Justin Jacobson, MD
Orthopaedic Surgery · Missoula, MTNPI 1578572129
Payments from drug & device makers
What this record shows
This record is dominated by education: $1,200 of the $1,560 with a category attached, or 76.9%. Steelhead Surgical Inc accounts for 76.9% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2021 at $1,282 and has fallen 89.0% since, to $141 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in MT, where the typical reported total is $1,701.
Across 9 payments — averaging $173.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Steelhead Surgical Inc$1K
- Sioux Surgical Inc$141
- Pacira Pharmaceuticals Incorporated$125
- Arthrex$52
- Zimmer Biomet$30
- Stryker$12
What the payments were for
- Food & beverage$36023%
- Education$1,20077%
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 |
|---|---|---|
| Steelhead Surgical Inc | 1 | $1,200 |
| Sioux Surgical Inc | 4 | $141 |
| Pacira Pharmaceuticals Incorporated | 1 | $125 |
| Arthrex | 1 | $52 |
| Zimmer Biomet | 1 | $30 |
| Stryker | 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.
- EXPAREL$125
How this compares
$1,560 in reported general payments places this provider in the 45th percentile of 76 orthopaedic surgery 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 |
|---|---|---|
| Oxycodone Hcl | 29 | $211 |
| Tizanidine Hcl | 26 | $110 |
| Cephalexin | 19 | $98 |
| Methylprednisolone | 11 | $93 |
| Methocarbamol | 24 | $87 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Missoula
- Daniel WhitingMissoula$39K
- Daniel DixonMissoula$38K
- John WernerMissoula$24K
- Zackery WitteMissoula$18K
- Michael WoodsMissoula$10K
- Mark ChannerMissoula$8K
- James GholsonMissoula$7K
- Jessica TelleriaMissoula$4K
- Larry StaynerMissoula$3K
- Gary WillsteinMissoula$2K
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.