Tax Planning for Pain Management Physicians

Interventional pain practices earn money in ways most general CPAs rarely see. Professional fees, ASC facility distributions, in-office procedure revenue, urine drug testing or PT ancillaries, and sometimes personal-injury receivables can all land on one physician's return. Physician Planning Partners is an introduction service. We connect pain physicians with independent, qualified CPAs and tax professionals we select to partner with, people who already work with procedure-heavy specialty practices.

Why pain practices need a specialty-aware CPA

A pain physician's tax picture usually has more moving parts than a W-2 hospitalist's:

• ASC ownership. Distributions from a surgery center partnership come with K-1s, basis tracking, and sometimes multi-state filings.
• Ancillary income. Lab, imaging, PT, or DME lines may sit in separate entities, each with its own bookkeeping and payroll.
• Personal-injury and lien cases. Practices that take letters of protection collect revenue long after the service date, which complicates cash-flow forecasting and estimated payments.
• Equipment-heavy operations. Fluoroscopy, RF generators, and ultrasound units raise questions about depreciation timing that a CPA can model with you.

What an introduction covers

When you request an introduction, we ask a few questions about your practice and match you with a partner CPA whose experience fits. Topics physicians commonly bring to that first conversation include:

1. Entity structure and owner compensation (for example, whether an S corporation election still fits).
2. Quarterly estimates and cash flow for practices with slow-paying payer mixes.
3. Retirement plan options for owners and staff, coordinated with a financial professional.
4. Bookkeeping and payroll cleanup ahead of a partner buy-in or sale.
5. Tax-return preparation for the practice and the household.

The CPA you meet is independent. They set their own fees, sign their own engagement letter with you, and are solely responsible for their advice.

Planning year-round, not just in April

Pain practices that think about taxes only at filing time often find their options have closed. A CPA who reviews your numbers quarterly can flag decisions while there's still time to make them, such as equipment purchases, retirement contributions, or the timing of an ASC buy-in. Ask any professional we introduce how often they meet with clients and what that costs.

How the introduction works

1. Tell us about your practice: size, ownership, ancillaries, and what's prompting the question.
2. We suggest one or more independent CPAs we partner with who fit your situation.
3. You meet them directly and decide whether to engage. There's no obligation.

Frequently asked questions

Is Physician Planning Partners a CPA firm?

No. We're an introduction service. We don't prepare returns or give tax advice. We connect you with independent, licensed CPAs we've selected to partner with.

Do the CPAs you introduce understand ASC and ancillary income?

We look for partners with experience serving procedure-based physician practices. Ask about their pain or ASC clients in your first meeting, too.

What does an introduction cost?

Nothing for you. You pay the CPA directly only if you decide to engage them. We may be compensated by partner businesses, as explained in our disclaimer.

Can I keep my current CPA?

Yes. Some physicians want a second opinion on a specific issue, like an ASC buy-in, and keep their existing preparer for everything else.

Physician Planning Partners is an introduction service, not a CPA firm, and this page is general information, not tax advice. See our disclaimer.