Paramedic Salary in Maryland (2026)

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.

Paramedic Requirements in Maryland

Detail	Maryland
Licensing Body	Maryland Institute for Emergency Medical Services Systems (MIEMSS)
State License Required	Yes
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)

Paramedic Salary in Maryland

The median paramedic salary in Maryland is $47,390 per year, which is 14.6% above the national median of $41,340.

Percentile	Annual Salary
10th (entry level)	$38,930
25th	$42,480
50th (median)	$47,390
75th	$64,230
90th (experienced)	$82,050

Maryland employs approximately 2,970 paramedics.

Paramedic Job Outlook

10-Year Growth

+5.1%

Faster than average

Annual Openings

14.1

Nationwide per year

Total Employment

181

Nationwide

Is Becoming a Paramedic in Maryland Worth It?

Factors to consider: Maryland's cost of living, the state licensing requirement, strong job growth, and your personal career goals.

Frequently Asked Questions

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

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?

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?

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?

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

How quickly can I become a paramedic in Maryland?

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