Individual provider Active NPI

Mark Alan Wolgin, M.D.

  • Orthopaedic Surgery Physician
  • Syracuse, NY
National Provider Identifier
1780668780
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
341339 Issued in NY
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
525815749AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO, NY3 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
I20060619000093 GA Practitioner - Orthopedic Surgery 9335036318 Reassigns benefits to 1 organization
I20251028001106 CO Practitioner - Orthopedic Surgery 9335036318 Reassigns benefits to 1 organization
I20260123001879 NY Practitioner - Orthopedic Surgery 9335036318 Reassigns benefits to 1 organization

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 100Reported as group
Quality
86.44
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341339NYMDOrthopaedic Surgery Physician
057862GAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Oct 22, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Oct 22, 2025 Accepting new patients
Albany Bone & Joint Clinic PC Orthopaedic Surgery CurrentSince May 5, 2006 Accepting new patients
Syracuse Orthopedic Specialists, PLLC Orthopaedic Surgery CurrentSince Jan 1, 2026 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

  • Direct secure messaging: mark.wolgin.1@27079.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.