ANDREW K POLLA PA-C
NPI 1124436779
Physician Assistant - Medical in Rochester, NY

Active since July 28, 2014PECOS EnrolledAccepts Medicare Assignment
92.1/100
CMS Quality Rating
2047 W RIDGE RD, ROCHESTER, NY 14626(585) 276-9100 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew K Polla Pa-c NPPES

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

ANDREW K POLLA PA-C (NPI 1124436779) is an individual medical provider in Rochester, New York, licensed in New York (017621) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124436779
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameANDREW K POLLACredential: PA-C
Location Address2047 W RIDGE RDRochester, NY 14626-2718
Mailing Address601 Elmwood Ave Box 655Rochester, NY 14642-8655 · (585) 273-4398
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 28, 2014
Last NPPES UpdateJune 29, 2023
NPPES CertifiedFebruary 7, 2023
NPI 1124436779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NY · 017621 Licensed in NY · 17621
2047 W RIDGE RD, Rochester, NY 14626

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

Andrew K Polla Pa-c 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 ID5496073041
PECOS Enrollment IDI20150413000638
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.
29 services29 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

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.

92.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.73
Promoting Interoperability100
Improvement Activities40
Cost84.36

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 Andrew Polla's NPI number?

The NPI number for Andrew Polla is 1124436779. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Andrew Polla located?

Andrew Polla practices at 2047 W Ridge Rd, Rochester, NY 14626. The listed phone number is (585) 276-9100.

What is Andrew Polla's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Andrew Polla enrolled in Medicare?

Yes. Andrew Polla 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.

Is Andrew Polla affiliated with any hospitals?

According to CMS data, Andrew Polla is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Polla was last updated on June 29, 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.