National Registry of Certified Medical Examiners (National Registry)  

Health and Safety Works has extensive knowledge of FMCSA’s National Registry. We provide solid guidance regarding the National Registry, help navigating the new website and provide advice on the newly published National Registry requirements soon to be released. 

The National Registry of Certified Medical Examiners is a recently established Federal Motor Carrier Administration (FMCSA) regulation. As of May 21, 2014, CMV Drivers engaged in interstate commerce must obtain new medical cards or renew expired medical cards through an physical examination conducted by a medical examiner listed on the National Registry. Additional requirements — The Medical Certification Integration regulation — were published on April 23, 2015. With these:

  • Motor Carriers must ensure and notate that their drivers’ medical cards are signed by a provider listed on the National Registry.  
  • Medical Examiners must become certified and registered on the National Registry if they wish to conduct physical qualification examinations for CMV drivers. 

FMCSA has a special webpage for its National Registry where drivers and carriers can go to find a Medical Examiner. The website is also where Medical Examiner Training organizations can list their training programs and locations. In addition, information about Medical Examiner testing organizations are listed on the website. The website provides extensive information about how to become a training organization, a testing organization and a medical examiner. Medical examiners register to become a National Registry provider through the website, too  

Once certified the Medical Examiner’s name and location is listed on the public webpages. FMCSA communicates regularly with the Medical Examiners listed on the website through emails, keeping them up to date about Agency actions and information. 

The FMCSA issued another rule, Medical Certification Integration, governing the National Registry. Health and Safety Works will assist medical examiners and others understand the new regulation and how to comply with it.

Becoming a Medical Examiner

Becoming a Medical Examiner on The National Registry requires:

  • A current license to practice in a health care specialty such as a nurse practitioner, a physical assistant, a physician, a chiropractor or other health care practitioner whose state defined scope of practice permits the professional to conduct a fitness for duty examination as defined in the FMCSA regulations.
  • Registering to become a Medical Examiner on the National Registry of certified Medical Examiners 
  • Training in FMCSA physical qualification requirements
  • Taking a certification test to demonstrate proficiency in the standards and requirements. 

FMCSA Physical Qualification Requirements

Medical Examiners have a responsibility for ensuring that a driver is physically qualified to operate a Commercial motor vehicle (CMV) in interstate commerce. To provide sound medical determinations Medical Examiners need to clearly understand all the nuances between medical conditions, their treatments and the FMCSA. Specifically, they need to have a clear understanding of:

  • FMCSA Physical Qualification requirements:
  • The driver’s role and responsibility as a CMV driver (Driving a commercial truck or bus differs significantly from driving an automobile).
  • The relationship between medical conditions and CMV driving
  • Knowledge of the latest medical trends and devices and how they impact safe operation of a CMV
  • A clear understanding of how to balance the driver’s needs with the road safety (Some Medical Examiners are very fearful of their own liability and are so strict that driver’s lose their livelihood fro frivolous reasons not related to driver incapacitation).  

Health and Safety Works are subject matter experts on the National Registry, FMCSA regulations and guidance documents and are able to translate that knowledge into meaningful advice. 

We provide clear advice to Medical Examiners, Carriers, Driver Organizations and others on the requirements of the National Registry, how to use the system and the changes coming up with the new National Registry regulation, Medical Certification Integration through documents, training, presentations and research. 


Contact us for more information!