I'd say the top of the field is probably orthopedic and spine/neuro surgeons, who are more realistically in the $700k range. If you own a large practice, or have significant ownership in a lucrative surgery center, or have other avenues of passive income, and are also in a highly lucrative field, sure, maybe $1M. Also, I guess, a very lucrative cash only practice like high end cosmetic surgery. But I would not say that it's in the realistic range for 90% of physicians