Jonathan Fowlkes, MD
Otolaryngology · Missoula, MTNPI 1720346844
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,774 of the $3,476 with a category attached, or 79.8%. 7 manufacturers reported payments, led by Kls-martin L.p. at 42.1% of the total. Reporting peaked in 2024 at $1,357 and has fallen 90.4% since, to $131 in 2025. Among otolaryngology clinicians in MT with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 35 payments — averaging $99.32 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kls-martin L.p.$1K
- Inspire Medical Systems, Inc.$1K
- Medtronic$562
- Atos Medical Inc$60
- Regeneron Healthcare Solutions, Inc.$34
- Aerin Medical Inc.$19
- plus $12 from 1 others
What the payments were for
- Travel & lodging$70220%
- Food & beverage$2,77480%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Kls-martin L.p. | 14 | $1,465 |
| Inspire Medical Systems, Inc. | 10 | $1,324 |
| Medtronic | 7 | $562 |
| Atos Medical Inc | 1 | $60 |
| Regeneron Healthcare Solutions, Inc. | 1 | $34 |
| Aerin Medical Inc. | 1 | $19 |
| Genentech USA, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Inspire Upper Airway Stimulation System$907
- PROPEL$291
- Inspire$130
- NUVENT$121
How this compares
$3,476 in reported general payments places this provider in the 90th percentile of 34 otolaryngology providers in Montana.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ipratropium Bromide | 35 | $1,087 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 63 | $358 |
| CefuroximeCefuroxime Axetil | 14 | $299 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $252 |
| Chlorhexidine Gluconate | 23 | $94 |
| Levothyroxine Sodium | 11 | $90 |
| Omeprazole | 15 | $87 |
| Cephalexin | 13 | $49 |
| Prednisone | 12 | $47 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in Missoula
- Duncan WatleyMissoula$10K
- Jeffrey HallerMissoula$1K
- Peter VondoerstenMissoula$712
- Karen AhlstromMissoula$441
- Daniel BrabyMissoula$236
- David HayesMissoula$223
- Phillip GardnerMissoula$212
- David CaiBillings$4K
- Kyle TubbsKalispell$3K
- Brian PelczarBillings$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.