Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Stephen Samuel Haverly

Individual provider Emergency Medicine Physician · NPI 1114034550

Stephen Samuel Haverly practises Emergency Medicine in Durango, Colorado. Qualified in 2004, 22 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
22
Licensed in
CA, CO
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1010 Three Springs Blvd
Durango, CO 81301-8296 Not confirmed with CMS for 12 years — call before visiting
Phone: (303) 306-7783
Fax: (303) 306-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 42845 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A77557 (CA)

Record details

NPI number1114034550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESApril 3, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients133
Services billed 155 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at The Fort Defiance Indian Hospital Board, Incorporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 146 clinicians in the practice; 12 are shown here.

Other providers in Durango