How to Become A DOT Medical Examiner

What is NRCME Certification?

The National Registry of Certified Medical Examiners (NRCME) is a Federal program that establishes requirements for healthcare professionals that perform physical qualification examinations and issue medical certificates for truck and bus drivers. To become a certified medical examiner (ME) and be listed on the National Registry, healthcare professionals must complete training and testing on the Federal Motor Carrier Safety Administration’s (FMCSA) physical qualifications standards and guidelines.

Who Can Be a Medical Examiner and Perform DOT Physical Exams?

Medical providers eligible to sit for the national exam to become a Certified Medical Examiner are Doctors of Medicine, Doctors of Osteopathic Medicine, Doctors of Chiropractic, Advanced Practice Nurses, Advanced Practice Registered Nurses, Naturopathic Doctors, Doctors of Nursing Practice, Clinical Nurse Specialists, Nurse Practitioners and Physician Assistants. Acupuncturist in Florida; Doctor of Physical Therapy in Arkansas, Louisiana, North Dakota and Texas; Doctor of Oriental Medicine in New Mexico; and Registered Nurse in Colorado are all eligible to become certified Medical Examiners.

The above listed providers must meet the following criteria:

  • Possess a valid and current medical license, certificate or registration in the jurisdiction where they will perform these examinations, in accordance with applicable state laws and regulations

  • Complete our accredited NRCME training course and obtain a Certificate of Completion

  • Obtain a personal National Registry Number from the Federal Motor Carrier Safety Administration (FMCSA) by registering in the National Registry of Certified Medical Examiners.

  • Register and pass the NRCME Certification Exam from an FMCSA-approved testing organization

How Do I Get Certified to do DOT Physical Exams?

Becoming a certified medical examiner is easy. Just follow these steps:

1) Register and complete our training program to obtain your Certificate of Completion, which is required for your application to sit for the NRCME Certification Exam.

2) Using this certificate of completion, apply for your account and 10-digit National Registry number on the National Registry of Certified Medical Examiners website located at  https://www.fmcsa.dot.gov/regulations/national-registry/national-registry-certified-medical-examiners-become-medical-examiner.

3) FMCSA will issue the 10-digit registry number and then verify your credentials. This process can take 1-3 weeks. Providers will only know they have been verified when they can schedule the national exam, no verification notice is sent out.

4) Use your National Registry number to schedule and sit for the $79 certification exam. Locate a local testing location to take your NRCME Examination. (Click on a testing organization below to access their site and schedule your exam.) appointment. 

Testing Organization Websites:
Prometric https://www.prometric.com/
PSI Exams https://candidate.psiexams.com/

Be sure to bring the following items to the testing location:

A valid state issued picture ID
Valid license to practice in your healthcare profession
Certificate of completion provided by NRCME Training Online
Your National Registry Medical Examiner identification number

After Passing the FMCSA Medical Examiner Certification Test:

You will receive a Medical Certification credential valid for 10 years and be listed on the National Registry
As an NRCME examiner, you will now:

Report results of driver exams every month
Submit to periodic monitoring and audits
– Maintain certification by completing periodic training every 5 years
Take and pass the certification exam every 10 years.


Review the Complete Guide to NRCME Certification.

How Long is NRCME Certification Good For?

Certified Medical Examiners are certified for 10-years from the original certification date. The FMCSA will provide the required (5) five-year refresher training online to Medical Examiners at no cost. Medical Examiners eligible to take the (5) five-year periodic online training will be notified by email from the FMCSA.

What is Included in the Training?

The training program consists of 12 learning modules including vision, hearing, cardiovascular, hypertension, respiratory, neurological, musculoskeletal, diabetes, psychological, and substance abuse. Our video lecture format is easy to follow and guides the clinician through performing a thorough driver history, physical exam, and determining driver fitness to operate a commercial motor vehicle. At the completion of the training, a 26 question survey is administered.  Upon completion of the survey, the trainee can download and print a certificate of completion, qualifying them to sit for the National Registry Exam.

The TeamCME Online NRCME Training  program meets or exceeds core curriculum requirements as specified by the Federal Motor Carrier Safety Administration (FMCSA).

Training Includes:

  • 365 Days of access to NRCME training modules

  • 12 Hours of training webinars conducted by board certified physicians and nurse practitioners

  • 200+ practice test questions, written by a NRCME Champion

  • Live phone support

  • AMA PRA Category 1 Credits™  or Chiropractic CE credits upon program completion

  • Print your certificate of completion online upon successful program completion