The Gastroenterologist's Advocate^™.

Northgate™ represents gastroenterologists across general GI, IBD, hepatology, advanced endoscopy (ERCP / EUS), motility, and pancreaticobiliary. Bespoke representation and permanent placement. Personal, from first private call to signed offer.

We represent the gastroenterologist.

Most firms in this category work for the platform. They are paid by the buyer, increasingly a private equity-backed GI roll-up, to fill the next ASC, the next acquired practice, the next endoscopy block. Fast. We invert that. Northgate™ works for the gastroenterologist, who is the rarer asset and the one whose career carries the longest tail.

Gastroenterology has been reshaped by ASC economics and capital. A senior advanced endoscopist deciding between an academic affiliation and a high-volume ASC is in a different conversation than a hepatologist evaluating a transplant center role. A junior partner inside a PE-backed group asking about the second-bite earnout is in a different conversation than an independent partner deciding whether to sell. We treat the sub-discipline and the ASC posture as the unit of the conversation.

A partner leads the conversation from the first private call to the signed offer. Your name does not leave this office without your written sign-off. Not in a pitch. Not on a shortlist.

The first conversation is private. There is no obligation on either side.

The work within gastroenterology.

We are deliberate about the sub-discipline and the ASC posture behind it. The market for an advanced endoscopist with ERCP and EUS volume is not the market for a transplant hepatologist coming off a UNOS-accredited fellowship. The six sub-disciplines below are where the bulk of our gastroenterology work has lived.

General Gastroenterology: Outpatient consultative practice, endoscopy and colonoscopy volume, and increasingly ASC equity. The anchor of most senior GI practices.
Inflammatory Bowel Disease: Crohn’s and ulcerative colitis programs. Almost exclusively academic and IDN; protected non-clinical time and clinical trial volume tend to define fit.
Hepatology & Transplant: Transplant hepatology is one of the smallest senior physician pools in medicine. UNOS-accredited center experience and HCC tumor board involvement decide most conversations.
Advanced Endoscopy: ERCP, EUS, FNA, ESD, and complex therapeutic endoscopy. A small senior pool; case mix and procedural volume are the negotiated terms.
Motility & Functional GI: Manometry, anorectal physiology, and complex functional disease. A niche sub-discipline; academic affiliation is the norm.
Pancreaticobiliary: Often overlapping with advanced endoscopy. Pancreatic disease programs, biliary intervention, and tumor board leadership.

The gastroenterologist we represent.

We are most useful to gastroenterologists who are seven to twenty years into practice, board-certified, fellowship-trained in their primary sub-discipline, and at a real inflection point. A partnership track that has reached its decision point. A new ASC opening with available equity. A transplant program ramping up. An academic appointment opening at a UNOS-accredited center. A second-bite earnout that is materializing or evaporating.

The conversation tends to work less well for trainees, for early-career physicians still building procedural volume, and for searches where the platform will not discuss ASC equity, productivity model, or the partnership-track calendar up front.

Tenure: Seven to twenty years post-fellowship, with at least three years at the current practice. Earlier-career GIs better served by their fellowship network.
Procedural volume: Annual endoscopy, colonoscopy, ERCP, and EUS volumes that match the sub-discipline. The numbers are the conversation.
ASC ownership posture: Whether you currently own equity in a center. Whether the next move requires you to leave equity. This is often the largest economic variable in the move.
Practice-model preference: Independent partnership, PE-backed platform, academic appointment, or IDN-employed. The four shape the offer architecture more than the sub-discipline does.
Reason for the conversation: A specific reason this season, not general curiosity. The reason itself usually shapes the right next role.

What we are seeing.

GI compensation has been the most ASC-driven of any specialty. Inside high-volume ASC partnerships, distributions can exceed clinical comp. Inside PE-backed roll-ups, the negotiation typically sits on rollover equity and second-bite economics rather than headline base. Transplant hepatology and advanced endoscopy clear the highest medians; general GI tracks closely with the ASC opportunity rather than the headline salary.

General GI, independent partner: Clinical comp often a minority of total comp once ASC distributions are layered; ASC equity is the negotiated term that matters most.
General GI, PE-backed: Year-one base typically competitive; the larger lever is rollover equity, second-bite earnout, and post-close productivity bonus.
Hepatology & Transplant: Base packages clearing the GI median; protected non-clinical time and academic appointment tend to be more negotiated than dollars.
Advanced Endoscopy: Senior advanced endoscopists routinely clear well above the GI median; the conversation is about procedural mix and equipment commitment.
Motility & Functional GI: Compensation typically below the GI median; offer construction usually requires academic title, protected time, or institutional subsidy.
Restrictive covenants: Non-competes are the dominant negotiated term in any move into or out of a PE-backed platform. We do not pursue an opportunity that does not survive a clean review.

More detail in The 2026 Compensation Notes, the firm’s annual specialty-by-specialty supplement on offers we have seen close.

Read the Gastroenterology notes

The rooms we work in.

The institutions that engage Northgate™ for gastroenterology searches. Each has hired at this level before, knows what the seat costs when it is wrong, and comes to the firm precisely because the conversation stays quiet.

i Academic Medical Centers
ii Integrated Delivery Networks
iii Independent GI Groups
iv PE-Backed GI Platforms
v UNOS Transplant Centers
vi ASCs & Endoscopy Centers
vii Multi-specialty Groups
viii Faculty Practice Plans

When you are ready to make a move,
you need the right people in your corner.

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