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DALE NYSTROM MD
NPI 1528128444
Family Medicine in Sioux Center, IA

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
645 S MAIN AVE, SIOUX CENTER, IA 51250(712) 722-2609(712) 722-8392 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dale Nystrom Md NPPES

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

DALE NYSTROM MD (NPI 1528128444) is an individual family medicine provider in Sioux Center, Iowa, licensed in Iowa (21738) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Hawarden Regional Healthcare, and is a graduate of University Of Minnesota Medical School (1978).

NPPES Registry Identity

NPI1528128444
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDALE NYSTROMCredential: MD
Location Address645 S MAIN AVESioux Center, IA 51250-1347
Mailing Address645 S Main AveSioux Center, IA 51250-1347 · (712) 722-2609 · Fax (712) 722-8392
Phone(712) 722-2609
Fax(712) 722-8392
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1978
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528128444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 21738
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.
645 S MAIN AVE, Sioux Center, IA 51250
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Other Identifiers 1

Medicare UPINA01482IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dale Nystrom Md 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 ID6204822430
PECOS Enrollment IDI20040422001561
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 Reassignments

2

Medicare enrollment records show Dale Nystrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hawarden Regional Healthcare Clinics LLC
9.9 mi
Family Medicine
318 MAIN ST
Ireton, IA 51027
  • Reassigned Medicare billing, Iowa enrollment
  • 40 clinicians in this Medicare group
NPI 1801060306 (712) 278-1011
Hawarden Regional Healthcare
16 mi
Critical Access
1111 11TH ST
Hawarden, IA 51023
  • Reassigned Medicare billing, Iowa enrollment
  • 37 clinicians in this Medicare group
NPI 1841261104 (712) 551-3100

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

Hospital Affiliations CMS Care Compare 2

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

Hawarden Regional Healthcare

Critical Access Hospitals · Hawarden, IA
OwnershipGovernment - Local
CMS Certification Number161311
Location1111 11th StreetHawarden, IA 51023 · Sioux County
Emergency services

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51250 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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 suppliers38 claims60 services$5.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers13 claims13 services$55.48 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers13 claims13 services$20.43 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers13 claims78 services$2.61 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
3 suppliers32 claims32 services$108.90 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier20 claims1,200 services$4.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

RICHARD JONGEWAARD MD
Family Medicine
645 S MAIN AVE
SIOUX CENTER, IA 51250
Sioux County (712) 722-2609

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 Dale Nystrom's NPI number?

The NPI number for Dale Nystrom is 1528128444. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Dale Nystrom located?

Dale Nystrom practices at 645 S Main Ave, Sioux Center, IA 51250. The listed phone number is (712) 722-2609.

What is Dale Nystrom's specialty?

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

Is Dale Nystrom enrolled in Medicare?

Yes. Dale Nystrom 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.

Which organizations bill Medicare for Dale Nystrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dale Nystrom reassigns Medicare benefits to 2 organizations: Hawarden Regional Healthcare Clinics LLC (Ireton, IA) and Hawarden Regional Healthcare (Hawarden, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dale Nystrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dale Nystrom accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Avera Health Plans, Medica and Oscar Health and 3 other insurers list Dale Nystrom 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 Dale Nystrom affiliated with any hospitals?

According to CMS data, Dale Nystrom is affiliated with Hawarden Regional Healthcare and Sioux Center Health.

When was this NPI record last updated?

The NPPES record for Dale Nystrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.