OSTEOPATHIC PHYSICIAN
Summary Overall Rank Education License Fees Continuing Education Table

  Rank Education and Experience Examination Continuing Education Fees Reciprocity or Endorsement
State Overall Rank Postgraduate Training Examination Fees Continuing Education Reciprocity Graduation from an Accredited School of Osteopathic Medicine U.S. Graduate -  Postgraduate Training (years) Foreign Graduate Documentation Foreign Graduate - Postgraduate Training (years) National Exam Continuing Education Hours per Year Initial License Renewal per year Total Lic Period (yr(s)) Reciprocity or Endorsement Years Licensed Additional Fees
Connecticut 1 1 N/A 1 2 1 Yes 2     Yes 25 $450.00 $450.00 $900.00 1      
Illinois 2 1 N/A 4 1 1 Yes 2 ECFMG, 5th Pathway 1 Yes 50 $300.00 $100.00 $400.00 3      
New Hampshire 2 1 N/A 4 1 1 Yes 2 ECFMG   Yes 50 $250.00 $150.00 $400.00 2      
Texas 2 3 N/A 1 2 1 Yes 1 ECFMG, 5th Pathway 3 Yes 24 $1,559.00 $375.00 $1,934.00 2      
New Jersey 2 1 N/A 1 1 5 Yes 3 ECFMG, 5th Pathway   Yes 50 $665.00 $290.00 $955.00 2 Yes    
Wyoming 2 3 N/A 3 1 1 Yes 1 ECFMG, 5th Pathway 3 Yes 20 $350.00 $200.00 $550.00 1      
Alaska 2 1 N/A 1 2 5 Yes 2 ECFMG, WHO 3 Yes 25 $840.00 $295.00 $1,135.00 2 Yes    
Iowa 2 3 N/A 2 3 1 Yes 1     Yes 20 $496.00 $200.00 $696.00 2      
Nevada 2 1 N/A 1 2 5 Yes 3     Yes 35 $800.00 $300.00 $1,100.00 1 Yes    
Virginia 3 3 N/A 4 2 1 Yes 1 ECFMG 2 Yes 30 $302.00 $168.50 $470.50 2      
Washington 3 3 N/A 1 1 5 Yes 1     Yes 50 $750.00 $475.00 $1,225.00 1 Yes    
Georgia 3 3 N/A 4 3 1 Yes 1 5th Pathway, WHO, ECFMG 3 Yes 20 $400.00 $75.00 $475.00 2      
Maryland 3 3 N/A 1 2 5 Yes 1 ECFMG, 5th Pathway 2 Yes 25 $817.00 $260.00 $1,077.00 2 Yes 10  
Massachusetts 3 3 N/A 2 1 5 Yes 1 ECFMG, WHO 2 Yes 50 $600.00 $200.00 $800.00 2 Yes    
Rhode Island 3 1 N/A 2 3 5 Yes 2     Yes 20 $537.50 $100.00 $637.50 2 Yes    
Arizona 3 3 N/A 1 3 5 Yes 1     Yes 20 $580.00 $300.00 $880.00 2 Yes 7  
Colorado 3 3 N/A 3 5 1 Yes 1 ECFMG 3 Yes 0 $425.00 $155.00 $580.00 2      
Florida 3 3 N/A 1 3 5 Yes 1     Yes 20 $657.00 $215.00 $872.00 2 Yes    
Hawai‘i 3 3 N/A 3 5 1 Yes 1     Yes 0 $400.00 $95.00 $495.00 2      
Kansas 3 3 N/A 3 1 5 Yes 1 5th Pathway   Yes 50 $300.00 $222.50 $522.50 1 Yes    
Maine 3 3 N/A 3 1 5 Yes 1     Yes 50 $350.00 $250.00 $600.00 2 Yes    
