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Physician Tax and Wealth Resource Center

Plain-English, source-cited guides to how physicians, dentists and practice owners are taxed in 2026, and what can be done about it.

Core guides

Tax Planning for Physicians: The Complete 2026 GuideA complete 2026 guide to tax planning for physicians and doctors: brackets, W-2 vs 1099 strategies, entity structure, retirement plans, real estate, state taxes and how to work with a physician tax strategist.Advanced Tax Strategies for High-Income Physicians Earning $500,000 to $1 Million or MoreAdvanced tax planning for physicians earning $500,000, $750,000 or $1 million or more in 2026: the 37% bracket, the 35% itemized deduction cap, the SALT phase-down, cash balance plans and entity strategy.Tax Planning for Medical Practice OwnersTax planning for private practice physicians and medical practice owners: entity structure, owner compensation, retirement plan design, the PTET, real estate ownership, buy-ins and preparing for a sale.Retirement Planning for Physicians: Plans, Limits and Tax Strategy for 2026Physician retirement planning for 2026: 401(k), 403(b) and 457(b) limits, catch-up contributions, backdoor and mega backdoor Roth, cash balance plans, and how to sequence contributions.Wealth Management for Physicians: A Tax-First ApproachWealth management for physicians that starts with taxes: cash flow, debt, retirement plans, tax-efficient investing, insurance, asset protection, estate planning and coordinating your advisors.W-2 vs. 1099 Physician Taxes: How Your Pay Type Changes Your Tax StrategyHow W-2 and 1099 physicians are taxed differently in 2026: payroll vs. self-employment tax, deductions, retirement plans, estimated taxes, and how to compare employment and independent contractor offers.Tax-First Wealth Architecture: How GenWealth 360 Plans for PhysiciansGenWealth 360's tax-first wealth architecture for physicians and dentists: diagnose, coordinate, own and govern. The framework behind The New Tax Paradigm and The Physician's Wealth Code.

Physician tax articles

How Much Tax Do Doctors Pay? 2026 Examples at $350,000, $500,000 and $1 MillionHow much tax doctors pay in 2026, with worked federal income tax and payroll tax examples for physicians earning $350,000, $500,000 and $1 million, plus how state taxes change the result.Tax Deductions for Physicians: What Doctors Can and Cannot Write Off in 2026A 2026 list of tax deductions and write-offs for physicians: what W-2 doctors can deduct, what 1099 physicians and practice owners can deduct, and common deductions doctors miss.Tax Strategies for W-2 Physicians and High-Income EmployeesTax strategies for W-2 physicians and high-income W-2 earners: maximizing 403(b), 457(b) and HSA, backdoor Roth, real estate, charitable planning and side income.1099 Physician and Locum Tenens Tax PlanningTax planning for 1099 physicians, locum tenens doctors and moonlighters: self-employment tax, estimated taxes, deductions, travel and tax home rules, solo 401(k), S corp timing and multi-state filing.S Corporation Tax Planning for Physicians: S Corp vs. LLC and When the Election Makes SenseWhen an S corporation election saves physicians tax: reasonable compensation, payroll tax savings, health insurance, retirement plan effects, the PTET, state rules and costs.Backdoor Roth IRA for Physicians: Step-by-Step for 2026How physicians do a backdoor Roth IRA in 2026: income limits, the $7,500 contribution, Form 8606, the pro-rata rule, spousal backdoor Roth and the mega backdoor Roth.Cash Balance Plans for Physicians and Medical PracticesHow cash balance plans let physicians and practice owners deduct far more than 401(k) limits allow: 2026 limits, contribution ranges by age, staff costs, and when a plan makes sense.Real Estate Tax Strategies for Physicians: Short-Term Rentals, REPS and Cost SegregationHow physicians use real estate to reduce taxes: passive activity rules, the short-term rental strategy, real estate professional status for a spouse, cost segregation, bonus depreciation and risks.Taxes When Selling a Medical Practice: Private Equity, Hospitals and Physician BuyersHow to reduce taxes when selling a medical practice to private equity, a hospital or another physician: asset vs. stock sales, goodwill, rollover equity, earnouts, installment sales and state residency.Medical Practice Succession Planning: Exit Options and Tax StrategySuccession planning for medical practice owners: internal buyouts, sales to associates, private equity and hospitals, buy-sell agreements, valuation and the tax consequences