Registration is done online through the MyUSMLE.org site (opens log-in page>>). If you have not yet created an account with MyUSMLE, you will need to do that first. You can create an account using a button provided on the log-in page.
Registration is done separately from and prior to scheduling your actual exam date and location, which will be done through the Prometric site after you have registered through MyUSMLE.
During the online registration process, you will be asked to select a three month eligibility window within which you plan to sit for Step 1. Students who plan to sit during the Dedicated period may want to choose January-March, but students who plan to sit prior to the Dedicated period should select an eligibility window starting with the month they plan to sit for the exam. There is a $70 fee to extend your eligibility period if needed.
You will also be required to pay the registration fee at the time of your online registration. The current exam registration fee is $695. You can confirm via the NBME's website (opens page>>).
The NBME warns that "if you submit a payment for registration and/or examinee records services that is uncollectible and returned to the NBME, you will be charged a $25 fee. No further services will be provided until payment is received."
After you register, the NBME will authorize your permit to schedule your exam and Prometric will send you an email with instructions to select your date and location. There may be a delay between the NBME authorizing your permit and Prometric granting you access to schedule your test.
Canceling or rescheduling your exam can be done through the Prometric site (opens page>>). Fees for canceling or rescheduling your exam can be found below or in a table on the bottom of the USMLE's rescheduling information page (opens page>>).
46 or more days before (but not including) the scheduled test date—All testing regions: No Fee
31-45 days before (but not including) the scheduled test date—All testing regions: $35
6-30 days before (but not including) the scheduled test date—All testing regions: $100
5 or fewer days before (but not including) the scheduled test date—US and Canada: $140
5 or fewer days before (but not including) the scheduled test date—Outside the US and Canada: $358
For a visual guide on what to expect during registration, see this PDF of screenshots from the NBME (opens PDF copy>>).
This page last updated 10/22/2025.