WHO WE SERVE · MEDICAL & PROFESSIONAL PRACTICES
Accounting and tax for Cave Spring medical and professional practices
46 physician offices with paid employees are counted in ZIP code 24018, which serves Cave Spring, Virginia, per Census ZIP Code Business Patterns 2023. A Cave Spring practice can hand its books and returns to Brent Tucker, CPA.
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 BrentCave Spring at a glance
46
physician offices with paid employees in the ZIP code 24018 (Roanoke) that serve Cave Spring
Source: U.S. Census Bureau, ZIP Code Business Patterns 2023
37%
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 Cave Spring medical practices
Roanoke County Treasurer’s Office
County property tax collection.
5204 Bernard Drive, Roanoke, VA 24018
Phone 540-772-2056
Roanoke County Real Estate Valuation
County property assessment.
5204 Bernard Drive SW, Suite 200-D, Roanoke, VA 24018-0798
Phone 540-772-2035
Virginia Tax Customer Service for Businesses (Virginia Department of Taxation)
State tax and revenue agency.
1957 Westmoreland Street, Richmond, VA 23230
Phone 804.367.8037
IRS Taxpayer Assistance Center - Roanoke
Federal tax help in person.
210 1st St. SW, Suite 100, Roanoke, VA 24011
Phone (540) 767-7410
Cave Spring is unincorporated; Roanoke County handles local property tax.
Cave Spring is an unincorporated community in Roanoke County with no city government of its own, so the county serves it. Roanoke County Treasurer’s Office collects property tax, and Roanoke County Real Estate Valuation assesses property.
The state listing is the Virginia Tax Customer Service for Businesses (Virginia Department of Taxation), and the IRS Taxpayer Assistance Center - Roanoke is the federal one.
Tucker CPA estimates 37% of physician offices in ZIP code 24018 have 10 or more employees. Brent Tucker, CPA, coordinates the practice's returns with each owner's return and keeps monthly accounting current for Cave Spring medical and professional practices.
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