Primary Care Doctor Shortage by State

States ranked by active primary-care Health Professional Shortage Area (HPSA) designation records from HRSA. A state total is a designation count, not a measure of appointment availability or care quality.

The answer

According to the HRSA Data Warehouse, California has 559 active primary care HPSA designations, the highest total in this ranking. These designations describe provider-supply gaps, not care quality, appointment availability, or an individual clinician.

7,674
active primary care designations ranked
1,919
across the top five states (25.0%)
123
median state total
#StatePrimary Care HPSAs
1California7.3% of ranked total559
2Texas5.1% of ranked total394
3Missouri4.4% of ranked total340
4Alaska4.3% of ranked total330
5Illinois3.9% of ranked total296
6Michigan3.6% of ranked total274
7Kentucky3.2% of ranked total245
8Florida3.0% of ranked total229
9Arizona3.0% of ranked total227
10Washington2.9% of ranked total219
11North Carolina2.7% of ranked total208
12Ohio2.7% of ranked total207
13Minnesota2.6% of ranked total199
14New York2.5% of ranked total193
15Oklahoma2.5% of ranked total189
16Georgia2.4% of ranked total188
17Louisiana2.3% of ranked total178
18Iowa2.1% of ranked total162
19Virginia2.1% of ranked total160
20Kansas2.0% of ranked total156
21Wisconsin2.0% of ranked total156
22Mississippi2.0% of ranked total153
23Tennessee2.0% of ranked total151
24Arkansas2.0% of ranked total150
25Oregon1.9% of ranked total142
26Indiana1.8% of ranked total139
27Pennsylvania1.7% of ranked total130
28Nebraska1.6% of ranked total125
29West Virginia1.6% of ranked total123
30Montana1.6% of ranked total122
31Colorado1.6% of ranked total120
32Alabama1.4% of ranked total109
33Idaho1.4% of ranked total104
34New Mexico1.3% of ranked total103
35South Carolina1.3% of ranked total99
36South Dakota1.3% of ranked total97
37Maine1.0% of ranked total80
38North Dakota0.9% of ranked total72
39Nevada0.8% of ranked total65
40Massachusetts0.8% of ranked total64
41Utah0.8% of ranked total61
42Maryland0.7% of ranked total56
43New Jersey0.6% of ranked total45
44Wyoming0.6% of ranked total43
45Puerto Rico0.5% of ranked total42
46Connecticut0.5% of ranked total41
47Hawaii0.4% of ranked total33
48New Hampshire0.3% of ranked total23
49Vermont0.2% of ranked total16
50Rhode Island0.2% of ranked total14
51Delaware0.2% of ranked total12
52District of Columbia0.2% of ranked total12
53Federated States of Micronesia0.1% of ranked total8
54Virgin Islands<0.1% of ranked total5
55Guam<0.1% of ranked total4
56American Samoa<0.1% of ranked total2

What the HRSA Primary Care Data Shows

The HRSA Data Warehouse currently lists 7,674 primary care Health Professional Shortage Area designations across the 56 states and territories ranked above. The three states with the heaviest primary care shortage load are California (559 HPSAs), Texas (394 HPSAs), and Missouri (340 HPSAs). The top five states account for roughly 25.0% of the active primary care designation records in this state aggregation.

States ranked by active primary-care Health Professional Shortage Area (HPSA) designation records from HRSA. A state total is a designation count, not a measure of appointment availability or care quality. HRSA documents that HPSAs can describe geographic areas, specific population groups, or facilities. A designation count is therefore useful for comparing this source extract, but it is not a complete estimate of a state’s provider supply or every resident’s care experience. The median state in this ranking has 123 active primary care designation records.

HRSA says that more than 34 federal programs use HPSA, MUA, or MUP designations for eligibility or funding preference. That does not mean every program applies to every record, nor does it establish a person’s eligibility. The figures here are a reproducible state aggregation of the portal’s source-vintaged HRSA records. They describe a federal structural classification, not clinical quality, insurance coverage, appointment availability, or medical advice. For a current record or care decision, use HRSA’s official tools and an appropriate local source.

About Primary Care Shortages

Is there a primary care doctor shortage in the United States?

HRSA currently lists 7,674 active primary care Health Professional Shortage Area designations across the states and territories ranked on this page. That is a federal structural classification of provider-supply gaps, not a count of people unable to get an appointment or a clinical quality score.

What does a primary care HPSA designation mean?

HRSA uses shortage-designation criteria to identify geographic areas, population groups, or facilities with a shortage of primary care providers. This page aggregates active HRSA designation records by state.

What does a higher state total mean?

It means more active designation records in the portal’s current HRSA extract are associated with that state. It is not a direct count of people unable to obtain care, clinicians, wait times, or the severity of any individual situation.

Can this ranking tell me whether I can get an appointment?

No. HPSA designations are structural federal classifications. They do not show real-time appointment availability, insurance acceptance, provider openings, clinical quality, or whether a particular person can receive care.

How can I verify a designation?

Use HRSA’s Health Workforce Shortage Areas tools to inspect the current designation record and its attributes. The data contract linked below explains how this portal processes the source records and labels its vintage.

How should I use this comparison?

Use it to compare the distribution of recorded federal designations across states, then consult HRSA and local or qualified care sources for a current eligibility, service, or treatment decision.

Source: HRSA Data Warehouse Health Workforce Shortage Areas · 2026-08-15 PlainHealthAccess aggregates HRSA records by state and is not affiliated with HRSA.

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Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This ranking sorts states by designated HPSA count for the selected shortage type. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026-08-15.