DR. CARL NYBERG M.D
NPI 1386059855
Family Medicine in Oklahoma City, OK

Q: What is Carl Nyberg's NPI number?

The NPI number for Carl Nyberg is 1386059855. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Carl Nyberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Nyberg was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 24, 2014PECOS EnrolledAccepts Medicare Assignment

77.69/100

CMS Quality Rating

4221 S WESTERN AVE STE 3030, OKLAHOMA CITY, OK 73109(405) 636-7650(405) 636-7743 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2018, Mar 17, 2018, Jul 6, 2017 (3 updates tracked since 2017).

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About Dr. Carl Nyberg M.d NPPES

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

DR. CARL NYBERG M.D (NPI 1386059855) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Florida (ME131845) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386059855

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CARL NYBERGCredential: M.D

Location Address4221 S WESTERN AVE STE 3030Oklahoma City, OK 73109

Mailing Address5300 N Independence Ave Ste 280Oklahoma City, OK 73112-5555 · (405) 636-7650

Phone(405) 636-7650

Fax(405) 636-7743

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 24, 2014

Last NPPES UpdateJuly 18, 20183 updates tracked since enumeration

✔ NPI 1386059855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME131845

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4221 S WESTERN AVE STE 3030, Oklahoma City, OK 73109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.Insurance ›

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

Dr. Carl Nyberg 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 ID9638446180

PECOS Enrollment IDI20180918000543

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 11

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.

571 services240 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

136 services136 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

127 services68 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.

84 services59 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

71 services71 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

58 services58 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.

21 services19 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

19 services19 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Norman Regional

Acute Care Hospitals · Norman, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370008

Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County

Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370093

Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County

Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370106

Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73109 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.52

Promoting Interoperability

100

Improvement Activities

Cost

43.13

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers16 claims28 services$6.56 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$916.78 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims20 services$64.63 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers25 claims8,468 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers25 claims25 services$177.67 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$33.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 3

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

CHERRILLEYE JOINER LMFT

Marriage & Family Therapist

4221 S WESTERN AVE STE 3030
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 636-7650

FATEH ELKHATIB MD

Internal Medicine

4221 S WESTERN AVE STE 3030
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 644-6232

AMBER BLAIR WRIGHT MD

Family Medicine

4221 S WESTERN AVE STE 3030
OKLAHOMA CITY, OK 73109

Oklahoma County (405) 636-7650

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 Carl Nyberg's NPI number?

The NPI number for Carl Nyberg is 1386059855. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Carl Nyberg located?

Carl Nyberg practices at 4221 S Western Ave Ste 3030, Oklahoma City, OK 73109. The listed phone number is (405) 636-7650.

What is Carl Nyberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carl Nyberg enrolled in Medicare?

Yes. Carl Nyberg 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.

What insurance does Carl Nyberg accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Carl Nyberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carl Nyberg affiliated with any hospitals?

According to CMS data, Carl Nyberg is affiliated with Norman Regional, Integris Baptist Medical Center, Inc, O U Medical Center and Integris Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Nyberg was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.