
WHO WE SERVE · MEDICAL & PROFESSIONAL PRACTICES
Accounting and tax for Ithaca medical and professional practices
Brent Tucker, CPA, works with Ithaca medical and professional practices in New York by phone or video. The count of physician offices with paid employees in ZIP codes 14850 and 14853 is 62, per Census ZIP Code Business Patterns 2023.
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 BrentIthaca at a glance
62
physician offices with paid employees in the ZIP codes 14850 and 14853 that serve Ithaca
Source: U.S. Census Bureau, ZIP Code Business Patterns 2023
44%
share of physician offices with 10+ employees (estimate)
Source: estimate derived by Tucker from Census ZIP Code Business Patterns 2023; not a published figure
26.3
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 Ithaca medical practices
City of Ithaca Finance Department (City Chamberlain)
City business tax and licenses.
108 East Green Street City Hall, 1st Floor Ithaca, NY 14850
Phone 607-274-6580
Tompkins County Finance Department (Treasury)
County property tax collection.
125 East Court Street Old Jail Bldg. 2nd Floor Ithaca, NY 14850
Phone (607) 274-5545
New York State Department of Taxation and Finance - Sales tax telephone assistance (businesses)
State tax and revenue agency.
Phone (518) 485-2889
IRS Taxpayer Assistance Center - Binghamton
Federal tax help in person.
15 Henry St., Binghamton, NY 13901
Phone (607) 721-0338
An estimate that Tucker CPA derived puts Ithaca at 26.3 physician offices per 10,000 tax returns filed in its ZIP codes. A second estimate puts 44% of physician offices across those ZIP codes at 10 or more employees.
In Tompkins County, New York, the Tompkins County Finance Department (Treasury) collects property tax, and local taxes run through the City of Ithaca Finance Department (City Chamberlain).
State matters go to the New York State Department of Taxation and Finance - Sales tax telephone assistance (businesses), and the IRS Taxpayer Assistance Center - Binghamton is the federal listing.
Brent keeps financial statements current and prepares returns for the practice and its owners.
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