BLS metro-level wage data places General Internal Medicine Physicians pay in Naples-Marco Island, FL at a median of $236,970 per year ($113.93/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $256,560, Naples-Marco Island pays 8% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 150 general internal medicine physicianss are employed across the Naples-Marco Island MSA in SOC 29-1216.

The Naples-Marco Island pay distribution spans from $72,650 at the 10th percentile to $392,770 at the 90th — a 5.4× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $72,650 and the 75th at $361,020, so half of Naples-Marco Island-based general internal medicine physicianss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Naples-Marco Island, FL covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide FL data, and peer-metro comparisons — a median is a starting point, not a ceiling.