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Jacquelyn H. Nystrom, M.D.

NPI 1083818553ActiveIndividual· Family Medicine· Orlando, FL

Family Medicine (M.D.) with Adventhealth Primary Care Network Inc, practicing in Orlando, Florida. Their prescriptions cost Medicare Part D more than their services did: $408,478 for 4,354 claims, against $116,806 paid for services in 2024. Abbott Laboratories reported $24.72 in payments in 2024, mostly food and beverage. Lists Adventhealth Orlando as a hospital affiliation.

Overview

NPI1083818553
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJun 11, 2007
Last updated in NPPESFeb 24, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000XME94368FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients284
Services billed1,792 across 51 procedure codes
Paid by Medicare$116,806

Part D prescriptions in 2024

Prescriptions (claims)4,354 · 11,242 30-day fills
Patients325
Total drug cost$408,478
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Graduation year2004
Medicare specialtyFamily Practice
TelehealthOffers telehealth

Medical group

Hospital affiliation

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$24.72 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Abbott Laboratories$24.721

What the 2024 payments were for

  • Food and Beverage$24.72 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family medicine physicians in Orlando

All 690 family medicine physicians in Orlando · All family medicine physicians in Florida