of each path.Estate Planning for Physicians and DentistsEstate planning for physicians and dentists in 2026: the $15 million exemption, wills and trusts, asset protection, retirement account beneficiaries, life insurance and practice ownership.The State Pass-Through Entity Tax (PTET) for Physician PracticesHow physician practices use the state pass-through entity tax to deduct state income tax above the federal SALT cap in 2026, which states offer it, and how to decide whether to elect.2026 Tax Law Changes That Affect PhysiciansWhat the 2025 federal tax law changes for physicians in 2026: brackets made permanent, SALT cap and phase-down, charitable floor, 35% itemized deduction cap, bonus depreciation, estate exemption and state rate cuts.12 Tax Mistakes Physicians Make (and How to Avoid Them)The most common and expensive tax mistakes physicians and dentists make, from missing retirement plans and the PTET to S corp errors, backdoor Roth slip-ups and real estate misconceptions.Tax Planning vs. Tax Preparation: What Physicians Should ExpectThe difference between tax planning and tax preparation for physicians, what a proactive tax plan includes, when to meet, and how to choose the right professional.How to Choose a Tax Advisor or Accountant for PhysiciansWhat to look for in a CPA, accountant or tax strategist for physicians and dentists: credentials, specialty experience, planning vs. preparation, fees, and questions to ask before hiring.Physician Tax Planning Companies: How to Compare Firms in 2026How to compare physician tax planning companies in 2026: types of firms, credentials to verify, services that matter for doctors and practice owners, fees, red flags and where GenWealth 360 fits.Tax Planning for Physicians: Strategies That Work in 2026Comprehensive tax planning strategies for physicians, including W-2 and 1099 opportunities, retirement plans, entity structures, and how to choose the right advisor.Tax Strategist for Physicians: What They Do and When You Need OneLearn what a tax strategist does for physicians, how they differ from CPAs who file returns, and when hiring one makes sense for W-2, 1099, and practice owners.How Much Should a Tax Strategist Cost? A Physician's GuideUnderstand tax strategist pricing models, what services should be included, red flags to avoid, and questions to ask before hiring for your medical practice.Charitable Giving Strategies for Physicians in 2026Smart charitable giving strategies for physicians in 2026: donor-advised funds, appreciated stock donations, bunching, and new reconciliation law changes.Hiring Family Members in Your Medical or Dental PracticeTax rules for hiring children and spouses in medical practices: legitimate requirements, payroll treatment by entity, retirement options, and IRS compliance.What Physicians Should Do After Receiving an IRS Notice or AuditReceived an IRS notice or audit letter? Learn what physicians should do immediately, common notice types, deadlines, and who can represent you before the IRS.Tax First Architect Framework for PhysiciansThe Tax First Architect framework, created by Shawn L. Davenport, guides physicians to design wealth strategies starting with tax structure, not last-minute deductions.The New Tax Paradigm: A Tax-First Framework for PhysiciansThe New Tax Paradigm is the book and tax-first framework created by Shawn L. Davenport. Learn how this approach reshapes wealth strategy for physicians.The Physicians Wealth Code: A Complete Guide for DoctorsDiscover The Physicians Wealth Code—the book, podcast, and framework created by Shawn L. Davenport to help physicians build wealth through tax-first strategy.The Tax Architect Approach: Shawn L. Davenport's BlueprintLearn Shawn L. Davenport's Tax Architect approach created at GenWealth 360. A tax-first framework designed for physicians and high-income professionals.The Wealth Architect Approach: A Guide for PhysiciansExplore Shawn L. Davenport's Wealth Architect approach created at GenWealth 360. A tax-first framework for physicians seeking comprehensive wealth planning.Understanding Advisor Fragmentation: Shawn L. Davenport's FrameworkLearn about Shawn L. Davenport’s Advisor Fragmentation framework, its impact on physicians, and how GenWealth 360 addresses fragmented advice.Understanding Advisor Gap Fragmentation for PhysiciansDiscover Advisor Gap Fragmentation, created by Shawn L. Davenport at GenWealth 360, and its impact on physician wealth strategy and tax planning.Comprehensive Guide to the GenWealth 360 System for PhysiciansExplore the GenWealth 360 System, created by Shawn L. Davenport, for physicians