Medicare Enrolled
Dr. Joseph Nystrom, MD
Family Medicine · Zephyrhills, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Nystrom from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Nystrom
Dr. Joseph Nystrom is a family medicine specialist in Zephyrhills, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nystrom performed 3,793 Medicare services across 1,975 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nystrom received a total of $10,847 from 47 pharmaceutical and/or device companies across 696 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Nystrom is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 8% volume in FL
$10,847 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 69859 | Clear | January 31, 2027 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗3,793
Medicare services
Top 8% in FL for family medicine
1,975
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~200 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,443 | $80 | $240 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,042 | $8 | $28 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
316 | $120 | $256 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
164 | $55 | $164 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
101 | $36 | $100 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
75 | $3 | $15 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
72 | $119 | $310 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
62 | $72 | $80 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
62 | $24 | $25 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
59 | $145 | $200 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
55 | $10 | $44 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
54 | $4 | $10 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
47 | $14 | $42 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
47 | $204 | $270 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
44 | $0 | $10 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
32 | $50 | $103 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
28 | $1 | $3 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
27 | $104 | $243 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
18 | $8 | $30 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
16 | $16 | $24 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
15 | $131 | $158 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
14 | $39 | $86 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$10,847
Total received (2018-2024)
Avg $1,550/year across 7 years
Top 4% in FL for family medicine
47
Companies
696
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,847 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$908
2023
$1,256
2022
$1,848
2021
$2,193
2020
$1,735
2019
$1,469
2018
$1,439
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$2,265
AstraZeneca Pharmaceuticals LP
$1,170
Lilly USA, LLC
$847
Boehringer Ingelheim Pharmaceuticals, Inc.
$824
PFIZER INC.
$691
Amgen Inc.
$684
Janssen Pharmaceuticals, Inc
$530
SANOFI-AVENTIS U.S. LLC
$405
Amarin Pharma Inc.
$354
Novartis Pharmaceuticals Corporation
$348
GlaxoSmithKline, LLC.
$328
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$294
ABBVIE INC.
$194
Kowa Pharmaceuticals America, Inc.
$164
Biohaven Pharmaceutical Holding Company Ltd.
$140
Astellas Pharma US Inc
$129
Bayer HealthCare Pharmaceuticals Inc.
$128
Sumitomo Pharma America, Inc.
$120
Merck Sharp & Dohme Corporation
$120
Abbott Laboratories
$119
Dexcom, Inc.
$114
Exact Sciences Corporation
$94
Takeda Pharmaceuticals U.S.A., Inc.
$94
Biohaven Pharmaceuticals, Inc.
$87
Nevro Corp.
$74
Eisai Inc.
$58
AbbVie Inc.
$54
Bayer Healthcare Pharmaceuticals Inc.
$49
IBSA Pharma Inc.
$45
Sunovion Pharmaceuticals Inc.
$39
DEXCOM, INC.
$38
Smith & Nephew, Inc.
$23
Aytu Bioscience, Inc
$21
Amneal Pharmaceuticals LLC
$19
LIFESCAN, INC.
$17
Xeris Pharmaceuticals, Inc.
$16
Horizon Therapeutics plc
$15
MannKind Corporation
$15
ARBOR PHARMACEUTICALS, INC.
$15
Sanofi Pasteur Inc.
$15
Merck Sharp & Dohme LLC
$14
Medtronic, Inc.
$14
Allergan Inc.
$14
Paratek Pharmaceuticals, Inc.
$14
Boston Scientific Corporation
$13
E.R. Squibb & Sons, L.L.C.
$13
Mannkind Corporation
$11
Top 3 companies account for 39.5% of total payments
Associated products mentioned in payments ›
AFREZZA · ANORO · Aimovig · BASAGLAR · BELSOMRA · BREZTRI · BYDUREON · CHANTIX · Coblation - Tonsil Wands · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · GEMTESA · GVOKE PFS · IBSCHEK · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Mitra Clip system · Myrbetriq · NURTEC ODT · NUZYRA · Natesto · Omnia · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT · PREMARIN · PREVNAR - 13 · PREVNAR 20 · QULIPTA · REVEAL LINQ · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Saxenda · Senza · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · UBRELVY · UNITHROID · VESICARE · VIBERZI · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in FL.
Equivalent to $286 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
530
Per 100K population
90.0
County median income
$67,384
Nearest hospital
Adventhealth Zephyrhills
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Nystrom is a clinical cardiology specialist, with above-average Medicare volume (top 8% in FL), with low-engagement industry engagement in the top 4% of FL peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Nystrom experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nystrom performed 1,443 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Nystrom receive payments from pharmaceutical companies?
Yes. Dr. Nystrom received a total of $10,847 from 47 companies across 696 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Nystrom's costs compare to other family medicine physicians in Zephyrhills?
Dr. Nystrom's average Medicare payment per service is $57. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Nystrom) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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