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Free Physician Tax Tool

Physician Tax Calculator:
Estimate Your Savings

Enter your income, filing status, and employment type. See your estimated tax liability and how much you could save with the right structure.

Calculate Your Taxes

Quick Answer

Enter your income, filing status, and employment type to estimate your federal, state, and self-employment taxes, and to compare W-2, 1099, and S-Corp structures side by side. Results are estimates for educational purposes based on projected 2026 figures, not tax advice; your complete financial picture can change the outcome.

Physician Tax Estimator

Enter your information below. All calculations use 2026 tax rates and brackets.

Income & Employment

Example figures, replace with yours

$

Deductions & Retirement

$
$

Estimates based on 2026 federal tax brackets. Not tax advice.

Your Tax Estimate

Based on $350,000 gross income as a 1099 contractor

Current Estimate

Based on your inputs

Federal Income Tax
$79,990
State Income Tax
$0
No State Tax (TX, FL, WA, etc.)
Self-Employment Tax
$32,252
15.3% on 92.35% of net SE income
Additional Medicare Tax
$1,109
0.9% over the filing-status threshold (Form 8959)
Total Estimated Tax
$113,351
Effective rate: 32.4%
Take-home: $236,649

Optimized Estimate

S-Corp structure + max retirement

Federal Income Tax
$50,688
State Income Tax
$0
Payroll Taxes (S-Corp)
$24,098
On $157,500 salary
QBI Deduction Benefit
-$14,925
Section 199A (20%)
Total Estimated Tax
$74,786
Effective rate: 21.4%
Take-home: $275,215
Estimated Annual Savings
$38,565
per year with optimized tax strategy
$9,263
S-Corp SE Tax Savings
$72,000
Max Retirement Contribution
$25,200
Tax Saved via Retirement

Optimization Breakdown

Retirement Plan
$72,000
Solo 401(k) Max
HSA Contribution
$4,400
Triple tax-free savings
Backdoor Roth IRA
$7,500
Tax-free growth
S-Corp Distribution
$187,500
Avoids SE tax

These are estimates, not your return.

This calculator cannot account for AMT, NIIT, phaseouts, credits, state-specific rules, or your complete financial picture.

Book your free 30-minute tax fit call to talk through your next steps.

Tax planning slots are limited before year-end.

Worked example

A single 1099 locum physician with $350,000 of net income in a no-tax state

A single physician works locum tenens on a 1099 and nets $350,000 after business expenses. They live in a state with no income tax, enter no extra business deductions, and have not funded a retirement plan yet.

Inputs

Worked example inputs
Annual gross income (net of business expenses)$350,000
Filing statusSingle
Employment type1099 independent
State tax tierNo state tax
Business deductions$0
Current retirement contributions$0
Age 50 or olderNo

Calculator output

Worked example calculator output
Self-employment tax$32,252
Additional Medicare Tax (0.9%)$1,109
Adjusted gross income$333,874
QBI deduction$0
Taxable income$317,774
Federal income tax$79,990
State income tax$0
Total estimated tax (current estimate)$113,351
Effective rate32.4%
Take-home$236,649

Self-employment tax applies to 92.35% of the $350,000. Social Security stops at the $184,500 wage base and Medicare does not. The 0.9% Additional Medicare Tax on the amount above $200,000 is a separate tax, so it is not part of the half that comes off income. Half of the self-employment tax leaves AGI of $333,874. After the $16,100 standard deduction, taxable income is above $276,750, where the QBI deduction for a medical practice is fully phased out. These figures are the calculator's "Current Estimate" column; the "Optimized Estimate" column is a rough what-if built on the planning assumptions listed below.

Methodology

How this calculator works

The calculator estimates federal income tax, payroll or self-employment tax, and a flat state tax for a W-2, 1099 or S-Corp physician, then re-runs the numbers under a set of planning assumptions for the optimized column.

