STEPHEN SAMUEL HAVERLY – Emergency Medicine Physician, NPI 1114034550
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,197 EMERGENCY MEDICINE in CO
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Provider Addresses for STEPHEN SAMUEL HAVERLY
Lawrence Street & 16th Street Mall, Lawrence Street, 16th Street Mall, Denver, Denver County, Colorado, 80202, United States
DENVER, CO 802170752
Phone: (303) 306-7783
Fax: (303) 306-7753
Type: Mailing
Mercy Regional Medical Center, 1010, Three Springs Boulevard, Durango, La Plata County, Colorado, 81301, United States
DURANGO, CO 813018296
Phone: (303) 306-7783
Fax: (303) 306-7753
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041108000209 | I | Emergency Medicine | CO | TBD |
| I20220715000063 | I | Emergency Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 73 | 65 | $0 |
| 99282 | Emergency department visit with straightforward medical decision making | 41 | 41 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 13 | 13 | $0 |
Insurance plans in this area (ZIP 80217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| - | GA | |
| - | MO | |
| Internal Medicine | AZ | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | CA | |
| General Surgery | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Diagnostic Radiology | AL |
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