Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902936107 Individual Practitioner Male Practitioner

Dr. Robert R Nystrom , DO

General Practice • Greeley, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Nystrom, DO is a certified General Practice practicing in Greeley, CO. With approximately 37 years of clinical experience since graduating from College Of Osteo Med Of The Pacific At Pomona in 1989, Dr. Nystrom delivers high-quality medical care to the local community at 1900 16TH ST.

Dr. Nystrom is affiliated with Banner Urgent Care Colorado and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 16th St

Greeley, CO 806315114

Telephone 9703502471
Fax 9703502418
Associated Practice Facility / Clinic
🏢 Greeley Medical Clinic Facility NPI 1336124700

Medicare Profile & Education

Medical School

College Of Osteo Med Of The Pacific At Pomona

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Greeley, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +5.0 yrs vs City Avg
City Avg: 32.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Greeley, CO (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nystrom (37 Years) 37 Yrs
Greeley Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $271.00 $115.98

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 30464

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License CO 30464

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1304641 (CO)
Commercial Insurance / Payer ID Medicare Railroad Carrier Ptan
P00931173 (CO)

Hospital & Practice Group Affiliations

Banner Urgent Care Colorado

110 E Boardwalk, Fort Collins, CO 805253047

Phone: 9708211500

Banner Urgent Care Colorado

2555 E 13th St, Loveland, CO 805375134

Phone: 9708204264

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Thomas Lynch , MD

General Practice

NPI 1528046364

Doctor of Medicine (M.D.)

Dr. James Rafferty , DO

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1821160466

Doctor of Osteopathic Medicine (D.O.)

Dr. Cathy Smith , MD

Preventive Medicine - Occupational Medicine

NPI 1912955097

Doctor of Medicine (M.D.)

Dr. John Charbonneau , MD

Preventive Medicine - Occupational Medicine

NPI 1942272752

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2012

Registered at 1900 16TH ST, GREELEY, CO 806315114 (Tel: 9703502471)

📍
Updated Business Mailing Address May 02, 2012

Registered at 1900 16TH ST, GREELEY, CO 806315114 (Tel: 9703502471)

👤
Provider Name / Credentials Updated May 02, 2012

Recorded as ROBERT NYSTROM, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2012

Family Medicine (License #30464 in CO)

🟢
Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902936107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: May 02, 2012
Sole Proprietor: No

Mailing Address

1900 16th St

Greeley, CO 806315114

Phone: 9703502471

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.