Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in North Carolina?
4.5% flat rate — 32.8% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a General Internal Medicine Physicians earning $289,780 in North Carolina (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $289,780 | — |
| Federal Income Tax | -$66,687 | 23.0% |
| North Carolina State Income Tax | -$13,040 | 4.5% |
| Social Security (OASDI) | -$10,453 | 3.6% |
| Medicare | -$5,009 | 1.7% |
| Total Taxes | -$95,190 | 32.8% |
| Take-Home Pay | $194,589 | 67.2% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in North Carolina.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $123,810 | -$34,295 | $89,514 | 27.7% |
| 25th Percentile (P25) | $181,250 | -$54,276 | $126,973 | 29.9% |
| Median (P50) | $289,780 | -$95,190 | $194,589 | 32.8% |
| 75th Percentile (P75) | $396,740 | -$139,953 | $256,786 | 35.3% |
| 90th Percentile (P90) | $462,680 | -$167,549 | $295,130 | 36.2% |
A General Internal Medicine Physicians in North Carolina faces a combined 32.8% effective tax rate, taking home $194,589 out of $289,780. The 4.5% flat rate adds $13,040 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $207,629 — a difference of $13,040/year.
At an effective 32.8% combined tax rate, North Carolina takes one of the larger bites out of a General Internal Medicine Physicians's paycheck. Take-home settles at $194,589 from $289,780 gross after all withholdings.
North Carolina applies a flat state income tax — every dollar of wage income is taxed at the same rate. For this General Internal Medicine Physicians salary that contributes $13,040 to the 4.5% effective state-tax burden.
Federal income tax ($66,688) accounts for 70% of the total tax bill — the single largest deduction. FICA adds $15,463 (16%), and state tax the remaining $13,040 (14%).
The state-tax gap is substantial: a General Internal Medicine Physicians earning this gross in a no-income-tax state would net about $207,629 — an extra $13,040 (6.7%) annually compared with North Carolina.
North Carolina ranks #19 of 44 states for General Internal Medicine Physicians after-tax pay — comfortably in the upper half.
Translated into paycheck cadences, $194,589 net/year works out to $16,216/month or $7,484/bi-weekly for this General Internal Medicine Physicians in North Carolina — the numbers that actually hit a checking account after every deduction.
Where does a General Internal Medicine Physicians keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
North Carolina ranks #19 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in North Carolina earning a median salary of $289,780 will take home approximately $194,589 per year after federal income tax ($66,687), state income tax ($13,040), and FICA ($15,463). That is $16,215 per month or $7,484 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in North Carolina is 32.8%, broken down as: federal income tax 23.0%, North Carolina state tax 4.5%, and FICA (Social Security + Medicare) 5.3%. This assumes a single filer with the standard deduction for 2024.
North Carolina has a 4.5% flat rate. On a General Internal Medicine Physicians's median salary of $289,780, the state income tax amounts to $13,040 per year, which is an effective state rate of 4.5%.
After all taxes, a General Internal Medicine Physicians in North Carolina takes home approximately $16,215 per month, or about $93.55 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 $289,780 for General Internal Medicine Physicians in North Carolina, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), North Carolina state income tax (4.5% flat rate), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $194,589/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