Paramedic in Maryland

Requirements, salary data, licensing costs, and career ROI for MD. Updated with 2024 BLS OEWS wage data.

Median annual salary

$47,390

trending_up +14.6% vs. national

BLS OEWS 2024, Maryland.

engineering

2,970

Jobs (MD)

monitoring Strong

+5.1%

10-yr job growth

payments

$160

Licensing fees

schedule

1-2 years

Time to complete

route How to become a paramedic in Maryland

To become a certified Paramedic in Maryland, individuals must successfully complete a state-approved Paramedic program and meet specific experience requirements as an EMT. Applicants must pass the NREMT Paramedic cognitive and psychomotor exams, complete the Maryland Medical Protocol Orientation, and be affiliated with an ALS EMS Operational Program. Maryland offers reciprocity for paramedics from other states who meet specific criteria, including holding a valid NREMT Paramedic card and completing Maryland-specific requirements. The minimum age for licensure is 18 years old.

bar_chart Salary percentiles

10th percentile (entry) $38,930

25th percentile $42,480

50th (median) $47,390

75th percentile $64,230

90th (experienced) $82,050

Source: BLS OEWS 2024 for Maryland. Metro-area wages may differ significantly from the state aggregate.

checklist Maryland requirements

Licensing body	Maryland Institute for Emergency Medical Services Systems (MIEMSS)
State license	Required
Education	Successful completion of a Paramedic course approved by the EMS Board (approximately 1,100 hours) OR if a licensed nurse, physician, or certified physician assistant, the health care provider to Paramedic Program OR if the applicant is a CRT, the Paramedic bridge course. Must also have successfully completed at least twelve full months of experience providing patient care as an EMT with an EMS Operational Program OR at least 150 documented ambulance responses providing patient care, including patient assessment, with an EMS Operational Program.
Exam	NREMT Paramedic (Cognitive and Psychomotor) ($160)
Renewal	Every 2.0 years
Notes	Minimum age for Paramedic licensure is 18 years old. Renewal requires maintaining NREMT certification and affiliation with an ALS EMS Operational Program. Must also complete the Maryland Medical Protocol Orientation administered by MIEMSS.

Source: Maryland Institute for Emergency Medical Services Systems (MIEMSS)

work_outline Job outlook

10-year growth

+5.1%

Faster than average

Annual openings

14,100

Nationwide per year

Total employment

181,000

Nationwide

balance Is it worth it?

check_circleMaryland license required — clearer credential signal to employers
check_circleStrong 10-year job growth (+5.1%)

psychology

Wondering if a paramedic career is the right fit?

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Frequently asked questions

What's required to work as a paramedic in Maryland? expand_more

To become a paramedic in Maryland, you need to complete the required education (Successful completion of a Paramedic course approved by the EMS Board (approximately 1,100 hours) OR if a licensed nurse, physician, or certified physician assistant, the health care provider to Paramedic Program OR if the applicant is a CRT, the Paramedic bridge course. Must also have successfully completed at least twelve full months of experience providing patient care as an EMT with an EMS Operational Program OR at least 150 documented ambulance responses providing patient care, including patient assessment, with an EMS Operational Program.), and pass the NREMT Paramedic (Cognitive and Psychomotor).

Do I need a license to work as a paramedic in Maryland? expand_more

Yes, Maryland requires a state license to practice as a paramedic. The licensing body is Maryland Institute for Emergency Medical Services Systems (MIEMSS). You must pass the NREMT Paramedic (Cognitive and Psychomotor).

How much does a paramedic make in Maryland? expand_more

Maryland paramedics bring home a median salary of $47,390. This exceeds the $41,340 national median by 15%. The range spans from $38,930 at the entry level to $82,050 for top earners.

How expensive is paramedic licensing in Maryland? expand_more

Plan on spending varies total — that covers exam fee ($160) plus your education and training.

How quickly can I become a paramedic in Maryland? expand_more

Expect to spend 1-2 years from start to finish in Maryland — covering coursework, supervised experience, and examination.