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HomeBlogWhat's New: 100% Financing, No PMI on Our Enhanced Physician Loan Program
Physician Loans 9 min readJune 23, 2026

What's New: 100% Financing, No PMI on Our Enhanced Physician Loan Program

David Blackmon

Branch Manager · Lumen Mortgage · NMLS #1017653

David Blackmon

Loan Officer

NMLS #1017565

What's New: 100% Financing, No PMI on Our Enhanced Physician Loan Program
Physician Loans
Quick Answer

Does Lumen Mortgage offer 100% financing physician loans?

Yes. Lumen Mortgage's Enhanced Physician Loan Program now offers up to 100% financing — a true zero-down option — with no private mortgage insurance, on 15- and 30-year fixed loans for purchase and rate/term refinance of a one-unit primary residence in Oregon and California. 100% financing is available up to $2,000,000 with a 720 credit score, or up to $1,500,000 with a 680 score; 95% financing is available up to $2,000,000 with a 680 score.

Up to 100% financing (zero down), no PMI
Loan amounts up to $2,000,000; minimum $100,000
Minimum credit score 680
DTI up to 50% (at 95% LTV or below)
Residents, fellows, and interns eligible
Non-permanent resident aliens eligible up to 95%

Best for: Physicians, dentists, and eligible medical professionals — including those still in training — who want to preserve cash and skip mortgage insurance.

If you're a physician, dentist, or other eligible medical professional, you already know the financial picture lenders see when they look at your file isn't the whole story. Heavy student debt. A short employment history because you were in residency until last month. A signed contract for a job that hasn't technically started yet. Traditional underwriting boxes weren't built with your career path in mind — but our Enhanced Physician Loan Program was, and we've just made it stronger. The headline change: qualified borrowers can now finance up to 100% of the purchase price on a primary residence — a true zero-down option — with no monthly private mortgage insurance. Here's exactly what changed, the new financing tiers, and how to tell if it fits.

The Headline: Up to 100% Financing, No Mortgage Insurance

The core of the enhanced program is simple. Qualified borrowers can finance up to 100% of the purchase price on a primary residence — meaning a true zero-down option — without the monthly cost of private mortgage insurance that normally comes with low down payments. That's available on both 15- and 30-year fixed-rate loans, for purchase and rate/term refinance transactions on a single-unit primary home. If you've read our earlier guides — our Physician Loans in Oregon overview or the future-income case study — this is the update that changes the math: where a low-down physician loan used to mean putting 5% in, the enhanced program can mean putting nothing in and still paying no PMI.

The New Financing Tiers

How much you can borrow and how little you can put down depends on your credit profile and loan size. Up to $2,000,000, you can finance 100% with a 720 credit score. Up to $1,500,000, you can finance 100% with a 680 score. And up to $2,000,000, you can finance 95% with a 680 score. The minimum loan amount is $100,000, and the minimum loan-to-value on the program is 90.01% — this is a high-leverage product designed for buyers who want to preserve cash, not for large-down-payment scenarios. The full tier table, including the no-PMI footnote, is shown on our physician loan page.

Reserves That Respect Your Cash Flow

One of the most borrower-friendly features is the reserve structure. Many jumbo and low-down programs demand six to twelve months of payments sitting in the bank. This program is far lighter. For loans at 95% LTV or below: $100,000–$1,500,000 requires zero months of reserves, and $1,500,001–$2,000,000 requires three months. For loans above 95% LTV: $100,000–$1,500,000 requires three months of reserves, and $1,500,001–$2,000,000 requires six months. Separately, three months of PITA reserves (principal, interest, taxes, and association dues) are required for each additional financed property you own.

Who Qualifies — Including If You're Still in Training

The program is built for a defined list of medical and healthcare professionals. Eligible degrees include Medical Doctor (MD), Doctor of Osteopathy (DO), Doctor of Dental Science or 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 or VMD), Doctor of Podiatric Medicine (DPM), and Certified Registered Nurse Anesthetist (CRNA with DNAP or DNP). Still in training? Medical residents, fellows, and interns holding one of the degrees above are eligible too — you don't have to wait until you're an attending to buy. And for internationally trained physicians on work visas, non-permanent resident aliens are eligible up to 95% financing — a meaningful door that many programs keep shut.

