Main Clinic (Horse Gulch)

Monday - Friday

8:00 am – 5:00 pm

Saturday Clinic

9:00 am – 12:00 pm 

Bayfield Clinic

Monday - Friday

9:00 am – 5:00 pm

Durango High School

Monday - Friday

8:30 am – 4:30 pm

(hours vary during the summer and holidays)

After hours nurse on call:


© 2018 by PPSW

Contact us for more information:

Telephone: 970-375-0100

Fax: 970-375-9210


Horse Gulch Health Campus

810 E 3rd St #301

Durango, CO 81301

Satellite Offices:

Silverton Public Schools
1160 Snowden St 

Silverton, CO 81433

Bayfield Schools
658 S East St 

Bayfield, CO 81122

Durango High School
School-Based Health Center

2390 Main Ave

Durango, CO 81301

Your PPSW Providers: 
Kim Caruso MD 
Cecile Fraley MD 
Brenda Huffman  MD
Amy Hurley MD

Lisa Isenberg PNP 
Aimee Jacoby PA-C
Betsy Kastak PNP 
David MacLaurin MD 

Jessica Marsh MD
Heidi McMillan MD

Kelly Miller MD 
Savannah Porter PA-C

Our Integrated Behavioral Health Providers:
Katie Drobney, LPC ATR
LeAnn Shaw, MA LMFT
Linza Vargas, LSW

Sean Hein, LCSW

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Patient Portal

We use our patient portal to complete paperwork before appointments, provide resources, and communicate with families about lab results, medications, and other topics. If you haven't signed up for portal access yet, please click on the link above and get set up!


about COVID-19
Meet Our Providers

Below is our wonderful team of board certified Pediatricians, Physician's Assistants, and Pediatric Nurse Practitioners who specialize in the care of infants, children and young adults.

Click on any provider to learn more.

New Patient?

 Welcome to PPSW! If your family is brand-new to our practice, begin by creating a portal account by clicking on


You can pay your bill to PPSW securely through Instamed. Click here to pay your bill now

Our Services

 PPSW provides the most comprehensive pediatric services

in Durango and the Four Corners Region.


Our PPSW providers are pleased to offer primary care visits in our office at Horse Gulch Health Campus. SAME DAY AND



PPSW hosts In-Person and 

Tele-health Clinics in Durango


Specializing in Support and Community Referrals​


Our board-certified pediatricians serve as Mercy Regional Medical Center’s only pediatricians. Mercy Hospitalists provide 24 hour-a-day, 7 day-a-week coverage.


PPSW has multiple school-based health centers across southwest Colorado.


Changes to Visits

As of 3/13/2020 there are still no COVID-19 cases in La Plata, Archuleta, or Montezuma counties. However, due to community spread present nearby in Denver and now Albuquerque we are putting in place changes that will help to slow the spread of COVID-19.  Starting on Monday 3/16/2020 we will be separating well and sick visits by location and time (for example, only well visits at our Durango High School location, and at our Horse Gulch and Bayfield offices we are attempting to have well visits in the morning and sick visits in the afternoon).  Our main goal is that a well child/infant/teen will not be in the office at the same time as someone who is ill.  We will be ramping up our cleaning procedures between these times as well to try to contain spread of infection.


  • We ask that you limit the number of family members you bring to appointments and have sick family members that we are not actively seeing stay home.

  • We will attempt to transition as many typically in-person visits to telemed appointments (ie depression/anxiety med follow ups, rashes, counseling). Please let us know when you schedule your appointment if this is of interest to you. Also, if you are not currently set up to have tele-med appointments (or if you're not sure), please call our office. Set up doesn't take long.

  • Our office may be reaching out to you to try to change the time or location of your well or sick visit in attempt to accomplish this goal.  We thank you for your understanding while we try to keep addressing patients' needs while also mitigating viral spread.

  • If you are worried your child has been exposed to COVID-19 and may be infected by it, please still call our office ahead of time to determine the safest way to be evaluated.


Thank you all for your understanding during this process.  We are dedicated to continue to safely address your child's healthcare needs safely during this time.

COVID-19 Information

There are a lot of fears and miscommunication out there about coronavorus/COVID-19 so we wanted to share the resources we rely on in epidemics such as this. 




Childrens Hospital Colorado hotline for parents with questions about COVID-19: 720-777-2221


Please know that we are NOT able to provide testing for COVID-19 at any if our clinic locations at this time. If you are worried your child has COVID-19 please call our clinic and talk to a triage nurse about the right referral process for you (most likely the ER) and we can assist you through this process. Please do NOT take your child to a clinic or urgent care that will not be able to provide testing for COVID-19 concerns without first discussing with someone ahead of time so we can help make sure proper infectious disease prevention procedures are taken to limit the spread. We want to take care of your kiddos while also doing our part in containing the virus!


In the meantime here are some tips to help prevent infection:

1. DO practice good hand hygiene! Wash for 20 seconds and scrub all the nooks and crannies. Count it out or sing your ABCs or Happy Birthday! Do this before you eat or touch your face and after you sneeze/blow your nose/cough into hands, etc.

2. Do NOT touch your face without washing your hands first. 

3. Do NOT take your sick kiddos around the grandparents or people with medical conditions such as heart problems, diabetes, and lung problems. 

4. DO wear a mask only of YOU are the one sick. Wearing a mask does NOT prevent you from getting COVID-19 while in public so please save the masks for those who need them.

Resources to Help Your Kids During Isolation / Social Distancing

Tara Branch Pandemic Care Resources

How To Talk To Your Kids About Coronavirus

Six Daily Questions to Ask Yourself During Quarantine

How to Help Teens Shelter in Place

Greater Good's Guide to Well-Being During Coronavirus

A Kids' Guide to Coronavirus - The Daily (podcast)