DR. JOHN MATTHEW BYSTROM DC
NPI 1891850525
Chiropractor in Modesto, CA

Active since December 22, 2006Accepts Medicare Assignment
1933 COFFEE RD, MODESTO, CA 95355(209) 838-3434(209) 838-7753 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2023, Apr 4, 2022 (2 updates tracked since 2022).

About Dr. John Matthew Bystrom Dc NPPES

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

DR. JOHN MATTHEW BYSTROM DC (NPI 1891850525) is an individual chiropractor in Modesto, California, licensed in California (DC30236) and active in the NPI registry since December 2006. He is a graduate of Life Chiropractic College - West (2005).

NPPES Registry Identity

NPI1891850525
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN MATTHEW BYSTROMCredential: DC
Location Address1933 COFFEE RDModesto, CA 95355-2704
Mailing Address1933 Coffee RdModesto, CA 95355-2704 · (209) 380-7975 · Fax (209) 838-7753
Fax(209) 838-7753
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2005
Enumeration DateDecember 22, 2006
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1891850525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC30236
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1933 COFFEE RD, Modesto, CA 95355

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

Dr. John Matthew Bystrom Dc 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 ID2466546858
PECOS Enrollment IDI20070915000306

Medicare Billing Reassignment

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

Family Medicine
1933 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group

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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
170 services38 patients

Other Providers at the Same Location NPPES 2

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

Physical Therapist
1933 COFFEE RD
MODESTO, CA 95355
Family Medicine
1933 COFFEE RD
MODESTO, CA 95355

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 John Bystrom's NPI number?

The NPI number for John Bystrom is 1891850525. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is John Bystrom located?

John Bystrom practices at 1933 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 838-3434.

What is John Bystrom's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is John Bystrom enrolled in Medicare?

Yes. John Bystrom 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 organization bills Medicare for John Bystrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Bystrom reassigns Medicare benefits to Escalon Physical Medicine, Inc (Modesto, CA). The 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 John Bystrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Bystrom was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.