Individual provider Active NPI

Wade S Bollinger, M.D.

  • Surgery Physician
  • Ithaca, NY
National Provider Identifier
1730198136
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
240962 Issued in NY
Practice address
1301 Trumansburg Rd
Suite E
Ithaca, NY 14850-1397
Phone
(607) 273-3161
Fax
(607) 273-4979
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 240962 NY Primary

Addresses

Primary practice location

1301 Trumansburg Rd
Suite E
Ithaca, NY 14850-1397

Mailing address

1301 Trumansburg Rd
Suite E
Ithaca, NY 14850-1397
Phone (607) 273-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ND, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070201000187 NY Practitioner - General Surgery 8325026727 Reassigns benefits to 2 organizations
I20230804001064 ND Practitioner - General Surgery 8325026727 Reassigns benefits to 4 organizations
I20240327000713 UT Practitioner - General Surgery 8325026727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Hospital and Health Center Current Accepting new patients
Ashley Valley Physician Practice, LLC Current Accepting new patients
Lutheran Charity Association CurrentSince Oct 6, 2023 Accepting new patients
Lutheran Charity Association CurrentSince Oct 6, 2023 Accepting new patients
St Joseph'S Hospital and Health Center Current Accepting new patients
St Joseph'S Hospital and Health Center CurrentSince Jun 19, 2023 Accepting new patients
Schuyler Hospital Inc Surgery CurrentSince Dec 1, 2021 Accepting new patients
Lutheran Charity Association Current Accepting new patients
St Josephs Hospital and Health Center CurrentSince Jun 19, 2023 Accepting new patients
Schuyler Hospital Inc CurrentSince Dec 1, 2021 Accepting new patients
Lutheran Charity Association Current Accepting new patients
Ashley Valley Physician Practice, LLC Surgery CurrentSince Feb 23, 2024 Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince Feb 23, 2024 Accepting new patients
Mercy Clinic Springfield Communities Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

150 W 100 N
Ste 102S
Vernal, UT 84078
Phone (435) 781-2161

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

Interoperability endpoints

  • Direct secure messaging: wadebollinger@normd.allscriptsdirect.net

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1730198136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TRUMANSBURG RD",
            "address_2": "SUITE E",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501397",
            "telephone_number": "607-273-3161",
            "fax_number": "607-273-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TRUMANSBURG RD",
            "address_2": "SUITE E",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501397",
            "telephone_number": "607-273-3161",
            "fax_number": "607-273-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "WADE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "240962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.