Introduction
Missouri serves as a major healthcare hub in the Midwest, with significant medical centers in St. Louis and Kansas City. The Missouri Board of Registration for the Healing Arts (BOHA) oversees physician licensure with one of the most affordable renewal fees in the nation at just $107.
As a member of the Interstate Medical Licensure Compact (IMLC), Missouri offers expedited multistate licensing for physicians practicing across state lines. This guide covers everything you need to know about Missouri medical license renewal in 2026.
Missouri Board of Registration for the Healing Arts Overview
| Detail | Information |
|---|---|
| Regulatory Authority | Board of Registration for the Healing Arts (BOHA) |
| Parent Agency | Missouri Division of Professional Registration |
| Renewal Cycle | Biennial (every 2 years) |
| Renewal Deadline | January 31 (even years) |
| IMLC Status | Member State |
| Online Portal | mopro.mo.gov |
| Phone | (573) 751-0290 |
| healingarts@pr.mo.gov |
Missouri Medical License Renewal Fees (2026)
Missouri offers one of the lowest physician license renewal fees in the country.
| Fee Type | Amount | Notes |
|---|---|---|
| Biennial Renewal | $107.00 | Permanent physician license |
| Initial Application | $82.00 | New licensure |
| PA Renewal | $28.00 | Physician Assistant |
Source: Missouri Board of Registration for the Healing Arts
Last verified: January 22, 2026
CME Requirements for Missouri Physicians
Missouri requires 50 hours of CME with specific category distribution and mandatory pain management content.
Basic CME Requirements
| Requirement | Details |
|---|---|
| Total Hours | 50 hours per biennial period |
| Category 1 Minimum | At least 25 hours |
| Category 2 | Up to 25 hours allowed |
| Cycle | Even-numbered years |
Acceptable Credit Types
- AOA Category 1-A
- AOA Category 2-A
- AMA Category 1
- AAFP Prescribed Credits
Mandatory CME Topics
| Topic | Hours | Notes |
|---|---|---|
| Pain Management or Opioid Prescribing | 2 | Required every renewal cycle |
The 2-hour pain management/opioid prescribing requirement must cover responsible prescribing practices and may include topics such as addiction recognition, risk assessment, and patient monitoring.
Renewal Timeline
Missouri has a fixed renewal deadline rather than a birth-month system.
| Timeframe | Action |
|---|---|
| On or before December 1 | Renewal notice mailed |
| January 31 (even years) | Renewal deadline |
| After January 31 | Late fees apply; cannot practice |
2026 Is a Renewal Year
Since 2026 is an even-numbered year, all Missouri physician licenses expire on January 31, 2026. The Board sends renewal notices by December 1, 2025.
Online Renewal Process
- Access MOPRO: Visit mopro.mo.gov
- Register/Login: Create or access your MOPRO account
- Select Renewal: Choose "Apply for License" then select physician renewal
- Complete Application: Answer all required questions and disclosures
- Certify CME: Attest to completion of 50 hours including pain management
- Pay Fee: Submit $107 via electronic payment
- Receive Confirmation: Save receipt for your records
Consequences of Non-Renewal
| Status | Consequence |
|---|---|
| After January 31 | License expired; cannot practice in Missouri |
| Late Renewal | Additional fees; application review |
| Extended Lapse | Reinstatement process required |
| Practice While Expired | Disciplinary action; potential criminal charges |
Missouri-Specific Considerations
Lowest Renewal Fees
At $107, Missouri has one of the lowest physician license renewal fees in the nation. This makes Missouri an affordable state for maintaining licensure, particularly for multistate practitioners.
Fixed Deadline
Unlike many states that use birth-month renewal systems, Missouri has a fixed January 31 deadline in even-numbered years. All physicians renew on the same schedule, which can create high volume near the deadline.
IMLC Membership
Missouri is a member of the Interstate Medical Licensure Compact. The state can serve as either a State of Principal License (SPL) or as an additional license state for IMLC applications.
Midwest Hub Advantages
Missouri's central location and major medical centers in St. Louis (Barnes-Jewish Hospital, Washington University) and Kansas City (Saint Luke's, UMKC) make it a strategic state for regional practice.
Key Takeaways
- Renewal fee is only $107—one of the lowest nationally
- 50 hours of CME required (25+ Category 1, up to 25 Category 2)
- 2 hours of pain management/opioid CME mandatory
- Fixed deadline: January 31 in even-numbered years
- 2026 is a renewal year—deadline is January 31, 2026
- Missouri is an IMLC member state
- All physicians renew on same schedule (not birth-month based)
Conclusion
Missouri offers an affordable and straightforward license renewal process with its $107 fee and 50-hour CME requirement. The fixed January 31 deadline in even-numbered years requires calendar awareness, but the low fee and central location make Missouri an attractive state for multistate practice.
Use CredentialMate to track your CME hours, monitor the fixed January 31 deadline, and ensure you complete your pain management hours—keeping your Missouri license current at minimal cost.
Frequently Asked Questions
How much does Missouri medical license renewal cost?
Missouri's biennial renewal fee is $107 for a permanent physician license—one of the lowest in the nation. The initial application fee is $82.
When is the Missouri medical license renewal deadline?
Missouri has a fixed renewal deadline of January 31 in even-numbered years. 2026 is a renewal year, so all Missouri physician licenses must be renewed by January 31, 2026.
How many CME hours does Missouri require?
Missouri requires 50 hours of CME per biennial period. At least 25 hours must be Category 1 (AMA or AOA), with up to 25 hours as Category 2. Two hours must cover pain management or opioid prescribing.
What is the pain management CME requirement in Missouri?
Missouri requires 2 hours of CME on pain management or opioid prescribing every renewal cycle. This must address responsible prescribing practices and may include addiction recognition and patient monitoring.
Is Missouri part of the IMLC?
Yes, Missouri is a member of the Interstate Medical Licensure Compact. Physicians can use Missouri as their State of Principal License or add Missouri to an existing IMLC application for expedited licensure.
References
[1]: Missouri Board of Registration for the Healing Arts
https://pr.mo.gov/healingarts.asp
[2]: Missouri Association of Osteopathic Physicians - BOHA Guidelines
https://maops.org/bohaguidelines/
[3]: AMA Ed Hub - Missouri CME Requirements
https://edhub.ama-assn.org/state-cme/Missouri
[4]: Missouri Professional Registration - MOPRO
https://mopro.mo.gov
[5]: IMLC - Participating States
https://www.imlcc.org/participating-states/