NZ Tax Guide for Doctors (2025-26)
Doctors in New Zealand may be employed by Te Whatu Ora as resident medical officers or senior medical officers, or operate as self-employed GPs through their own practice or a corporate. Employed doctors pay PAYE; self-employed GPs manage their own income tax, GST, and ACC obligations.
Quick Tax Snapshot — Median Doctor Salary
Based on the MECA for senior medical officers and resident medical officers. Salaries range from approximately $80,000 for junior residents to $200,000+ for senior specialists and GPs.
| Item | Annual | Monthly |
|---|---|---|
| Gross Salary | $130,000 | $10,833 |
| Income Tax (PAYE) | −$32,778 | −$2,731 |
| ACC Levy (1.6%) | −$2,171 | −$181 |
| KiwiSaver (3%) | −$3,900 | −$325 |
| Take-Home Pay | $91,152 | $7,596 |
Key Deductions for Doctors in NZ
Medical Council annual practising certificate
Annual APC fees paid by the employee (not reimbursed by employer) are deductible as a condition of earning employment income.
Medical indemnity insurance
Premiums for medical defence/indemnity insurance paid by the doctor are deductible where not covered by the employer.
Continuing medical education (CME)
Course fees, conference registrations, and related travel expenses for required CME activities may be deductible to the extent they maintain (not upgrade) existing skills.
Specialist college fees
Annual fees for RNZCGP, RACP, RACS, or other specialist colleges required for registration are deductible for self-employed doctors.
Deductibility depends on individual circumstances. Consult a registered tax agent or accountant for personalised advice. See IRD guidance on individual expenses.
Frequently Asked Questions
How much tax does a doctor pay in NZ?
On a $130,000 salary in 2025-26, a doctor pays approximately $32,778 in income tax. The effective rate is about 25.2% and the marginal rate is 33%. With ACC levy (capped at $152,790) and 3% KiwiSaver, take-home pay is approximately $91,000 per year.
Do GPs pay GST in New Zealand?
Medical services provided by registered health professionals are exempt from GST in New Zealand. GPs do not charge GST on consultations. However, non-medical services (e.g., cosmetic procedures not covered by ACC) may be subject to GST.
What ACC levy do doctors pay?
Employed doctors pay the ACC earner's levy (1.67% up to $152,790) via PAYE. Self-employed GPs pay both the earner's levy and a work levy based on their business classification, which varies by risk category.
Can doctors set up a company to reduce tax?
Some doctors operate through a personal services company. However, the personal services attribution rules mean that if 80%+ of your income comes from one source, the income is attributed back to you personally for tax purposes. Seek specialist tax advice.
Calculate Your Actual Take-Home Pay
The figures above are based on a median salary estimate. Use our free calculator to see your exact take-home pay for your own salary — including student loan repayments if applicable.
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Calculations assume 2025-26 tax year, 3% KiwiSaver employee contribution, no student loan, and ACC earner's levy at 1.6% (capped at $152,790). Figures are estimates only. New Zealand has no personal allowance — income tax applies from the first dollar of income.
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