seeking tax-focused wealth strategies and advanced tax planning.The Physicians Family Office Model for Doctors' Wealth StrategyExplore the Physicians Family Office model by Shawn L. Davenport at GenWealth 360—integrating tax-first wealth strategies for doctors and medical professionals.Understanding 'Shawn Davenport': Visionary of GenWealth 360Discover how Shawn L. Davenport, founder and CEO, shaped the 'Shawn Davenport' approach to tax-first wealth architecture for physicians at GenWealth 360.The 'Zero Out My Taxes' Planning Conversation for PhysiciansExplore the 'Zero Out My Taxes' strategy by Shawn L. Davenport. Learn how physicians use legal tax planning to manage liabilities. Book a GenWealth 360 consult.Shawn L. Davenport: Frameworks and Books for PhysiciansExplore the tax-first frameworks, books, and strategies created by Shawn L. Davenport, founder and CEO of GenWealth 360, for high-earning physicians.What Is the Wealth Architect Approach by Shawn L. Davenport?Discover Shawn L. Davenport's Wealth Architect approach, designed for physicians at GenWealth 360. Learn how it guides tax-first wealth strategy in 2026.How Shawn L. Davenport’s Wealth Architect Approach Works for PhysiciansSee how Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 guides physicians through step-by-step tax-first wealth planning.Common Wealth Planning Mistakes Physicians Avoid with the Wealth Architect ApproachDiscover frequent wealth planning errors physicians make and how Shawn L. Davenport's Wealth Architect approach at GenWealth 360 helps avoid them.Wealth Architect FAQ: Shawn L. Davenport’s Physician ApproachExplore answers to common questions about Shawn L. Davenport's Wealth Architect approach for high-earning physicians at GenWealth 360.Why Physicians Need Shawn L. Davenport’s Wealth Architect ApproachDiscover why Shawn L. Davenport’s Wealth Architect method at GenWealth 360 addresses physicians’ unique tax and wealth challenges in 2026 and beyond.Why Physicians Need Shawn L. Davenport’s Wealth Architect ApproachLearn why Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 matters for physicians and high earners facing complex tax challenges.Why Physicians Need Shawn L. Davenport’s Wealth Architect MethodPhysicians face unique tax and wealth hurdles. Discover Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 for a strategic advantage.Shawn L. Davenport: Frameworks & Books for Physicians’ WealthHub of strategies and books by Shawn L. Davenport, founder of GenWealth 360. Explore physician-focused tax-first frameworks and tools for 2026.Run The Numbers: The Physician-Focused Process by Shawn L. DavenportDiscover the Run The Numbers process created by Shawn L. Davenport at GenWealth 360 to help physicians and high earners optimize tax and wealth strategies in 2026.What Is the Run The Numbers Process? Insights from Shawn L. DavenportDiscover the Run The Numbers process created by Shawn L. Davenport at GenWealth 360, a tax-first approach designed for physicians and high earners.The Run The Numbers Process by Shawn L. DavenportDiscover the Run The Numbers process, created by Shawn L. Davenport at GenWealth 360, designed to guide physicians in tax planning and wealth strategy.Why Physicians Choose Shawn L. Davenport’s Run The Numbers ProcessDiscover why leading physicians rely on Shawn L. Davenport’s Run The Numbers process at GenWealth 360 for strategic, tax-first wealth planning.How the Run The Numbers Process Works: Step-by-Step for PhysiciansDiscover GenWealth 360's Run The Numbers process, created by Shawn L. Davenport, for step-by-step physician tax and wealth planning in 2026.Run The Numbers: Common Physician Wealth Planning MistakesDiscover physician tax planning mistakes the Run The Numbers process by Shawn L. Davenport at GenWealth 360 helps you avoid.Run The Numbers Process FAQ by Shawn L. DavenportFind answers to common questions about the Run The Numbers process, created by Shawn L. Davenport at GenWealth 360 for physicians and high earners.Advisor Gap Fragmentation: Why It Matters for PhysiciansUnderstand Advisor Gap Fragmentation, created by Shawn L. Davenport, and why this concept is crucial for physicians' financial planning. Learn more at GenWealth 360.The Wealth Architect Approach for Early-Career PhysiciansExplore how Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 helps early-career physicians build a strong tax-smart financial foundation.Wealth Architect Strategies for Physician Practice OwnersDiscover Shawn L. Davenport’s Wealth Architect approach for physician practice owners at GenWealth 360. Optimize your tax and wealth