Family Medicine Physician salary in North Carolina
Updated Updated for 2026 tax law
A family medicine physician in North Carolina earns a median of $215,230 a year ($103.48/hour equivalent), 11.9% below the national median of $244,180. North Carolina ranks #46 of 51 states. About 1,520 people do this job in North Carolina.
Take-home pay in North Carolina
At the North Carolina median, a single filer keeps about $152,065 a year after federal, FICA and North Carolina taxes — $5,849 every two weeks. Try your own numbers with the North Carolina paycheck calculator.
- Gross pay
- $8,278.08
- Federal income tax
- −$1,553.43
- Social Security (6.2%)
- −$439.96
- Medicare (1.45%)
- −$125.30
- North Carolina income tax
- −$310.73
- Take-home pay
- $5,848.65
Annual breakdown
- Gross
- $215,230
- Federal
- $40,389
- FICA
- $14,697
- State + local
- $8,079
- Net
- $152,065
- Marginal federal rate
- 24.0%
- Marginal state rate
- 4.0%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How North Carolina compares
| Rank | State | Median salary |
|---|---|---|
| #1 | Rhode Island | $467,160 |
| #2 | Oklahoma | $361,350 |
| #3 | Idaho | $347,160 |
| #4 | Montana | $330,760 |
| #5 | Alaska | $323,490 |
| #46 | North Carolina | $215,230 |
| #49 | Missouri | $171,180 |
| #50 | Connecticut | $163,930 |
| #51 | Alabama | $134,550 |
See the national family medicine physician salary page for the full pay range and all states.
BLS occupation: Family Medicine Physicians (SOC 29-1215), May 2025, state estimates.
Frequently asked questions
How much does a family medicine physician make in North Carolina?
The median salary is $215,230 a year and the average is $220,360 (BLS May 2025).
Is North Carolina a good state for family medicine physicians?
North Carolina ranks #46 of 51 states for median pay in this job, 12% below the national median of $244,180.
What is $215,230 after taxes in North Carolina?
About $152,065 a year ($5,849 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.