Doctor profile · Federal record
Dr. Jacquelyn Nystrom, M.D.
Family Medicine Physician (CMS: Family Practice) · Orlando, FL
- NPI 1083818553
- Accepts Medicare
- 22 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9975 Tavistock Lake Blvd, Suite 220
Orlando, FL 328277559
(407) 930-7901
fax (407) 930-7806
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- February 24, 2015
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Florida #ME94368
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083818553. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,055
Distinct HCPCS
10
Medicare allowed
$65,158
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 435 | 194 | $84 | |
G0442 |
Annual alcohol misuse screening, 5 to 15 minutes | 139 | 138 | $18 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 128 | 128 | $52 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 122 | 122 | $18 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 54 | 44 | $105 | |
G0008 |
Administration of influenza virus vaccine | 31 | 31 | $30 | |
90662 |
Influenza vaccine split virus, preservative free | 30 | 30 | $72 | |
G0009 |
Administration of pneumococcal vaccine | 28 | 28 | $30 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 27 | 27 | $14 | |
81003 |
Automated urinalysis test | 20 | 14 | $2 |
In context: peer comparison
Among 88 peers in Orlando Family Medicine Physician, average services per provider: 128. This provider delivers 8.2× the peer median.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $24.72 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,117
Patients
683
Total drug cost
$30,862
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 436 | 137 | $5,323 |
| Amlodipine Besylate | Generic | 229 | 74 | $1,556 |
| Losartan Potassium | Generic | 211 | 64 | $3,676 |
| Rosuvastatin Calcium | Generic | 210 | 76 | $6,777 |
| Levothyroxine Sodium | Generic | 204 | 49 | $2,631 |
| Lisinopril | Generic | 180 | 58 | $1,220 |
| Hydrochlorothiazide | Generic | 125 | 40 | $861 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 110 | 36 | $1,140 |
| Metoprolol Succinate | Generic | 99 | 32 | $2,052 |
| Ezetimibe | Generic | 69 | 22 | $3,117 |
Frequently asked questions
What is Dr. Jacquelyn Nystrom's medical specialty?
Dr. Jacquelyn Nystrom practices Family Medicine Physician in Orlando, FL.
Where does Dr. Jacquelyn Nystrom practice?
Dr. Jacquelyn Nystrom practices at 9975 Tavistock Lake Blvd, Orlando, FL 328277559. Office phone: 4079307901.
What is Dr. Jacquelyn Nystrom's NPI?
Dr. Jacquelyn Nystrom's National Provider Identifier (NPI) is 1083818553, issued by NPPES.
Does Dr. Jacquelyn Nystrom accept Medicare assignment?
Yes. Dr. Jacquelyn Nystrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacquelyn Nystrom commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual alcohol misuse screening, 5 to 15 minutes (HCPCS G0442); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.