Qualifying Details Worth Knowing Up Front

A few parameters help you gauge fit before we ever pull credit. Debt-to-income can run up to 50% for loans at 95% LTV or below, and up to 45% for loans above 95% LTV and for 15-year terms. The minimum credit score is 680. Student loan flexibility is often the single biggest difference between a 'yes' here and a 'no' on a conventional loan: underwriting uses more lenient calculations for student debt, and for borrowers in residency or fellowship, payments in deferment or forbearance may be excluded from the DTI calculation entirely. A full appraisal is required (appraisal waivers are not offered on this program), the property must be a one-unit primary residence, and manufactured homes are not eligible. A few things the program does not allow, so there are no surprises later: temporary rate buydowns and secondary/subordinate financing. Escrow waivers may be available depending on your state; we'll walk you through eligibility.

Why This Matters for Your Career Stage

The most common reason a strong physician borrower gets a 'no' elsewhere is timing — a great income that's brand new, or student loan payments that crush a conventional DTI calculation. This program is structured to look at where your career is going, not just where it's been. Pair that with zero-down and no PMI, and you keep your capital free for the things that actually move the needle: a practice buy-in, retirement funding, an emergency reserve, or simply not draining your savings to close. For a finishing resident or a new attending relocating to Oregon or California, that combination can be the difference between buying now and waiting another year.

Let's See If It Fits

Every file is different, and the right answer depends on your numbers. The fastest way to know what you qualify for is a quick conversation. We'll review your signed contract or offer letter, document your compensation correctly, run your student loans the favorable way, and tell you exactly which tier you land in — at no cost and with no obligation. Start anytime at blink.mortgage/lumenmortgagecorporation, or call us directly.

Know Your Qualifying Ratio

Debt-to-Income Calculator

For physician borrowers, DTI is where conventional underwriting breaks down — and where physician loan programs quietly rescue the application. The difference between a lender counting your student loans at 1% of the balance versus your actual income-driven repayment can move your DTI by 15–20 points. That's often the difference between qualifying and not.

The DTI calculator lets you input your gross income, all existing monthly obligations, and projected mortgage payment to see your front-end and back-end ratios in real time. Model what your file looks like if student loans are excluded entirely. Calculate the income threshold you need to hit for your target purchase price. These numbers define your path.

Front vs. back-end DTI

See both ratios — housing cost alone, and all debts combined — against the lender thresholds that determine approval.

Student loan scenarios

Model the DTI impact of different student loan treatments: 1%, 0.5%, your actual IDR payment, or excluded entirely.

Income target

Work backward from a target purchase price to find the qualifying income you need to meet lender guidelines.

Free · No login · No credit pull required

Realtor Referral

Buying with a physician loan and need an agent who gets the timeline?

Physician purchases are often time-compressed and remote, and a zero-down offer needs an agent who can position it credibly with listing agents. We can introduce you to OR/CA realtors who close physician deals every month and know how to present a fully underwritten, no-PMI offer.

No directory. No paid placements. No RESPA-restricted referral fees. We've worked alongside these pros on real Oregon and California deals — we'll make a personal email introduction so you can interview them yourself.

Or email us directly:

Enhanced Physician Loan vs. Conventional vs. FHA

Primary residence purchase in Oregon or California

Physician (Enhanced)ConventionalFHA
Max FinancingUp to 100% (zero down)97% (3% down)96.5% (3.5% down)
Mortgage InsuranceNone at any LTVPMI until 20% equityMIP — life of loan (if <10% down)
Max Loan Amount$2,000,000$832,750 conforming$832,750 (varies by county)
Min. Credit Score680 (720 for 100% to $2M)620580
Max DTIUp to 50%43–50%Up to 57%
Student Loan TreatmentExcluded in deferment/forbearance (residents)0.5–1.0% of balance/mo1.0% of balance/mo
Qualify on Offer LetterYes — start within 90 daysLimitedLimited
Eligible BorrowersMD, DO, DDS, DMD, PharmD, DVM, DPM, CRNA + residentsAnyoneAnyone
Comparison reflects general program guidelines as of June 2026. Actual terms, rates, and eligibility vary by borrower profile. Physician program eligibility limited to qualifying medical degrees. NMLS #1498678.

Physician Loan Financing Tiers

How much you can borrow and how little you can put down depends on your credit profile and loan size.

