Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Family

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,063Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 174

$678K Total Retail Price of All Prescriptions

Rank: 8 out of 174

861 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

38% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Nevada
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

23% of this provider’s 861 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

4% of this provider’s 729 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

32% of this provider’s 861 patients filled at least one prescription for an opioid, compared to an average of 22%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$52 was the average price of a prescription from this provider, compared to $158 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all patients.

This Provider's History

A comparison of this provider’s prescribing in Part D since 2012. All years may not be shown if there is insufficient data.

Cost of Claims

$534K

2012

$482K

2013

$581K

2014

$678K

2015

Number of Claims

11,214

2012

10,911

2013

11,902

2014

13,063

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

621

prescriptions, 5% of all prescriptions

414

prescriptions.

179

patients, 21% of all patients

O 1 1
LEVOTHYROXINE SODIUM

Levothyroxine, a thyroid ho... +

Levothyroxine, a thyroid hormone, is used to treat hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone. Source: National Library of Medicine

577

prescriptions, 4% of all prescriptions

462

prescriptions.

139

patients, 16% of all patients

2 3
OMEPRAZOLE

Treats heartburn, stomach u... +

Treats heartburn, stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome, endocrine tumors, and systemic mastocytosis. Source: National Library of Medicine

550

prescriptions, 4% of all prescriptions

421

prescriptions.

163

patients, 19% of all patients

3 5
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. Source: National Library of Medicine

484

prescriptions, 4% of all prescriptions

395

prescriptions.

146

patients, 17% of all patients

4 2
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

368

prescriptions, 3% of all prescriptions

284

prescriptions.

123

patients, 14% of all patients

5 6
AMLODIPINE BESYLATE

Amlodipine is used alone or... +

Amlodipine is used alone or in combination with other medications to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

365

prescriptions, 3% of all prescriptions

305

prescriptions.

99

patients, 11% of all patients

6 4
LOSARTAN POTASSIUM

Losartan is used alone or i... +

Losartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

364

prescriptions, 3% of all prescriptions

324

prescriptions.

97

patients, 11% of all patients

7 12
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

360

prescriptions, 3% of all prescriptions

253

prescriptions.

89

patients, 10% of all patients

8 11
METFORMIN HCL

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

327

prescriptions, 3% of all prescriptions

240

prescriptions.

91

patients, 11% of all patients

9 10
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels. Source: National Library of Medicine

308

prescriptions, 2% of all prescriptions

247

prescriptions.

84

patients, 10% of all patients

10 7
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Source: National Library of Medicine

283

prescriptions, 2% of all prescriptions

182

prescriptions.

83

patients, 10% of all patients

11 9
LOVASTATIN

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine

230

prescriptions, 2% of all prescriptions

212

prescriptions.

67

patients, 8% of all patients

12 32
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

223

prescriptions, 2% of all prescriptions

157

prescriptions.

51

patients, 6% of all patients

13 84
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine

213

prescriptions, 2% of all prescriptions

179

prescriptions.

72

patients, 8% of all patients

14 13
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

191

prescriptions, 1% of all prescriptions

136

prescriptions.

42

patients, 5% of all patients

15 33
METOPROLOL SUCCINATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

187

prescriptions, 1% of all prescriptions

159

prescriptions.

53

patients, 6% of all patients

16 29
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

167

prescriptions, 1% of all prescriptions

109

prescriptions.

57

patients, 7% of all patients

17 48
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

159

prescriptions, 1% of all prescriptions

131

prescriptions.

48

patients, 6% of all patients

18 82
CLOPIDOGREL

Helps prevent stroke, heart... +

Helps prevent stroke, heart attack, and other heart problems. Source: National Library of Medicine

157

prescriptions, 1% of all prescriptions

145

prescriptions.

48

patients, 6% of all patients

19 42
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

122

prescriptions.

35

patients, 4% of all patients

20 25
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

129

prescriptions.

49

patients, 6% of all patients

20 15
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. Source: National Library of Medicine

145

prescriptions, 1% of all prescriptions

94

prescriptions.

43

patients, 5% of all patients

O 22 14
PRAVASTATIN SODIUM

Pravastatin is used with di... +

Pravastatin is used with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Source: National Library of Medicine

141

prescriptions, 1% of all prescriptions

113

prescriptions.

41

patients, 5% of all patients

23 35
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

74

prescriptions.

25

patients, 3% of all patients

24 21
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. Source: National Library of Medicine

126

prescriptions, 1% of all prescriptions

115

prescriptions.

