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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHAYNE ELIZABETH POLLEY MD
NPI 1902485063
Emergency Medicine in Fort Defiance, AZ

Active since April 06, 2021PECOS Enrolled
CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Jul 17, 2026, Jun 23, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Shayne Elizabeth Polley Md NPPES

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

DR. SHAYNE ELIZABETH POLLEY MD (NPI 1902485063) is an individual emergency medicine provider in Fort Defiance, Arizona, licensed in Colorado (DR.0077765) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902485063
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHAYNE ELIZABETH POLLEYCredential: MD
Location AddressCORNER OF ROUTE N12 & N7Fort Defiance, AZ 86504-0649
Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649 · (928) 729-8000
Phone(928) 729-8000
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 30, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1902485063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CO · DR.0077765✔ Licensed in IL · 125.078356
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
CORNER OF ROUTE N12 & N7, Fort Defiance, AZ 86504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shayne Elizabeth Polley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services27 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
MRS. LORETTA NOTAH-ASHLEY
Counselor (Mental Health)
CORNER OF ROUTE N12 & N7, PHS FORT DEFIANCE INDIAN HOSPITAL
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8944
MS. VALERIE EUGENIA LONG RDH
Dental Hygienist
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8890
DR. JASON RYAN PRICE D.D.S.
Dentist
CORNER OF ROUTE N12 & N7, FORT DEFIANCE PHS HOSPITAL
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
KAREN HOIWAN WONG-LI RD, LD
Dietitian, Registered
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
MS. BEVERLY ANN DESCHEENIE BSW
Social Worker
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-3767
MS. JEAN PROPER FNP
Nurse Practitioner (Family)
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000
ORENA SAM RN, BSN
Registered Nurse (Community Health)
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504
Apache County (928) 729-8000

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 Shayne Polley's NPI number?

The NPI number for Shayne Polley is 1902485063. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Shayne Polley located?

Shayne Polley practices at Corner Of Route N12 & N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

What is Shayne Polley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shayne Polley enrolled in Medicare?

Yes. Shayne Polley is registered in the Medicare PECOS enrollment system.

What insurance does Shayne Polley accept?

Health plans from Blue Cross Blue Shield of Arizona list Shayne Polley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shayne Polley was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.