Tax Planning for Physicians in Vermont (2026)
Physicians in Vermont face a top rate of 8.75% on top of the 37% federal bracket and payroll taxes. This guide summarizes the 2026 Vermont rules that matter most to doctors, dentists and practice owners.
Vermont income tax rates for 2026
Vermont's top 2026 rate is 8.75%. Brackets apply to state taxable income.
Single
| Rate | Taxable income |
|---|---|
| 3.35% | $0 to $49,400 |
| 6.6% | $49,400 to $119,700 |
| 7.6% | $119,700 to $249,700 |
| 8.75% | Over $249,700 |
Married filing jointly
| Rate | Taxable income |
|---|---|
| 3.35% | $0 to $82,500 |
| 6.6% | $82,500 to $199,450 |
| 7.6% | $199,450 to $304,000 |
| 8.75% | Over $304,000 |
Pass-through entity tax (SALT workaround)
No elective pass-through entity tax is available, so owners deduct state income tax only through the individual SALT deduction.
Local income taxes
Vermont physicians generally do not face a separate city or county income tax on wages.
Planning notes for Vermont physicians
- Vermont's top rate is 8.75% on income over $249,700 (single), one of the higher rates in New England.
- Vermont has not enacted an elective pass-through entity tax.
Federal strategies that apply in every state
State tax is only part of the picture. The federal rules drive most of the savings for physicians in Vermont:
- W-2 physician tax strategies: maximize 401(k)/403(b), 457(b), HSA and the backdoor Roth.
- 1099 physician tax planning: solo 401(k), deductions and the S corporation decision.
- Practice owners: entity, compensation, cash balance plans and exit planning.
- Real estate and cost segregation for physicians with time to participate.
City guides for Vermont physicians
Local taxes and planning notes for physicians in Burlington, Rutland, Montpelier. Our planning is delivered virtually, so location does not limit access.
Guides by specialty
Surgeons · Anesthesiologists · Radiologists · Orthopedic Surgeons · Cardiologists · Dentists · Dermatologists · Emergency Physicians · Gastroenterologists · Ophthalmologists · Neurosurgeons · Plastic Surgeons · Psychiatrists · Hospitalists · Pain Management Physicians
Frequently asked questions
What is the Vermont state income tax rate for physicians in 2026?
Vermont has a top rate of 8.75% for 2026. Your effective state rate depends on deductions and filing status.
Does Vermont have a pass-through entity tax?
No elective pass-through entity tax is available, so owners deduct state income tax only through the individual SALT deduction.
Can GenWealth 360 help physicians in Vermont?
Yes. GenWealth 360 provides tax planning for physicians, dentists and practice owners in all 50 states, including Vermont, through virtual meetings.
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.