47

patients, 5% of all patients

24 22
PANTOPRAZOLE SODIUM

Pantoprazole is used to tre... +

Pantoprazole is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and possible injury of the esophagus (the tube between the throat and stomach). Source: National Library of Medicine

125

prescriptions, 1% of all prescriptions

95

prescriptions.

45

patients, 5% of all patients

26 45
TAMSULOSIN HCL

Tamsulosin is used in men t... +

Tamsulosin is used in men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH) which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

118

prescriptions.

38

patients, 4% of all patients

27 51
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

62

prescriptions.

17

patients, 2% of all patients

O 28 17
OXYCODONE HCL

Oxycodone is used to reliev... +

Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

51

prescriptions.

19

patients, 2% of all patients

O 29 16
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

81

prescriptions.

33

patients, 4% of all patients

30 61
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

80

prescriptions.

47

patients, 5% of all patients

31 20
ALENDRONATE SODIUM

Alendronate is used to trea... +

Alendronate is used to treat and prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (''change of life,'' end of menstrual periods) and to treat osteoporosis in men. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

93

prescriptions.

38

patients, 4% of all patients

31 39
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

Treats stuffy nose caused by hay fever and other allergies. Source: National Library of Medicine

111

prescriptions, 1% of all prescriptions

72

prescriptions.

54

patients, 6% of all patients

33 18
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Source: National Library of Medicine

110

prescriptions, 1% of all prescriptions

91

prescriptions.

36

patients, 4% of all patients

34 49
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

77

prescriptions.

26

patients, 3% of all patients

35 87
DULOXETINE HCL

Duloxetine is used to treat... +

Duloxetine is used to treat depression and generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

28

prescriptions.

18

patients, 2% of all patients

35 80
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

49

prescriptions.

28

patients, 3% of all patients

37 60
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

74

prescriptions.

78

patients, 9% of all patients

A 38 24
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

91

prescriptions.

21

patients, 2% of all patients

39 121
WARFARIN SODIUM

Warfarin is used to prevent... +

Warfarin is used to prevent blood clots from forming or growing larger in your blood and blood vessels. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

80

prescriptions.

27

patients, 3% of all patients

39 8
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

75

prescriptions.

25

patients, 3% of all patients

41 28
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

76

prescriptions.

25

patients, 3% of all patients

41 50
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). Source: National Library of Medicine

88

prescriptions, 1% of all prescriptions

75

prescriptions.

37

patients, 4% of all patients

43 19
CLONAZEPAM

Treats seizures, panic diso... +

Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

31

prescriptions.

18

patients, 2% of all patients

44 36
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

52

prescriptions.

17

patients, 2% of all patients

44 66
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

50

prescriptions.

17

patients, 2% of all patients

46 56
SERTRALINE HCL

Sertraline is used to treat... +

Sertraline is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks), posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

65

prescriptions.

22

patients, 3% of all patients

47 34
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

46

prescriptions.

45

patients, 5% of all patients

47 92
ZOLPIDEM TARTRATE

Zolpidem is used to treat i... +

Zolpidem is used to treat insomnia (difficulty falling asleep or staying asleep). Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

28

prescriptions.

18

patients, 2% of all patients

R 49 23
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 O 50 184
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

62

prescriptions.

37

patients, 4% of all patients

O 51 26
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

59

prescriptions.

23

patients, 3% of all patients

52 37
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

59

prescriptions.

17

patients, 2% of all patients

52 191
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

42

prescriptions.

25

patients, 3% of all patients

54 69
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

57

prescriptions.

14

patients, 2% of all patients

55 68
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

17

prescriptions.

19

patients, 2% of all patients

56 64
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

55

prescriptions.

27

patients, 3% of all patients

57 53
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

23

patients, 3% of all patients

58 44
DONEPEZIL HCL

Donepezil is used to treat ... +

Donepezil is used to treat dementia (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) associated with Alzheimer's disease (AD; a brain disease that slowly destroys the memory and the ability to think, learn, communicate and handle daily activities). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

58

prescriptions.

21

patients, 2% of all patients

59 41
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

32

prescriptions.

18

patients, 2% of all patients

60 46
BENAZEPRIL HCL

Benazepril is used alone or... +

Benazepril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

12

patients, 1% of all patients

61 148
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

51

prescriptions.

16

patients, 2% of all patients

61 57
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

17

prescriptions.

16

patients, 2% of all patients

61 70
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

15

patients, 2% of all patients

64 42
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

14

patients, 2% of all patients

65 75
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

17

prescriptions.

<11 P 66 40
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org.

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Jan. 30, 2012.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.