Physician Mortgage Loans: 0% Down, No PMI | Find Doctor Loan Lenders by State
Serving Healthcare Professionals Since 2009

Physician Mortgage Loans:
0% Down. No PMI.
Find a Lender in Your State.

Doctor loans are built for how physicians actually live — high student debt, delayed income, and a busy schedule. Connect directly with pre-vetted physician mortgage lenders nationwide. No registration. No waiting.

0% Down Payment Available
No PMI Required
Student Debt Excluded from DTI
Residents & Fellows Welcome
Close Before Your Start Date
All 50 States Covered Lenders Vetted by MD Preferred Free to Use
2009
Year Founded
50
States with Lenders
0%
Down Payment Options
$0
Cost to Use Directory
No PMI
On Most Programs

Find a Doctor Mortgage Lender in Your State

Select your state below to connect directly with physician mortgage lenders in your area. Every lender in our network specializes in physician loans — they understand deferred student debt, residency income, and offer-letter closings.

No registration required. Browse, compare, and contact lenders directly — MD Preferred is a free resource for healthcare professionals. Can’t find the right fit? Call us at 800-518-4759 and our team will help.
Select Your State
Physician mortgage lenders available in all 50 states + D.C.

Click your state above to view available physician mortgage lenders and contact them directly.

Physician Mortgage Lenders Available Nationwide

The MD Preferred Network connects physicians, residents, fellows, and other healthcare professionals with doctor mortgage lenders in all 50 states and Washington D.C., including: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and Washington D.C.

Every lender in our physician mortgage directory specializes in doctor loans — they understand the unique financial circumstances of medical professionals, including medical school debt, residency income, and offer-letter closings. Physician mortgage lenders in our network offer programs for MDs, DOs, residents, fellows, dentists (DDS/DMD), veterinarians (DVM), podiatrists (DPM), CRNAs, and other qualified healthcare professionals.

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What Is a Physician Mortgage Loan?

A physician mortgage loan — also called a doctor loan or doctor mortgage — is a specialized home financing program designed specifically for medical professionals. Unlike conventional loans, physician mortgages are built around the financial reality of doctors: high student loan debt, years of lower residency income, and a strong future earning trajectory that traditional underwriting often ignores.

Most physician loan programs offer 0% or low down payment options without requiring private mortgage insurance (PMI), and they calculate your debt-to-income ratio (DTI) in a way that accounts for student debt — rather than penalizing you for it.

The result: a home loan program that actually works for physicians, whether you’re a brand-new resident, a fellow relocating for a subspecialty, or an attending physician buying your first home.

Doctor Loan vs. Conventional Mortgage

A conventional mortgage requires 20% down to avoid PMI, counts all student loan debt in your DTI, and typically won’t close on an offer letter. For a physician with $300,000 in medical school debt and a resident’s income, this often means being denied entirely.

Physician mortgages solve each of these problems specifically — that’s what makes them so valuable during the transition from training to practice.

Looking for a physician real estate agent to help with your home search? Browse our Physician Realtor Directory →

Key Benefits of Physician Mortgage Loans

Every feature is designed around the financial circumstances unique to medical professionals.

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0% or Low Down Payment

Most physician mortgage programs require little to no down payment — even on loans above $1 million — without triggering PMI. Preserve your cash for an emergency fund, investments, or practice costs.

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No Private Mortgage Insurance

Conventional loans require PMI when you put down less than 20%. Physician loans eliminate this entirely, saving physicians hundreds of dollars per month on their mortgage payment.

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Flexible DTI — Student Loans Excluded

Physician mortgage lenders either exclude deferred student loans from DTI calculations entirely, or use only your income-driven repayment (IDR) payment. This is the most important feature for residents with $200K–$400K in medical school debt.

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Close on an Offer Letter

Most programs allow you to close up to 90 days before your employment start date using a signed job offer or contract. Critical for residents relocating to start their attending position.

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Competitive Interest Rates

Despite the relaxed down payment and DTI requirements, physician loans typically offer competitive interest rates — often on par with or slightly above conventional jumbo rates.

Streamlined Approval Process

Lenders who specialize in physician mortgages understand your unique financial profile. Less back-and-forth, less documentation friction, and faster closings compared to standard mortgage underwriting.

Who Qualifies for a Physician Mortgage?

