MEDICAL PRACTITIONER NEC | ANZSCO 253999

WHAT DOES A MEDICAL PRACTITIONER NEC DO?

A Medical Practitioner nec is a medical specialist whose field is not separately classified elsewhere in ANZSCO. The two specialisations listed under this code are Nuclear Medicine Physicians, who use small amounts of radioactive material to diagnose and treat disease, and Sports Physicians, who diagnose, treat, and help prevent injury and illness related to sport, exercise, and physical activity. The exact scope of an individual role depends on the specialty, and a nomination must genuinely match the work the applicant will do.

Typical day to day duties include:

• Nuclear Medicine Physicians: performing and reporting nuclear imaging studies, including PET and SPECT scans, to diagnose conditions such as cancer, heart disease, and bone disorders
• Nuclear Medicine Physicians: using radioactive treatments, such as radionuclide therapy, for selected conditions, and overseeing radiation safety
• Sports Physicians: assessing and treating musculoskeletal injuries and medical conditions related to sport and exercise
• Sports Physicians: advising on injury prevention, rehabilitation, and safe return to training and competition
• Sports Physicians: providing medical care and advice to athletes, teams, and sporting organisations, including at the elite level
• Working with surgeons, physicians, physiotherapists, and other health professionals as part of a multidisciplinary care team
• Advising referring doctors on the most appropriate investigation or treatment for a clinical question
• Overseeing quality, safety, and the introduction of new technologies and techniques in their field
• Supervising and training specialist registrars, trainees, and medical students
• Maintaining accurate clinical records in line with Australian healthcare and privacy standards

SUBCLASS 482 FOR THIS OCCUPATION – CSOL LIST

The Subclass 482 Skills in Demand (SID) visa replaced the older Temporary Skill Shortage visa in December 2024, bringing in a new occupation list. The Core Skills Occupation List, known as the CSOL, consolidated the previous strategic skills lists into a single list covering several hundred occupations across professional, trade, and technical fields.

Medical Practitioner nec sits on the CSOL under the code ANZSCO 253999, and this is the code an employer nominates against for a 482 visa. Depending on the offered salary, nominations may be considered under either the Core Skills stream or the Specialist Skills stream, which carries a higher income threshold but faster processing. No caveats currently apply to this occupation, though it's always worth confirming current conditions with a migration agent before a nomination is lodged, as settings can be updated by the Department of Home Affairs from time to time.

Employers sponsoring medical practitioners are no longer required to submit a Health Workforce Certificate as part of the nomination application, as this requirement was removed from the visa nomination process.

SUBCLASS 482 ANZSCO REQUIREMENT FOR THIS OCCUPATION

A nominated occupation has to genuinely match the work an applicant will actually be doing for their sponsoring employer. Medical Practitioner nec sits at ANZSCO Skill Level 1, which lines up with a Bachelor degree or higher qualification plus at least five years of relevant specialist training, consistent with a recognised overseas medical degree and completed specialist training.

ANZSCO requirement for this occupation: “Bachelor degree or higher qualification, two years of hospital-based training, and at least five years of specialist study and training (ANZSCO Skill Level 1). Registration or licensing is required.”

SC 482 VISA REQUIREMENT FOR THIS OCCUPATION

To be granted a Subclass 482 visa under the Core Skills or Specialist Skills stream as a Medical Practitioner nec, applicants generally need to meet the following:

• A genuine, approved sponsor. Your employer must be an approved Standard Business Sponsor, or in the process of becoming one
• An approved nomination for ANZSCO 253999, with a salary at or above the relevant income threshold and the market rate for the role
• At least one year of full time equivalent relevant work experience within the past five years
• English requirements as outlined below, unless an exemption applies
• A clear health examination through an approved panel physician
• Police clearance certificates from every country lived in for twelve months or more

The visa can be granted for a period of up to four years (up to five years for Hong Kong passport holders), and a partner and dependent children can be included as secondary applicants. Salary and income thresholds are indexed annually, so it's always worth confirming the current figure before an employer lodges a nomination.

SALARY THRESHOLDS — CSIT, SSIT, AND AMSR EXPLAINED

Three separate salary concepts apply to a nomination for this occupation, and all three need to be satisfied at once — employers must pay whichever figure is highest.