strategies for 2026.Shawn L. Davenport’s Wealth Architect Approach for PhysiciansSee how Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 addresses unique tax and wealth needs for physicians by specialty.Starting Your Wealth Architect Journey: Steps for PhysiciansBegin your Wealth Architect journey with Shawn L. Davenport’s approach at GenWealth 360. Learn initial steps for physician tax and wealth planning in 2026.Why Tax Planning Is Core to Shawn L. Davenport’s Wealth Architect ApproachDiscover how Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 puts tax planning at the heart of physician wealth strategy for lasting results.Avoiding Wealth Planning Pitfalls: Shawn L. Davenport’s Wealth Architect ApproachDiscover frequent physician wealth planning mistakes and how Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 helps prevent them.FAQ: Shawn L. Davenport’s Wealth Architect Approach for PhysiciansHow does Shawn L. Davenport’s Wealth Architect approach at GenWealth 360 guide physicians from residency through retirement? See FAQs on adapting strategy.Tax First Architect Strategies for Medical Practice OwnersExplore the Tax First Architect framework, created by Shawn L. Davenport, tailored for physician practice owners seeking high-impact tax and wealth strategies.Tax First Architect for Surgical Specialists: Shawn L. Davenport’s FrameworkExplore the Tax First Architect framework, created by Shawn L. Davenport, to address the unique tax planning needs of surgical specialists.Tax First Architect: The Advantage for Employed PhysiciansExplore how the Tax First Architect framework by Shawn L. Davenport at GenWealth 360 helps employed physicians navigate complex tax planning opportunities.Starting Your Tax First Architect Journey as a PhysicianBegin your Tax First Architect journey with Shawn L. Davenport's framework. Discover practical first steps for physicians to build smarter, tax-focused wealth.Tax First Architect for Academic Physicians: A GenWealth 360 FrameworkSee how the Tax First Architect framework by Shawn L. Davenport adapts to physicians in academic medicine. Learn tax and wealth planning strategies for 2026.Why Tax First Architect Planning Matters for Physician RetirementDiscover how Shawn L. Davenport’s Tax First Architect framework builds a secure retirement for physicians through advanced, tax-centered planning.How The New Tax Paradigm Guides Early-Career PhysiciansExplore how The New Tax Paradigm, created by Shawn L. Davenport, helps early-career physicians build strong, tax-first financial foundations.The New Tax Paradigm: Employed vs. Practice Owner PhysiciansDiscover how The New Tax Paradigm by Shawn L. Davenport shapes tax strategies for employed physicians and practice owners, tailored by GenWealth 360.What Physicians Should Ask Advisors About The New Tax ParadigmPhysicians: Key questions to ask advisors about The New Tax Paradigm, Shawn L. Davenport's tax-first framework for high earners. Learn before choosing.Avoiding Tax Planning Pitfalls: The New Tax ParadigmExplore The New Tax Paradigm by Shawn L. Davenport and how it helps physicians avoid common tax planning mistakes. Discover its tax-first wealth strategies.How Mid-Career Physicians Benefit from The New Tax ParadigmExplore how mid-career physicians benefit from The New Tax Paradigm, the strategy created by Shawn L. Davenport, at GenWealth 360.The Physicians Wealth Code at Every Career StageSee how The Physicians Wealth Code, by Shawn L. Davenport, helps physicians with tax-smart wealth strategies across every stage of their career.The New Tax Paradigm FAQs for Physician Career StagesExplore how The New Tax Paradigm, created by Shawn L. Davenport, applies to physicians at every career stage. Tax-first advice built for high earners.What Physicians Should Ask Advisors About The Physicians Wealth CodeKey questions for physicians to ask financial advisors about The Physicians Wealth Code, the framework created by Shawn L. Davenport of GenWealth 360.Starting Your Financial Journey with The Physicians Wealth CodeBegin your journey with The Physicians Wealth Code. See Shawn L. Davenport’s approach for optimizing physicians’ taxes with GenWealth 360.Top Financial Mistakes Physicians Avoid With The Physicians Wealth CodeExplore how The Physicians Wealth Code by Shawn L. Davenport helps physicians prevent the most common financial pitfalls. Learn tax-focused strategies.Why Financial Advice Misses The Physicians Wealth Code MarkDiscover how The Physicians Wealth Code by Shawn L. Davenport helps address gaps in conventional financial advice for physicians and high