JOHN FONTENOT (MD) – Family Medicine Physician, NPI 1033373410

JOHN FONTENOT (MD) is a healthcare provider. based in Fort lupton, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0046182 (CO). The NPI Number for JOHN FONTENOT (MD) is 1033373410

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JOHN FONTENOT (MD)
NPI
1033373410
Phone
(303) 286-4560
Address
203 S ROLLIE AVE
Enumeration Date
15 July 2008
Last Update Date
7 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3036731370
Graduation Year
2006 (20 years ago)
PAC ID
6507902681
Group Practice PAC ID
0840513552
Professional Enrollment ID
I20091002000235
Address ID
CO805046803FI8350XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for JOHN FONTENOT (MD)

  • 203, Rollie Avenue, Fort Lupton, Weld County, Colorado, 80621, United States

    FORT LUPTON, CO 806211508

    Phone: (303) 286-4560

    Fax: (303) 286-4589

    Type: Mailing

  • 1860, East Egbert Street, Brighton, Adams County, Colorado, 80601, United States

    BRIGHTON, CO 806012475

    Phone: (303) 659-4000

    Fax: (303) 659-9306

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091002000235IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80621)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840513552View full group profile
NameSpecialtyState
-CA
-CO
Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional CardiologyAZ
Hospitalist, Family PracticeCO
-CO
Sleep Medicine, Family PracticeNM
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Internal MedicineCO
Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

Can I verify JOHN FONTENOT (MD) with an NPI only?
You can start verification with NPI 1033373410 for JOHN FONTENOT (MD), then check state licensing separately.
Can I rely on JOHN FONTENOT (MD) being an active provider?
As of the registry snapshot, JOHN FONTENOT (MD) is marked active.
What taxonomy line describes JOHN FONTENOT (MD)?
For research purposes, treat JOHN FONTENOT (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN FONTENOT (MD)?
JOHN FONTENOT (MD)'s geographic hint is Fort Lupton, Colorado in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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