DOT Physical Examination: Employer's Quick Guide
Everything employers need to know about DOT Physical — who needs it, what's included, and how to find a provider through BlueHive.
At a glance
- Turnaround
- Same day; certificate issued upon completion if qualified
- Typical cost
- $85–$150
- Certification
- FMCSA National Registry
- CPT code
- 99455
Best for
- Fleet & Transportation HR
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Browse the networkWhat Is DOT Physical?
DOT physicals are required medical examinations for commercial motor vehicle drivers, conducted by FMCSA-certified medical examiners.
A DOT Physical Examination is a comprehensive medical evaluation required by the Federal Motor Carrier Safety Administration (FMCSA) for all commercial motor vehicle (CMV) drivers. This examination ensures that drivers meet the physical qualifications necessary to safely operate commercial vehicles on public roads.
Who Needs This Service?
- CDL drivers operating vehicles over 10,001 lbs
- Drivers transporting hazardous materials
- Drivers operating vehicles designed for 16+ passengers
- Interstate and intrastate commercial drivers
- Fleet managers and transportation companies
What's Included
A typical DOT Physical appointment includes:
- FMCSA National Registry certified examiners
- Results uploaded rapidly
- Electronic Medical Examiner Certificate (MEC)
- Compliance tracking and expiration alerts
- Same-day appointments available
Turnaround time: Same day; certificate issued upon completion if qualified
Typical cost: $85–$150
How It Works
- Health History Review — Complete review of past surgeries, medications, and medical conditions.
- Vision and Hearing Tests — Verify you meet federal requirements for visual acuity (20/40) and hearing.
- Blood Pressure and Pulse Check — Monitor cardiovascular health indicators. BP must be below 140/90 for 2-year certification.
Related Services
Ready to get started? Find a provider for DOT Physical or learn more about this service.
How DOT Physical works, step by step
- 1
Health History Review
Complete review of past surgeries, medications, and medical conditions.
- 2
Vision and Hearing Tests
Verify you meet federal requirements for visual acuity (20/40) and hearing.
- 3
Blood Pressure and Pulse Check
Monitor cardiovascular health indicators. BP must be below 140/90 for 2-year certification.
- 4
Urinalysis
Checks for underlying health issues like diabetes, not a drug test.
- 5
Physical Exam
Covers heart, lungs, spine, limbs, and neurological function.
- 6
Certification
If passed, driver receives a Medical Examiner's Certificate (valid up to 2 years).
Regulatory snapshot
FMCSA regulations (49 CFR Part 391); Required every 2 years, or more frequently if health conditions require monitoring
Track state-by-state changes in Compliance WatchFrequently asked questions
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Content Developer
64 articles
Chris Davis is a content developer at BlueHive Health with a background in healthcare operations, medical billing, and small-business management. He writes plain-English guides on OSHA, DOT, and PHMSA compliance for HR and safety leaders.
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