1. Home
  2. Directory
  3. New York
  4. Watertown
  5. Family Medicine
  6. NPI Profile

JILL LAUREANO-SURBER DO
NPI 1437443132
Family Medicine in Watertown, NY

Active since May 31, 2011PECOS EnrolledCLIA 33D2082371 · Microscopy
27.72/100
CMS Quality Rating
20053 SUMMIT VIEW BLVD STE 1, WATERTOWN, NY 13601(315) 755-2560(315) 755-2597 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jill Laureano-surber Do NPPES

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

JILL LAUREANO-SURBER DO (NPI 1437443132) is an individual family medicine provider in Watertown, New York, licensed in New York (271910) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 12, 2028, and is affiliated with Samaritan Medical Center.

NPPES Registry Identity

NPI1437443132
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJILL LAUREANO-SURBERCredential: DO
Location Address20053 SUMMIT VIEW BLVD STE 1Watertown, NY 13601-2170
Mailing Address20053 Summit View Blvd Ste 1Watertown, NY 13601-2170 · (315) 755-2560 · Fax (315) 755-2597
Phone(315) 755-2560
Fax(315) 755-2597
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2011
Enumeration DateMay 31, 2011
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1437443132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 271910
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20053 SUMMIT VIEW BLVD STE 1, Watertown, NY 13601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Laureano-surber Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133342892
PECOS Enrollment IDI20140527001276
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 Jill Laureano-surber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jill M Laureano Surber Do PC
Same address
Family Medicine
20053 SUMMIT VIEW BLVD STE 1
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1992112387 (315) 755-2560

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2082371

Jill M Laureano-Surber, Do PC Dba Family Medicine Of Northern New York · Watertown, NY
Active · expires Aug 12, 2028
CLIA Number33D2082371
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorDr. Jill M. Laureano-Surber
Laboratory Phone(315) 755-2560
Laboratory LocationJill M Laureano-Surber, Do PC Dba Family Medicine Of Northern New York20053 Summit View Blvd - Ste 1, Watertown, NY 13601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 10

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.
459 services221 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.
458 services196 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.
182 services182 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services46 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
45 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
38 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

River Hospital Clinics

Critical Access Hospitals · Alexandria Bay, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331309
Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County
Emergency services

Lewis County General Hospital

Critical Access Hospitals · Lowville, NY
OwnershipGovernment - Local
CMS Certification Number331317
Location7785 North State StreetLowville, NY 13367 · Lewis County
Emergency services

Carthage Area Hospital, Inc

Critical Access Hospitals · Carthage, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331318
Location1001 West StreetCarthage, NY 13619 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

27.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost92.4

Other Providers at the Same Location NPPES 4

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

MICHAELA DUFFY MCCARGAR FNP
Nurse Practitioner (Family)
20053 SUMMIT VIEW BLVD STE 1
WATERTOWN, NY 13601
Jefferson County (315) 755-2560
MICHAEL ANTHONY O'HAGAN P.A.
Physician Assistant (Medical)
20053 SUMMIT VIEW BLVD STE 1
WATERTOWN, NY 13601
Jefferson County (315) 755-2560
HALI JO REID NP
Nurse Practitioner (Family)
20053 SUMMIT VIEW BLVD STE 1
WATERTOWN, NY 13601
Jefferson County (315) 755-2560
JILL M LAUREANO SURBER DO PC
Family Medicine
20053 SUMMIT VIEW BLVD STE 1
WATERTOWN, NY 13601
Jefferson County (315) 755-2560

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 Jill Laureano-surber's NPI number?

The NPI number for Jill Laureano-surber is 1437443132. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Jill Laureano-surber located?

Jill Laureano-surber practices at 20053 Summit View Blvd Ste 1, Watertown, NY 13601. The listed phone number is (315) 755-2560.

What is Jill Laureano-surber's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jill Laureano-surber enrolled in Medicare?

Yes. Jill Laureano-surber is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jill Laureano-surber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Laureano-surber reassigns Medicare benefits to Jill M Laureano Surber Do PC (Watertown, NY). 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 Jill Laureano-surber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Jill Laureano-surber hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2082371) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jill Laureano-surber affiliated with any hospitals?

According to CMS data, Jill Laureano-surber is affiliated with Samaritan Medical Center, River Hospital Clinics, Lewis County General Hospital and Carthage Area Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Jill Laureano-surber was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.