NPIMap

Individual provider Active NPI

Dusty Roy Haverly, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bethlehem, PA
National Provider Identifier
1386608552
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005835 Issued in PA
Practice address
2045 Westgate Dr Ste 101
Bethlehem, PA 18017-7480
Phone
(610) 868-6353
Fax
(866) 644-0894
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005835 PA Primary

Addresses

Primary practice location

2045 Westgate Dr Ste 101
Bethlehem, PA 18017-7480

Mailing address

250 Cetronia Rd Ste 303
Allentown, PA 18104-9168
Phone (610) 973-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000475 PA Practitioner - Podiatry 4183631682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates of AllentownGroup PAC ID 7214841170, 43 clinicians

Practice addresses (Care Compare)

250 Cetronia Rd
Suite 303
Allentown, PA 18104-9168
Phone (610) 973-6200

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
78.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue503
Removal or shaving of skin growth66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2015 Accepting new patients
Orthopaedic Associates of Allentown CurrentSince Feb 1, 2019 Accepting new patients
Orthopaedic Associates of Allentown Foot & Ankle Surgery CurrentSince Feb 1, 2019 Accepting new patients
St Luke'S Hospital CurrentSince Apr 3, 2010 Accepting new patients
Star Community Health, Inc CurrentSince Feb 4, 2022 Accepting new patients
Star Community Health, Inc CurrentSince Feb 4, 2022 Accepting new patients
St. Luke'S Hospital CurrentSince Apr 3, 2010 Accepting new patients
St. Luke'S Hospital Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2015 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Lehigh Valley Physician Group PastSince Jul 16, 2007 Accepting new patients

Locations

250 Cetronia Rd
Ste 303
Allentown, PA 18104

1501 Lehigh St
Allentown, PA 18103
Phone (610) 628-8380

250 Cetronia Rd
Ste 200
Allentown, PA 18104

250 Cetronia Rd
Ste 300
Allentown, PA 18104
Phone (484) 223-2880

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

250 Cetronia Rd
Allentown, PA 18104
Phone (610) 402-9090

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

2045 Westgate Dr
Bethlehem, PA 18017
Phone (610) 596-4222

2045 Westgate Dr
Ste 101
Bethlehem, PA 18017
Phone (610) 868-6353

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (570) 386-6900

7096 Decatur St
New Tripoli, PA 18066
Phone (610) 298-8521

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1386608552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD STE 303",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049168",
            "telephone_number": "610-973-6200",
            "fax_number": "866-644-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR STE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177480",
            "telephone_number": "610-868-6353",
            "fax_number": "866-644-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERLY",
        "first_name": "DUSTY",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.