Guide

Mileage: between sites yes, commuting never

Summary

Driving between work locations during your day — office to a second site, to a hospital, to a patient's home — is deductible business mileage; your daily commute from home to a regular workplace never is. If a qualifying home office is your principal place of business, trips from there to other work sites count as business miles too. You choose the standard mileage rate or actual expenses, and either way you must keep a contemporaneous log.

By Gale Editorial · Updated 2026-07-27. Every figure cited to a dated source. How we write.

The rule in one line: commuting never, between-work yes

Two categories decide almost every question. Business mileage — driving between work locations during your working day — is a deductible ordinary and necessary expense, reported on the car-and-truck line of your Schedule C 12. Commuting — the trip between your home and a regular place of work — is a personal expense and is never deductible, no matter how far you drive or how work-related it feels 1.

TripDeductible?
Home to your regular officeNo — commuting
Office to a second clinic or hospitalYes — between work sites
Office to a patient's home and backYes — business
Home to a temporary work site outside your metro areaOften yes — confirm the rule
Office to the bank for a practice deposit, then backYes — business errand

The trickiest call is the very first drive of the day from home, and that is exactly where a home office changes the answer.

Why the home office flips your first trip

The commuting rule has a hinge: your principal place of business. If a qualifying home office is where you conduct the practice's core administrative and management work, then it is a work location — and driving from it to another work site is business mileage, not a commute 3. That single fact can convert the first and last drive of a telehealth-and-visits day from nondeductible to deductible.

The catch is the gate. The home office has to actually qualify — used regularly and exclusively for the practice — under the same standard that governs the home-office deduction itself 3. Two points follow from it:

  • Qualify first, then drive. If the room fails the exclusivity test, the home end of the trip is still personal.
  • Administrative-and-management use counts. For many solo practices the home office is where scheduling, notes, and billing happen, which is what makes it the principal place of business 3.

Two ways to take it: standard mileage vs actual expenses

Once a trip is deductible, you claim it one of two ways, and you pick per vehicle. The standard mileage method multiplies your business miles by the IRS's per-mile rate — a figure the IRS sets each year, so look up the current rate rather than reusing last year's 1. The actual-expense method instead deducts the business-use share of real costs: gas, insurance, repairs, and depreciation 14.

Under the actual method, depreciation follows Publication 946, and passenger vehicles are listed property with annual depreciation caps — more paperwork and more limits than the standard rate 4. A common convention is to run the numbers both ways in year one, but the choice you make the first year a vehicle is in service can limit later options, so decide deliberately rather than by default.

Standard mileageActual expenses
What you trackBusiness miles per tripEvery vehicle cost plus business-use %
DepreciationBuilt into the rateSeparate, under Pub 946 limits
PaperworkLighterHeavier
First-year choiceCan affect later optionsCan affect later options

The log is the deduction: substantiate every mile

A mileage deduction with no log is the one the IRS disallows first, because vehicle expenses are a classic set of irs audit triggers. The rule is contemporaneous records: log each business trip near the time it happens, with the date, the destination, the business purpose, and the miles 5. A reconstructed year-end estimate from memory does not meet the standard, and it is the paperwork examiners ask for by name 5.

Keep the log with your tax records for the applicable retention period, and record the odometer at the start and end of the year — that is how you prove the business-use percentage the whole deduction rests on 5. If you later find legitimate mileage you left off a filed return, amending is the route to claim it rather than quietly folding it into a future year.

If you've elected S-corp: reimburse, don't deduct personally

The mechanics change if your practice is taxed as an S corporation. There, the car is usually yours personally while the work is the corporation's, so the clean path is an accountable-plan reimbursement: you submit your mileage log to the S corp, it reimburses you at the standard rate, and it deducts the reimbursement — tax-free to you 6. Deducting the miles on your personal return instead generally does not work for an S-corp owner.

