Choosing the right accountant is one of the most important business decisions you’ll make as a physician.
Whether you’re running your own practice, managing a team of providers, or opening a med spa, your accountant has a bigger impact than most people realize. The right one helps you keep more of what you earn and makes the business side of medicine feel less overwhelming. The wrong one can leave you overpaying, underprepared, and unsure if you’re doing things the right way.
We’ve put together a list of five accountants for doctors and medical practices.
We’ve included ourselves in the mix because we’re proud of the work we do at MedTax. But we also know there are other firms doing great work too, and depending on what kind of support you’re looking for, one of them might be the right fit.
We’ve also included a short guide below to help you know what to look for when choosing the right financial partner for your practice.
What Should You Look For in an Accountant for Your Medical Practice?
A good accountant will do more than file your taxes once a year. And for physicians and practice owners, the stakes are higher.
Your accountant should understand:
Tax strategy specific to doctors
Physicians often face a high effective tax rate. Your accountant should help you actively plan ahead and use legal strategies to reduce what you owe, not just react at the end of the year.
Practice-level decision support
From determining your salary to optimizing payroll, retirement plans, equipment purchases, and reimbursements, you want someone who can explain how financial decisions impact your day-to-day operations and long-term goals.
Experience with healthcare entities
Medical practices have unique challenges. Whether it’s navigating 1099 work, structuring partnerships, or tracking provider compensation, your accountant should understand how practices are built and run.
Clear and proactive communication
You shouldn’t have to chase your accountant or wait until tax season to hear from them. Look for someone who checks in year-round and makes things easy to understand.
Now let’s look at five firms that serve doctors well, starting with our team at MedTax.
1. MedTax
Best for: Doctors who are primarily focused on lowering their tax bill
At MedTax, we work exclusively with doctors and medical practice owners. Our focus is on helping physicians reduce their tax bill by tens of thousands each year with proactive, customized tax planning. That means we don’t just file your return and disappear. We stay in touch throughout the year, advising you on key decisions like entity structure, payroll strategy, retirement contributions, and practice investments.
These details add up. In many cases, they lead to tens or even hundreds of thousands in long-term tax savings.
We also give you access to a clean, easy-to-use dashboard that shows where you stand with key areas like retirement contributions, cash flow, and taxes. No guesswork, no waiting for your accountant to respond. You can see exactly what’s happening in your financial life at any time.
We’ve helped everyone from solo physicians and plastic surgeons to med spa owners and multi-location groups. What sets us apart is our obsession with making sure you’re not overpaying and that your practice runs like a well-oiled machine.
Visit: medtaxco.com/medical-practice-taxes
2. Thomas Doll
Best for: High-income doctors who want integrated tax and wealth planning
Thomas Doll is a strong choice for physicians who have moved beyond the basics and need more comprehensive support. Their team combines tax planning, investment advising, and retirement planning under one roof. That’s especially helpful for group practice owners or doctors with multiple income streams and significant personal assets.
They serve many clients on the West Coast and are well known for long-term planning and continuity.
Website: thomasdoll.com
3. Schwartz & Schwartz
Best for: Early-career physicians or those transitioning to practice ownership
If you’re still in training or just stepping into your first attending role, Schwartz & Schwartz is a great fit. They work with many residents, fellows, and new practice owners who need help understanding estimated taxes, moonlighting income, and how to navigate self-employment for the first time.
They’re also helpful for doctors making the jump from hospital employment to private practice and looking to set up the right foundation.
Website: schwartzaccountants.com
4. CPA4Doctors
Best for: Specialists and busy doctors who want tools and structure
CPA4Doctors is all about systems. They offer dashboards, calculators, and templates that help you manage practice finances more efficiently. This is a great option if you’re a high-volume provider and want more control over your numbers without doing it all yourself.
They work with a wide range of specialists and offer solid support for tracking cash flow, managing overhead, and optimizing provider compensation.
Website: cpa4doctors.com
5. PracticeCFO
Best for: Doctors planning to retire, sell their practice, or bring in partners
PracticeCFO focuses heavily on long-term financial planning. If you’re thinking about transitioning out of ownership, bringing on new partners, or designing a retirement plan, this firm offers deep expertise in exit strategy and succession planning.
They are best known for serving dentists, but many of their systems apply equally well to medical practice owners.
Website: practicecfo.com
Final Thoughts
Each of these firms serves doctors, but they do it in different ways. If you want a partner who actively helps you lower your tax bill, simplify decision-making, and stay ahead of the financial curve, MedTax is built for you.
If you’re not sure which direction to go or want a second opinion, we’re happy to chat.
We know this space well and we’re always glad to help doctors make informed financial choices.
Reach out to our team by using our calendar here to see if we’re the right fit for your practice.
We look forward to chatting with you.
Until next time!
