General Internal Medicine Physician salary
Updated Updated for 2026 tax law
A general internal medicine physician earns a median of $256,560 a year ($123.35 an hour) in the US, according to the Bureau of Labor Statistics (May 2025). The average is $267,200. About 67,150 people work in this job.
Take-home pay on $256,560
- Gross pay
- $9,867.69
- Federal income tax
- −$2,053.97
- Social Security (6.2%)
- −$439.96
- Medicare (1.45%)
- −$162.66
- Texas income tax
- $0.00No state income tax on wages
- Take-home pay
- $7,211.10
Annual breakdown
- Gross
- $256,560
- Federal
- $53,403
- FICA
- $15,668
- State + local
- $0
- Net
- $187,489
- Marginal federal rate
- 32.0%
- Marginal state rate
- 0.0%
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.
Similar jobs
- Neurologist: $248,560
- Physician: $265,930
- Family Medicine Physician: $244,180
- Nurse Anesthetist: $236,590
- Psychiatrist: $281,870
- Dentist: $224,990
- Orthodontist: $289,140
- Obstetrician and Gynecologist: $292,910
BLS occupation: General Internal Medicine Physicians. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 (SOC 29-1216). Excludes the self-employed.
Frequently asked questions
How much does a general internal medicine physician make an hour?
The median hourly wage is $123.35; the average is $128.46.
What is the salary range for a general internal medicine physician?
The bottom 10% earn under $73,570 and the top 10% earn over $475,430 a year.
How much is $256,560 after taxes?
About $187,489 a year in Texas (no state income tax) or $164,538 in California for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.