The log still governs: no substantiation, no clean reimbursement, so the same discipline from the previous section applies either way 65. Whether the S election is worth its cost at all is a separate calculation for your CPA; this only covers how the vehicle is handled once that election is in place 6.

Common trip calls a solo practice actually faces

A handful of recurring situations settle most day-to-day questions once you know the framework. The theme is consistent: a trip is deductible when it runs between work activities, and personal when it bookends your day at a regular workplace 13. Where a home office qualifies as your principal place of business, the home end of the trip becomes a work location, which is what changes the answer 3.

  • Continuing-education seminar across town. Travel to and from CE is generally a deductible business trip, like any other work destination 1.
  • A supply stop on the way in. The business-errand leg is deductible; the pure home-to-office portion is still commuting.
  • Two patient sites in one day. The drive between them is squarely business mileage.
  • A full day worked from a qualifying home office. No commute exists, so a later drive that day to a work site is business mileage 3.

Common questions

Generally no. The trip between your home and a regular place of work is commuting, a personal expense, no matter the distance. The exception is when a qualifying home office is your principal place of business — then the home is itself a work location, and the drive to another work site becomes deductible business mileage rather than a commute.

It depends on your vehicle and your tolerance for recordkeeping. The standard mileage rate is simpler: business miles times the IRS's yearly per-mile figure. Actual expenses can be larger for an expensive vehicle but require tracking every cost and your business-use percentage, with depreciation subject to Publication 946 limits. Many run both the first year, mindful that the first-year choice can affect later options.

A contemporaneous log: for each business trip, the date, destination, business purpose, and miles, kept near the time you drove. Odometer readings at the start and end of the year support your business-use percentage. Vehicle expenses are a common audit focus, and a reconstructed year-end estimate from memory is exactly what gets disallowed. Keep the log with your tax records.

Usually through an accountable-plan reimbursement, not a personal deduction. You submit your mileage log to the corporation, it reimburses you at the standard rate, and it deducts the reimbursement while the payment stays tax-free to you. The substantiation requirement is the same as always — no log, no clean reimbursement. Whether the S election itself pays off is a separate question for your CPA.

Yes, when it runs between work activities rather than bookending your day from home. A trip from your office to a patient's home and back is business mileage. If a qualifying home office is your principal place of business, even the drive from home to that patient counts. The log still has to record each such trip to substantiate it.

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References

  1. 1.Internal Revenue Service (2026). Guide to business expense resources. Internal Revenue Service. linkThat business use of a vehicle is an ordinary and necessary deductible expense, claimed by the standard-mileage or actual-expense method, while commuting is nondeductible.
  2. 2.Internal Revenue Service (2026). Self-employed individuals tax center. Internal Revenue Service. linkThat a solo practice reports vehicle expenses on the car-and-truck line of Schedule C.
  3. 3.Internal Revenue Service (2026). Home office deduction. Internal Revenue Service. linkThat a qualifying home office used as the principal place of business is a work location, so trips from it to other work sites are business mileage rather than commuting, subject to the regular-and-exclusive-use standard.
  4. 4.Internal Revenue Service (2026). Publication 946, How To Depreciate Property. Internal Revenue Service. linkThat the actual-expense method depreciates the vehicle under MACRS, with passenger vehicles treated as listed property subject to annual depreciation caps.
  5. 5.Internal Revenue Service (2026). Recordkeeping. Internal Revenue Service. linkThat a mileage deduction requires contemporaneous records — date, destination, purpose, and miles — plus odometer readings, kept for the applicable retention period.
  6. 6.Internal Revenue Service (2026). S corporations. Internal Revenue Service. linkThat an S-corp owner is reimbursed for business mileage under an accountable plan rather than deducting the miles personally, with the reimbursement tax-free when substantiated.

https://www.gale.care/for-providers/tax-vehicle-mileage · 6 sources. Competitor details are cited to dated public sources and maintained as they change; figures are estimates, not commitments. Synthetic demonstration.

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