Doctor Loans for Medical Professionals

Zero down payment options, no PMI, and flexible debt-to-income requirements. Designed specifically for physicians, dentists, veterinarians, and other medical professionals.

Serving qualified medical professionals buying or refinancing nationwide.

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Your Physician Loan Specialist

As a mortgage broker with access to specialized medical professional loan programs, I help doctors, dentists, veterinarians, and other medical professionals secure financing tailored to their unique financial situations. Doctor loans allow you to qualify with flexible debt-to-income ratios, excluding student loan debt in many cases.

Whether you're finishing residency, starting a new practice, or simply looking to upgrade your home, I'll help you compare programs, get accurate numbers, and structure the loan that best supports your career trajectory.

What You Get When You Work With a Local Broker:

  • No down payment required on loans up to $2M

  • No PMI regardless of down payment

  • Qualify using a signed employment contract before your start date

  • Student loans in deferment or on an income-based repayment plan may not limit what you qualify for during residency

  • Rates comparable to a standard jumbo loan

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Down Payment Math: How to Know If You Should Put Down 3%, 5%, or 20%

April 02, 20253 min read

You’ve probably heard that you need 20% down to buy a home.

That’s outdated advice.

Yes, 20% has its benefits—but it’s not always the smartest option. Many first-time buyers can get in the game with 3%, 3.5%, or 5% down. But which one actually makes the most sense for you?

Let’s break it down with real numbers, so you can make a strategic move—not just follow outdated rules.

1. The 3%–5% Down Option: Keep More Cash in Your Pocket

If you're a first-time buyer with decent credit, you may qualify for conventional loans with as little as 3% down (HomeReady/Home Possible) or 5% down (standard conventional).

Pros:
• Lower upfront cash needed
• Lets you buy sooner and start building equity now
• You keep more savings for emergencies or future investments

Cons:
• You’ll pay PMI (private mortgage insurance)
• Slightly higher interest rates in some cases

But here's the upside: PMI is temporary on conventional loans. Once you reach 20% equity, you can request to remove it—no refinance required.

2. FHA Loans: 3.5% Down With Flexible Guidelines

FHA loans are another option, especially if your credit is under 700 or your debt-to-income ratio is on the higher side.

Pros:
• Low down payment (just 3.5%)
• Easier to qualify if you’ve had credit challenges
• Competitive interest rates even with lower scores

Cons:
Mortgage Insurance Premium (MIP) lasts for the life of the loan (unless you refinance)
• Slightly higher upfront costs (due to upfront MIP fee)

FHA can be a great tool for buyers who are strong in income and assets but need more flexibility on credit.

3. The 10% Down Option: A Balanced Middle Ground

For buyers who have a little more saved and want to reduce monthly costs without locking up all their cash, 10% down can be a solid sweet spot.

Pros:
• Lower PMI than 3–5% down
• More competitive offers
• Stronger negotiating power with sellers

Cons:
• More upfront cash needed
• Still subject to PMI (though at a reduced rate)

This is often ideal if you’re looking to strike a balance between payment comfort and cash flexibility.

4. The 20% Down Option: The Traditional Approach

Yes, 20% down helps you:
• Avoid PMI altogether
• Secure the lowest possible monthly payment
• Strengthen your offer in competitive situations

But here’s what most people overlook: the opportunity cost.
Could you do more with that cash? Pay off debt? Invest? Keep a larger emergency fund?

Sometimes, 20% down makes sense. Other times, it locks up capital you could be using more strategically.

Real Numbers: How Your Down Payment Impacts Monthly Cost

Let’s run the numbers on a $400,000 home using these assumptions:

  • Interest Rate: 6.75%

  • APR (Annual Percentage Rate): 7.05% (includes lender fees, upfront mortgage insurance, etc.)

  • Property Taxes and Home Owner's Insurance: estimated

  • Loan Term: 30 years fixed

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📌 Note: These are rough estimates for educational purposes. Actual rates, APRs, and costs will vary based on your credit profile, loan program, and property details.

So… How Much Should You Put Down?

Here are 3 smart questions to guide your decision:

  1. What’s your timeline?
    Will saving 20% take you another 2–3 years while prices and rates rise? Or is buying sooner a smarter long-term play?

