Jacqueline Fontenot Butler, MD
NPI 1568728103ActiveIndividual· Emergency Medicine· Longview, TX
Emergency Medicine (MD) in Longview, Texas, licensed in TX, with an NPI issued in April 2012. 459 Medicare patients in 2024, $61,534 paid; nearly all of their 275 Part D prescriptions were generic (96%).
Overview
| NPI | 1568728103 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 9, 2012 |
| Last updated in NPPES | Oct 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | Q2519 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 459 |
|---|---|
| Services billed | 799 across 22 procedure codes |
| Paid by Medicare | $61,534 |
Part D prescriptions in 2024
| Prescriptions (claims) | 275 · 279 30-day fills |
|---|---|
| Patients | 181 |
| Total drug cost | $3,370 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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