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MR. GREGG WOLFF MD
NPI 1861431561
Orthopaedic Surgery in Cumberland, MD

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
805 OLDTOWN ROAD, SUITE B, CUMBERLAND, MD 21502(240) 410-0401(240) 362-7173 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2023, May 1, 2023 (2 updates tracked since 2023).

About Mr. Gregg Wolff Md NPPES

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

MR. GREGG WOLFF MD (NPI 1861431561) is an individual orthopaedic surgery provider in Cumberland, Maryland, licensed in Maryland (D0048127) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of University Of Maryland School Of Medicine (1989).

NPPES Registry Identity

NPI1861431561
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. GREGG WOLFFCredential: MD
Location Address805 OLDTOWN ROAD, SUITE BCumberland, MD 21502-4053
Mailing Address805 Oldtown Road, Suite BCumberland, MD 21502-4053 · (240) 410-0401 · Fax (240) 362-7173
Phone(240) 410-0401
Fax(240) 362-7173
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1989
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1861431561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MD · D0048127✔ Licensed in NH · 19766
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
805 OLDTOWN ROAD, Cumberland, MD 21502
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Other Identifiers 3

Medicaid8501441P0000MD
Other173207ZFT6Ptan
Medicaid850144100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gregg Wolff Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234212994
PECOS Enrollment IDI20191022000837
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.

Medicare Billing Reassignment

Medicare enrollment records show Gregg Wolff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Huggins Hospital
471 mi
Family Medicine
27 NEW DURHAM ROAD
Alton, NH 03809
  • Reassigned Medicare billing, New Hampshire enrollment
  • Also billed through NPI 1942018353 (New Hampshire)
  • 43 clinicians in this Medicare group
NPI 1871534792 (603) 875-6151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,769 services177 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
444 services223 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
347 services172 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services106 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.55
Improvement Activities40
Cost96.55

Reported Quality Measures

Documentation of Current Medications in the Medical Record
93%1,289 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
48%377 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%530 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
46%604 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%1,122 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 54% · 394 patients
53%394 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 386 patients
Patients totalRate: 0% · 386 patients
0%386 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers14 claims282 services$21.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gregg Wolff's NPI number?

The NPI number for Gregg Wolff is 1861431561. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Gregg Wolff located?

Gregg Wolff practices at 805 Oldtown Road Suite B, Cumberland, MD 21502. The listed phone number is (240) 410-0401.

What is Gregg Wolff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gregg Wolff enrolled in Medicare?

Yes. Gregg Wolff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gregg Wolff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregg Wolff reassigns Medicare benefits to Huggins Hospital (Alton, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregg Wolff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregg Wolff accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Gregg Wolff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gregg Wolff affiliated with any hospitals?

According to CMS data, Gregg Wolff is affiliated with Western Maryland Regional Medical Center and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Gregg Wolff was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.