Family Medicine Physicians in North Carolina

A stethoscope and folded scrubs in a sunlit clinical workspace.

May 2025 wages · tax year 2026

You keep

$152,065

after federal, FICA and North Carolina tax

Tax takes

$63,165

29.3% of the whole

Worth, in national money

$161,532

North Carolina costs less than average

One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.

Median here

$215,230

Kept after tax

$152,065

Worth in national money

$161,532

State rank

46

of 51 states

What this pays, and what it is worth

  • North Carolina is among the lower-paying states for family medicine physicians. The middle earner takes $215,230, ranking 46 of 51 states — about 11.86% below the national middle. Costs here are often lower too, which the figures further down account for.
  • This is one of the better-paid jobs in North Carolina. It ranks 3 out of 489 occupations the state publishes figures for, which puts it in the top quarter locally.
  • Here is where North Carolina does better than its wage suggests. From a median of $215,230 you keep $152,065, and because things cost less here than the national average, that behaves like $161,532 would elsewhere. The average is higher, $220,360, because the best-paid pull it up.
  • North Carolina ranks 46 of 51 for family medicine physicians, with a median of $215,230 — about 11.86% below the national figure. A nominal shortfall is not by itself a real one: lower-paying states frequently carry lower tax and lower price levels, and the adjusted figures below are where that is settled rather than assumed.
  • Within North Carolina, family medicine physicians ranks 3 of 489 occupations by median pay, placing it in the top quartile of the local distribution. This is the comparison a resident actually makes — against neighbors rather than against the same job elsewhere.
  • After federal, FICA and North Carolina income tax, retained pay for family medicine physicians on $215,230 is $152,065. Deflating by the state's price level — below the national average — gives $161,532 in national-average terms. ⚠️ That figure is purchasing power, not a wage, and nobody is paid it; it is what the take-home buys. The mean of $220,360 sits above the median, the right skew typical of wage data.

Compare this career across states

Choose your filing status and local taxes, compare pay, and keep a shortlist.Compare wage and personal-pay outcomes by state, with selected resident local taxes and saved career choices.

Pay band: Family Medicine Physicians

The state median for this job

50thpercentile, roughly
Lowest tenth earn under$118,600
Half earn under$215,230
Top tenth earn over$322,310
This salary$215,230

Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.

The same pay, somewhere else

The state median for this job

Compare with
+$8,079take-home per year in Texas
Take-home in North Carolina$152,065
Take-home in Texas$160,144
Once local prices are leveledBEA price parity+$3,267

State income tax and state price levels only. No city income tax, and no housing market.

What you would need there

The state median for this job

Moving to
$0now · $215,230$210,919
$210,919in Texas, for the same life
To match take-home only$204,261
You could take a cut of−$4,311
Prices in Texas97 vs 94

State taxes and state price levels only. No city tax, and no housing market.

Sources and assumptions
  • A median is the middle, not an offer. Half of family medicine physicians in North Carolina earn under $215,230 and half over. The published range runs $118,600 at the tenth percentile to $322,310 at the ninetieth. Experience and employer move an individual a long way inside that.
  • One filer, no dependants, no pension contributions — that is the household behind North Carolina's $152,065, worked from $215,230. That is on purpose. It lets states be compared with each other, not with each other's family circumstances. Local city taxes are left out. Locally this work ranks 3 of 489.
  • The wage data and the price data come from different years. That is how each is published. The price adjustment behind $161,532 uses one figure for the whole of North Carolina. A city and a rural county there can differ by more than two states do. Out of 489 occupations the state publishes, this one sits at 3.
  • Figures are distribution medians for family medicine physicians in North Carolina, not entry or offer rates. The published band runs $118,600 to $322,310; within-state dispersion of that width routinely exceeds the dispersion between states, so tenure, employer and metropolitan area predict an individual's pay better than geography does.
  • The North Carolina take-home of $152,065, on $215,230 for work ranking 3 of 489 locally, models the simplest household deliberately: holding it constant is what makes the interstate comparison meaningful. It also means the absolute figure overstates liability for most real filers, and municipal income taxes are outside the model entirely. The occupation ranks 3 of 489 in the state.
  • Wage and price series carry different reference periods, each published on its own schedule. The real-terms figure of $161,532, worked from $215,230, deflates by a statewide parity that conceals substantial intra-state variation, concentrated in housing — so it supports comparison between states rather than the pricing of a move to a particular North Carolina address, on work sitting at 3 of 489 locally.

Questions people ask

Why is the pay range for this job so wide?

One title, many jobs. The lowest tenth take $118,600, the highest tenth $322,310, and what separates them is experience, employer and what exactly the role does.

What does this pay actually buy where I live?

A smaller wage in a cheaper place is not automatically less. Adjusted for local prices, this is worth $161,532.

Where does the difference between the wage and my paycheck go?

Three of them are federal and one is not. After income tax, Social Security, Medicare and North Carolina's own levy, $152,065 remains.

Can I compare this job across every state?

Yes for this one. Pay is published in all 51 jurisdictions, so a state-to-state comparison here rests on the same survey everywhere rather than on a patchwork.

What drives the percentile dispersion in this occupation?

Dispersion between the tenth percentile ($118,600) and the ninetieth ($322,310) exceeds the family median dispersion. SOC codes aggregate roles differing in seniority, industry and specialisation, and BLS does not disaggregate below the detailed occupation level, so within-title variance is not separable from the published series.

What is this occupation's price-adjusted compensation in this state?

North Carolina's regional price parity is at or below the national average, so nominal wages understate purchasing power. Take-home deflated by the state price level is $161,532 in national-average terms. The adjustment uses an all-items index and does not isolate housing.

What accounts for the gap between gross wage and take-home here?

Take-home of $152,065 reflects federal income tax, OASDI, Medicare and North Carolina income tax for a single filer with no adjustments. The state layer is levied in addition to the federal one; only its rate and base differ between states.

Is this occupation's state coverage complete?

State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.