KAITLIN ROSE SURBER PA-C
NPI 1497328165
Physician Assistant in Delmar, NY

Active since July 21, 2021Opted out of Medicare · through Jul 19, 2027
90 ADAMS PL, DELMAR, NY 12054(518) 689-2244(518) 689-2081 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlin Rose Surber Pa-c NPPES

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

KAITLIN ROSE SURBER PA-C (NPI 1497328165) is an individual physician assistant in Delmar, New York, licensed in New York (026830) and active in the NPI registry since July 2021. She has opted out of Medicare through July 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497328165
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLIN ROSE SURBERCredential: PA-C
Location Address90 ADAMS PLDelmar, NY 12054-3224
Mailing Address90 Adams PlDelmar, NY 12054-3224 · (518) 689-2244 · Fax (518) 689-2081
Fax(518) 689-2081
Sole ProprietorNo
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1497328165 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 NY · 026830
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.
90 ADAMS PL, Delmar, NY 12054

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kaitlin Rose Surber Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 19, 2021 through July 19, 2027.

Opt-Out Effective DateJuly 19, 2021
Opt-Out In Effect ThroughJuly 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12054 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 5

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

Nurse Practitioner (Family)
90 ADAMS PL
DELMAR, NY 12054
Massage Therapist
90 ADAMS PL
DELMAR, NY 12054
Dietitian, Registered
90 ADAMS PL
DELMAR, NY 12054
Acupuncturist
90 ADAMS PL
DELMAR, NY 12054
Emergency Medicine
90 ADAMS PL
DELMAR, NY 12054

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 Kaitlin Surber's NPI number?

The NPI number for Kaitlin Surber is 1497328165. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Kaitlin Surber located?

Kaitlin Surber practices at 90 Adams Pl, Delmar, NY 12054. The listed phone number is (518) 689-2244.

What is Kaitlin Surber's specialty?

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

Is Kaitlin Surber enrolled in Medicare?

No. Kaitlin Surber has opted out of Medicare through July 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kaitlin Surber was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.