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JERONE THEODORE LANDSTROM M.D.
NPI 1255407953
Surgery - Surgery of the Hand in Tamuning, GU

Active since November 27, 2006PECOS EnrolledAccepts Medicare Assignment
633 GOV CARLOS CAMACHO ROAD, SUITE 104 GUAM MEDICAL PLAZA, TAMUNING, GU 96913(671) 646-4263(671) 649-1019 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerone Theodore Landstrom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERONE THEODORE LANDSTROM M.D. (NPI 1255407953) is an individual surgery of the hand provider in Tamuning, Guam, licensed in Guam (M00958) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Guam Memorial Hospital Authority, and is a graduate of Wayne State University School Of Medicine (1981).

NPPES Registry Identity

NPI1255407953
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameJERONE THEODORE LANDSTROMCredential: M.D.
Location Address633 GOV CARLOS CAMACHO ROAD, SUITE 104 GUAM MEDICAL PLAZATamuning, GU 96913
Mailing Address633 Gov Carlos G Camacho Rd Ste 212Tamuning, GU 96913-3195 · (671) 646-4263 · Fax (671) 649-2266
Phone(671) 646-4263
Fax(671) 649-1019
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1981
Enumeration DateNovember 27, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1255407953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
Licenses✔ Licensed in GU · M00958✔ Licensed in HI · MD9588✔ Licensed in TX · J9150
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedSurgeryTaxonomy 208600000X · License M-958 (GU)

Other Identifiers 3

MedicaidJ6266501TX
Other0005867019Aetna
Other170804300Usdol

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jerone Theodore Landstrom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355230046
PECOS Enrollment IDI20040430001344
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
42 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services17 patients
Injection of carpal tunnel 20526
An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guam Memorial Hospital Authority

Acute Care Hospitals · Tamuning, GU
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number650001
Location85O Gov Carlos G Camacho RoadTamuning, GU 96913 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerone Landstrom's NPI number?

The NPI number for Jerone Landstrom is 1255407953. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Jerone Landstrom located?

Jerone Landstrom practices at 633 Gov Carlos Camacho Road Suite 104 Guam Medical Plaza, Tamuning, GU 96913. The listed phone number is (671) 646-4263.

What is Jerone Landstrom's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Jerone Landstrom enrolled in Medicare?

Yes. Jerone Landstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jerone Landstrom affiliated with any hospitals?

According to CMS data, Jerone Landstrom is affiliated with Guam Memorial Hospital Authority.

When was this NPI record last updated?

The NPPES record for Jerone Landstrom was last updated on April 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.