Stephen Samuel Haverly
NPI 1114034550ActiveIndividual· Emergency Medicine· Durango, CO
Emergency Medicine with The Fort Defiance Indian Hospital Board, Incorporation, practicing in Durango, Colorado. In 2024 Medicare paid $10,786 for 133 patients, and Part D covered 50 of their prescriptions, 88% of them generic. Lists Fort Defiance Indian Hospital as a hospital affiliation.
Overview
| NPI | 1114034550 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 23, 2006 |
| Last updated in NPPES | Apr 3, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 42845 | CO |
| Emergency Medicine | 207P00000X | A77557 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CO); Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 133 |
|---|---|
| Services billed | 155 across 5 procedure codes |
| Paid by Medicare | $10,786 |
Part D prescriptions in 2024
| Prescriptions (claims) | 50 · 51 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $343.91 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- The Fort Defiance Indian Hospital Board, IncorporationFort Defiance, AZ · 151 clinicians
Hospital affiliation
- Fort Defiance Indian HospitalFt. Defiance, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 emergency medicine physicians in Durango · All emergency medicine physicians in Colorado