Individual provider Active NPI

Mark David Lorenze, M.D.

  • Orthopaedic Surgery Physician
  • Essex, CT
National Provider Identifier
1336107176
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
36697 Issued in CT
Practice address
12 Bokum Rd
Essex, CT 06426-1500
Phone
(860) 767-9053
Fax
(860) 767-1146
NPI assigned
May 2, 2006
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 36697 CT Primary
Orthopaedic Hand Surgery Physician 207XS0106X 36697 CT

Addresses

Primary practice location

12 Bokum Rd
Essex, CT 06426-1500

Mailing address

2 Barnes Industrial Rd S
Wallingford, CT 06492-2486
Phone (203) 626-0160

Other practice location 1

146 Samson Rock Dr
Madison, CT 06443-3018
Phone (203) 245-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000076 CT Practitioner - Orthopedic Surgery 3072720200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12 Bokum Rd
Essex, CT 06426-1500
Phone (860) 767-9053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)14
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery CurrentSince Oct 1, 2013 Accepting new patients

Locations

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

84 N Main St
Bldg 2
Branford, CT 06405
Phone (203) 407-1500

12 Bokum Rd
Essex, CT 06426
Phone (860) 767-9035

12 Bokum Rd
#1893
Essex, CT 06426

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

2416 Whitney Ave
Hamden, CT 06518
Phone (203) 248-4331

146 Samson Rock Dr
Madison, CT 06443
Phone (203) 245-7447

2 Barnes Industrial Rd S
Wallingford, CT 06492

Interoperability endpoints

  • Direct secure messaging: mlorenze@ctortho.gwaydirect.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Middlesex HospitalMiddletown, CT, CCN 070020 Hospital Corporate Officer Oct 3, 2019
Middlesex Health Care at HomeMiddletown, CT, CCN 077086A Home health agency Corporate Officer
Corporate Director
Aug 12, 2019
Aug 12, 2019
Middlesex Health Care at Home & Hospice ProgramMiddletown, CT, CCN 071522A Hospice Corporate Officer
Corporate Director
Feb 22, 2022
Feb 22, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1336107176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922486",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOKUM RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261500",
            "telephone_number": "860-767-9053",
            "fax_number": "860-767-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Samson Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064433018",
            "country_code": "US",
            "telephone_number": "203-245-7447",
            "fax_number": "860-767-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZE",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "36697",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": "36697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, CT

Sources for this page

Verify at the official NPI Registry.