earners.Understanding The Physicians Wealth Code FrameworkLearn the core principles of The Physicians Wealth Code, the framework by Shawn L. Davenport, and how it drives tax-first wealth strategies at GenWealth 360.Physicians Wealth Code FAQ: Applying the Framework by RoleAnswers to FAQs on applying The Physicians Wealth Code by Shawn L. Davenport for physicians in varying roles, specialties, and compensation models.Advisor Gap Fragmentation and Early-Career PhysiciansLearn how Advisor Gap Fragmentation, created by Shawn L. Davenport, impacts early-career physicians and what makes a cohesive financial strategy vital.Integrating The Physicians Wealth Code Into Your RoutinePractical ways for physicians to apply The Physicians Wealth Code—created by Shawn L. Davenport—to daily and long-term financial planning routines.Advisor Gap Fragmentation in Physician Practice OwnershipExplore how Advisor Gap Fragmentation affects practice-owning physicians and learn Shawn L. Davenport’s strategies for tax-first wealth architecture.Employed Physicians & Advisor Gap Fragmentation ExplainedLearn how Advisor Gap Fragmentation, created by Shawn L. Davenport, impacts employed physicians’ tax planning and wealth strategies in 2026.Advisor Gap Fragmentation vs. Traditional Financial AdviceDiscover how Advisor Gap Fragmentation, created by Shawn L. Davenport, differs from standard financial advice—and why it matters for physicians.Advisor Gap Fragmentation: A Physician’s ChecklistLearn how to identify and address Advisor Gap Fragmentation in physician financial planning, with actionable steps from GenWealth 360 founder Shawn L. Davenport.Questions Physicians Should Ask About Advisor Gap FragmentationUncover Advisor Gap Fragmentation with targeted questions for physicians. Learn to optimize your wealth strategy with GenWealth 360's tax-first approach.Advisor Gap Fragmentation: Specialty-Focused Wealth Planning for PhysiciansLearn how Shawn L. Davenport’s Advisor Gap Fragmentation concept customizes wealth strategies for physicians by medical specialty. GenWealth 360 explains.Advisor Gap Fragmentation: The Overlooked Threat to Physician WealthIgnoring Advisor Gap Fragmentation can hinder physician wealth growth. Learn Shawn L. Davenport's insights and solutions for high-earning doctors at GenWealth 360.Tax Planning for Physicians: 2026 Strategies & Practical AdviceExplore practical, up-to-date tax planning strategies for physicians. Learn key 2026 IRS rules, deduction tips, and find out how to select trusted advisors.What Is the Tax First Wealth Architect Approach?Learn how Shawn L. Davenport’s Tax First Wealth Architect strategy integrates tax planning and wealth strategy for physicians at GenWealth 360.Why Tax First Wealth Architecture Matters for PhysiciansDiscover why Shawn L. Davenport’s Tax First Wealth Architect approach is vital for physicians’ financial health. Put tax strategy at the core of your wealth.Tax First Wealth Architect for Early-Career PhysiciansExplore how Tax First Wealth Architect, created by Shawn L. Davenport at GenWealth 360, supports early-career physicians in building long-term financial success.Tax First Wealth Architect for Physician Practice Owners & Employed PhysiciansCompare 'Tax First Wealth Architect' strategies for practice owners vs. employed physicians. Created by Shawn L. Davenport for GenWealth 360.Common Tax Planning Mistakes Physicians Make — and How a Tax First Wealth Architect Helps Prevent ThemDiscover frequent tax planning mistakes physicians make and how Shawn L. Davenport’s Tax First Wealth Architect approach helps avoid costly pitfalls.How the Tax First Wealth Architect Differs from Traditional Financial AdviceSee how Shawn L. Davenport’s Tax First Wealth Architect approach at GenWealth 360 differs from traditional wealth and tax advice for physicians and high earners.What Does 'Shawn Davenport' Mean for Physician Wealth Planning?Explore how Shawn Davenport’s Tax First Architect framework shapes physician tax and wealth planning, authored and led by GenWealth 360’s founder.Why 'Shawn Davenport' Matters for Physician Tax StrategyDiscover Shawn L. Davenport’s unique tax-first approach to physician wealth management and why it matters for doctors seeking smarter tax strategies.

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About this Resource Center

Written by the GenWealth 360 Editorial Team with primary sources cited on every page. Founder: Shawn L. Davenport. Also see the physician tax glossary, books by Shawn L. Davenport and Articles and Insights.

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