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Physician Tax Planning by State

Choose your state to see 2026 income tax rates, pass-through entity tax availability, local taxes and planning notes for physicians and dentists.

States with no income tax on wages

Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Wyoming.

City and local income tax guides

Tax Planning for Physicians in New York City (2026)How NYC physicians are taxed in 2026: New York State up to 10.9%, New York City 3.078% to 3.876%, the NYC pass-through entity tax and the MCTMT.Tax Planning for Physicians in Yonkers, NY (2026)Yonkers physicians pay a resident income tax surcharge of 16.75% of net New York State tax; nonresidents who work in Yonkers pay 0.5% of earnings.Tax Planning for Physicians in Philadelphia (2026)Philadelphia's wage tax is 3.735% for residents and 3.425% for nonresidents from July 1, 2026. How it hits W-2 and self-employed physicians, plus Pennsylvania's 401(k) rule.Tax Planning for Physicians in Pittsburgh (2026)Pittsburgh residents pay a 3% earned income tax (1% city plus 2% school district) on top of Pennsylvania's 3.07%, plus the Local Services Tax.Tax Planning for Physicians in Detroit (2026)Detroit's city income tax is 2.4% for residents and 1.2% for nonresidents who work in the city, on top of Michigan's 4.25% flat rate.Tax Planning for Physicians in Kansas City (2026)Kansas City, Missouri levies a 1% earnings tax on residents and on nonresidents who work in the city, including practice net profits. How the Kansas-Missouri line affects physicians.Tax Planning for Physicians in St. Louis (2026)The City of St. Louis levies a 1% earnings tax on residents and on nonresidents who work in the city. What it means for physicians living in the county or in Illinois.Tax Planning for Physicians in Portland, Oregon (2026)Portland-area physicians pay Oregon's 9.9% top rate plus the Metro Supportive Housing Services tax (1%) and the Multnomah County Preschool for All tax (1.5% to 3%).Tax Planning for Physicians in Louisville (2026)Louisville Metro's occupational license tax is 2.2% for Jefferson County residents and 1.45% for nonresidents, on wages and on practice net profits.Tax Planning for Physicians in Baltimore (2026)Baltimore City residents pay a 3.2% local income tax on top of Maryland's state tax, which now tops out at 6.5%. Nonresidents pay a 2.25% special nonresident tax.Tax Planning for Physicians in Wilmington, Delaware (2026)Wilmington levies a 1.25% earned income tax on residents and on nonresidents for work in the city, including practice net profits. Delaware has no PTET.Tax Planning for Physicians in Columbus, Cleveland and Cincinnati (2026)Ohio municipal income taxes for physicians: Columbus, Cleveland and Toledo 2.5%, Cincinnati 1.8%, plus Ohio's 2.75% flat rate and $250,000 business income deduction.Tax Planning for Physicians in Denver (2026)Denver has no city income tax, but its Occupational Privilege Tax charges employees $5.75 a month and employers $4.00 a month per employee. Colorado's flat rate is 4.4%.Tax Planning for Physicians in Indianapolis (2026)Indianapolis physicians pay Indiana's 2.95% flat rate plus the Marion County local income tax of 2.02%, set by where you live on January 1.Tax Planning for Physicians in Long Beach, CAGenWealth 360 is based in Long Beach, California. How California's 13.3% top rate, SDI, medical corporation rules and the PTET apply to Long Beach and Los Angeles County physicians.

All city guides

Alabama: Birmingham, Huntsville, Mobile, Montgomery

Alaska: Anchorage, Fairbanks, Juneau

Arizona: Phoenix, Tucson, Scottsdale, Mesa

Arkansas: Little Rock, Fayetteville, Fort Smith, Jonesboro

California: Long Beach, Los Angeles, San Francisco, San Diego, Sacramento, San Jose, Orange County

Colorado: Denver, Colorado Springs, Aurora, Fort Collins

Connecticut: Hartford, New Haven, Stamford, Bridgeport

Delaware: Wilmington, Dover, Newark

District of Columbia: Washington

Florida: Miami, Tampa, Orlando, Jacksonville, Fort Lauderdale

Georgia: Atlanta, Augusta, Savannah, Macon

Hawaii: Honolulu, Hilo, Kahului

Idaho: Boise, Meridian, Idaho Falls, Coeur d'Alene

Illinois: Chicago, Peoria, Rockford, Springfield

Indiana: Indianapolis, Fort Wayne, Evansville, South Bend

Iowa: Des Moines, Iowa City, Cedar Rapids, Davenport

Kansas: Wichita, Overland Park, Kansas City, Topeka

Kentucky: Louisville, Lexington, Bowling Green, Covington

Louisiana: New Orleans, Baton Rouge, Shreveport, Lafayette

Maine: Portland, Bangor, Lewiston

Maryland: Baltimore, Bethesda, Rockville, Columbia, Annapolis

Massachusetts: Boston, Worcester, Springfield, Cambridge

Michigan: Detroit, Grand Rapids, Ann Arbor, Lansing

Minnesota: Minneapolis, St. Paul, Rochester, Duluth

Mississippi: Jackson, Gulfport, Hattiesburg, Tupelo

Missouri: Kansas City, St. Louis, Springfield, Columbia

Montana: Billings, Missoula, Bozeman, Great Falls

Nebraska: Omaha, Lincoln, Grand Island

Nevada: Las Vegas, Reno, Henderson

New Hampshire: Manchester, Nashua, Concord, Lebanon

New Jersey: Newark, Hackensack, New Brunswick, Camden, Morristown

New Mexico: Albuquerque, Santa Fe, Las Cruces

New York: New York City, Yonkers, Buffalo, Rochester, Albany, Long Island

North Carolina: Charlotte, Raleigh, Durham, Greensboro, Winston-Salem

North Dakota: Fargo, Bismarck, Grand Forks

Ohio: Columbus, Cleveland and Cincinnati, Columbus, Cleveland, Cincinnati, Toledo, Akron, Dayton

Oklahoma: Oklahoma City, Tulsa, Norman

Oregon: Portland, Eugene, Salem, Bend, Medford

Pennsylvania: Philadelphia, Pittsburgh, Allentown, Hershey, Harrisburg

Rhode Island: Providence, Warwick, Cranston

South Carolina: Charleston, Columbia, Greenville, Myrtle Beach

South Dakota: Sioux Falls, Rapid City

Tennessee: Nashville, Memphis, Knoxville, Chattanooga

Texas: Houston, Dallas, San Antonio, Austin, Fort Worth

Utah: Salt Lake City, Provo, Ogden, St. George

Vermont: Burlington, Rutland, Montpelier

Virginia: Richmond, Virginia Beach, Norfolk, Arlington, Charlottesville

Washington: Seattle, Spokane, Tacoma, Bellevue

West Virginia: Charleston, Morgantown, Huntington

Wisconsin: Milwaukee, Madison, Green Bay

Wyoming: Cheyenne, Casper, Jackson

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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