• Core Skills Income Threshold (CSIT) — the minimum guaranteed annual earnings for a Core Skills stream nomination under Subclass 482, and for Subclass 186 nominations. The current CSIT is AUD $79,423, up from AUD $76,515.
• Specialist Skills Income Threshold (SSIT) — the higher minimum guaranteed annual earnings that applies to the Specialist Skills stream of Subclass 482. Many consultant-level salaries in this occupation are above this threshold, making the faster Specialist Skills stream a realistic option for some roles, though earlier-career and public award salaries may sit closer to it. The current SSIT is AUD $146,576, up from AUD $141,210.
• Annual Market Salary Rate (AMSR) — the rate an equivalent Australian worker would be paid in the same role, location, and industry, based on enterprise agreements, awards, job advertisements, or remuneration survey data. The AMSR has no fixed dollar figure; it is assessed case by case.

These thresholds are indexed each year against Average Weekly Ordinary Time Earnings (AWOTE), so the applicable figure depends on when a nomination is lodged, not when it's decided. Existing visa holders and nominations lodged before an indexation date are not affected by a later increase. It's always worth confirming the current threshold with a migration agent, or on the Department of Home Affairs website, before a nomination is lodged.

SUBCLASS 482 SID VISA COST

On top of meeting the relevant income threshold, applicants and their employer need to budget for the government charges that apply to a Subclass 482 application.

*Figures shown are the base Visa Application Charge only, current at time of writing and reviewed annually by the Department of Home Affairs. Additional charges may apply, including the employer's $330 nomination fee per position and the Skilling Australians Fund (SAF) levy, along with health examinations, police checks, and English testing where required. These figures do not include the second instalment charge that applies to some dependants, or any professional or agent fees. Always confirm current charges with your migration agent or the Department of Home Affairs before lodging.

SKILLS ASSESSMENT REQUIREMENT FOR THIS OCCUPATION – SUBCLASS 482

The Medical Board of Australia, supported by the relevant specialist college and the Australian Medical Council (AMC), is the designated skills assessing authority for Medical Practitioners nec (ANZSCO 253999) for migration purposes.

A skills assessment is not required for every Subclass 482 applicant. It is only mandatory where required under the Department of Home Affairs' mandatory skills assessment requirements, which apply to specified occupations and passport countries. Applicants should confirm current requirements for their passport country before lodging.

Overseas-trained Medical Practitioners nec generally pursue one of the following pathways:

• The Competent Authority Pathway — for specialists who hold Fellowship or equivalent recognition from an approved overseas specialist college or regulator, including the UK, Ireland, Canada, and certain other jurisdictions with comparable training frameworks
• The Standard Pathway — for applicants who do not qualify under the Competent Authority Pathway, generally requiring the AMC's assessment process followed by a period of supervised practice before general registration is granted
• Nuclear Medicine Physicians — overseas-trained physicians are generally assessed by the Royal Australasian College of Physicians (RACP) under its Standard Specialist Assessment Pathway, which compares the applicant's training against Australian standards and can lead to top-up training of up to 24 months. Nuclear medicine in Australia is trained through the RACP and RANZCR, so applicants should confirm with the colleges which route applies to their background
• Sports Physicians — overseas-trained specialists are assessed by the Australasian College of Sport and Exercise Physicians (ACSEP) through its Specialist International Medical Graduate (SIMG) pathway. ACSEP assesses each applicant individually and reaches a substantially comparable, partially comparable, or not comparable outcome, with applicants found substantially or partially comparable able to proceed on the SIMG pathway, while those found not comparable are ineligible for it

Applicants should provide comprehensive documentary evidence, including:

• Academic transcripts and qualification certificates from the applicant's medical degree and specialist training
• Evidence of Fellowship or specialist recognition from the applicant's home college or regulator
• Evidence of current or prior medical registration and good standing in the country of qualification
• A structured log of case experience evidencing breadth and volume of practice in the applicant's specialty, including relevant procedures, studies reported, or athlete and injury caseload
• English language test results meeting the Medical Board's registration standard

Providing complete and well-prepared evidence helps the assessment proceed efficiently, though specialist college SIMG processing times can vary considerably depending on the applicant's training background and the completeness of their documentation.

