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JOHN P. FONTENOT M.D.
NPI 1801822044
Internal Medicine in Mamou, LA

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
1415 7TH ST, SUITE J, MAMOU, LA 70554(337) 468-5150(337) 468-5155 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John P. Fontenot M.d. NPPES

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

JOHN P. FONTENOT M.D. (NPI 1801822044) is an individual internal medicine provider in Mamou, Louisiana, licensed in Louisiana (200868) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801822044
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN P. FONTENOTCredential: M.D.
Location Address1415 7TH ST, SUITE JMamou, LA 70554-2269
Mailing Address1415 7th St, Suite JMamou, LA 70554-2269 · (337) 468-5155 · Fax (337) 468-5155
Phone(337) 468-5150
Fax(337) 468-5155
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 12, 2010
✔ NPI 1801822044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 200868
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1415 7TH ST, Mamou, LA 70554
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Other Identifiers 3

Medicare ID-Type Unspecified4K195LA
Medicaid1066125LA
Medicare UPINI57011LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John P. Fontenot M.d. 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 ID7810991957
PECOS Enrollment IDI20060905000182
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.

Areas of Expertise CMS Part B claims 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
196 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Savoy Medical Center

Acute Care Hospitals · Mamou, LA
OwnershipVoluntary non-profit - Other
CMS Certification Number190025
Location801 Poinciana AvenueMamou, LA 70554 · Evangeline County
Emergency services

Acadian Medical Center

Acute Care Hospitals · Eunice, LA
OwnershipProprietary
CMS Certification Number190318
Location3501 Highway 190 EastEunice, LA 70535 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70554 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%190 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier17 claims17 services$1.40 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier33 claims33 services$21.29 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers52 claims52 services$8.09 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
2 suppliers57 claims57 services$111.80 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.06 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier19 claims19 services$256.58 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 3

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

JOHN PHIL FONTENOT, LLC
Internal Medicine
1415 7TH ST, SUITE K
MAMOU, LA 70554
Evangeline Parish (337) 468-5150
SHAWN BRADLEY MCGEE
Pharmacist
1415 7TH ST, SUITE C
MAMOU, LA 70554
Evangeline Parish (337) 468-3666
ERIC FONTENOT MD INTERNAL MEDICINE GROUP L.L.C.
Specialist
1415 7TH ST, SUITE H
MAMOU, LA 70554
Evangeline Parish (337) 468-2822

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 Fontenot's NPI number?

The NPI number for John Fontenot is 1801822044. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is John Fontenot located?

John Fontenot practices at 1415 7th St Suite J, Mamou, LA 70554. The listed phone number is (337) 468-5150.

What is John Fontenot's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Fontenot enrolled in Medicare?

Yes. John Fontenot 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.

What insurance does John Fontenot accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list John Fontenot 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 John Fontenot affiliated with any hospitals?

According to CMS data, John Fontenot is affiliated with Opelousas General Health System, Savoy Medical Center and Acadian Medical Center.

When was this NPI record last updated?

The NPPES record for John Fontenot was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.