in the room and my next patient was actually ready?” “What happens to my earnings when collections are transparent—and I keep 45%?” “If a colleague is pacing ~$1.4M on four days, what’s my number with five?” “How fast could I get to full if the clinic is already built for throughput?” If those questions calm you rather than stress you, that’s a tell. You’re the kind of physician who thrives with autonomy, clarity, and a clean scoreboard. Qualifications that fit the mission.
You’re
Board-Certified/Eligible in Dermatology (MD/DO) , licensed (or license-eligible) in
Missouri , procedure-ready, EMR-proficient, and a crisp communicator. You protect the brand and the patient experience because you know reputation compounds—for the practice and for you. The interview—fast, respectful, decisive.
Introductory call
(after hours available). Physician panel
conversation. On-site visit
(practice-paid): clinic tour, team dinner, community overview. Decision target:
within
5 business days
of on-site.
LOI
and contract follow promptly. No mystery. No endless loops. If it’s a fit, you’ll know—and so will we. Why Springfield?
Because the Ozarks give you room—room for patients to get seen, room for you to practice medicine the way you trained, and room for your income to reflect your effort. Cost of living is sane. Lakes and trails are close. Flights are simple. It’s the kind of place where a great clinic day still leaves daylight. Compensation Information: $787500.00 / Annually - $867500.00 / AnnuallyAdditional Compensation: 45.00 Details: Under this plan, total compensation equals 45% of your net collections (the base is a draw, not stacked) plus 10% of any APPs net collections if you supervise. Hitting the ground running at the current benchmark$1.4M NCR on a 4-day templateyields ~$630k; add an APP at $800k NCR and youre ~$710k. Bumping to 4.5 days ($1.575M NCR) is ~$708,750 (or ~$788,750 with that APP). 5 days ($1.75M NCR) is ~$787,500 (or ~$867,500 with the APP). To clear $1M, you need ~$2.22M NCR solo, or ~$2.0M with an APP at $1.0M NCR (~$2.04M with an APP at $0.8M). For context, 4 days
48 weeks ? 192 clinic days: $1.4M is ~$7,292/day ($182/encounter at 40 pts/day). A $2.0M run rate over ~230 days is ~$8,695/day ($193/encounter at ~45 pts/day). Actuals vary with schedule, payer mix, procedure/cosmetic mix, credentialing ramp, and template efficiency.
general dermatology
in a newly remodeled flagship clinic with
six procedure rooms , surgical lighting, and
in-house dermatopathology . The design is not theoretical: scribe in the room, strong MA ratio (1–3 per provider), and access to
3–4 rooms
if you want the pace. There’s
no call . If you like a little variety, you may add optional days at a new regional site about 30 minutes away—purely your call. Who thrives here. You put patients first. You like clarity. You run toward responsibility. You don’t need micromanagement; you need a clean runway and a scoreboard. If that’s you, you’re already picturing how you’d run the template. Let’s talk numbers—because numbers tell the truth.
Compensation structure. You start with a
base guarantee ($400,000–$500,000, commensurate with experience/fit)
and earn
45% of net collections , with bonuses
advanced during the year
and a
year-end true-up . (Read that again: the base functions as a draw. This is not “base plus 45% stacked on top.” It’s transparent and aligned—exactly how high performers prefer to be paid.) What the current benchmark looks like. A general dermatologist at this site is
pacing ~$1.4M in net collections on a 4-day template —that’s roughly
$630k at plan (45%) . Now, what happens if you choose a
5-day
week? Add
APP oversight (+10% of APP net collections) ? Layer in a
measured cosmetic mix ? For top performers,
$1M+ total compensation
is not theory—it’s the logical outcome of leverage and pace.
(Actual results depend on schedule, payer mix, and case mix. Your call, your throttle.) Cash-flow sanity. You’re not waiting all year to see the upside. Bonuses are
advanced during the year
based on trend lines, then
trued up in December . That smooths cash flow without playing games. The clinical leverage you’ll feel on Day 1.
