ROBERT R SURPRENANT PA
NPI 1497989404
Physician Assistant - Surgical in Albany, NY

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
315 S MANNING BLVD, 7422 GAB LOVE, ALBANY, NY 12208(518) 525-1693 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert R Surprenant Pa NPPES

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

ROBERT R SURPRENANT PA (NPI 1497989404) is an individual surgical provider in Albany, New York and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2009).

NPPES Registry Identity

NPI1497989404
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameROBERT R SURPRENANTCredential: PA
Location Address315 S MANNING BLVD, 7422 GAB LOVEAlbany, NY 12208-1707
Mailing Address600 Gresham Dr, # 5bNorfolk, VA 23507-1904 · (757) 388-3198 · Fax (757) 388-4242
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2009
Enumeration DateMay 5, 2009
Last NPPES UpdateJune 7, 2016
NPI 1497989404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
315 S MANNING BLVD, Albany, NY 12208

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

Robert R Surprenant 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 ID143375014
PECOS Enrollment IDI20180312001671
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 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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
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.

Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208

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 Robert Surprenant's NPI number?

The NPI number for Robert Surprenant is 1497989404. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Robert Surprenant located?

Robert Surprenant practices at 315 S Manning Blvd 7422 Gab Love, Albany, NY 12208. The listed phone number is (518) 525-1693.

What is Robert Surprenant's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Robert Surprenant enrolled in Medicare?

Yes. Robert Surprenant 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.

When was this NPI record last updated?

The NPPES record for Robert Surprenant was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.