50-State Guide

Delaware

At a Glance

CategoryDetails
IMLC MemberYes
FCVSAccepted
NP Independent PracticeYes
PA Independent PracticeYes
Physician-Owned PC AllowedNo
Max NPs per PhysicianNo Limit
Max PAs per Physician4

Licensure

ItemCost
Initial License$440
Renewal Fee$344
Renewal CycleBiennial
Annualized Cost$172
Controlled Substance RegistrationYes ($123 per biennial cycle)

Endorsement & Reciprocity

Not yet researched — whether this state offers license-by-endorsement or reciprocity, and its prerequisites, is being verified.

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APC Supervision

In-state requirement for supervising physicians: MD must be licensed/available.

Nurse Practitioners

NPs can practice independently in Delaware.

  • Maximum NPs per physician: No Limit (FPA)

Physician Assistants

PAs can practice independently in Delaware.

  • Maximum PAs per physician: 4

CME & Training Requirements

RequirementDetails
Total CME40 hours
Category 1 Minimum40 hours
CycleBiennial
Child AbuseRequired per cycle
DEA MATE Act8 hrs one-time (federal)
Jurisprudence ExamNot required

Fingerprint Requirements

DetailInfo
RequiredYes
FBI CheckYes
MethodIdentoGO
Out-of-State OptionsContact board

Malpractice Insurance

  • Compensation fund: Delaware Code Title 18, Chapter 68, Subchapter VII ('Compensation for Health Care Injuries,' §§6861-6865) is not a state patient compensation fund; it consists of litigation-procedure rules (advance payments, nonassignability of claims) in medical negligence lawsuits, not a fund physicians pay into or draw on.

Verified 2026-08-14 Report an error

Giving Up a License

  • Status after lapse: Physician (MD/DO) registration must be renewed biennially (expires March 31 of odd-numbered years); a late renewal application may be filed without full reapplication up to one year after expiration; if not renewed within that window the license terminates.
  • Lapse consequences: Practicing on an expired license is illegal. Late renewal (within the 1-year window) requires a late fee in addition to the standard renewal fee; the statute leaves the exact grace-period length and penalty amount to be set by Division procedure rather than fixing them in the code itself.
  • Reinstatement: Within one year of expiration, renewal can occur via a late renewal application plus late fee. After termination (i.e., beyond that window), the physician must reapply in DELPROS as a brand-new applicant, subject to current licensing requirements.

Verified 2026-08-14 Report an error

Quirks & Gotchas

  • Initial application: $430 (MD or DO) — non-refundable.
  • Late renewal penalty: 50% of the renewal fee added if submitted after the expiration date.
  • License verification: $35 (or $45 with exam scores/history) — needed for credentialing at hospitals, which is a practical hidden cost.
  • All fees are non-refundable.
  • Critical gotcha: Background checks completed for any other purpose (another state, employer, etc.) do not satisfy this requirement. Delaware requires its own dedicated fingerprint submission.

These quirks are researched from state board websites and may change. Verify with the board directly before applying.

Resources

Sources

Data compiled from state medical board websites, FSMB, and regulatory filings.

Have a correction or update? Let us know.