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1099 Tax Estimator

Moonlighting? Locums? Calculate how much you need to set aside for quarterly taxes so you don't get surprised.

Income Details

Net Profit: $43,000

Enter 0 if none. It counts toward income tax and the 0.9% Medicare threshold, not your Social Security limit.

Estimated Quarterly Payment
$2,923

To cover your 1099 tax liability

Total Tax for Year (1099 Only)$11,691
Effective Tax Rate on 1099 Profit27.2%

We assume your W2 withholds correctly for that income. This result calculates the extra tax generated by adding your 1099 income on top of your W2 income (your marginal bracket).

(sends these numbers to Ask; we don't keep them)

Clinical Context & Calculation Details

How to Use This Calculator

The calculator has four inputs, plus a fifth for married couples. Work through them in order; the results on the right update as you type. If you've saved your numbers on the dashboard, your W-2 income, your spouse's income, 1099 revenue and filing status start from those, and you can change any of them.

  1. Your W-2 Wages. Your expected taxable wages from your main job for the year. Box 1 of last year's W-2 is a good starting point if your pay hasn't changed. Otherwise, take the year-to-date taxable wages on your latest pay stub and project them to 12 months. Pre-tax 403(b) or 401(k) deferrals and health premiums come out of taxable wages, so the number is usually lower than your contract salary. The calculator also uses this figure to decide how much of the Social Security wage base your job has already used. The default is $280,000.
  2. Gross Revenue (1099 side gig). Everything you expect to be paid this year as an independent contractor: locums, moonlighting shifts, consulting, expert witness or chart review work. If the work continues from last year, add up last year's 1099-NEC forms. If it's new, multiply your expected shifts by the shift rate. If a moonlighting job pays you on a W-2 instead, add that pay to the W-2 field. The default is $45,000.
  3. Expenses. Deductible costs of that 1099 work, such as licenses and DEA registration for the side job, malpractice coverage you pay yourself, travel to assignments, and professional fees. If you filed a Schedule C last year, its total expenses line is a reasonable guide. The calculator subtracts expenses from revenue and shows the result as Net Profit under the fields; it never lets profit go below zero. The default is $2,000.
  4. Filing Status. Choose Single or Married Joint to match the return you'll file, usually the same status as last year's Form 1040. Head of household and married filing separately aren't offered. If you're married and your spouse works, see the next input.
  5. Spouse's W-2 Wages (Married Joint only). Your spouse's expected taxable wages for the year, from the same sources as yours; enter 0 if they have none. They count toward your joint income tax and the $250,000 joint threshold for the Additional Medicare Tax, but not toward your Social Security wage base, which applies to each person separately. The default is $0.

The results show three numbers. Estimated Quarterly Payment is the annual tax on your 1099 profit divided by four. Total Tax for Year (1099 Only) is the federal income tax, self-employment tax and Additional Medicare Tax that the side work adds. Effective Tax Rate is that total divided by your net profit, so you can see how many cents of each 1099 dollar to set aside.

Why Doctors Need This

Your hospital or group withholds federal income tax, Social Security and Medicare from every W-2 paycheck. A locums agency, a moonlighting site that pays on a 1099, or a consulting client withholds nothing. You owe income tax and self-employment tax on that money yourself, usually in four estimated payments during the year. Locums physicians run into this most often; our locum tenens salary guide walks through what that looks like for a full year of 1099 work.

Waiting until April can cost you. You generally have to make estimated payments if you expect to owe at least $1,000 after withholding, and you avoid an underpayment penalty only if you paid at least 90% of this year's tax or 100% of last year's (110% if last year's adjusted gross income was over $150,000) on time. Most attendings are in the 110% group. The 1099 physician taxes guide covers the due dates and safe harbors in detail.

Two-earner households have a second problem. Each employer withholds as if its paycheck were your only income unless you check Step 2 on your Form W-4, so two physician salaries together can be under-withheld before any 1099 income is added. This calculator assumes your W-2 withholding is already right and estimates only the extra tax the side work creates. If it isn't, fix the W-4 first.

