Saving Medical Practitioners
Thousands of Dollars in Taxes,
Year After Year

Tax Planning & Tax Reduction Specialists for Private Practice Owners

Individuals and Non-Medical Businesses, click here.

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Reduce Taxes

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Mitigate Risk of Audit

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Build Wealth

Stop Paying More
Than Your Fair Share

Most private practitioners aren’t proactively planning and implementing the right tax strategies in advance.

If you’re currently:

  • Overpaying on your taxes and want to know tax saving strategies
  • Not getting tax advisory support from your current CPA
  • Wondering if your business is organized properly for tax savings
  • Wasting precious time doing your own bookkeeping or tax support

Then schedule your complimentary evaluation with our experienced, results-driven team to see what missed opportunities await you.

Take Control of Your Practice with a
Proactive Financial Strategy

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Save on your taxes with an average ROI of 200% or more.

Gain a return that far surpases your original investment in our CPA services so you can keep more of your hard-earned money.

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Confidently make financial decisions with guided insight.

Our proactive CPAs reach out with timely advice, so you never have to chase down your accountant or guess what to ask. Gain the insights you need to grow your wealth.

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Enjoy peace of mind with decreased audit risk.

Our team of Certified Tax Coaches will maximize your deductions while also keeping your business IRS compliant.

Medical Practices Need
Year-Round Tax Planning
and Financial Guidance to Optimize Profitability

We understand the stress of running a medical practice while worrying about your taxes. You went to school to help patients, not to become a tax expert, which is why we offer focused, full-service tax reduction strategy and implementation services for practitioners to reduce your overall tax burden and your chance of audit.

At Custom Accounting CPA, we strategically work with medical practitioners where we can find a substantial return on investment, reducing taxes by $20K or more per year.

Comprehensive Tax Reduction Services
for Private Practice Owners

Custom Accounting CPA is dedicated to helping medical practitioners with a comprehensive approach to tax reduction, proactively identifying opportunities so you have time to make strategic decisions that will save you money.

  • Advisory
  • Tax
  • Accounting
  • Virtual Family Office
  • Bookkeeping
  • Payroll

Why Manhattan Clients Trust Us

Decision-Focused Tax Planning

Our small business CPA in Manhattan helps you evaluate the tax implications of financial choices in real-time, rather than after the fact. We provide the foresight necessary to understand how specific business moves, such as capital expenditures and shifts in revenue streams, will impact your year-end liabilities.

Certified Tax Coaches

While a standard CPA focuses on historical reporting, or looking back at what has already occurred, our Certified Tax Coach approach is future-facing. We apply a framework of court-tested, IRS-compliant strategies to identify deductions and credits that are often missed during the standard filing process.

New York State and NYC Tax Knowledge

Manhattan’s tax environment is uniquely complex, with city-level assessments, such as the Unincorporated Business Tax (UBT), impacting your bottom line. We account for both state and city requirements when developing tax strategies, so planning reflects how income is taxed at every level.

Personalized Support

Access to the guidance of a small business CPA in Manhattan is crucial when questions arise outside of filing season. We provide advisory support year-round to help you evaluate tax considerations whenever the need arises. This allows us to provide context-specific advice on everything from cash flow management to the tax implications of new contracts.

Strategic Tax Perspective

We look at how your business is structured and how money flows to you, then assess whether that setup still makes sense as revenue changes. This includes reviewing your entity type, compensation approach, and how income is reported. When adjustments are appropriate, we help you make them so your tax strategy continues to work as your business grows and circumstances change.

Scalable Tax Strategies for Change and Growth

Income and priorities can change as your situation evolves. You might expand a business, take on a higher-paying role, or decide to contribute to a worthy cause. As your CPA in Manhattan, we update your strategy to reflect such changes, so that your planning continues to support your financial goals.

The Custom Accounting
CPA Difference

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    You’ll save more money than you pay us.

    We guarantee to reduce your tax bill by at least the cost of our services. By pre-qualifying clients and working closely with them, we ensure our cost-saving strategies more than pay for themselves.

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    You’ll receive unlimited advisory support for a flat monthly fee.

    Know exactly what to budget with no surprise fees for calls or emails, giving you peace of mind that we’re here for you.

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    Your accountant will be invested in your success and proactively reach out each month.

    No more guessing which questions to ask—your medical accounting specialist will provide timely insights and guide you toward the best financial decisions for your practice.

Hear from Our Clients

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"I switched to Custom Accounting a year ago after 18 years with the same accountant, and I wish I'd made the change sooner! As an entertainment company founder and executive producer, I trust their expertise in my industry and the challenges of entrepreneurship. They're always in my corner, protecting my business. They're a one-stop shop for bookkeeping, accounting, and financial planning for both personal and business needs. Their online portal provides immediate answers to questions, ensuring timely support. Whether you're a sole proprietor scaling up or a successful production company, I highly recommend Custom Accounting to save you time, money, and stress, allowing you to focus on your core expertise."

Hillary Cutter, Founder of Cutter Entertainment

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"We have been working with Custom Accounting for over a year now and we have been so pleased with how simply they integrated into our process, as well as how easy it has been to communicate our business and adjust as needed. They were always there to guide us from an accounting perspective."

Kenneth Perkins & Casey Charron, Founders of Impctlab and Ozmo Helmets.

Shannon-Fiedler

"I have loved working with Custom Accounting for the past year! They have helped me so much with my business, particularly when it comes to tax planning. I couldn't recommend them more!!"

Shannon Fiedler, Owner

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"The custom accounting team is a very professional group and I've enjoyed working with them thus far. I thank them for being so proactive and for taking full control of this part of my training and development business. Customer service is important to me and I am grateful for their diligence in making this aspect of their work top priority."

Will Weche

Owner of Willful Change

Enjoy More Financial Margin
in your practice.