Arkansas 3 1 N/A 3 4 5 Yes 3 ECFMG 3 Yes 7 $500.00 $200.00 $700.00 3 Yes    
California 3 3 N/A 4 1 5 Yes 1     Yes 50 $256.00 $200.00 $456.00 2 Yes    
Kentucky 3 1 N/A 4 3 5 Yes 2 WHO, ECFMG   Yes 20 $250.00 $125.00 $375.00 1 Yes    
Louisiana 3 3 N/A 2 3 5 Yes 1 ECFMG, WHO 3 Yes 20 $382.00 $332.00 $714.00 1 Yes   100
Minnesota 3 3 N/A 3 2 5 Yes 1 ECFMG 2 Yes 25 $392.00 $192.00 $584.00 1 Yes    
New Mexico 3 3 N/A 3 2 5 Yes 1     Yes 25 $400.00 $200.00 $600.00 1 Yes    
North Carolina 3 3 N/A 4 1 5 Yes 1 ECFMG, 5th Pathway 3 Yes 50 $288.00 $175.00 $463.00 1 Yes    
Ohio 3 3 N/A 4 1 5 Yes 1 ECFMG, 5th Pathway 2 Yes 50 $300.00 $137.50 $437.50 2 Yes    
South Carolina 3 3 N/A 2 3 5 Yes 1 ECFMG, 5th Pathway 3 Yes 20 $600.00 $90.00 $690.00 2 Yes    
Tennessee 3 3 N/A 2 3 5 Yes 1     Yes 20 $410.00 $192.50 $602.50 2 Yes    
Idaho 4 3 N/A 3 3 5 Yes 1 ECFMG 3 Yes 20 $400.00 $200.00 $600.00 1 Yes   100
Michigan 4 3 N/A 5 1 5 Yes 1     Yes 50 $235.00 $95.00 $330.00 3 Yes 5  
Mississippi 4 3 N/A 3 3 5 Yes 1 ECFMG 3 Yes 20 $500.00 $50.00 $550.00 1 Yes    
Missouri 4 3 N/A 4 2 5 Yes 1 ECFMG, 5th Pathway 3 Yes 25 $300.00 $100.00 $400.00 2 Yes    
Montana 4 1 N/A 3 5 5 Yes 2 ECFMG 3 Yes 0 $325.00 $200.00 $525.00 1 Yes    
New York 4 3 N/A 1 5 5 Yes 1 ECFMG, 5th Pathway 3 Yes 0 $735.00 $300.00 $1,035.00 2 Yes    
Pennsylvania 4 3 N/A 5 1 5 Yes 1     Yes 50 $45.00 $220.00 $265.00 2 Yes    
Utah 4 1 N/A 5 3 5 Yes 2 ECFMG   Yes 20 $200.00 $91.50 $291.50 2 Yes 3  
Vermont 4 3 N/A 2 4 5 Yes 1     Yes 15 $500.00 $250.00 $750.00 2 Yes    
Nebraska 4 3 N/A 5 2 5 Yes 1 EECFMG, 5th Pathway 3 Yes 25 $202.00 $38.50 $240.50 2 Yes 1  
Oklahoma 4 3 N/A 3 4 5 Yes 1     Yes 16 $400.00 $200.00 $600.00 1 Yes    
Alabama 4 3 N/A 4 4 5 Yes 1 ECFMG, WHO, 5th Pathway 3 Yes 12 $175.00 $200.00 $375.00 1 Yes    
Delaware 4 3 N/A 5 3 5 Yes 1 ECFMG 3 Yes 20 $206.00 $117.50 $323.50 2 Yes   150
North Dakota 4 3 N/A 5 3 5 Yes 1     Yes 20 $200.00 $150.00 $350.00 1 Yes    
Oregon 4 3 N/A 3 5 5 Yes 1 ECFMG, 5th Pathway 3 Yes 0 $350.00 $210.00 $560.00 2 Yes    
South Dakota 4 1 N/A 5 5 5 Yes 2 ECFMG 2 Yes 0 $200.00 $100.00 $300.00 1 Yes    
West Virginia 4 3 N/A 5 4 5 Yes 1     Yes 16 $200.00 $100.00 $300.00 2 Yes    
Wisconsin 4 3 N/A 5 4 5 Yes 1     Yes 15 $110.00 $53.00 $163.00 2 Yes   53
Indiana 5 3 N/A 5 5 5 Yes 1 ECFMG 2 Yes 0 $250.00 $100.00 $350.00 2 Yes