Groundwork

Market rankings · North Dakota

Primary care and pediatric clinics in North Dakota

Markets across North Dakota ranked by the Groundwork market score for primary care and pediatric clinics, with competitor counts and household spending for each.

Listings
128
19 chain locations (15%)
Official establishments
181
+7.1% since 2019
Household spending a year
$473.3M
On medical and dental services
Listings per 10k households
3.9
46% below the U.S.
Spending per listing
$3.7M
2.1 times the U.S.
Rank among states
#3 of 51
Market score 86 · High

A site report maps the primary care and pediatric clinics on map listings around any address in North Dakota by name and distance, and the spending within reach.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

As of September 2026, map listings count 128 primary care and pediatric clinics in North Dakota. Chain locations make up 15% of them, against 9% across the U.S. That is 3.9 per 10,000 households, 46% below the U.S. rate of 7.2.

At $1,430 per household (11% above the U.S. average), households in North Dakota spend about $473.3M a year on medical and dental services. Spread across 128 primary care and pediatric clinics, that is $3.7M per clinic, 2.1 times the U.S. figure of $1.8M. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade.

The official count of businesses with payroll classed as offices of physicians in North Dakota was 181 in 2023, up 7.1% from 2019. That is one for every 1,829 households, against one for every 593 across the U.S. Across the U.S., the count fell 2.2% over the same years. Since fiscal 2022, 6 SBA-backed loans worth $1.8M have gone to businesses classed as offices of physicians in North Dakota.

Among the 50 states and DC, North Dakota ranks #3 for primary care and pediatric clinics, with a Groundwork market score of 86 (high). Of the 4 scored metro areas in or partly in North Dakota, the Fargo metro area scores highest (93). Of the 2 scored small-town markets in or partly in North Dakota, the Williston area scores highest (87).

Every market in North Dakota for primary care and pediatric clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in North Dakota, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching North Dakota, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Fargo, ND-MN93373.4$4.3M+7.7%#1 of 387
2Bismarck, ND87295.2$2.9M+4.5%#5 of 387
3Grand Forks, ND-MN79173.9$3.5M+0.8%#22 of 387
4Minot, ND7892.8$5.1M−2.4%#23 of 387

Small-town markets

Small-town markets reaching North Dakota, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Williston, ND8785.3$2.9M+1.4%#6 of 458
2Jamestown, ND7355.3$2.5M−0.6%#60 of 458
Dickinson, NDNot scored31.9$7.5M+0.7%
Wahpeton, ND-MNNot scored11.1$13.2M0.0%

