Did the offer of 86,500 include any incentive bonuses? I think that would make a big difference in the overall package. I recently made the switch to a family practice office with a similar salary but I have the ability to make up to $25,000 more based on productivity. I also received a sign on bonus, relocation package, 4 weeks PTO, 1 week CME plus $2,000 for CME and benefits. The salary is unfortunately pretty standard for my area but feel the rest of the package helps.