  2. What else could your cash be doing?
    Could it go toward debt, investments, or reserves?

  3. How long will you stay in the home?
    If this is a 5–7 year starter home, avoiding PMI may not outweigh the benefits of keeping more cash liquid.

Final Takeaway

The best down payment isn’t about following rules—it’s about aligning with your bigger financial goals.

Sometimes that’s 20%.
Other times, 3.5% gets you in the game without delaying your future.

The key is understanding the real trade-offs, not just going by what your uncle told you.


Wondering what down payment strategy fits your budget and goals? I’ll run a side-by-side custom scenario for you—no fluff, no pressure—just clear numbers. Reach out and let’s talk.

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Kenton Newby (NMLS: 2279879)

I'm a Mortgage Loan Advisor helping clients unlock the door to their next home or investment property...with clarity and confidence.

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Who Qualifies?

Physician mortgage programs are reserved for licensed medical professionals in active practice or completing a residency, fellowship, or internship in one of the following categories:

  • Medical Doctor (MD)

  • Doctor of Osteopathy (DO)

  • Doctor of Dental Science/Surgery (DDS)

  • Doctor of Dental Medicine (DMD)

  • Doctor of Ophthalmology (MD or DO)

  • Doctor of Psychiatry (MD or DO)

  • Doctor of Pharmacy (PharmD)

  • Doctor of Veterinary Medicine (DVM/VMD)

  • Doctor of Podiatric Medicine (DPM)

  • Certified Registered Nurse Anesthetist (CRNA with DNAP or DNP)

Want a streamlined version of this page? Visit the Physician Loan Quick-Apply Page.

Close Before You Start. Qualify on Your Employment Contract.

Your attending salary starts working for you before day one.

Most physicians finishing residency or fellowship assume they have to wait until they're employed before they can buy a home. You don't.

If you have a signed employment contract with a start date within 150 days of closing, you can qualify and close on your home before your first paycheck. Your future attending salary is your qualifying income — not your current resident salary.

That means a resident finishing in June can sign a purchase contract today, get pre-approved on their incoming attending income, and be settled in their new home before day one on the job.

What you need:

  • A fully executed employment contract signed by both parties

  • A confirmed start date within 150 days of closing

  • Sufficient reserves to cover monthly payments between closing and your start date

No waiting. No temporary housing. No scrambling for financing after you've already started.

Frequently Asked Questions

Do I need a down payment?

No. Physician mortgage programs allow 100% financing on loans up to $1.5M with a 680 credit score, and up to $2M with a 720 credit score. No down payment required.

Is private mortgage insurance required with less than 20% down?

No. One of the defining features of physician mortgage programs is the absence of PMI regardless of your down payment. You're not penalized for putting less down.

Can I qualify before I start my job?

Yes. If you have a fully executed employment contract with a start date within 150 days of closing, you can close on your home before your first paycheck. This is specifically designed for the residency-to-attending transition.

How are student loans treated?

If you're currently in residency or a clinical fellowship and qualifying on your current income, student loans in deferment or income-based repayment (IBR) may be excluded from your debt-to-income calculation. This is a significant advantage since most conventional / jumbo programs require student loans to be counted regardless of repayment status.

What credit score do I need?

Minimum 680 for most programs. A 720 score unlocks higher loan amounts and the lowest down payment.

Can I use this program as a first-time homebuyer?

Yes. There are no restrictions for first-time homebuyers on this program.

Are there prepayment penalties?

No prepayment penalties on any physician mortgage loan.

Can I close in an LLC or trust?

Inter Vivos Revocable Trusts (i.e. Living Trusts) are allowed. LLCs and corporations are not eligible for this owner-occupied primary residence program.

Ready to See Your Options?

Whether you're finishing residency, starting an attending position, or are an established physician looking to purchase, let's find the right program for your situation.

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This is not an offer to enter into an agreement. Not all customers will qualify. Information, rates, and programs are subject to change without notice. All products are subject to credit and property approval. Other restrictions and limitations may apply. Copyright © 2022 | NEXA Mortgage LLC.

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