WHO WE SERVE · MEDICAL & PROFESSIONAL PRACTICES
Accounting and tax for Washington medical and professional practices
Census ZIP Code Business Patterns 2023 puts the physician offices that employ staff in ZIP code 63090 at 37. Washington medical and professional practices in Missouri can use Brent Tucker, CPA, for monthly accounting and business and owner returns.
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 BrentWashington at a glance
37
physician offices with paid employees in the ZIP code 63090 that serve Washington
Source: U.S. Census Bureau, ZIP Code Business Patterns 2023
11%
share of physician offices with 10+ employees (estimate)
Source: estimate derived by Tucker from Census ZIP Code Business Patterns 2023; not a published figure
31.0
physician offices per 10,000 tax returns filed in its ZIP codes
Source: derived by Tucker from Census ZIP Code Business Patterns 2023 and IRS Statistics of Income ZIP code data, tax year 2022
Tax offices for Washington medical practices
City of Washington Licensing Department (business licenses)
City business tax and licenses.
Phone (636) 390-1047
Franklin County Collector
County property tax collection.
400 E Locust, Room 103, Union, MO 63084
Phone (636) 583-6353
Missouri Department of Revenue, Taxation Division (business tax)
State tax and revenue agency.
301 West High St., Room 102, Jefferson City, MO 65101
Phone 573-751-5860
IRS Taxpayer Assistance Center - Chesterfield
Federal tax help in person.
1122 Town and Country Commons, Chesterfield, MO 63017
Phone (636) 255-1599
Franklin County Collector collects property tax in Franklin County, Missouri, and City of Washington Licensing Department (business licenses) is the city office for local taxes.
The state office is Missouri Department of Revenue, Taxation Division (business tax), with IRS Taxpayer Assistance Center - Chesterfield as the federal office.
A derived estimate gives 31.0 physician offices per 10,000 tax returns filed in the ZIP codes, and Tucker CPA estimates that 11% of the physician offices in ZIP code 63090 have 10 or more employees.
Brent keeps current books and financial statements for Washington practices, prepares business and owner returns together, and gives year-round CPA access.
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