National Registry of Certified Medical Examiners

As of May 21, 2014, according to FMCSA regulations, all driver physical examinations, as required in 49 CFR 391.41, must be performed by a licensed medical practitioner who appears on the National Registry of Certified Medical Examiners (NRCME).

Q: What is the National Registry?
A: The National Registry of Certified Medical Examiners is a listing of medical personnel who have been approved to conduct medical exams on DOT-regulated commercial motor vehicle drivers. The National Registry is available online at

Q: Who has to use the National Registry?
A: Any driver who operates or intends to operate a regulated commercial motor vehicle in interstate commerce and who needs to obtain a DOT-mandated medical exam after May 20, 2014, will need to select someone from the National Registry to perform the exam.

Q: Will non-CDL drivers be affected as well?
A: Yes. All interstate drivers of “commercial motor vehicles” as defined in Sec. 390.5, whether they hold a commercial driver’s license (CDL) or not, will need to use the National Registry for exams conducted on or after May 21st.

Q: Are the medical standards changing on May 21st?
A: No, there are no changes to the medical standards as part of the National Registry. However, some individual examiners may alter their own standards based on what they learn during their training to be added to the Registry.

View 11 more questions and answers about the National Registry.



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