Reference Source

How long medical certificates last for pilots, commercial drivers and merchant mariners — by class, age and service type

How long a federally required medical certificate remains valid for each regulated transport occupation, and what it depends on. FAA pilot medicals (14 CFR 61.23) cascade by class and age — a first-class certificate carries first-class privileges to the 12th month for pilots under 40 but only the 6th month at 40 or older, then downgrades to second- and third-class privileges on a schedule; commercial drivers need a medical examiner's certificate on a cycle set by 49 CFR 391.45; merchant mariner medical certificates run 2 years for STCW service but 5 years for national-only credentials, and only 1 year for mariners under 18 (46 CFR 10.301). Same question — 'how long is my medical good for?' — three regulators, three completely different answer structures. Answers 'how long is a first class medical valid for a 45-year-old pilot?', 'how often does a truck driver need a DOT physical?', 'why is my mariner medical certificate only valid two years?'

Records17
Sources3
Verified
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LicenceAll sources are eCFR (US government work, public domain). We take facts plus short attributed quotes linking back.

Medical Certificate Expiry Calculator — pilots, drivers, mariners — Find how long your medical certificate lasts and when it expires, given your occupation, certificate class, age and exam date.

The data

Certificate and classOccupation / regulatorAge / service conditionValid forCitationOperation / activity covered
medically examined and certified as qualified to operate a commercial motor vehiclecommercial motor vehicle driver (FMCSA)Any driver who has not been medically examined and certified as qualified to operate a commercial motor vehicle during the preceding 24 months24 months49 CFR 391.45
first-class medical certificatepilot (FAA)Any age12th month after the month of the date of examination shown on the medical certificate14 CFR 61.23a commercial pilot certificate (other than a commercial pilot certificate with a balloon rating when conducting flight training), a flight engineer certificate, or an air traffic control tower operator certificate
first-class medical certificatepilot (FAA)Age 40 or older24th month after the month of the date of examination shown on the medical certificate14 CFR 61.23a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification)
first-class medical certificatepilot (FAA)Under age 4060th month after the month of the date of examination shown on the medical certificate14 CFR 61.23a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification)
first-class medical certificatepilot (FAA)Age 40 or older6th month after the month of the date of examination shown on the medical certificate14 CFR 61.23an airline transport pilot certificate for pilot-in-command privileges, for second-in-command privileges in a flag or supplemental operation in part 121 requiring three or more pilots, or for a pilot flightcrew member in part 121 operations who has reached his or her 60th birthday
first-class medical certificatepilot (FAA)Under age 4012th month after the month of the date of examination shown on the medical certificate14 CFR 61.23an airline transport pilot certificate for pilot-in-command privileges, or for second-in-command privileges in a flag or supplemental operation in part 121 requiring three or more pilots
medical certificatemerchant mariner (US Coast Guard)all other mariners5 years46 CFR 10.301
medical certificatemerchant mariner (US Coast Guard)All persons employed or engaged onboard vessels to which STCW appliesvalid for 2 years46 CFR 10.301onboard vessels to which STCW applies
medical certificatemerchant mariner (US Coast Guard)the mariner is under the age of 181 year46 CFR 10.301onboard vessels to which STCW applies
medical examiner's certificatecommercial motor vehicle driver (FMCSA)Any driver who does not satisfy, with the worse eye, either the distant visual acuity standard with corrective lenses or the field of vision standard, or both12 months49 CFR 391.45
medical examiner's certificatecommercial motor vehicle driver (FMCSA)Any driver who has diabetes mellitus treated with insulin for control12 months49 CFR 391.45
medically examined and certified as qualified to drive in such zonecommercial motor vehicle driver (FMCSA)Any driver authorized to operate a commercial motor vehicle only within an exempt intracity zone12 months49 CFR 391.45operate a commercial motor vehicle only within an exempt intracity zone
second-class medical certificatepilot (FAA)Age 40 or older24th month after the month of the date of examination shown on the medical certificate14 CFR 61.23a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification)
second-class medical certificatepilot (FAA)Under age 4060th month after the month of the date of examination shown on the medical certificate14 CFR 61.23a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification)
second-class medical certificatepilot (FAA)Any age12th month after the month of the date of examination shown on the medical certificate14 CFR 61.23an airline transport pilot certificate for second-in-command privileges
third-class medical certificatepilot (FAA)Age 40 or older24th month after the month of the date of examination shown on the medical certificate14 CFR 61.23a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification)
third-class medical certificatepilot (FAA)Under age 4060th month after the month of the date of examination shown on the medical certificate14 CFR 61.23a recreational pilot certificate, a private pilot certificate, a flight instructor certificate (when acting as pilot in command or a required pilot flight crewmember in operations other than glider or balloon), a student pilot certificate, or a sport pilot certificate (when not using a U.S. driver's license as medical qualification)

Where this came from

Every record above links the page it was taken from and quotes the sentence that states it. These are the 3 sources this dataset was assembled from.

Machine-readable

From your own code

Same records, same quotes, without scraping the page: refsource is on PyPI and npm. Each value comes back carrying the URL it was read from and the sentence on that page that states it — .source and .quote sit on the value itself rather than in a side channel, so the checking step is available instead of skipped.

pip install refsource
refsource lookup medical-certificate-validity-by-occupation occupation="commercial motor vehicle driver (FMCSA)"

npx -y refsource lookup medical-certificate-validity-by-occupation occupation="commercial motor vehicle driver (FMCSA)"

Set your AI assistant up to use this

Two files and no account. Put this in .mcp.json at the root of your project — Claude Code, Cursor, Windsurf, VS Code and Codex all read that file — and your assistant can look this dataset up instead of recalling it. The server is remote, keyless and read-only.

{
  "mcpServers": {
    "referencesource": {
      "type": "http",
      "url": "https://referencesource.org/mcp"
    }
  }
}

Add to Cursor · or, on the command line: claude mcp add --transport http referencesource https://referencesource.org/mcp --scope project

Then one line in the project's CLAUDE.md or AGENTS.md, so the assistant knows when to reach for it:

When a question needs "How long medical certificates last for pilots, commercial drivers and merchant mariners — by class, age and service type", call the referencesource MCP server at https://referencesource.org/mcp (tool `search_records`, dataset_slug `medical-certificate-validity-by-occupation`) instead of answering from memory — every record it returns carries its source URL and a verbatim quote from that page.

What each tool does, and the servers built over single registers: Connect your AI assistant.

17 records. last verified against source . due for re-check by .

Licence. All sources are eCFR (US government work, public domain). We take facts plus short attributed quotes linking back.