
WHO WE SERVE · MEDICAL & PROFESSIONAL PRACTICES
Accounting and tax for Lexington medical and professional practices
Census ZIP Code Business Patterns 2023 finds 284 physician offices with paid employees in the 16 ZIP codes serving Lexington, Kentucky. Brent Tucker, CPA, prepares returns and keeps the books for Lexington medical and professional practices.
Sound familiar?
More owners, more entities, more returns.
As a practice adds partners or separate entities, the filings multiply. The practice’s returns are coordinated with each owner’s return.
You need a clearer view of how the practice is performing.
Monthly statements show what comes in, what it costs to run the practice, and what remains — explained in plain terms.
A major decision is on the horizon.
A new provider, new equipment, a second location. Talk it through with Brent before you commit, with the tax consequences in view.
Your situation isn’t on this list? Tell us about it — every engagement starts with a conversation.
How we help.
Monthly accounting
Current books and financial statements.
Business and owner returns
Prepared together.
Services and starting prices.
- 01
Accounting + Tax + Planning
From $900/moMonthly accounting and reporting, business and owner tax returns, proactive tax planning and year-round CPA access.
Founding Client Rate: $825/month for your first 12 months when you engage by March 31, 2027. Terms
- 02
Monthly Accounting
From $400/moTransaction categorization, account reconciliations, financial statements and regular accounting support.
- 03
Tax Preparation
From $300Individual returns (federal and one state) from $300; business returns from $750.
Starting prices. Your scope and price are agreed in writing before work begins.

Work directly with Brent.
Licensed CPA · 10+ years in public accounting · Member, AICPA and MICPA
Brent has served medical and professional-services clients throughout his career, at a boutique firm and at a large national accounting and advisory firm.
Brent Tucker is a CPA licensed in Michigan and serves clients in other states under applicable CPA mobility provisions.
More about BrentLexington at a glance
284
physician offices with paid employees in the 16 ZIP codes that serve Lexington
Source: U.S. Census Bureau, ZIP Code Business Patterns 2023
34%
share of physician offices with 10+ employees (estimate)
Source: estimate derived by Tucker from Census ZIP Code Business Patterns 2023; not a published figure
Tax offices for Lexington medical practices
Lexington-Fayette Urban County Government Division of Revenue
City business tax and licenses.
218 E. Main St., Lexington, KY 40507
Phone (859) 280-8300
Fayette County Sheriff's Office (Property Tax Division)
County property tax collection.
150 N. Limestone, Suite 265, Lexington, KY 40507
Phone (859) 252-1771
Kentucky Department of Revenue
State tax and revenue agency.
501 High Street, Frankfort, KY 40601
Phone (502) 564-4581
IRS Taxpayer Assistance Center - Lexington
Federal tax help in person.
1500 Leestown Rd., Lexington, KY 40511
Phone (859) 244-2400
Tucker's estimate, derived from Census ZIP Code Business Patterns 2023, is that 34% of the physician offices in those 16 ZIP codes have 10+ employees. A practice in Lexington, Fayette County, Kentucky, also has offices to know.
Lexington-Fayette Urban County Government Division of Revenue is the city office for local taxes, and Fayette County Sheriff's Office (Property Tax Division) collects property tax.
Kentucky Department of Revenue is the state listing, and IRS Taxpayer Assistance Center - Lexington is the federal one. Brent keeps the books and prepares each practice's returns together with each owner's return.
Source: each office's official website, checked October 16, 2026.
GET STARTED
Let's talk about your numbers.
Tell us a little about your business or situation, and Brent will reply personally. No office visit needed — meetings are by phone or video, wherever you’re based.
Call 888-762-4370 · Email brent@brenttuckercpa.com · Prefer to pick a time? Book a consultation online