Specialty

CPA for Physicians and Medical Practices

Last updated June 2026

Physicians get the most from a CPA who understands W-2 plus 1099 hybrid income, S-corp elections for locum work, defined benefit plans, the practice entity layer, and PSLF interactions. Returns commonly run $1,200 to $3,500 once an S-corp is in play, and monthly retainers for a practice usually fall between $400 and $1,500.

Most physicians overpay tax for one of three reasons: 1099 income reported on Schedule C instead of through an S-corp, retirement plan capacity unused, or a practice entity structure that pulls profit out as W-2 rather than distributions. A CPA who works with physicians will model the S-corp breakeven, set up a solo 401(k) or defined benefit plan sized to actual income, and coordinate practice-level decisions with personal tax. The right fit asks about your specialty, payor mix, and student debt strategy before quoting a fee.

What's typically involved

We're expanding this page with the full playbook for physicians: elections to make, common mistakes generalists miss, fee expectations, and the specific credentials to look for. In the meantime, the matching form below routes your situation to a CPA whose practice fits.

What CPA work looks like at the fee level

ServiceTypical 2026 range
CPA hourly rate$150 to $450 / hour
Schedule C (sole proprietor)$190 to $800
Single-member LLC return$300 to $1,500
S-corporation return (1120-S)$1,200 to $3,500
Partnership return (1065)$1,000 to $5,000+
C-corporation return (1120)$1,500 to $4,000+
  • Disorganized records ("shoebox" engagements) typically increase fees by 1.5x to 2.0x.
  • Each additional K-1 partner usually adds roughly $300 to $500.
  • Ranges reflect entity type, bookkeeping state, and complexity. Quotes vary by region and CPA experience.

Full table with methodology lives in the 2026 CPA Compass Fee Benchmark.

Get matched with a CPA for physicians

Tell us your situation. We connect you with a CPA whose practice fits.

TaxProMatch is an independent matching resource. We are not a CPA firm and do not provide tax, legal, or financial advice.

Frequently asked questions

Related: how to find the right CPA · 2026 fee benchmark · CPA cost guide