The Math Behind It

The calculator works in six steps, all for tax year 2026, and treats your 1099 profit as income stacked on top of your W-2 wages.

1. Net profit: max(0, 1099 revenue − expenses).

2. Self-employment earnings: net profit × 92.35%. 92.35% is 100% minus 7.65%, the employer's share of payroll tax; Schedule SE makes this adjustment so self-employed people are taxed on the same base as employees.

3. Self-employment tax: 12.4% Social Security on the smaller of your self-employment earnings or max(0, $184,500 − W-2 income), plus 2.9% Medicare on all of your self-employment earnings. If your W-2 income is $184,500 or more, the Social Security part is zero.

4. Additional Medicare Tax: 0.9% × [max(0, wages + SE earnings − threshold) − max(0, wages − threshold)], where wages are your W-2 wages plus, if married filing jointly, your spouse's, with a threshold of $200,000 single or $250,000 married filing jointly. Only the part of the tax the 1099 work adds is counted.

5. Federal income tax on the 1099 profit: the tax on wages + net profit − half of SE tax − standard deduction minus the tax on wages − standard deduction, both from the 2026 brackets for your filing status, where wages include a spouse's W-2 wages on a joint return. The standard deduction is $16,100 single or $32,200 married filing jointly, the amounts the One Big Beautiful Bill Act made permanent and the IRS adjusted for 2026. Because the W-2 is taxed first, the profit lands in your top bracket.

6. Results: total = step 5 + step 3 + step 4. The quarterly payment is the total divided by 4, and the effective rate is the total divided by net profit.

Nothing else enters the calculation: no state tax, no qualified business income (QBI) deduction, no credits. The Assumptions & Sources section below lists everything left out.

Pearls & Pitfalls

  • Pearl: you can fix it through your paycheck. Federal withholding is treated as paid evenly through the year (Form 2210 instructions), so a physician who picks up 1099 work midyear can raise withholding at the day job instead of mailing estimates. Divide the calculator's total by your remaining paychecks and enter it in Step 4(c) of a new Form W-4.
  • Pearl: enter a working spouse's wages in their own field. Lumping both salaries into your W-2 field would use up your Social Security wage base with your spouse's pay and understate your self-employment tax, because the wage base applies to each person separately. The separate field keeps the brackets and the Additional Medicare threshold right without that error.
  • Pitfall: residents pay the full 15.3%. A resident's salary is far below the wage base, so 1099 moonlighting owes Social Security and Medicare on 92.35% of profit. In the worked example above, that pushes the resident's share to 34.6% of profit, compared with 27.2% for the married attending.
  • Pitfall: state tax isn't included. The result is federal only. If your state taxes income, add your state's rate on the 1099 profit, and check whether it also expects quarterly estimates.
  • Pearl: a solo 401(k) lowers the income tax part. Your side business can contribute up to 20% of net self-employment earnings, figured after the deduction for half of self-employment tax (IRS Publication 560). The $24,500 employee deferral limit for 2026 is shared with your day job's 401(k) or 403(b), so if you max that plan, only the employer contribution is left. The contribution does not reduce self-employment tax.
  • Pitfall: lumpy income. The calculator splits the year into four equal payments. If most of your 1099 income arrives late in the year, the annualized installment method on Form 2210 may let you pay less in the early quarters.

Worked Example

Take the calculator's default inputs: an attending with $280,000 of W-2 income who picks up $45,000 of 1099 moonlighting revenue with $2,000 of expenses, married filing jointly. These are the steps the calculator runs, with the same numbers it shows.

