How 1099 Physicians Should Actually Calculate Quarterly Taxes — Step-by-Step episode artwork

EPISODE · May 30, 2026 · 22 MIN

How 1099 Physicians Should Actually Calculate Quarterly Taxes — Step-by-Step

from Stephen Lee, CPA, CPWA® · host Stephen Lee, CPA, CPWA®

Most 1099 physicians are calculating quarterly taxes the wrong way, and it can lead to penalties, cash flow problems, and massive surprises at tax time.In this episode, CPA and Certified Private Wealth Advisor Stephen Lee breaks down how high-income 1099 physicians should actually calculate quarterly estimated taxes. You'll learn the difference between safe harbor payments and true tax projections, how S corporations impact your tax strategy, how retirement contributions affect estimated payments, and the step-by-step framework used to project tax liability throughout the year.Whether you're earning $300,000, $500,000, or over $1 million as a 1099 physician, this episode will help you build a tax system that reduces surprises and creates more control over your finances.Topics Covered:• Why the "just save 30%" rule can be dangerous• The IRS safe harbor rules every physician should know• How to calculate quarterly taxes step by step• Sole proprietor vs. S corporation tax planning• Self-employment tax and payroll tax considerations• Retirement contributions and tax projections• State tax planning for locum and multi-state physicians• Common quarterly tax mistakes physicians make• Building a tax reserve system that works📅 Want help reviewing your quarterly tax strategy, S corporation structure, retirement planning, and overall tax system?Book a complimentary discovery call:https://stephenleecpa.com/book-appointment/🎁 Download our free physician tax planning resources:https://stephenleecpa.com/cpas-guide-to-locum-tenens/If you found this episode helpful, follow the podcast and share it with another 1099 physician who wants to stop reacting at tax time and start planning like a business owner.

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How 1099 Physicians Should Actually Calculate Quarterly Taxes — Step-by-Step

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