CoastFIRE for Doctors
By Minh · Updated 2026-04-25 · 5 min read
Doctors have a specific CoastFIRE setup: typical incomes around $280,000, and primary tax-advantaged accounts in the 401(k), 457(b), or PSP family. This guide walks through what those numbers look like and how a no-pension career changes the math.
High-income physicians face a CoastFIRE paradox: huge income but late start (30+ when residency ends) and high spending. The math still works — just compress your saving years.
CoastFIRE at Age 35 for a Typical Doctor
$971,785
Based on $280,000 income, 60% replacement ratio, 5% real return
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CoastFIRE Numbers by Age for Doctors
| Age | Years to 65 | CoastFIRE Today |
|---|
| 25 |
40 |
$596,592 |
| 30 |
35 |
$761,419 |
| 35 |
30 |
$971,785 |
| 40 |
25 |
$1,240,272 |
| 45 |
20 |
$1,582,936 |
| 50 |
15 |
$2,020,272 |
The table assumes your retirement spending is 60% of your current income (~$168,000/yr) and a 5% real return on investments.
Account Strategy for Doctors
Doctors typically have access to 401(k), 457(b), or PSP. Here's the priority order most fee-only planners recommend:
- Employer match first — contribute enough to capture every match dollar. This is a guaranteed return that beats every other investment.
- Max a Roth IRA if eligible ($7,000/yr in 2026; $8,000 if 50+). Income limits: phase out at $150–165k single / $236–246k MFJ in 2026.
- Max your primary workplace plan ($23,500 in 2026 for 401(k),; $31,000 if 50+).
- Mega-backdoor Roth if available — total 401(k) limit is $70,000 in 2026 (employee + employer + after-tax). The after-tax portion can be converted to Roth.
- HSA if eligible ($4,300 single / $8,550 family in 2026) — best tax-advantaged account in existence.
- Brokerage for everything beyond that — taxable, but flexible, no contribution limits, and LTCG rates (15% for most) are friendlier than ordinary income.
What Could Go Wrong
- Job change before vesting — leaving a 401(k) match table on the table when you switch jobs.
- Lifestyle inflation as income grows — a $30k raise can become $30k of extra spending if you're not intentional.
- Disability or income loss — own-occupation disability insurance is non-negotiable for doctors who depend on a specific skillset.
- Sequence-of-returns risk in early retirement — a 30% drop in year 1 of retirement can permanently impair your portfolio if you don't have a cash buffer.
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Frequently Asked Questions
What's a realistic CoastFIRE number for doctors?
At a typical income of $280,000 and assuming 60% income replacement in retirement, the CoastFIRE number for a 35-year-old is approximately $971,785. The full table above shows other ages.
Should doctors prioritize 401(k), 457(b), or Roth IRA?
Capture employer match first (free money), then prioritize Roth IRA at lower incomes (under $100k single / $200k MFJ) for tax-free growth. Above those incomes, the deduction in a Traditional 401(k), usually wins. Mega-backdoor Roth (if available) is the gold-standard top-up.
Without a pension, do I need to save more?
Compared to pension-eligible careers, yes — your portfolio has to do all the heavy lifting. The flip side: no vesting cliffs, full portability when you switch jobs, and your money is yours regardless of employer drama.
What's the biggest CoastFIRE mistake for doctors?
High-income physicians face a CoastFIRE paradox: huge income but late start (30+ when residency ends) and high spending. The math still works — just compress your saving years.