Counties

Counties in North Dakota, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Cass County, ND89354.2$3.4M+9.1%#21 of 1,656
2Grand Forks County, ND82134.2$3.3M+1.9%#69 of 1,656
3Williams County, ND8285.3$2.9M+1.4%#71 of 1,656
4Ward County, ND7893.2$4.6M−2.4%#104 of 1,656
5Burleigh County, ND76286.8$2.2M+4.7%#143 of 1,656
6Stutsman County, ND7055.3$2.5M−0.6%#265 of 1,656
7Walsh County, ND34511.4$1.2M−3.3%#1,304 of 1,656
Morton County, NDNot scored10.7$20.1M+3.8%
Stark County, NDNot scored32.2$6.4M+0.5%
Richland County, NDNot scored11.5$9.7M+1.2%
McKenzie County, NDNot scored11.7$9.8M+2.8%
Rolette County, NDNot scored25.3$2.4M−4.1%
Ramsey County, NDNot scored35.5$2.4M−0.4%
Barnes County, NDNot scored24.1$3.3M−2.7%
McLean County, NDNot scored12.3$6.3M−0.2%
Mountrail County, NDNot scored00.0n/a−4.2%
Mercer County, NDNot scored00.0n/a+1.1%
Traill County, NDNot scored13.0$4.9M−0.8%
Pembina County, NDNot scored26.7$2M−3.8%
Bottineau County, NDNot scored00.0n/a−1.6%
Benson County, NDNot scored00.0n/a−3.0%
Ransom County, NDNot scored00.0n/a−1.5%
McHenry County, NDNot scored00.0n/a−3.9%
Dickey County, NDNot scored15.1$2.7M−1.5%
LaMoure County, NDNot scored15.7$2.4M+1.0%
Show all 53 counties
Counties in North Dakota, ranked for primary care and pediatric clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
Dunn County, NDNot scored00.0n/a−0.9%
Pierce County, NDNot scored00.0n/a−3.6%
Wells County, NDNot scored15.6$2.4M−5.9%
Sargent County, NDNot scored15.7$2.5M−3.4%
Sioux County, NDNot scored19.0$1.3M−5.4%
Cavalier County, NDNot scored00.0n/a−5.4%
Foster County, NDNot scored00.0n/a−5.1%
Emmons County, NDNot scored00.0n/a−2.4%
Nelson County, NDNot scored00.0n/a−1.0%
Bowman County, NDNot scored00.0n/a−7.1%
McIntosh County, NDNot scored00.0n/a−2.5%
Hettinger County, NDNot scored00.0n/a+0.4%
Kidder County, NDNot scored00.0n/a+0.5%
Eddy County, NDNot scored00.0n/a+0.1%
Renville County, NDNot scored00.0n/a+2.9%
Grant County, NDNot scored19.4$1.4M−3.5%
Griggs County, NDNot scored00.0n/a−2.5%
Divide County, NDNot scored00.0n/a−4.2%
Burke County, NDNot scored00.0n/a−2.7%
Adams County, NDNot scored00.0n/a+3.7%
Towner County, NDNot scored00.0n/a−5.0%
Oliver County, NDNot scored00.0n/a+1.7%
Logan County, NDNot scored112.9$996K−1.3%
Steele County, NDNot scored112.4$1.1M−0.1%
Golden Valley County, NDNot scored00.0n/a+4.8%
Sheridan County, NDNot scored00.0n/a+2.7%
Billings County, NDNot scored00.0n/a+15.2%
Slope County, NDNot scored00.0n/a−9.9%

Markets with fewer than 5 primary care and pediatric clinics on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many primary care and pediatric clinics are in North Dakota?

North Dakota has 128 primary care and pediatric clinics on map listings as of September 2026. 19 of them (15%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 181 businesses with payroll classed as offices of physicians in 2023, up 7.1% from 2019. Official counts also show 255 one-person businesses without payroll.

How much do households in North Dakota spend on medical and dental services?

About $473.3M a year, or $1,430 per household. That is 11% above the U.S. average (an index of 111, where 100 is the U.S. average). Spread across the 128 primary care and pediatric clinics on map listings, it comes to $3.7M per clinic. The spending figure covers all medical and dental services, not only primary care and pediatric clinics. It is estimated from the incomes of the 331,063 households in North Dakota and national spending patterns by income.

How does North Dakota compare with the U.S. for primary care and pediatric clinics?

North Dakota has 3.9 primary care and pediatric clinics per 10,000 households, 46% below the U.S. rate of 7.2. Spending per clinic is $3.7M, 2.1 times the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, North Dakota would have about 266, against 128 on map listings. There is one business with payroll in the industry for every 1,829 households, against one for every 593 across the U.S. The official count rose 7.1% from 2019 to 2023, against −2.2% for the U.S.

Which market in North Dakota has the highest market score for primary care and pediatric clinics?

Among 4 scored metro areas in or partly in North Dakota, the Fargo metro area scores highest, at 93 (very high). Among 2 scored small-town markets in or partly in North Dakota, the Williston area scores highest, at 87 (high). Among 7 scored counties in North Dakota, Cass County scores highest, at 89 (high). Scores compare each market with others of its kind across the U.S.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. North Dakota scores 86 for primary care and pediatric clinics (high), #3 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in North Dakota. It maps the primary care and pediatric clinics on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

Primary care and pediatrics in other states

All 51 states

Top markets for primary care and pediatric clinics across the U.S. · All business types in North Dakota

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This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.