1099 Physician Assistant Jobs in Carson City, NV

What Carson City looks like for physician assistants

The Carson City, NV market supports 70 physician assistants. That figure counts every employment arrangement, W-2 and 1099 alike — BLS does not split the two. Applying 1099WORK's estimate that roughly 25% of physician assistants work on a 1099 basis puts the independent share near 18 people. Treat that as an order of magnitude, not a census. By headcount the market ranks 246th of the 337 metro areas where BLS publishes a figure for this occupation.

Concentration is the more interesting number. The location quotient is 2.31, meaning physician assistants make up a share of local employment 131% larger than they do nationally. Demand here is structural, not incidental. Per head of population it ranks 10th of 337 — a genuine cluster rather than a by-product of metro size. The metro's population is 58,148, roughly flat since 2020.

Specialised markets are harder to enter and more durable once you are in: the buyers know what they are looking at, and price on capability rather than on rate alone. Nevada's lack of a state income tax is worth several points of net income at these levels, and it does not appear anywhere in the BLS figures.

The pay range in Carson City

The local median comes in at $127,290 a year. That works out to $61.20 an hour at a standard 2,080-hour year. That is 4.5% below the national median of $133,260.

The spread matters more than the midpoint for anyone working 1099. The gap between the 10th and 90th percentile is $133,200, which is the range your negotiating position, client mix and specialisation actually move you across. Top-decile earners clear $170,640, against $37,440 at the bottom decile. These are W-2 and 1099 earnings combined, before any contractor adjusts for self-employment tax and unfunded benefits — which is what the next section is for.

How Carson City compares

Carson City pays 4.6% below the Nevada median. Against the national median of $133,260 it sits 4.5% below. The location quotient column is the one worth reading twice: it measures how concentrated the occupation is relative to the national average, and it moves independently of pay.

Turning that salary into a contractor rate

A 1099 contract that pays the same headline number as a W-2 job is a pay cut. You pick up the employer's half of payroll tax, you stop being paid for holidays and time off, and health cover and retirement come out of your own revenue. Matching a $127,290 salary in Carson City therefore takes about $169,786 in contractor gross — a multiplier of 1.33×.

Spread across a full 2,080-hour year that is $81.63 an hour. Nobody bills 2,080 hours: at a more realistic 80% utilisation, with the rest going to admin, invoicing and finding the next contract, the number you should quote is closer to $102.03.

The 1.33× multiplier assumes:

• 7.07% for the employer half of FICA, which self-employment tax shifts onto you
• 20 unpaid days a year — roughly ten holidays plus two weeks off
• 15% for health coverage and retirement you now fund yourself
• excludes business insurance, mileage, accounting fees and unbilled time

Three rates to work from

The percentile spread above is more useful as a rate card than as a statistic. Each row below takes a point in the local wage distribution and applies the same 1.33× contractor multiplier, then divides across a realistic 80% billable year. Treat the middle row as your default and the bottom row as a floor you do not go under — not as a starting offer.

Nearby markets for physician assistants

Contractors are not bound by a metro line the way a commuting employee is, and the neighbouring markets often price the same work differently. Within reach of Carson City:

What you owe in Carson City

Nothing is withheld from a 1099 payment. You pay self-employment tax at 15.3% on 92.35% of net profit, plus income tax, in four estimated payments a year. At the Carson City median that is roughly $4,496 a quarter in self-employment tax alone, before income tax. Nevada levies no state income tax, so the federal bill is close to the whole picture.

Before you sign

Labelling an engagement 1099 does not make it 1099 — the IRS weighs who controls the work, who supplies the tools and who carries the risk. For physician assistants the usual flashpoints are set schedules, employer-supplied equipment and exclusivity clauses. Nevada also applies its own test, which can reach a different answer than the IRS does on identical facts.

Finding Carson City engagements

1099WORK is a marketplace built for 1099 engagements specifically: companies post a defined scope, physician assistants keep one verified profile, and agreements, onboarding and payment happen in the same place. It launched as 1099REPS for independent medical sales reps and now covers the wider 1099 economy, Carson City included.