Loan AmountMax Financing (LTV)Minimum FICO
Up to $2,000,000100% (zero down)720
Up to $1,500,000100% (zero down)680
Up to $2,000,00095%680
Minimum loan amount $100,000 · minimum LTV 90.01% — a high-leverage product designed to preserve your cash, with no private mortgage insurance at any tier. Subject to credit approval and program guidelines. NMLS #1498678.
Enhanced Physician Loan — Quick Facts— Oregon & California · 2026 program terms

Up to 100%

Max Financing

None

Mortgage Insurance

$2,000,000

Max Loan Amount

680

Min. Credit Score

50%

Max DTI

0 months

Min. Reserves

Frequently Asked Questions

Does Lumen Mortgage offer 100% financing on physician loans in Oregon and California?
Yes. Lumen Mortgage's Enhanced Physician Loan Program offers up to 100% financing — a true zero-down option — with no private mortgage insurance, on 15- and 30-year fixed-rate loans for purchase and rate/term refinance of a one-unit primary residence in Oregon and California. 100% financing is available up to $2,000,000 with a 720 credit score, or up to $1,500,000 with a 680 score. A 95% option is available up to $2,000,000 with a 680 score.
Is there a 0% down (no money down) physician loan, and is there PMI?
Yes — this is effectively a 0% down physician loan. The program allows up to 100% financing on a primary residence, meaning a qualified borrower can put zero down with no money out of pocket toward the down payment. There is no private mortgage insurance at any loan-to-value ratio — even at 100% financing — so the monthly payment stays lower than a comparable conventional loan at the same down payment. The minimum loan amount is $100,000 and the minimum LTV is 90.01%, because this is a high-leverage product designed to preserve your cash rather than for large-down-payment scenarios.
What credit score do I need for a 100% financing physician loan?
The minimum credit score on the program is 680. To finance 100% up to a $2,000,000 loan amount you need a 720 score; to finance 100% up to $1,500,000 you need a 680 score; and to finance 95% up to $2,000,000 you need a 680 score. Pricing and available leverage improve as your score and profile strengthen.
Can medical residents, fellows, and interns qualify before becoming an attending?
Yes. Medical residents, fellows, and interns holding an eligible degree are eligible — you do not have to wait until you're an attending to buy. The program qualifies you on a signed employment contract or offer letter, and for borrowers in residency or fellowship, student loan payments in deferment or forbearance may be excluded from the debt-to-income calculation entirely.
Which medical degrees are eligible for the physician loan program?
Eligible degrees include Medical Doctor (MD), Doctor of Osteopathy (DO), Doctor of Dental Science or 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 or VMD), Doctor of Podiatric Medicine (DPM), and Certified Registered Nurse Anesthetist (CRNA with DNAP or DNP). Internationally trained physicians who are non-permanent resident aliens are eligible up to 95% financing.
How many months of reserves does the physician loan require?
Reserves are light compared with most jumbo and low-down programs. For loans at 95% LTV or below: $100,000–$1,500,000 requires zero months of reserves, and $1,500,001–$2,000,000 requires three months. For loans above 95% LTV: $100,000–$1,500,000 requires three months, and $1,500,001–$2,000,000 requires six months. Separately, three months of PITA reserves (principal, interest, taxes, and association dues) are required for each additional financed property you own.
What are the property and program restrictions on the physician loan?
The property must be a one-unit primary residence; manufactured homes are not eligible. A full appraisal is required (appraisal waivers are not offered). Debt-to-income can run up to 50% at 95% LTV or below, and up to 45% above 95% LTV and on 15-year terms. The program does not allow temporary rate buydowns or secondary/subordinate financing. Escrow waivers may be available depending on your state.

Physician Mortgage Programs

Zero down, no PMI, and student loans treated fairly. Purpose-built for MDs, DOs, DDSs, and other medical professionals.

Bottom Line

The bottom line: our Enhanced Physician Loan Program now offers up to 100% financing with no PMI on 15- and 30-year fixed loans up to $2,000,000, for purchase and rate/term refinance of a primary residence in Oregon and California — open to a broad list of medical professionals, including residents, fellows, interns, and non-permanent resident aliens up to 95%. If you've been holding off because you assumed you'd need 5–20% down, the math may have just changed in your favor. Call David Blackmon and the Lumen Mortgage team at 503-966-9255 or email dblackmon@lumenmortgage.com for a personalized review of your scenario. NMLS #1017653 · Company NMLS #1498678. Equal Housing Opportunity. This is not a commitment to lend; all loans are subject to credit approval, income and asset verification, property appraisal, and program guidelines, which are subject to change without notice.

Physician Loan Doctor Loan 100% Financing Zero Down 0% Down No Money Down No PMI Oregon California Residents Fellows