StepCalculationResult
Net profit$45,000 − $2,000$43,000
Self-employment earnings$43,000 × 92.35%$39,710.50
Room left under the Social Security wage base$184,500 − $280,000, floored at $0$0
Social Security tax (12.4%)12.4% × $0$0
Medicare tax (2.9%)$39,710.50 × 2.9%$1,151.60
Self-employment taxSocial Security + Medicare$1,151.60
Additional Medicare Tax (0.9%)$39,710.50 × 0.9% (W-2 already over $250,000)$357.39
Taxable income with the 1099 work$280,000 + $43,000 − $575.80 − $32,200$290,224.20
Federal income tax on that2026 joint brackets$54,849.81
Taxable income from the W-2 alone$280,000 − $32,200$247,800
Federal income tax on that2026 joint brackets$44,668.00
Income tax added by the 1099 work$54,849.81 − $44,668.00$10,181.81
Total tax for year (1099 only)$10,181.81 + $1,151.60 + $357.39$11,691
Estimated quarterly payment$11,690.81 ÷ 4$2,923
Effective tax rate on the 1099 profit$11,690.81 ÷ $43,00027.2%

What it means. Because the W-2 salary is already past the $184,500 wage base, the side work owes no Social Security tax, only Medicare. The extra $42,424.20 of taxable income all falls in the 24% joint bracket ($211,400 to $403,550), which is where most of the $11,691 comes from. This physician would send about $2,923 with each estimated payment, or raise paycheck withholding instead: spread over 26 biweekly paychecks from January, $11,691 is about $450 per check.

Same inputs, single filer. Switching to Single raises the total to $16,357 ($4,089 a quarter, 38.0% of profit). The single standard deduction is smaller and the W-2 alone already reaches the 35% bracket, which starts at $256,225, so every 1099 dollar is taxed at 35% instead of 24%.

A moonlighting resident. Enter $70,000 of W-2 pay, $30,000 of 1099 revenue, $1,000 of expenses and Single. Net profit is $29,000, and because the resident is far below the wage base, the full 15.3% self-employment tax applies: $4,097.57. Income tax adds $5,929.27 at 22%. The total is $10,027 ($2,507 a quarter), or 34.6% of profit, a higher share than the attending pays. Our resident moonlighting guide explains why 1099 shifts take a bigger bite during training.

In the married example, taxable income stays below the 2026 joint QBI threshold of $403,500, so this household may also qualify for the qualified business income deduction, which the calculator leaves out. Its real tax on the 1099 work could be lower than $11,691.

Assumptions & Sources

All figures are for federal tax year 2026. They are written into the calculator, so it will not update itself for 2027.

  • Income tax brackets and standard deduction ($16,100 single, $32,200 married filing jointly): IRS, Rev. Proc. 2025-32. The brackets the calculator uses are in the table below.
  • Self-employment tax of 12.4% Social Security and 2.9% Medicare on 92.35% of net profit, with half of it deducted before income tax: IRS, Schedule SE.
  • Social Security wage base of $184,500 for 2026: SSA, Contribution and Benefit Base.
  • Additional Medicare Tax of 0.9% above $200,000 single or $250,000 married filing jointly. These thresholds are set by law and are not adjusted for inflation: IRS, Questions and Answers for the Additional Medicare Tax.
  • Your W-2 number is used twice: as taxable wages for the income tax brackets and as Social Security wages for your wage base. On a real W-2 those are Box 1 and Box 3, and they can differ because 403(b) and 401(k) deferrals are still subject to Social Security tax. Your spouse's wages only count toward income tax and the joint Additional Medicare threshold.
  • W-2 wages (yours and, on a joint return, your spouse's) and your 1099 profit are the only income. No investment income or other deductions are added. You take the standard deduction and claim no credits.
  • Your W-2 withholding is assumed to be correct for the W-2 income. The result is only the extra tax the 1099 work creates.
  • Not modeled: state and local income tax, the QBI deduction (for 2026, physicians get the full deduction below $201,750 of taxable income single or $403,500 joint and none above $276,750 or $553,500, per Rev. Proc. 2025-32), the 3.8% net investment income tax, head of household and married filing separately status, business losses, and the rule that self-employment tax applies only once net earnings reach $400.
  • Equal quarterly payments. The annual total is split into four equal amounts. The 2026 due dates are April 15, June 15 and September 15, 2026, and January 15, 2027: IRS, Form 1040-ES (2026).
  • Safe harbor is not calculated. The penalty-free target is the smaller of 90% of 2026 tax or 100% of 2025 tax, or 110% of 2025 tax if 2025 adjusted gross income was over $150,000 ($75,000 married filing separately), per Form 1040-ES. Withholding counts as paid evenly through the year: IRS, Instructions for Form 2210.
2026 federal brackets used by the calculator (taxable income)
RateSingleMarried filing jointly
10%$0 to $12,400$0 to $24,800
12%$12,400 to $50,400$24,800 to $100,800
22%$50,400 to $105,700$100,800 to $211,400
24%$105,700 to $201,775$211,400 to $403,550
32%$201,775 to $256,225$403,550 to $512,450
35%$256,225 to $640,600$512,450 to $768,700
37%Over $640,600Over $768,700