Formulas

  • Additional Medicare Tax = 0.9% of wages or 92.35% of net SE income over $200,000 single, $250,000 married filing jointly or $125,000 married filing separately. It is a separate tax and none of it is deductible.
  • W-2: employee FICA = 6.2% of wages up to the $184,500 2026 wage base + 1.45% of all wages + the Additional Medicare Tax.
  • 1099: SE tax = 12.4% of 92.35% of net income up to $184,500 + 2.9% of 92.35% of net income. Half of the SE tax is deducted from income.
  • S-Corp: both halves of payroll tax on the salary you enter (45% of income if blank), and no SE tax on the distribution.
  • QBI (1099 and S-Corp), treated as a specified service business: 20% of qualified business income when taxable income before QBI is at or under $201,750 single ($201,775 married filing separately, $403,500 married filing jointly). The deduction phases out across the next $75,000 ($150,000 married filing jointly), with the 50%-of-W-2-wages limit phasing in, and is $0 above that. It never exceeds 20% of taxable income before QBI. For a 1099 physician, qualified business income is net income minus business deductions, half of SE tax and retirement contributions; for an S-Corp it is the distribution, and the salary counts as W-2 wages.
  • Federal tax = 2026 brackets applied to AGI minus the standard deduction ($16,100 single or married filing separately, $32,200 married filing jointly; W-2 physicians use itemized deductions instead when larger) minus QBI. State tax = AGI x the flat rate of the state tier you pick.

Assumptions

  • Optimized column: S-Corp salary of 45% of income capped at $200,000, a maxed 2026 401(k) or Solo 401(k) ($24,500 deferral, $8,000 catch-up at 50+, $72,000 overall cap) with a 25% profit share on S-Corp salary or 20% of net SE earnings, $15,000 of estimated business deductions and $5,000 of S-Corp compliance cost (W-2: a maxed 401(k) only).
  • Retirement contributions you enter are pre-tax.
  • Each state tier is a single flat rate on AGI, not your state's actual brackets.

What it ignores

  • AMT, the 3.8% NIIT, credits, and itemized deductions for 1099 and S-Corp physicians.
  • Capital gains in the QBI taxable income cap, the new $400 minimum QBI deduction, and the employer half of S-Corp payroll tax as a business deduction.
  • Reasonable compensation analysis, state and local payroll taxes, and retirement plan testing.

Sources

Primary sources

  1. IRS Rev. Proc. 2025-32: 2026 inflation adjustments: 2026 brackets (section 4.01), standard deduction (4.14) and section 199A thresholds and phase-in ranges (4.26)
  2. Social Security Administration: contribution and benefit base: $184,500 wage base for 2026
  3. 26 U.S. Code Section 1401: rate of self-employment tax: 12.4%, 2.9% and the 0.9% Additional Medicare tax
  4. 26 U.S. Code Section 1402: definitions (self-employment income): the 92.35% net earnings factor in section 1402(a)(12)
  5. 26 U.S. Code Section 164: taxes: section 164(f) deduction for half of SE tax
  6. 26 U.S. Code Section 3101: FICA tax on employees: 6.2%, 1.45% and the 0.9% Additional Medicare tax
  7. 26 U.S. Code Section 3111: FICA tax on employers
  8. Instructions for Schedule SE (Form 1040)
  9. Instructions for Form 8959: Additional Medicare tax: thresholds by filing status
  10. 26 U.S. Code Section 199A: qualified business income: specified service trade or business limits
  11. Instructions for Form 8995: qualified business income deduction
  12. Treas. Reg. 1.199A-3: qualified business income: QBI is reduced by the deductible half of SE tax and self-employed retirement contributions
  13. IRS Notice 2025-67: 2026 retirement plan limits: $24,500 deferral, $8,000 catch-up, $72,000 section 415(c) limit, $7,500 IRA
  14. IRS Rev. Proc. 2025-19: 2026 HSA limits: $4,400 self-only and $8,750 family

Educational, not individualized tax advice.

Important Disclaimer

This calculator provides estimates for educational purposes only and does not constitute tax advice. Actual tax liability depends on many factors not captured here, including AMT, Net Investment Income Tax (3.8%), child tax credits, education credits, state-specific deductions, and your complete financial picture. Consult a qualified tax professional for personalized advice. Tax brackets and limits are based on projected 2026 figures and may change.

Physician Tax Calculator FAQ

Common questions about physician taxes, S-Corps, and retirement planning.

Calculators Estimate. We Optimize.

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