Active NPI
Mark Alan Wolgin, M.D.
- Orthopaedic Surgery Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 341339
- Practice address
- 5719 Widewaters Pkwy
Syracuse, NY 13214-1985 - Phone
- (315) 251-3100
- Fax
- (315) 449-9923
- NPI assigned
- Dec 2, 2005
- Last updated
- Jan 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 341339 | NY | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 057862 | GA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 057862 | GA |
Addresses
Primary practice location
5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Mailing address
PO Box 580
Syracuse, NY 13214-0580
Phone (315) 251-3140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525815749A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CO, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of California, Geffen School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1405 S 8TH Ave
Suite 101
Sterling, CO 80751-4560
Phone (970) 522-2264
5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone (315) 251-3100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.22 of 100
- Quality
- 86.44
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341339 | NY | MD | Orthopaedic Surgery Physician |
| 057862 | GA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Albany Bone & Joint Clinic PC | Orthopaedic Surgery | Current | Accepting new patients |
| Syracuse Orthopedic Specialists, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocare Surgery Center, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Syracuse Orthopedic Specialists, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
| Syracuse Orthopedic Specialists, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1405 S 8th Ave
Ste 101
Sterling, CO 80751
Phone (970) 522-2264
619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707
5417 W Genesee St
Ste 1
Camillus, NY 13031
Phone (315) 432-4900
8324 Oswego Rd
Ste B
Liverpool, NY 13090
Phone (315) 418-4188
5496 E Taft Rd
Ste C
North Syracuse, NY 13212
Phone (315) 251-3232
5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110
Interoperability endpoints
- mark.wolgin.1@27079.direct.athenahealth.com
- markwolgin@oa.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Syracuse, NY
- NPI 1669410379
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
-
dba Orthopaedic Associates
- Orthopaedic Surgery Physician
- Albany, GA
- NPI 1295709178
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Ambulatory Surgical Clinic/Center
- Albany, GA
- NPI 1881910818
-
- Durable Medical Equipment & Medical Supplies
- Liverpool, NY
- NPI 1689953135
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- North Syracuse, NY
- NPI 1891033189
Orthopaedic Surgery
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1780668780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132140580",
"telephone_number": "315-251-3140",
"fax_number": "315-552-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5719 WIDEWATERS PKWY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141985",
"telephone_number": "315-251-3100",
"fax_number": "315-449-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLGIN",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "341339",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "GA",
"license": "057862",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "GA",
"license": "057862",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525815749A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.