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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONNOR BOLAND
NPI 1508699265
Physician Assistant in Syracuse, NY

Active since August 20, 2024PECOS Enrolled
1419 SALT SPRINGS RD, SYRACUSE, NY 13214(315) 445-4100 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2026, Sep 21, 2026, Aug 20, 2024 (3 updates tracked since 2024).

About Connor Boland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR BOLAND (NPI 1508699265) is an individual physician assistant in Syracuse, New York, licensed in New York (036723) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508699265
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCONNOR BOLAND
Location Address1419 SALT SPRINGS RDSyracuse, NY 13214-1300
Mailing Address1419 Salt Springs RdSyracuse, NY 13214-1300 · (315) 445-4100
Phone(315) 445-4100
Sole ProprietorNo
Enumeration DateAugust 20, 2024
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1508699265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 036723
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1419 SALT SPRINGS RD, Syracuse, NY 13214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Boland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOGAN MICHEL
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
OLIVIA CREELMAN
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
EMMA BARTELT
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (786) 365-6133
MALACHI XAVIER WILLIAMS
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
ANNA CECELIA BOWYER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
KELLY MARIE KOHBERGER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
JODIE CHONG
Physician Assistant
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
GABRIELLE SWIDER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Boland's NPI number?

The NPI number for Connor Boland is 1508699265. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Connor Boland located?

Connor Boland practices at 1419 Salt Springs Rd, Syracuse, NY 13214. The listed phone number is (315) 445-4100.

What is Connor Boland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Connor Boland enrolled in Medicare?

Yes. Connor Boland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Boland was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.