Oswego Health opens first Onondaga County primary care clinic in Clay

Oswego Health planted its first primary care flag in Onondaga County with Clay PrimeCare, a 6,000-square-foot office at 3448 State Route 31 in Baldwinsville that can take on as many as 2,000 new patients.

The location, inside Belgium Meadows Office Park near the Seneca River, gives northern Onondaga County another family medicine option in a growth corridor where patients often have to travel farther than they would like for routine visits, sick appointments and follow-ups. For Oswego Health, the move turned a regional health system that already had a footprint in Oswego County and Fulton into a county player in Clay, the kind of expansion that signals real demand, not just name recognition.

Clay PrimeCare accepted patients ages 5 and older and added on-site laboratory services, which can spare families a separate trip for basic testing. Oswego Health said future rotating specialties were planned later in the year, extending the site’s role beyond a simple checkup stop. The practice opened under Dr. Andrew Rogall, a board-certified family medicine physician who has been with Oswego Health Medical Practice since 2019, with support from a nurse practitioner and other staff.

The clinic also fit into a larger push by Oswego Health Medical Practice to strengthen access to care and continuity. In all, the system said it now operates seven primary care locations, with three in Oswego, two in Fulton, one in Clay and an on-site PrimeCare serving Novelis employees and retirees. That broader network matters in a county where primary care openings can shape how quickly a child is seen, how consistently a patient with diabetes or high blood pressure stays in care, and how often people end up in urgent care or the emergency department instead of a doctor’s office.

Local health leaders have said that easier access to primary care with open office hours can help keep unnecessary emergency room visits down. That warning carries extra weight in Onondaga County, where the 2025 Community Health Assessment and Improvement Plan drew on feedback from more than 1,900 residents and identified access to care and health equity as ongoing priorities. The same survey found that 12.7% of respondents experienced stigma, discrimination or judgment when seeking health care in the past year, underscoring that availability alone is not the only barrier. In Clay, the new clinic gives residents one more nearby door to knock on, and one more test of whether added capacity can ease pressure on a strained system.