Robert R. Nystrom, D.O.
NPI 1902936107ActiveIndividual· General Practice· Greeley, CO
General Practice (D.O.) in Greeley, Colorado, trained at College of Osteo Med of the Pacific at Pomona (class of 1989). In 2024 Medicare paid $2,183 for 30 patients, and Part D covered 60 of their prescriptions, 88% of them generic.
Overview
| NPI | 1902936107 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | May 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 30464 | CO |
| Family Medicine | 207Q00000X | 30464 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 59 across 20 procedure codes |
| Paid by Medicare | $2,183 |
Part D prescriptions in 2024
| Prescriptions (claims) | 60 · 64 30-day fills |
|---|---|
| Patients | 45 |
| Total drug cost | $879.73 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | College of Osteo Med of the Pacific at Pomona |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Family Practice |
Medical group
- Banner Urgent Care ColoradoFort Collins, CO · 22 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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