Tax Planning for Physicians in Kansas City, KS (2026)
Physicians in Kansas City pay federal tax at up to 37% plus Kansas income tax (a top rate of 5.58%), and local rules add another layer. Here is how the 2026 rules apply to doctors, dentists and practice owners in Kansas City, KS.
2026 at a glance for Kansas City, KS physicians
| Kansas income tax | Top rate of 5.58% (2026) |
|---|---|
| State tax on $400,000 of state taxable income | $22,233 single / $22,145 married filing jointly |
| State tax on $1,000,000 (married filing jointly) | $55,625 |
| City earnings tax | None in Kansas City, Kansas; 1% if you work in Kansas City, Missouri |
| Pass-through entity tax | Available (elective) |
| Top federal rate | 37% (from $640,600 single / $768,700 joint) |
State tax figures apply Kansas's 2026 brackets to state taxable income and ignore credits, deductions and local taxes.
Local taxes in Kansas City
Kansas City, Kansas does not levy a city earnings tax. Many physicians on the Kansas side work at hospitals in Kansas City, Missouri, though, and that city charges a 1% earnings tax on nonresidents for work done there. See our Kansas City, Missouri guide.
State rules that apply in Kansas City
Yes. The state has an elective pass-through entity tax (PTET) that partnerships and S corporations can use to deduct state income tax at the entity level.
- Kansas taxes income above $23,000 (single) at 5.58%.
- Many physicians in the Kansas City area live in Kansas and work in Missouri, or the reverse, so the two-state credit and the Kansas City, Missouri earnings tax both need planning.
Where the savings usually come from
For most Kansas City physicians, federal planning drives the largest results: W-2 strategies such as 401(k)/403(b), 457(b) and the backdoor Roth; 1099 and locum planning; entity and cash balance plan design for practice owners; and real estate strategies for physicians with time to participate.
More physician tax guides
- Other Kansas cities: Wichita, Overland Park, Topeka.
- State rules: Kansas physician tax guide and all 50 state guides.
- By specialty: Hospitalists, Radiologists, Dermatologists, Neurosurgeons and every specialty.
- Core strategy: tax planning for physicians, tax planning for medical practice owners, advanced strategies for high-income physicians and S corporation tax planning for physicians, plus the physician tax glossary.
Frequently asked questions
Does Kansas City have a city income tax?
Kansas City, Kansas does not levy a city earnings tax. Many physicians on the Kansas side work at hospitals in Kansas City, Missouri, though, and that city charges a 1% earnings tax on nonresidents for work done there.
What state income tax do physicians in Kansas City pay?
Kansas has a top rate of 5.58% for 2026. On $400,000 of state taxable income, the 2026 brackets produce about $22,145 for a married couple filing jointly, before credits.
Can GenWealth 360 work with physicians in Kansas City?
Yes. GenWealth 360 works with physicians, dentists and practice owners nationwide, including Kansas City, through virtual meetings. Our office is in Long Beach, California.
Get a tax plan built for your situation
GenWealth 360 builds proactive, tax-first plans for physicians, dentists and medical practice owners in all 50 states. Start with a conversation about your income, entity and goals.
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Sources
This article is for general educational purposes and is not tax, legal or investment advice. Tax law changes often and its application depends on your facts. Figures reflect 2026 rules as published by the sources listed above. Consult a qualified professional before acting. See our editorial policy.