052-1 Wyo. Code R. §§ 1-8 - Physician and General Fees
Application and initial license fee [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)] ........... $400.00
($250.00 for persons holding a current T-2 license)
Application and initial license fee for persons holding a valid Letter of Qualification issued by a Member State of the Interstate Medical Licensure Compact ................. $325.00
Update of expired application and initial license fee pursuant to paragraph 4(a)(vii) of these rules [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)] ................................................. $400.00
Application to convert from public health emergency licensure exemption to full, unrestricted physician licensure (pursuant to Ch. 1, Sec. 7(d)(i)(D) of these Rules) and initial license fee [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), temporary license (if granted) pending completion and review of licensure application at next board meeting, and initial license (if granted)] .......................... $165.00
Paper form license application processing fee ........................................................... $50.00
Annual renewal of license (including administrative license) .................................. $155.00
Paper form renewal application processing fee ......................................................... $25.00
License renewal grace period surcharge: .................................................................. $100.00
Conversion of administrative, emeritus or inactive license to full, active status [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary) and license (if granted) through June 30th] ..................................................................................................... $250.00
Reactivation of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and license (if granted) through June 30th] ........................................... $250.00
Reinstatement of license [Includes the cost of 1 NPDB report, 1 criminal record check (if necessary), and license (if reinstatement is granted)] [Costs may also be imposed in addition to the reinstatement fee.] ............................................................................. $300.00
Inactive license, conversion to (one-time fee) ............................................................ $50.00
Inactive license renewal ........................................................................................ No charge
First-year residency training license ("T-1" license) .................................................. $25.00
Second-year residency training license ("T-2" license) .............................................. $50.00
Residency training license ("T-2" license) renewal ................................................... $50.00
Volunteer license ........................................................................................................ $15.00
Verification of license ................................................................................................. $15.00
Wyoming hospital privileging verification of license (Requires submission of a spreadsheet listing all physicians and/or physician assistants for whom verifications are requested. Response will be provided on the spreadsheet verifying licensee name, license number, license expiration date, whether the licensee has been disciplined, and whether there are any restrictions on the license.) .................................................. $15.00 per license
Replacement of lost license - pocket size (No charge if the licensee uses the Board's online system to print the replacement license.) ............................................................. $25.00
License - wall size ...................................................................................................... $50.00
Notes
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