In-house dermpath (~15,000/yr). Shorter loops. Clearer answers. Collaboration is immediate. For exceptionally qualified physicians, a selective opportunity to
read your own slides
may be considered at leadership’s discretion. Operational efficiency. This is where most clinics say they’re “efficient,” then make you chase forms. Here, you’ll have
scribe support in the room , a
strong MA ratio , and
3–4 rooms
if you want the pace. Intake is streamlined. Turnover is tight. The goal is simple:
you are the limiting factor—not the staffing. Scope you control. Core is
100% general dermatology —new and return visits, biopsies (shave/punch), cryo, ILK, simple excisions/repairs, ED&C as comfortable.
Cosmetics are optional
(injectables, lasers/IPL, RF-/microneedling) with training/resources available if you want that lane. Schedule, Access & Ramp—what it looks like in real life.
Template. Standard
4 clinic days . If you want to lean in, flex to
4.5–5 . The clinic is built to absorb the pace. Throughput. A sustainable
35–45 patients/day
once you’re ramped, supported by scribe + MA and multiple rooms. You call the cadence; we keep the runway clear. Ramp. = 6 months
to a full template, backed by coordinated marketing and referral introductions. The demand is there; your schedule fills because access matters in this market. Sites. Primary in
Springfield . Optional regional days once open—not required. Benefits & Protections—because details become big things later.
Relocation:
Assistance
case-by-case
(simple and practical). Malpractice:
Claims-made
with
tail provided
when departing in good standing. Benefits:
Health & dental;
401(k)
(match discussed during interview);
4 weeks PTO
+ holidays; CME funds/days. Residents:
Early-commitment
“earn while you learn”
stipend available (with protective terms).
J-1
and
TN
considered. APP oversight (optional). If you supervise, you earn
+10% of the APP’s net collections . If that doesn’t fit your style, don’t elect it. If it does, it’s a meaningful lever. The conversation you should be having with yourself.
“What would my day feel like if my scribe were always in the room and my next patient was actually ready?” “What happens to my earnings when collections are transparent—and I keep 45%?” “If a colleague is pacing ~$1.4M on four days, what’s my number with five?” “How fast could I get to full if the clinic is already built for throughput?” If those questions calm you rather than stress you, that’s a tell. You’re the kind of physician who thrives with autonomy, clarity, and a clean scoreboard. Qualifications that fit the mission.
You’re
Board-Certified/Eligible in Dermatology (MD/DO) , licensed (or license-eligible) in
Missouri , procedure-ready, EMR-proficient, and a crisp communicator. You protect the brand and the patient experience because you know reputation compounds—for the practice and for you. The interview—fast, respectful, decisive.
Introductory call
(after hours available). Physician panel
conversation. On-site visit
(practice-paid): clinic tour, team dinner, community overview. Decision target:
within
5 business days
of on-site.
LOI
and contract follow promptly. No mystery. No endless loops. If it’s a fit, you’ll know—and so will we. Why Springfield?
Because the Ozarks give you room—room for patients to get seen, room for you to practice medicine the way you trained, and room for your income to reflect your effort. Cost of living is sane. Lakes and trails are close. Flights are simple. It’s the kind of place where a great clinic day still leaves daylight. Compensation Information: $787500.00 / Annually - $867500.00 / AnnuallyAdditional Compensation: 45.00 Details: Under this plan, total compensation equals 45% of your net collections (the base is a draw, not stacked) plus 10% of any APPs net collections if you supervise. Hitting the ground running at the current benchmark$1.4M NCR on a 4-day templateyields ~$630k; add an APP at $800k NCR and youre ~$710k. Bumping to 4.5 days ($1.575M NCR) is ~$708,750 (or ~$788,750 with that APP). 5 days ($1.75M NCR) is ~$787,500 (or ~$867,500 with the APP). To clear $1M, you need ~$2.22M NCR solo, or ~$2.0M with an APP at $1.0M NCR (~$2.04M with an APP at $0.8M). For context, 4 days
48 weeks ? 192 clinic days: $1.4M is ~$7,292/day ($182/encounter at 40 pts/day). A $2.0M run rate over ~230 days is ~$8,695/day ($193/encounter at ~45 pts/day). Actuals vary with schedule, payer mix, procedure/cosmetic mix, credentialing ramp, and template efficiency.