Doctor Salary After Taxes in New York (2026): Take-Home Pay

New York physicians earn $265,000/year on average, slightly below the national average of $270,000, but face New York’s multi-bracket state income tax system. Despite this, New York’s world-class medical institutions and career opportunities attract top physician talent.

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New York Physician Salary: Gross Pay Breakdown

Period	Amount
Annual	$265,000
Monthly	$22,083
Biweekly	$10,192
Weekly	$5,096
Hourly (2,080 hrs/yr)	$127.40

Federal Tax Breakdown (Single Filer, 2026)

Component	Amount
Gross salary	$265,000
Standard deduction	−$16,100
Federal taxable income	$248,900

Federal income tax on $248,900 (2026 brackets):

Bracket	Income Range	Rate	Tax
10%	$0 – $12,400	10%	$1,240.00
12%	$12,400 – $50,400	12%	$4,560.00
22%	$50,400 – $105,700	22%	$12,166.00
24%	$105,700 – $201,775	24%	$23,058.00
32%	$201,775 – $248,900	32%	$15,080.00
Total federal income tax			$56,104

FICA taxes (2026):

Tax	Rate	Amount
Social Security (6.2%)	6.2% on $184,500 wage base	$11,439.00
Medicare (1.45%)	1.45% on $265,000	$3,842.50
Additional Medicare (0.9%)	0.9% on $65,000 above $200,000	$585.00
Total FICA		$15,867

Total federal burden: ~$71,971

New York State Income Tax on $265,000 (2026)

New York uses a standard deduction of $8,000 for single filers, giving a NY taxable income of approximately $257,000.

NY state income tax brackets applied to $257,000:

Bracket	Income Range	Rate	Tax
3.9%	$0 to $8,500	3.9%	$331.50
4.4%	$8,500 to $11,700	4.4%	$140.80
5.15%	$11,700 to $13,900	5.15%	$113.30
5.4%	$13,900 to $80,650	5.4%	$3,604.50
5.9%	$80,650 to $215,400	5.9%	$7,950.25
6.85%	$215,400 to $257,000	6.85%	$2,849.60
Tax benefit recapture (AGI above $107,650)			$2,597.62
Total NY state income tax			$17,588

Note: NYC residents pay an additional city income tax at NYC’s 2026 rates of 3.078% to 3.876% (~$9,836 on this income), reducing take-home further to approximately $165,606/year ($13,800/month).

Take-Home Pay Summary: New York Physician

Deduction	Amount
Federal income tax	$56,104
FICA (all)	$15,867
NY state income tax	$17,588
Total deductions	$89,558
Annual take-home	$175,442
Monthly take-home	$14,620
Biweekly take-home	$6,748

Effective total tax rate: ~33.8% (statewide, outside NYC)

NYC physicians: Add approximately $9,836 in city income tax → take-home drops to ~$165,606/year ($13,800/month), with an effective rate of ~37.5%.

New York Physician vs. Other States: Take-Home Comparison

State	Avg MD Salary	Annual Take-Home	Monthly Take-Home
Texas	$290,000	~$208,912	~$17,409
Florida	$255,000	~$186,464	~$15,539
California	$280,000	~$177,140	~$14,762
New York	$265,000	~$175,442	~$14,620

New York ranks last among the four states. Despite a higher gross salary than Florida, New York’s state income tax (~$17,588) shifts Florida physicians ahead in take-home pay, and California physicians keep about $1,700 more on a $15,000 higher gross salary.

