ROBERT LYSTRUP (MD) – Sports Medicine (Family Medicine) Physician, NPI 1679957427
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
992 FAMILY PRACTICE in NV
Provider Addresses for ROBERT LYSTRUP (MD)
4700 Las Vegas Blvd N
Nellis AFB, NV 891916600
Phone: (702) 653-2273
Type: Location
4700 LAS VEGAS BLVD N BLDG 1300
NELLIS AFB, NV 891916600
Phone: (702) 653-2273
Type: Mailing
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 891916600
Phone: (702) 653-2273
Type: Location
5055 E BROADWAY BLVD STE A100
TUCSON, AZ 857113629
Phone: (520) 327-0460
Type: Mailing
2260 N ROSEMONT BLVD
TUCSON, AZ 857122137
Phone: (520) 318-1033
Fax: (520) 318-1338
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $1,685.
Total Amount is formed as General ($1,685) + Research ($0) + Ownership ($0) = $1,685.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($365).
Total Amount
$1,685
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,685
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $365 |
| GlaxoSmithKline, LLC. | $265 |
| ABBVIE INC. | $236 |
| Amgen Inc. | $210 |
| Lilly USA, LLC | $177 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230809001617 | I | Family Practice | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 97 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | 36 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 24 | 24 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 24 | 24 | $0 |
Insurance plans in this area (ZIP 89191)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Internal Medicine | AZ | |
| - | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| - | AZ | |
| Family Practice | AZ | |
| - | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.