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KATHERINE ELLEN TILTON TOMSCHA PA-C
NPI 1225674971
Physician Assistant in Maple Grove, MN

Active since November 18, 2019PECOS EnrolledAccepts Medicare Assignment
9855 HOSPITAL DR, MAPLE GROVE, MN 55369(763) 581-5900(763) 581-5901 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2023, Jun 7, 2021, Jun 3, 2021 and 1 more (4 updates tracked since 2019).

About Katherine Ellen Tilton Tomscha Pa-c NPPES

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

KATHERINE ELLEN TILTON TOMSCHA PA-C (NPI 1225674971) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (13620) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225674971
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE ELLEN TILTON TOMSCHACredential: PA-C
Location Address9855 HOSPITAL DRMaple Grove, MN 55369-4648
Mailing Address9855 Hospital DrMaple Grove, MN 55369-4648 · (763) 581-5900 · Fax (763) 581-5901
Phone(763) 581-5900
Fax(763) 581-5901
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 18, 2019
Last NPPES UpdateFebruary 7, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1225674971 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 · 13620
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.
9855 HOSPITAL DR, Maple Grove, MN 55369
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Other Names 1

Former Name (1)Miss Katherine Ellen Wilson Tilton Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Katherine Ellen Tilton Tomscha 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 ID4385044817
PECOS Enrollment IDI20210621001027
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 11

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 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.
122 services88 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
102 services76 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.
50 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
40 services36 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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.

Other Providers at the Same Location NPPES 12

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

NICOLE T LOWE M.D.
Family Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-9220
DR. MARK S HENCH M.D.
Family Medicine
9855 HOSPITAL DR, STE 102A
MAPLE GROVE, MN 55369
Hennepin County (763) 581-9220
BRIAN GLENN LABINE MD
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
AFUA AMOAH MD
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
KRISTIN M LYERLY M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282
NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC
Clinic/Center (Ambulatory Surgical)
9855 HOSPITAL DR, STE 175
MAPLE GROVE, MN 55369
Hennepin County (763) 981-3200
DR. TRACY LYNN GOSEN CLARY M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282
DR. JEANNE NUGENT GENGERKE M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282

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 Katherine Tomscha's NPI number?

The NPI number for Katherine Tomscha is 1225674971. It was assigned to this individual provider in the NPPES registry on November 18, 2019. The provider is also known as Miss Katherine Ellen Wilson Tilton Pa-C.

Where is Katherine Tomscha located?

Katherine Tomscha practices at 9855 Hospital Dr, Maple Grove, MN 55369. The listed phone number is (763) 581-5900.

What is Katherine Tomscha's specialty?

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

Is Katherine Tomscha enrolled in Medicare?

Yes. Katherine Tomscha 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 Katherine Tomscha accept?

Health plans from Medica list Katherine Tomscha 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 Katherine Tomscha affiliated with any hospitals?

According to CMS data, Katherine Tomscha is affiliated with North Memorial Health Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Tomscha was last updated on February 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.