Physician Salary by Specialty in New York (2026 Estimates)

Specialty	New York Avg Salary
Primary Care / Family Medicine	~$205,000–$240,000
Internal Medicine	~$220,000–$255,000
Emergency Medicine	~$310,000–$380,000
Anesthesiology	~$370,000–$440,000
Orthopedic Surgery	~$490,000–$640,000+
Neurosurgery	~$590,000–$900,000+
Psychiatry	~$225,000–$275,000
Radiology	~$390,000–$490,000
Cardiology	~$430,000–$570,000

New York Medical Institutions

New York is home to some of the most prestigious medical institutions in the world:

Academic medical centers:

• Weill Cornell Medicine / NewYork-Presbyterian
• Columbia Vagelos College of Physicians and Surgeons / NYP-Columbia
• NYU Grossman School of Medicine / NYU Langone Health
• Icahn School of Medicine at Mount Sinai / Mount Sinai Health System
• SUNY Downstate / Kings County Hospital

Why New York despite the taxes?

• Unmatched research funding and career advancement opportunities
• Access to the most complex and diverse patient populations in the world
• Global professional networks and international referrals
• Academic prestige and career trajectory benefits
• NYC lifestyle (for those who value it)

Many physicians accept lower net pay in New York specifically for these non-monetary career advantages.

New York-Specific Physician Tax Considerations

NYC surcharge: NYC residents pay an additional city tax at NYC’s 2026 rates of 3.078% to 3.876%. At $265,000 gross, this is ~$9,836/year. A physician living in New Jersey and commuting to NYC avoids NYC city tax (but pays NJ state tax, which at this income level is approximately $14,690 under New Jersey’s 2025 brackets, the latest published, compared with NY state-only tax of $17,588. NYC suburbs in Westchester or Long Island also avoid the city tax but pay the full NY state rate).

Malpractice insurance: New York has some of the highest medical malpractice premiums in the country, particularly for high-risk specialties (OB/GYN, neurosurgery, orthopedics). OB/GYN malpractice in NYC can run $100,000–$200,000/year, sometimes employer-paid, sometimes physician-borne. This significantly affects private practice economics.

Hospital-employed physicians: NYC hospitals increasingly employ physicians directly. Employed physician contracts typically include malpractice coverage, health insurance, 401(k) match, and annual bonuses, valuable benefits that don’t show in gross salary figures.

New York Physician Tax Strategies

Strategy	Annual Federal + NY Tax Savings
Max 401(k)/403(b) at $24,500	~$7,840 fed + ~$2,681 NY = ~$10,521
457(b) if hospital employed	+~$10,300
HSA ($4,400 single)	~$1,408 fed + ~$482 NY = ~$1,890
Solo 401(k) + profit sharing (self-employed)	Up to $25,000+ additional
Defined benefit plan (self-employed)	$100,000–$200,000+ pre-tax

Frequently Asked Questions

How much does a doctor take home after taxes in New York City specifically?

A NYC-based physician earning $265,000 pays approximately $56,104 federal income tax + $15,867 FICA + $17,588 NY state tax + $9,836 NYC city tax = ~$99,395 total deductions, leaving take-home of approximately $165,606/year ($13,800/month). The effective tax rate in NYC is approximately 37.5%.

Is it worth being a doctor in New York given the high taxes?

For most physicians, yes, but with nuance. New York offers unmatched career development, academic prestige, and professional networks that have long-term career value exceeding the tax difference. However, for physicians valuing purely financial optimization, Texas or Florida provide meaningfully higher net incomes.

How does New York’s malpractice environment affect physician compensation?

New York has one of the most litigious malpractice environments in the US. While hospital employers often cover malpractice for employed physicians, private practice physicians bear substantial premium costs that reduce effective compensation. This is a major factor in the trend toward hospital employment among New York physicians.

Do New York physicians qualify for any state-specific tax deductions?

New York allows deductions for certain educator expenses and some qualified business income, but physicians’ income generally doesn’t qualify for the federal 20% QBI (Qualified Business Income) deduction because medical services are a “specified service trade or business.” New York conforms to most federal deductions, though not all.

See Also

• Doctor salary after taxes in California
• Doctor salary after taxes in Texas
• Doctor salary after taxes in Florida
• New York vs. Florida take-home pay
• High income earner taxes 2026
• $250,000 salary after taxes