Last updated: 2025 BLS data · Page refreshed:
How much does a Family Medicine Physicians actually take home in Tennessee?
No state income tax — 26.3% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a Family Medicine Physicians earning $226,830 in Tennessee (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $226,830 | — |
| Federal Income Tax | -$45,600 | 20.1% |
| Tennessee State Income Tax | -$0 | 0.0% |
| Social Security (OASDI) | -$10,453 | 4.6% |
| Medicare | -$3,530 | 1.6% |
| Total Taxes | -$59,583 | 26.3% |
| Take-Home Pay | $167,246 | 73.7% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of Family Medicine Physicians in Tennessee.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $100,290 | -$21,576 | $78,713 | 21.5% |
| 25th Percentile (P25) | $166,350 | -$42,188 | $124,161 | 25.4% |
| Median (P50) | $226,830 | -$59,583 | $167,246 | 26.3% |
| 75th Percentile (P75) | $441,770 | -$138,919 | $302,850 | 31.4% |
| 90th Percentile (P90) | $481,200 | -$153,646 | $327,553 | 31.9% |
Tennessee has no state income tax, which means a Family Medicine Physicians keeps $167,246 of their $226,830 salary — 73.7% of gross pay. Only federal income tax and FICA reduce the paycheck, making Tennessee one of the most tax-friendly states for this occupation.
A Family Medicine Physicians in Tennessee loses 26.3% of gross pay to taxes — higher than the ~25% national midpoint. Of the $226,830 gross, $167,246 lands in the paycheck after federal ($45,600), state ($0), and FICA ($13,984) withholding.
Tennessee is one of the few states with zero state income tax for wage earners. For a Family Medicine Physicians, that means the only deductions are federal income tax and FICA — no additional state withholding. This typically adds several thousand dollars per year compared to comparable states with income tax.
Federal income tax ($45,600) accounts for 77% of the total tax bill — the single largest deduction. FICA adds $13,984 (23%), and state tax the remaining $0 (0%).
Tennessee ranks #30 of 51 states for Family Medicine Physicians after-tax pay — lower half of the national distribution. Either gross wages trail the national median, state tax is elevated, or both.
Translated into paycheck cadences, $167,246 net/year works out to $13,937/month or $6,433/bi-weekly for this Family Medicine Physicians in Tennessee — the numbers that actually hit a checking account after every deduction.
Where does a Family Medicine Physicians keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
Tennessee ranks #30 out of 51 states for Family Medicine Physicians after-tax take-home pay.
A Family Medicine Physicians in Tennessee earning a median salary of $226,830 will take home approximately $167,246 per year after federal income tax ($45,600), state income tax ($0), and FICA ($13,983). That is $13,937 per month or $6,432 per bi-weekly paycheck.
The effective total tax rate for a Family Medicine Physicians in Tennessee is 26.3%, broken down as: federal income tax 20.1%, Tennessee state tax 0.0%, and FICA (Social Security + Medicare) 6.2%. This assumes a single filer with the standard deduction for 2024.
No, Tennessee does not levy a state income tax on wages. This means a Family Medicine Physicians in Tennessee only pays federal income tax and FICA taxes, resulting in a lower overall tax burden compared to most other states. The total effective rate is 26.3%.
After all taxes, a Family Medicine Physicians in Tennessee takes home approximately $13,937 per month, or about $80.41 per hour (based on a standard 2,080-hour work year). These figures assume a single filer, standard deduction, and no additional pre-tax deductions.
We start with the 2025 BLS median salary of $226,830 for Family Medicine Physicians in Tennessee, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Tennessee state income tax (no state income tax), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $167,246/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
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This estimate assumes a single filer using the 2024 standard deduction ($14,600), with W-2 employment income only. It does not account for: itemized deductions, tax credits (e.g. earned income credit, child tax credit), local/city taxes, pre-tax contributions (401k, HSA, FSA), self-employment tax, or additional income sources. Actual take-home pay may differ. Consult a tax professional for personalized advice.
Our Methodology · Data Sources · Salary: BLS OEWS · Tax: IRS + State DOR