Medicare Enrolled
Dr. Jonathan Fontenot, MD
Orthopaedic Surgery of the Spine Physician · Longview, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Fontenot from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Fontenot
Dr. Jonathan Fontenot is an orthopaedic surgery of the spine physician in Longview, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fontenot performed 1,842 Medicare services across 944 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fontenot received a total of $104,634 from 22 pharmaceutical and/or device companies across 68 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fontenot is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 4% volume in TX
$104,634 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,842
Medicare services
Top 4% in TX for orthopaedic surgery of the spine physician
944
Unique beneficiaries
$96
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~92 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
516 | $0 | $6 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
311 | $65 | $137 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
132 | $28 | $156 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
87 | $93 | $199 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
68 | $193 | $2,234 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
64 | $40 | $107 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
60 | $57 | $270 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
59 | $29 | $147 |
| Orthovisc intra-articular injection An injection of hyaluronan or its derivative into a joint space to provide lubrication and cushioning. |
47 | $106 | $310 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
46 | $123 | $291 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
38 | $39 | $163 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
37 | $75 | $731 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
29 | $292 | $2,783 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
28 | $24 | $148 |
| X-ray of lower and sacral spine, 2-3 views with bending An X-ray imaging test of the lower back and sacrum using 2 to 3 views, including bending positions. |
27 | $30 | $125 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
26 | $89 | $865 |
| Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 25 | $296 | $3,154 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
25 | $43 | $108 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
23 | $360 | $12,427 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
23 | $547 | $3,409 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
21 | $26 | $65 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
20 | $1,321 | $14,033 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
18 | $1,242 | $11,009 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
18 | $36 | $141 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
17 | $157 | $2,322 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
17 | $193 | $726 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
16 | $570 | $5,015 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
16 | $73 | $854 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
16 | $16 | $149 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
12 | $39 | $219 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
9.6% high complexity
40.2% medium
50.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$104,634
Total received (2018-2024)
Avg $14,948/year across 7 years
Top 23% in TX for orthopaedic surgery of the spine physician
22
Companies
68
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$77,403 (74.0%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$25,666 (24.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,565 (1.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$786
2023
$111
2022
$277
2021
$333
2020
$25,909
2019
$42,026
2018
$35,192
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Precision Spine, Inc.
$76,820
PRECISION SPINE, INC.
$25,666
Spine Wave, Inc.
$1,019
Stryker Corporation
$329
Orthofix Medical, Inc.
$100
Abbott Laboratories
$86
Providence Medical Technology, Inc.
$78
Medtronic USA, Inc.
$69
Alafair Biosciences, Inc.
$64
PFIZER INC.
$60
Smith+Nephew, Inc.
$48
Amgen Inc.
$47
Pylant Medical
$42
Olympus America Inc.
$32
Avanos Medical
$29
DePuy Synthes Sales Inc.
$29
Medtronic, Inc.
$26
Zimmer Biomet Holdings, Inc.
$23
Cerapedics, Inc.
$22
ABBVIE INC.
$18
Flexion Therapeutics, Inc.
$15
Saluda Medical Americas, Inc.
$12
Top 3 companies account for 98.9% of total payments
Associated products mentioned in payments ›
ACCULIF · AQUAMANTYS · ASCENT;ASCENT LE;FIREBIRD SFS;ICON SFS;SFS · AXSOS · CD HORIZON · DBM · EVENITY · EVEREST · EXCEED BIPLANAR EXPANDABLE INTERBODY SYSTEM · Evoke SCS · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · LEVA SPACER SYSTEM · M6-C Artificial Cervical Disc · MAKO · MONOVISC · MazorX Renaissance · ON-Q* PUMP AND ACCESSORIES · ORTHOVISC · PrimaGen · Proclaim IPG · REUNION · Reform Modular · SALVO SPINE SYSTEM · SPATIAL FRAME · SPINAL IMPLANT · SPINE PRODUCT · Spinal Implants · TEFLARO · VersaWrap · Zilretta
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (74%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Equivalent to $5,680 per 100 Medicare services performed
Geographic Context
Orthopaedic surgery of the spine physicians within 10 mi
2
Per 100K population
1.6
County median income
$64,809
Nearest hospital
LONGVIEW REGIONAL MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Fontenot is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with consulting-driven industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Fontenot experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Fontenot performed 516 dexamethasone injection (steroid) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Fontenot receive payments from pharmaceutical companies?
Yes. Dr. Fontenot received a total of $104,634 from 22 companies across 68 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Fontenot's costs compare to other orthopaedic surgery of the spine physicians in Longview?
Dr. Fontenot's average Medicare payment per service is $96. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Fontenot) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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