This calculator is for education and planning. It is not tax advice; check your numbers with a CPA or your tax software before you file.

Joshua Dunigan, DO

About the Author

Joshua Dunigan, DO | Family Medicine Resident & Founder

I'm a family medicine resident physician in Des Moines, Iowa (class of 2027). I founded MedMoneyGuide to give physicians specialty-specific financial guidance, with sources you can check.

Frequently Asked Questions

Why do physicians owe taxes in April?

Usually because some income had no withholding, such as 1099 moonlighting or locums pay, or because paycheck withholding was set too low for a two-earner household. Each employer withholds as if its paycheck were your only income unless your Form W-4 says otherwise, so two physician salaries can leave a gap. Estimated payments or extra withholding during the year close that gap before April.

Should I claim 0 or 1 on my W-4?

The IRS redesigned Form W-4 in 2020, and it no longer uses allowances like 0 or 1. Instead you check the box in Step 2 if you have more than one job or your spouse works, and you can enter a flat dollar amount of extra tax per paycheck in Step 4(c). The IRS Tax Withholding Estimator can help you fill it out.

How much of my 1099 income should I set aside for taxes?

It depends on your W-2 salary, because the 1099 profit is taxed at your top bracket. With this calculator's defaults ($280,000 W-2, $43,000 of 1099 profit, married filing jointly), federal tax takes about 27.2% of the profit. A single resident earning $70,000 with $29,000 of moonlighting profit sets aside about 34.6%, because the full 12.4% Social Security tax still applies. State income tax comes on top of either figure.

When are 2026 quarterly estimated tax payments due?

April 15, June 15, and September 15, 2026, and January 15, 2027, according to IRS Form 1040-ES. You generally need to make estimated payments if you expect to owe at least $1,000 after withholding and credits. You can skip the January payment if you file your 2026 return by February 1, 2027 and pay the full balance with it.

How do I avoid the IRS underpayment penalty?

Pay at least the smaller of 90% of this year's tax or 100% of last year's tax through withholding and on-time estimated payments. If last year's adjusted gross income was over $150,000 ($75,000 if married filing separately), the prior-year figure is 110% instead of 100%. This calculator estimates the extra tax your 1099 work adds; it does not compute the safe-harbor amount, which you can find from last year's return.

Do I owe Social Security tax on 1099 income if my W-2 salary is over the wage base?

No. For 2026 the Social Security wage base is $184,500, and Schedule SE counts your W-2 Social Security wages against it first. If your W-2 wages already reach $184,500, your 1099 profit owes only the 2.9% Medicare tax, plus the 0.9% Additional Medicare Tax above $200,000 (single) or $250,000 (married filing jointly).

Can I raise my W-2 withholding instead of making quarterly payments?

Yes. Federal tax withheld from your paychecks is treated as paid evenly through the year unless you elect otherwise, so extra withholding added late in the year still counts as on time for the penalty calculation. Divide the calculator's annual 1099 tax by your remaining paychecks and enter that amount in Step 4(c) of a new Form W-4.