NYC Pediatrician Take-Home Pay at a Glance
Pediatric subspecialties such as pediatric cardiology, neonatology, and pediatric surgery command pay 40–80% above general pediatricians in NYC. General pediatricians in private practice in affluent neighborhoods like the Upper East Side or Park Slope often benefit from high patient retention and a mix of well-child visits that support stable revenue. NYC's public hospital pediatricians, including those at Bellevue's pediatric unit, often work under union agreements that include pension benefits offsetting lower base salaries.
Pediatrician at $220,000 (single filer): Take-home is approximately $5,492 per bi-weekly paycheck, or ~$142,783 per year after all taxes.
NYC Pediatrician Salary Range (2026)
| Career Stage | Annual Salary Range | Approx. Net/Year |
|---|---|---|
| Resident | $65,000–$88,000 | ~$56,096 |
| Junior Attending | $180,000–$235,000 | ~$135,458 |
| Senior Attending | $230,000–$290,000 | ~$164,992 |
| Division Chief | $285,000–$380,000 | ~$203,230 |
Tax Breakdown: $220,000 Pediatrician Salary
| Tax / Deduction | Per Bi-Weekly Check | Annual Amount | % of Salary |
|---|---|---|---|
| Gross Pay | $8,461.54 | $220,000 | 100% |
| Federal Income Tax | −$1,640.88 | −$42,663 | 19.4% |
| NY State Income Tax | −$468.23 | −$12,174 | 5.5% |
| NYC Local Tax | −$311.23 | −$8,092 | 3.7% |
| FICA (SS + Medicare) | −$549.54 | −$14,288 | 6.5% |
| Net Take-Home | $5,492 | ~$142,783 | 64.9% |
At $220,000, your effective total tax rate is approximately 35.1%. NYC’s local income tax (3.876% at this bracket) stacked on top of NY State income tax creates a combined state and local burden of approximately 9.2% — before federal taxes. A pediatrician earning $220,000 in NYC will take home roughly $130,000–$140,000 after all income taxes, a relatively modest net figure that reflects why many pediatricians supplement income through academic research grants or medical consulting.
What Determines Pediatrician Pay in NYC?
Major employers in NYC for pediatricians include NewYork-Presbyterian/Morgan Stanley Children's Hospital, NYU Langone, Montefiore Children's Hospital, and NYC Health + Hospitals are the primary employers. Large pediatric group practices such as Tribeca Pediatrics (now part of Pediatric Associates) also employ substantial numbers of NYC pediatricians.
- Pediatric subspecialty vs. general pediatrics
- Academic medical center vs. private practice
- Patient panel size and payer mix
- Administrative or medical directorship roles
Tax Tips for NYC Pediatricians
- Maximize 401(k) contributions: Contributing the full $23,500 in 2026 reduces your federal and NY State taxable income, saving approximately $6,000–$9,000 in combined taxes at mid-career salary levels.
- Pre-tax transit benefits: NYC’s commuter benefit program allows up to $315/month ($3,780/year) in pre-tax transit deductions, reducing both federal and state taxable income.
- Health Savings Account (HSA): If enrolled in a high-deductible health plan, contributing to an HSA ($4,300 individual / $8,550 family in 2026) provides triple tax benefits — deductible, tax-free growth, and tax-free withdrawals for medical expenses.
- NYC non-resident consideration: If you work in NYC but live in New Jersey, Long Island, or Westchester, you may not owe NYC local income tax (3.876%) — a potential savings of $8,092/year at this salary.
Frequently Asked Questions: NYC Pediatrician Salary
How much does a pediatrician take home in NYC after taxes?
A pediatrician earning $220,000 in NYC takes home approximately $142,783 per year, or $5,492 per bi-weekly paycheck, after federal, NY State, and NYC local taxes. The combined effective tax rate is 35.1%.
What is the typical pediatrician salary in NYC?
NYC pediatrician salaries range from $65,000–$88,000 at entry level to $285,000–$380,000 for senior or specialized professionals. The median mid-career salary is approximately $220,000.
Why do pediatricians earn less than other attending physicians in NYC?
Pediatric reimbursement rates from Medicaid (which covers a large share of NYC children) and commercial insurers are structurally lower than adult medicine rates; combined with lower procedure volume compared to surgical specialties, this drives pediatrician salaries below most other physician specialties despite a lengthy training pathway.
Calculate Your Exact NYC Pediatrician Take-Home Pay
Enter your actual salary to see your precise bi-weekly paycheck after all 2026 taxes.
Use the Free Calculator →