LUKAS M NYSTROM M.D.
NPI 1366648081
Orthopaedic Surgery - Orthopaedic Trauma in Cleveland, OH

Q: What is Lukas Nystrom's NPI number?

The NPI number for Lukas Nystrom is 1366648081. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Lukas Nystrom's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for Lukas Nystrom was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2007PECOS Enrolled

9500 EUCLID AVE # A40, CLEVELAND, OH 44195(216) 445-7164(216) 445-1638 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lukas M Nystrom M.d. NPPES

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

LUKAS M NYSTROM M.D. (NPI 1366648081) is an individual orthopaedic trauma provider in Cleveland, Ohio, licensed in Ohio (35.130861) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ashtabula County Medical Center, and is a graduate of University Of Minnesota Medical School (2007).

NPPES Registry Identity

NPI1366648081

Entity TypeIndividualMale

Primary Taxonomy207XX0801X

Provider Legal NameLUKAS M NYSTROMCredential: M.D.

Location Address9500 EUCLID AVE # A40Cleveland, OH 44195-3328

Mailing AddressCleveland Clinic A40Cleveland, OH 44195-0001 · (216) 445-7164 · Fax (216) 445-1638

Phone(216) 445-7164

Fax(216) 445-1638

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2007

Enumeration DateJune 21, 2007

Last NPPES UpdateJune 12, 2024

NPPES CertifiedJune 12, 2024

✔ NPI 1366648081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

License✔ Licensed in OH · 35.130861

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

9500 EUCLID AVE # A40, Cleveland, OH 44195

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lukas M Nystrom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850525122

PECOS Enrollment IDI20171006002273

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.

Medicare Billing Reassignment

Medicare enrollment records show Lukas Nystrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation

Same address

General Acute Care Hospital

9500 EUCLID AVE
Cleveland, OH 44195

Reassigned Medicare billing, Ohio enrollment
7,608 clinicians in this Medicare group

NPI 1679525919 (216) 444-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

57 services42 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.

39 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

17 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ashtabula County Medical Center

Acute Care Hospitals · Ashtabula, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360125

Location2420 Lake AvenueAshtabula, OH 44004 · Ashtabula County

Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360230

Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County

Birthing friendly

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN COLLINS PA-C

Physician Assistant