This is the most common question we receive. It is important to understand what ”accepted” or “recognized” means with respect to these types of organizations.
For hospitals, NBPAS acceptance usually means the hospital’s Board of Directors will accept NBPAS certification instead of ABMS member board (or AOA) certification for hospital privileges. The process for gaining acceptance usually starts with an interested physician making a presentation to the hospital’s Medical Executive Committee (MEC), where they vote to recommend the hospital’s Board of Directors accept NBPAS as an alternative. There are currently over 60 U.S. hospitals that either accept NPBAS certification for privileges or have eliminated MOC requirements from their bylaws. We are fighting to increase hospital acceptance/recognition by: providing advocacy materials on the Advocacy Center tab of our website, engaging our >400 volunteer physician Advocacy Committee, lobbying (within the limits allowed by law) state legislators to pass anti-MOC bills, and meeting with the FTC to consider the anti-competitive aspects of MOC.
For payers (insurance companies), NBPAS acceptance means the insurer will contract with physicians whose ABMS or AOA certification has expired but who have current NBPAS certification. Acceptance by payers is critical for widespread growth of NBPAS, and no insurer that we know of currently accepts NBPAS. It has been very difficult to get the attention of insurance company’s management on this issue. While currently frustrating, we believe our continued growth and political activity will win over the payers. We especially believe passing anti-MOC bills in many states will be very helpful to our goal of gaining acceptance by insurers.
For state medical boards, acceptance is usually irrelevant. State medical boards do not require board certification or MOC as a requirement for initial licensure or MOL (maintenance of licensure). One important function of NBPAS is to bring awareness of this controversy to the state medical boards, which will help deter any efforts to make MOC a requirement for MOL in the future. However, there is one caveat we are aware of. A few states, including California and Texas, have laws requiring ABMS (or AOA) member board, or equivalent, certification if a physician advertises they are a “board certified specialist.” These laws define “equivalent” very restrictively, so as the laws currently stand, NBPAS would not qualify. As NBPAS gains more widespread growth, we believe these laws will be changed.
YES! While you could wait, the more physicians NBPAS certifies, the stronger and more influential it will be. This is a grass roots organization. We need your support.
NBPAS and the “anti MOC” movement is not against initial ABMS certification; while not perfect, we support that process and, therefore, initial certification is a requirement for NBPAS continued certification.
No, a total of 50 CME hours in any of the specialties applied for is sufficient. However, if any of your specialties have lapsed (i.e. you were once certified but did not re-certify), you must have 100 CME hours in that specialty.
If you are grandfathered in a specialty, your certification has not, by definition, expired and you only need to submit at least 50 hours (not 100 hours) of CMEs completed in the past 24 months.
NBPAS accepts only AMA PRA Category 1 credits for MDs, and AOA Category 1A & 2A credits for DOs. Please Note: BLS, ALS, ACLS, PALS, NRP are accepted ONLY if they are provided by an accredited provider. Maintenance of Certification (MOC) points are accepted ONLY if official certificates and transcripts are provided in conjunction with MOC points.
Three weeks or less.
For MDs/DOs with ABMS initial board certification:
First-time NBPAS certification is $169 and renewal NBPAS certification is $145.
For DOs with AOA initial board certification:
First-time NBPAS certification is $189 and renewal NBPAS certification is $165. The $20 cost difference is because the AOA charges us an extra $20 fee per physician for certification verification.
Discounts are available for fellows and military.
This is a new organization. Our major expenses relate to website design/maintenance, support staff salaries, legal, computers, office space and supplies. In the near future, we will need funds to spread the word and lobby hospitals, payers and politicians. Physician management has not taken any salary. We are working very hard to contain costs and keep application fees low. In future years, we will adjust application fees (hopefully down) as needed. We have not yet asked for donations because at this time we would rather see funds used for applications. We will invite donations in the future. Getting NBPAS to this stage has required many hundreds of detailed tasks.
NBPAS requires that all candidates hold a valid, unrestricted medical license. If you hold a license outside of the U.S. you must provide evidence of an unrestricted license from a valid non-U.S. licensing body.
We now offer a Non-Operative Pathway for physicians with surgical specialties that do not hold active hospital privileges. You’ll be required to attest to this information on your application, and once approved, your certification would include the status of “Non-Operative Pathway”.
Any organization can change over time. It is up to its members to track their organization, change it or leave it if it no longer serves them. We started NBPAS because we are unhappy with ABMS. If NBPAS is no longer relevant, we would expect the membership to voice its displeasure and depart.
No. Earlier, there was a provision for physician incentive payments tied to quality reporting in the ACA (and MOC was listed as one, but not the only, option of fulfilling this requirement) but this had a sunset in 2014. It is not an issue.
This is posted as a “Myth” on the Federation of State Medical Boards website. But some believe it will ultimately prove true. If so, our best response is to include NBPAS certification on the list of certifications acceptable to the Federation. This requires lobbying and large numbers of NBPAS certified physicians. Below is an excerpt from the Federation’s website in a section titled “Six Myths about the Interstate Medical Licensure Compact”:
MYTH: It is alleged that physicians participating in the Compact would be required to participate in Maintenance of Certification (MOC), or that MOC is an eligibility requirement for the Compact.
FACT: The Compact makes absolutely no reference to Maintenance of Certification (MOC) or its osteopathic counterpart, Osteopathic Continuous Certification (OCC). The Compact does not require a physician to participate in MOC, nor does it require or even make mention of the need to participate in MOC as a licensure renewal requirement in any state. Once a physician is issued a license via the Compact from a state, he or she must adhere (as now) to the renewal and continuing medical education requirements of that state. No state requires MOC as a condition for licensure renewal, and therefore, this will not be required for physicians participating in the Compact.
See the complete list of myths here: https://www.fsmb.org/Media/Default/PDF/Licensure/InterstateCompactMyths.pdf