SUBCLASS 186 FOR THIS OCCUPATION – EMPLOYER NOMINATION SCHEME

The Subclass 186 Employer Nomination Scheme is Australia's main permanent employer sponsored visa, and for many Medical Practitioners nec already working in Australia on a 482 visa, it's the natural next step. The Direct Entry stream is the relevant pathway for applicants who haven't yet worked long enough with their employer to qualify for the Temporary Residence Transition stream, or who are applying from outside Australia altogether.

Unlike the 482, a grant under the 186 gives the applicant and their family permanent residency from the day it's approved, with no further visa renewals needed.

SC 186 VISA REQUIREMENT FOR THIS OCCUPATION

For the Direct Entry stream, applicants generally need to meet the following:

• A nomination from an approved Australian employer for a genuine, full time, ongoing position in this occupation
• A salary that meets or exceeds the Core Skills Income Threshold and the market rate for the role
• A positive skills assessment in the nominated occupation, unless an exemption applies
• At least three years of relevant work experience, unless exempt from the skills assessment and experience requirements
• Being under 45 years of age at the time of application, with limited exemptions
• Competent English, at an overall IELTS score of 6.0 with no band below 6.0, or an accepted equivalent
• Health and character clearances

This is a lower English bar than the Medical Board's own registration standard, which means almost every applicant who can register as a Medical Practitioner nec in Australia will already clear the visa's English requirement.

SKILLS ASSESSMENT REQUIREMENT FOR THIS OCCUPATION – SC 186 VISA

Unlike the 482, a positive skills assessment is mandatory for almost every Direct Entry 186 applicant in this occupation, and it needs to be current at the time the visa application is lodged.

Because the Direct Entry stream also requires three years of relevant experience on top of the assessment itself, it helps to start gathering employment evidence, reference letters, case logs, and qualification documents well before applying, since the specialist college SIMG and Medical Board assessment process can take considerably longer than for many other health occupations.

ENGLISH LANGUAGE REQUIREMENTS

Every skilled or employer sponsored visa in Australia comes with an English language test, and the score required depends on which visa is being applied for. For Medical Practitioners nec looking at the 482 and 186 pathways, the bar is different at each stage, which catches a lot of applicants off guard.

For the Subclass 482 Skills in Demand visa, applicants generally need Competent English, which works out to an overall IELTS score of 5.0 with no band below 5.0, or an accepted equivalent test result.

For the Subclass 186 Employer Nomination Scheme, Direct Entry stream, the standard is higher. Competent English here means an overall IELTS score of 6.0 with no band below 6.0.

Separately, and on top of these visa requirements, AHPRA and the Medical Board of Australia set their own, considerably higher English standard for registration. This is a professional registration requirement, not a visa requirement, but it applies in practice to every applicant who needs to register in order to work as a Medical Practitioner nec.

EXEMPTIONS ON ENGLISH LANGUAGE REQUIREMENTS

For visa purposes, citizens of the United Kingdom, the United States, Canada, New Zealand, and the Republic of Ireland are generally exempt from formal English testing, along with applicants who have completed a set period of study conducted in English. Test results typically need to be current within three years of lodgement. AHPRA applies its own separate education-based exemption pathways for registration purposes, including recognised prior English-medium schooling or tertiary study, which should be confirmed directly with the Medical Board.

REGISTRATION WITH THE MEDICAL BOARD OF AUSTRALIA

Medical practice is a nationally regulated profession under the Health Practitioner Regulation National Law, administered through AHPRA and the Medical Board of Australia, with specialist vocational recognition overseen by the relevant specialist college. Practising as a Medical Practitioner nec in Australia without current registration is not permitted.

