Active NPI 1750541942 Individual Practitioner Male Practitioner

Dr. Stephen Nystrom , DO

Orthopaedic Surgery • Oshkosh, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Nystrom, DO is a certified Orthopaedic Surgery practicing in Oshkosh, WI. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Nystrom delivers high-quality medical care to the local community at 855 N WESTHAVEN DR.

Dr. Nystrom is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, new 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

855 N Westhaven Dr

Oshkosh, WI 54904

Telephone 9203038700

Associated Practice Facility / Clinic

🏢 Aurora Medical Center Of Oshkosh, Inc Facility NPI 1275578064

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Oshkosh, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +2.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

14 Specialists

Practicing in Oshkosh, WI (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

92.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nystrom (22 Years) 22 Yrs

Oshkosh Specialty Average (19.5 Years) 19.5 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	176	36	$7.00	$1.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	97	$516.87	$117.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$510.00	$102.16
20610 Aspiration and/or injection of fluid from large joint	47	38	$651.06	$62.35
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$350.00	$82.74
27447 Replacement of knee joint, both sides of knee	31	29	$16200.00	$1149.60
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$16570.00	$1083.61
20985 Computer-assisted surgery for muscle and bone procedure	17	17	$970.00	$127.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	184	39	$7.00	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	86	$490.00	$120.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$485.00	$105.01
20985 Computer-assisted surgery for muscle and bone procedure	41	39	$925.00	$131.97
27447 Replacement of knee joint, both sides of knee	40	38	$15800.00	$1185.87
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$330.00	$82.32
20610 Aspiration and/or injection of fluid from large joint	32	28	$610.94	$62.91
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$16640.00	$1186.95
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	17	16	$875.00	$94.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	140	29	$7.00	$1.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	90	$466.05	$122.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$460.00	$105.71
20610 Aspiration and/or injection of fluid from large joint	40	35	$596.63	$64.07
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$313.00	$87.32
20985 Computer-assisted surgery for muscle and bone procedure	27	27	$885.00	$133.48
J1885 Injection, ketorolac tromethamine, per 15 mg	27	13	$6.00	$0.60
27447 Replacement of knee joint, both sides of knee	26	26	$15410.00	$1191.64
27130 Replacement of thigh bone and hip joint with prosthesis	23	23	$16760.00	$1163.11
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	19	$840.00	$95.37
J1030 Injection, methylprednisolone acetate, 40 mg	19	17	$20.00	$6.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	123	$436.35	$122.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$430.00	$105.78
20610 Aspiration and/or injection of fluid from large joint	61	57	$563.69	$61.26
J1030 Injection, methylprednisolone acetate, 40 mg	55	47	$20.00	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$295.00	$88.57
27447 Replacement of knee joint, both sides of knee	30	27	$14955.17	$1214.50
20985 Computer-assisted surgery for muscle and bone procedure	28	26	$843.00	$136.08
J1885 Injection, ketorolac tromethamine, per 15 mg	24	13	$7.00	$0.46
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$18030.00	$1127.00
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	12	11	$998.75	$107.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	144	$416.52	$104.84
J1030 Injection, methylprednisolone acetate, 40 mg	73	61	$22.00	$5.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$407.00	$103.01
20610 Aspiration and/or injection of fluid from large joint	50	49	$531.06	$59.99
20985 Computer-assisted surgery for muscle and bone procedure	40	39	$790.00	$139.91
27447 Replacement of knee joint, both sides of knee	34	33	$14180.00	$1259.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	26	$275.00	$51.89
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	27	26	$785.04	$93.13
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$19370.00	$1300.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$275.00	$51.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	133	$393.61	$105.10
J1030 Injection, methylprednisolone acetate, 40 mg	95	78	$22.00	$6.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$389.00	$102.72
20610 Aspiration and/or injection of fluid from large joint	59	54	$517.42	$59.19
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	43	36	$737.77	$88.96
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$21905.26	$1318.21
20985 Computer-assisted surgery for muscle and bone procedure	17	16	$749.00	$138.55
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$265.00	$71.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$277.00	$51.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	294	34	$4.00	$1.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	113	$334.96	$102.45
99213 Established patient office or other outpatient visit, typically 15 minutes	86	73	$151.20	$71.36
20610 Aspiration and/or injection of fluid from large joint	83	71	$340.16	$56.50
J1030 Injection, methylprednisolone acetate, 40 mg	69	62	$22.00	$6.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$341.15	$103.35
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	37	36	$460.16	$87.25
73562 X-ray of knee, 3 views	31	27	$75.00	$34.76
73502 X-ray of hip, 2-3 views	31	25	$81.00	$40.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$115.11	$53.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$273.00	$138.40
27447 Replacement of knee joint, both sides of knee	12	12	$7407.17	$1347.63
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$57.00	$11.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,250	108	$4.00	$1.81
99213 Established patient office or other outpatient visit, typically 15 minutes	236	164	$140.00	$71.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	162	$207.00	$105.53
20610 Aspiration and/or injection of fluid from large joint	128	91	$170.49	$59.69
73502 X-ray of hip, 2-3 views	89	63	$81.37	$40.12
73562 X-ray of knee, 3 views	79	60	$75.00	$34.34
73564 X-ray of knee, 4 or more views	67	55	$86.00	$38.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	64	60	$107.00	$52.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$273.00	$137.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	52	40	$197.79	$93.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$210.00	$107.33
73030 X-ray of shoulder, minimum of 2 views	34	26	$64.00	$28.23
27447 Replacement of knee joint, both sides of knee	32	32	$3248.00	$1406.08
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$201.00	$102.43
73100 X-ray of wrist, 2 views	23	13	$64.00	$28.20
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	11	$2508.00	$1238.26

