ROSS GOLLA PA
NPI 1093737470
Physician Assistant in St Louis Park, MN

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
90.6/100
CMS Quality Rating
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 883-1000 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2023, Nov 10, 2020 (2 updates tracked since 2020).

About Ross Golla Pa NPPES

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

ROSS GOLLA PA (NPI 1093737470) is an individual physician assistant in St Louis Park, Minnesota, licensed in Minnesota (9904) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1093737470
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROSS GOLLACredential: PA
Location Address3850 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 24, 2006
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1093737470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 9904
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.
3850 PARK NICOLLET BLVD, St Louis Park, MN 55416

Secondary Practice Location 1

Location 12855 Campus DrPlymouth, MN 55441-2649 · Phone (763) 577-7179

Other Identifiers 1

Medicaid726130600MN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ross Golla Pa 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 ID3779533401
PECOS Enrollment IDI20050131000109
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.

Areas of Expertise CMS Part B claims 2

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.

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.
147 services146 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.
110 services108 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

90.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.32
Improvement Activities40

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.

Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Physician Assistant
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Internal Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Family Medicine
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Pediatrics
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Durable Medical Equipment & Medical Supplies
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

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 Ross Golla's NPI number?

The NPI number for Ross Golla is 1093737470. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Ross Golla located?

Ross Golla practices at 3850 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 883-1000.

What is Ross Golla's specialty?

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

Is Ross Golla enrolled in Medicare?

Yes. Ross Golla 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.

What insurance does Ross Golla accept?

Health plans from Medica list Ross Golla 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 Ross Golla affiliated with any hospitals?

According to CMS data, Ross Golla is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Ross Golla was last updated on May 31, 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.