• Internationally qualified applicants must have their specialist qualification assessed by the relevant college (for example RACP and RANZCR for nuclear medicine, or ACSEP for sports medicine) as suitable for specialist registration
• Applicants must meet AHPRA's English language registration standard, generally IELTS Academic 7.0 overall (6.5 in writing), or an accepted equivalent
• Applicants must meet the Board's criminal history and professional indemnity insurance requirements
• Overseas-trained Medical Practitioners nec not immediately found comparable may be required to complete a period of supervised practice, further assessment, or additional examinations set by the relevant specialist college before full specialist registration is granted
• Registered specialists must meet annual Continuing Professional Development requirements set by their specialist college to maintain registration

SALARY EXPECTATIONS IN AUSTRALIA

The Australian Taxation Office reports the broader Medical Practitioners (other) occupation code at an average taxable income of approximately $226,423 and a median of approximately $163,920, based on around 21,338 taxpayers. Because this code is a catch-all that includes part-time and less specialised roles, it understates what a full-time consultant specialist can expect. Published guidance for related specialist physician bands puts earnings in the order of $342,000, with senior private practice nuclear medicine specialists estimated at up to around $500,000, while public staff specialists in New South Wales earn a state award base of roughly $186,000 to $252,000 plus allowances. Public hospital salaries are generally set by state and territory enterprise agreements, while private practices set remuneration through individual contracts.

WHY THIS OCCUPATION IS IN DEMAND IN AUSTRALIA

• A well-documented national shortage of Medical Practitioners nec, listed in shortage across every Australian state and territory
• Rising demand for advanced diagnostic imaging and nuclear medicine linked to an ageing population and growing rates of cancer and cardiovascular disease
• Growing demand for sport and exercise medicine as participation in sport and active lifestyles continues to increase
• A limited domestic specialist training pipeline relative to the scale of ongoing clinical demand
• Medical Practitioner nec regularly appearing on national and state priority skilled occupation lists
• Strong demand for specialists willing to work in regional and rural areas, where access to specialist services is often limited
• Growing demand across both the public hospital specialist system and Australia's large private specialist medical service sector

EMPLOYER SPONSORSHIP FOR THIS OCCUPATION IN AUSTRALIA

Australian public and private hospitals and specialist medical services can sponsor overseas applicants in this occupation through the Skills in Demand (Subclass 482) visa, the Employer Nomination Scheme (Subclass 186) visa, and other eligible employer-sponsored visa pathways when suitably qualified Australian workers are unavailable. With shortages persisting across the specialist medical workforce in every state and territory, employer sponsorship has become an important way for Australian health services to recruit experienced overseas-trained Medical Practitioners nec.

At Migration Republic, we assist employers with every stage of the employer sponsorship process, including Standard Business Sponsorship (SBS) applications, nomination applications, visa lodgements, and ongoing sponsorship compliance. Our Registered Migration Agents ensure your organisation meets all Department of Home Affairs requirements while making the sponsorship process as straightforward and efficient as possible.

We help healthcare employers with:

• Standard Business Sponsorship (SBS) applications
• Sponsoring overseas applicants under the Skills in Demand (Subclass 482) visa
• Employer Nomination Scheme (Subclass 186) applications
• Employer nomination applications and salary benchmarking against CSIT, SSIT, and AMSR
• Employer sponsorship compliance obligations
• Permanent residency pathways for sponsored employees

If your hospital or specialist medical service is looking to sponsor a Medical Practitioner nec in Australia, Migration Republic can provide expert advice and manage the entire employer sponsorship process from start to finish, allowing you to focus on patient care while we take care of your migration requirements.

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HOW MIGRATION REPUBLIC CAN HELP YOU

Migrating to Australia as a Medical Practitioner nec means navigating specialist college and Medical Board assessment alongside an employer-sponsored visa application, each with its own English language standard and evidentiary requirements. Our registered migration agents at Migration Republic handle this every day, and we can help you get it right the first time.

Here's what we take care of for you:

• Confirming your qualifications and experience align with ANZSCO 253999 and the relevant specialist college's assessment requirements
• Identifying the correct specialist college SIMG assessment pathway for your training background
• Structuring your employment references and case logs so they meet the assessing authority's requirements
• Coordinating your English testing against both the visa standard and the Medical Board's registration standard
• Comparing the 482 and 186 pathways to find the right fit for your circumstances
• Managing your full visa application from lodgement through to grant

FREQUENTLY ASKED QUESTIONS – EMPLOYER SPONSORSHIP FOR THIS OCCUPATION