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HealthcareNorth Carolina (NC)

Physician Salary in North Carolina

Take-home pay breakdown using 2025 tax rates โ€” single filer, standard deduction

$229,300
Gross Salary
national median
$159,949
Annual Take-Home
69.8% of gross
$13,329
Monthly Take-Home
after all taxes
$6,152
Bi-Weekly Paycheck
after all taxes

Full Tax Breakdown โ€” North Carolina

Based on national median Physician salary of $229,300, single filer, 2025 tax year

Gross Annual Salary
$229,300
Deductions
Federal Income Tax
Effective rate: 19.9%
-$45,641
North Carolina State Income Tax
Effective rate: 4.0%
-$9,203
Social Security Tax
6.2% up to wage base
-$10,918
Medicare Tax
1.45% + 0.9% above $200k
-$3,589
Total Taxes
30.2% effective rate
-$69,351
Net Take-Home Pay (Annual)
$159,949
Net Take-Home Pay (Monthly)
$13,329
Net Take-Home Pay (Bi-Weekly)
$6,152

Where Your Money Goes

Take-Home Pay$159,949 (69.8%)
Federal Income Tax$45,641 (19.9%)
North Carolina State Tax$9,203 (4.0%)
FICA (SS + Medicare)$14,507 (6.3%)

North Carolina vs. National Average

National Median Salary
$229,300
Used for calculations on this page
State Income Tax
$9,203/yr
Effective rate: 4.0%
Property Tax Rate
0.8%
Effective rate on home value
State Sales Tax
4.8%
State rate (local rates may vary)

Flat 4.25% rate (reduced from 4.5% in 2024, continuing to drop).

Frequently Asked Questions โ€” Physician in North Carolina

How much does a Physician take home in North Carolina?

On a national median salary of $229,300, a Physician in North Carolina takes home approximately $159,949/year ($13,329/month) after federal income tax, North Carolina state income tax, and FICA taxes. This represents an effective total tax rate of 30.2%.

What is the North Carolina state income tax rate for a Physician?

On a $229,300 salary, the effective North Carolina state income tax rate is 4.0%, resulting in $9,203 in state taxes annually. North Carolina's marginal rate for this income level is higher, but credits and deductions reduce the effective rate.

How does North Carolina compare to other states for Physicians?

State tax burden is a key factor in take-home pay comparison. North Carolina's 4.0% effective state tax rate places it in the middle range nationally. To compare all states, use the "Salary by State" table above.

What other taxes does a Physician pay in North Carolina?

In addition to federal and state income taxes, workers pay FICA taxes: Social Security (6.2% on wages up to the $168,600 wage base in 2025) and Medicare (1.45%, plus 0.9% surcharge on earnings over $200,000). Local income taxes may also apply in some North Carolina cities. North Carolina's property tax rate is 0.8%, and the state sales tax rate is 4.8%.

Calculations use 2025 federal and state tax rates. Single filer, standard deduction. Does not include local taxes, pre-tax retirement contributions, or employer benefits. Salary data sourced from U.S. Bureau of Labor Statistics (BLS) OEWS. Last updated: March 2025. For personalized calculations, use the Paycheck Calculator.