Eligible designations vary by lender, but physician mortgage programs commonly cover the following healthcare professionals:

MD Doctor of Medicine
DO Doctor of Osteopathic Medicine
DDS / DMD Dentist
DPM Doctor of Podiatric Medicine
DVM Doctor of Veterinary Medicine
CRNA Certified Registered Nurse Anesthetist
PA Physician Assistant (select programs)
NP Nurse Practitioner (select programs)
Residents and fellows qualify. You don’t need to be an attending physician to take advantage of a doctor loan. Most programs accept residents and fellows, and many lenders will approve financing based on a signed employment contract even before your training is complete. Some programs also accommodate H-1B visa holders — ask your lender directly.

How Physician Mortgages Handle Student Loan Debt

This is the most critical difference between physician mortgages and conventional loans for most doctors. Here’s exactly how it works:

ScenarioConventional MortgagePhysician Mortgage
Deferred student loans1% of total loan balance counted in DTI every month BADExcluded from DTI calculation entirely GOOD
Income-driven repayment (IDR)Full standard payment used in DTIOnly actual IDR payment (often $0–$200/mo) counted in DTI GOOD
Doctor with $300K student debt, $60K resident incomeDTI likely exceeds 43% limit — loan deniedMay qualify comfortably at $500K–$650K purchase price GOOD
Down payment requirement20% to avoid PMI ($100K on a $500K home)0–5% down, no PMI on most programs GOOD
Closing before job startsRequires active employment and pay stubsOffer letter accepted up to 90 days before start date GOOD

Physician Mortgage Loan FAQ

Answers to the most common questions from physicians, residents, and fellows about doctor mortgage loans.

A physician mortgage loan (also called a doctor loan or doctor mortgage) is a specialized home financing program for medical professionals. It typically offers 0% or low down payment, no private mortgage insurance (PMI), and more flexible debt-to-income (DTI) ratios that exclude or minimize student loan debt — making homeownership accessible even with significant medical school debt.
Yes. Most physician mortgage programs specifically accommodate residents and fellows. Many lenders will qualify you using a signed employment contract or offer letter, even if your start date is up to 90 days away. This is one of the biggest advantages of doctor loans for physicians in training who need to purchase a home before officially starting their new position.
No. Eliminating PMI (private mortgage insurance) is one of the core features of physician mortgage programs. Conventional loans require PMI when you put down less than 20% — this can add $200–$500+ per month to your mortgage payment. Physician loans waive this requirement, even with 0% down, which results in substantial savings over time.
Physician mortgage lenders handle student loans differently from conventional lenders in two main ways: (1) Deferred loans are often excluded from DTI entirely, rather than counting 1% of the balance as a monthly payment. (2) Income-driven repayment (IDR) plans are counted at the actual IDR payment amount — often $0–$200/month — rather than the full standard repayment amount. For a physician with $250,000–$400,000 in student debt, this difference can be the deciding factor in qualifying for a home loan.
Yes. Most physician mortgage programs allow you to close up to 60–90 days before your official employment start date. A signed offer letter or employment contract is typically sufficient documentation. This is especially valuable for physicians finishing residency or fellowship who are relocating to a new city and need to be settled before their attending position begins.
Eligible designations vary by lender but most commonly include: MD, DO, DDS, DMD, DPM, DVM, and CRNA. Some programs also extend to PA and NP. Residents, fellows, and attending physicians all typically qualify. Ask your lender specifically about your degree type and training stage, as program details vary.
Loan limits for physician mortgages vary by lender and program, but many offer jumbo loan amounts — often $1 million to $2 million or more — without requiring PMI. This makes physician loans particularly well-suited for high-cost housing markets like California, New York, and the Pacific Northwest, where home prices frequently exceed conventional conforming loan limits.
Not always. If you have significant savings and can put 20% down, a conventional loan may offer a lower interest rate. Physician loans are most advantageous when: (1) you don’t have a large down payment saved, (2) student loan debt would disqualify you from a conventional loan, or (3) you need to close before your start date. Speaking with one of our network lenders is the best way to compare your specific options.
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Also looking for a physician-friendly real estate agent?

Our Physician Real Estate Directory connects you with experienced realtors who specialize in physician relocation — they understand your timeline, your priorities, and your market.

Ready to Find Your Physician Mortgage Lender?

Browse the directory above, or call our team directly. We’ve been helping healthcare professionals navigate home buying since 2009 — at no cost to you.

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