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Physician

JACQUELYN NYSTROM, M.D.

Family Medicine

ORLANDO, FL, 32827
NPI: 1083818553

Contact

Family Medicine

ORLANDO, FL

Hospital Affiliations

Search procedure prices at these hospitals only

Common Procedures for Family Medicine

Annual Physical ExamWell-Child VisitImmunizationsChronic Disease ManagementSports PhysicalMinor Wound CareSkin Lesion RemovalJoint InjectionPreventive ScreeningMental Health Screening

Based on specialty. Actual services may vary — contact the provider's office to confirm.

Procedure Pricing (Medicare Data)

Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians

ProcedureAvg ChargeMedicare AllowedMedicare PaidServices
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
$851$283$28316
99215
Established patient office or other outpatient visit, 40-54 minutes
$534$105$5854
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
$496$159$15911
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$384$52$52128
99214
Established patient office or other outpatient visit, 30-39 minutes
$381$84$42435
99213
Established patient office or other outpatient visit, 20-29 minutes
$270$60$3214
90662
Influenza vaccine split virus, preservative free
$210$72$7230
G0008
Administration of influenza virus vaccine
$90$30$3031
G0009
Administration of pneumococcal vaccine
$81$30$3028
G0444
Annual depression screening, 5 to 15 minutes
$55$18$18122
G0442
Annual alcohol misuse screening, 5 to 15 minutes
$55$18$18139
93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
$44$14$927
81003
Automated urinalysis test
$7$2$220

Compare prices for procedures performed by Family Medicine physicians

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.