STEFAN IVERSON DO
NPI 1053948646
Surgery in Salida, CO
About Stefan Iverson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEFAN IVERSON DO (NPI 1053948646) is an individual surgery provider in Salida, Colorado, licensed in Colorado (75732) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stefan Iverson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stefan Iverson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salida, CO 81201
- Reassigned Medicare billing, Colorado enrollment
- 185 clinicians in this Medicare group
Poncha Springs, CO 81242
- Reassigned Medicare billing, Colorado enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALIDA, CO 81201
SALIDA, CO 81201
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 Stefan Iverson's NPI number?
The NPI number for Stefan Iverson is 1053948646. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is Stefan Iverson located?
Stefan Iverson practices at 1000 Rush Dr, Salida, CO 81201. The listed phone number is (719) 530-2000.
What is Stefan Iverson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Stefan Iverson enrolled in Medicare?
Yes. Stefan Iverson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stefan Iverson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Iverson reassigns Medicare benefits to 2 organizations: Salida Hospital District (Salida, CO) and Salida General Surgery, PLLC (Poncha Springs, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stefan Iverson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stefan Iverson was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Stefan Iverson, DO · NPI 1053948646
Surgery physician in Salida, Colorado. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1053948646 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 75732 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 RUSH DR, Salida, CO 81201-9627
- **Phone:** (719) 530-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Salida Hospital District (NPI 1730258971, Salida, CO); Salida General Surgery, PLLC (NPI 1821950353, Poncha Springs, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053948646) · Data from the CMS NPPES public registry.