Medical Specialties & State Licenses

CMS Verified: 2024-03-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 68888-21

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License FL OS12697

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MI 5101017624

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

013076600 (FL)

Medicaid State Provider ID

100075914 (WI)

Commercial Insurance / Payer ID Bcbs Fl

14V7E (FL)

Commercial Insurance / Payer ID Railroad Medicare

P01408649 (FL)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

414 Doctors Ct, Oshkosh, WI 549012065

Phone: 9204562030

Secondary Practice Locations

414 Doctors Ct

Oshkosh, WI 549012065

Phone: 9203035100

414 Doctors Ct

Oshkosh, WI 549012065

Phone: 9203035100

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jacqueline Ots , PENDING

Nurse Practitioner

NPI 1003456823

Leah Fynaardt

Physician Assistant

NPI 1003702689

Dr. Zahid Dar , MD

Internal Medicine - Hematology & Oncology

NPI 1003850645

Doctor of Medicine (M.D.)

Xing Kong , NP

Nurse Practitioner

NPI 1003896093

Nurse Practitioner

Michele Osborne , CRNA-MNA

Nurse Anesthetist, Certified Registered

NPI 1013024496

CRNAMNA

Erin Lamers , PT

Physical Therapist

NPI 1013229301

Physical Therapist

Career & Practice History Timeline

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

18 Historical Events

📍

Updated Business Mailing Address March 27, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Orthopaedic Surgery (License #OS12697 in FL)

📍

Updated Practice Location January 07, 2019

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 54904 (Tel: 9203038700)

📍

Updated Business Mailing Address January 07, 2019

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9203038700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2019

Orthopaedic Surgery (License #5101017624 in MI)

📍

Updated Practice Location March 21, 2018

Registered at 414 DOCTORS CT, OSHKOSH, WI 549012065 (Tel: 9203035100)

📍

Updated Business Mailing Address March 21, 2018

Registered at 414 DOCTORS CT, OSHKOSH, WI 549012065 (Tel: 9203035100)

✅

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 19, 2017

Registered at 14690 SPRING HILL DR, SUITE 100 ATTN:CREDENTIALING, SPRING HILL, FL 346098102 (Tel: 3527990046)

📍

Updated Practice Location January 19, 2017

Registered at 14555 CORTEZ BLVD, BROOKSVILLE, FL 346136003 (Tel: 3525564823)

👤

Provider Name / Credentials Updated January 19, 2017

Recorded as STEPHEN NYSTROM, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Orthopaedic Surgery (License #OS12697 in FL)

✅

NPI Profile Active March 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2015

Registered at 14555 CORTEZ BLVD, BROOKSVILLE, FL 346136003 (Tel: 3525564823)

📍

Updated Business Mailing Address March 04, 2015

Registered at 14690 SPRING HILL DR, 101, SPRING HILL, FL 346098102 (Tel: 3527990046)

👤

Provider Name / Credentials Updated March 04, 2015

Recorded as STEPHEN NYSTROM, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2015

Orthopaedic Surgery (License #OS12697 in FL)

🟢

Initial NPI Registration & Enumeration June 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750541942

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 11, 2008

Last Update: March 27, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.