50-State Guide
Maryland
Data provenance — all states
- Licensure Verified 2026-08-14 Report an error
- Endorsement Unverified Report an error
- Renewal Verified 2026-08-14 Report an error
- CME Unverified Report an error
- Practice Verified 2026-08-14 Report an error
- Relinquishment Verified 2026-08-14 Report an error
- Value Unverified Report an error
At a Glance
| Category | Details |
|---|---|
| IMLC Member | Yes |
| FCVS | Required |
| NP Independent Practice | Yes |
| PA Independent Practice | No |
| Physician-Owned PC Allowed | No |
| Max NPs per Physician | No Limit |
| Max PAs per Physician | No Limit |
Licensure
| Item | Cost |
|---|---|
| Initial License | $310 |
| Renewal Fee | $486 |
| Renewal Cycle | Biennial |
| Annualized Cost | $243 |
| Controlled Substance Registration | Yes ($120 per biennial cycle) |
Endorsement & Reciprocity
Not yet researched — whether this state offers license-by-endorsement or reciprocity, and its prerequisites, is being verified.
Unverified Report an error
APC Supervision
In-state requirement for supervising physicians: MD must be licensed in MD.
Nurse Practitioners
NPs can practice independently after 18 mo of supervised practice in Maryland.
- Maximum NPs per physician: No Limit (FPA)
Physician Assistants
PAs require physician supervision in Maryland.
- Maximum PAs per physician: No Limit
CME & Training Requirements
| Requirement | Details |
|---|---|
| Total CME | 2 hours |
| Category 1 Minimum | Contact board |
| Cycle | Biennial |
| Opioid / SUD | 2 hrs/cycle |
| Implicit Bias | Required per cycle |
| DEA MATE Act | 8 hrs one-time (federal) |
| Jurisprudence Exam | Not required |
Fingerprint Requirements
| Detail | Info |
|---|---|
| Required | Yes |
| FBI Check | Unknown |
| Method | LiveScan / IdentoGO / Ink cards (FD-258) |
| Out-of-State Options | Available |
Malpractice Insurance
- Required for licensure/practice: No
- Applies to: The Attorney General's consumer-facing guidance states the non-requirement applies broadly to physicians, physician assistants, nurses, and other medical professionals licensed in Maryland.
Verified 2026-08-14 Report an error
Giving Up a License
- Status after lapse: expired, with no grace period
- Lapse consequences: The online renewal system closes at the statutory deadline with no late-renewal option; after expiration a physician is not authorized to practice and must go through reinstatement rather than a simple late renewal.
- Voluntary surrender: Available — Maryland offers formal Inactive and Emeritus licensure (COMAR 10.32.01.05) as non-disciplinary exits while not practicing. Emeritus requires 10+ years practicing in MD, an active unrestricted license, never having had a license revoked/suspended for discipline, not being under Board investigation, and being 'in good standing'; both statuses bar practicing, prescribing, or peer review in Maryland and require an application/fee ($120 for emeritus).
- Reinstatement: A physician on inactive or emeritus status (or otherwise lapsed) must apply for reinstatement on a Board form, pay a reinstatement fee, submit CME documentation, and describe activities since last renewal; SPEX/COMVEX-USA exam may be required if licensing exam or active practice gaps are long (e.g., no full unrestricted US/Canada license in 10 years, or under 7 of last 10 years in clinical practice).
- Exit in good standing: Available — Both Inactive and Emeritus statuses are explicitly framed around being 'in good standing'; Emeritus additionally requires no history of disciplinary revocation/suspension and no pending Board investigation, making it a board-attestable clean exit.
Verified 2026-08-14 Report an error
Quirks & Gotchas
- Initial application fee: $310 (non-refundable)
- Annual renewal: $512 total, broken down as $436 base + $50 physician rehabilitation/peer review fund + $26 MHCC assessment. Not all sources flag the $50 rehabilitation fund surcharge.
- CME non-compliance penalty: $100 per missing CME credit. With 50 credits required, worst-case exposure is $5,000.
- Timing is a gotcha: Submit fingerprints no earlier than 6 weeks before submitting the license application. Too early and the background check expires before processing.
- Unresolved Maryland state tax liability blocks renewal. The Board has access to MDComp tax records; outstanding state taxes hard-stop the renewal.
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.