Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,059Medicare Part D Prescriptions Filled, Including Refills

Rank: 229 out of 1133

$1.02M Total Retail Price of All Prescriptions

Rank: 108 out of 1133

546 Patients Receiving at Least One Drug in Part D
87% Patients 65 Years and Older

26% 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 Tennessee
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

25% of this provider’s 546 patients filled at least one prescription for an antibiotic drug, compared to an average of 32%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 475 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 13%.

More resources »

Opioids

10% of this provider’s 546 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$78 was the average price of a prescription from this provider, compared to $69 among peers.

Prescriptions per Patient

24 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$705K

2012

$877K

2013

$952K

2014

$1.02M

2015

Number of Claims

10,226

2012

12,282

2013

13,419

2014

13,059

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
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

814

prescriptions, 6% of all prescriptions

735

prescriptions.

161

patients, 29% of all patients

1 2
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

678

prescriptions, 5% of all prescriptions

604

prescriptions.

137

patients, 25% of all patients

2 13
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

585

prescriptions, 4% of all prescriptions

518

prescriptions.

131

patients, 24% of all patients

3 4
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

583

prescriptions, 4% of all prescriptions

527

prescriptions.

133

patients, 24% of all patients

4 5
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

474

prescriptions, 4% of all prescriptions

425

prescriptions.

90

patients, 16% of all patients

5 1
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

384

prescriptions, 3% of all prescriptions

354

prescriptions.

71

patients, 13% of all patients

6 41
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

299

prescriptions, 2% of all prescriptions

282

prescriptions.

61

patients, 11% of all patients

7 9
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

237

prescriptions, 2% of all prescriptions

222

prescriptions.

47

patients, 9% of all patients

8 15
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

227

prescriptions, 2% of all prescriptions

227

prescriptions.

42

patients, 8% of all patients

9 53
SIMVASTATIN

Treats high cholesterol and... +

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

207

prescriptions, 2% of all prescriptions

191

prescriptions.

54

patients, 10% of all patients

10 6
FUROSEMIDE

Treats fluid retention (ede... +

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

206

prescriptions, 2% of all prescriptions

179

prescriptions.

57

patients, 10% of all patients

11 7
LISINOPRIL

Treats high blood pressure ... +

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

202

prescriptions, 2% of all prescriptions

174

prescriptions.

53

patients, 10% of all patients

12 3
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

194

prescriptions, 1% of all prescriptions

180

prescriptions.

49

patients, 9% of all patients

13 43
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

189

prescriptions, 1% of all prescriptions

184

prescriptions.

44

patients, 8% of all patients

14 24
GABAPENTIN

Treats certain types of sei... +

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

170

prescriptions, 1% of all prescriptions

136

prescriptions.

54

patients, 10% of all patients

15 10
CHLORTHALIDONE

Treats high blood pressure ... +

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

167

prescriptions, 1% of all prescriptions

145

prescriptions.

33

patients, 6% of all patients

16 115
TRAZODONE HCL

Trazodone is used to treat ... +

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

163

prescriptions, 1% of all prescriptions

150

prescriptions.

45

patients, 8% of all patients

17 30
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

163

prescriptions, 1% of all prescriptions

152

prescriptions.

35

patients, 6% of all patients

17 17
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

148

prescriptions, 1% of all prescriptions

143

prescriptions.

31

patients, 6% of all patients

19 44
CLOPIDOGREL

Helps prevent stroke, heart... +

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

134

prescriptions, 1% of all prescriptions

129

prescriptions.

29

patients, 5% of all patients

20 19
ALPRAZOLAM

Treats anxiety, panic disor... +

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

133

prescriptions, 1% of all prescriptions

110

prescriptions.

21

patients, 4% of all patients

21 11
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Source: National Library of Medicine

133

prescriptions, 1% of all prescriptions

117

prescriptions.

24

patients, 4% of all patients

21 35
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

130

prescriptions, 1% of all prescriptions

108

prescriptions.

24

patients, 4% of all patients

23 67
CARVEDILOL

Treats high blood pressure ... +

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

130

prescriptions, 1% of all prescriptions

108

prescriptions.

30

patients, 5% of all patients

23 20
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

128

prescriptions, 1% of all prescriptions

110

prescriptions.

27

patients, 5% of all patients

25 73
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

65

patients, 12% of all patients

26 29
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

114

prescriptions, 1% of all prescriptions

98

prescriptions.

33

patients, 6% of all patients

27 14
MONTELUKAST SODIUM

Montelukast is used to prev... +

Montelukast is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

109

prescriptions.

27

patients, 5% of all patients

27 33
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

108

prescriptions.

22

patients, 4% of all patients

29 77
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

110

prescriptions, 1% of all prescriptions

105

prescriptions.

26

patients, 5% of all patients

30 16
MELOXICAM

Treats symptoms of osteoart... +

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

109

prescriptions, 1% of all prescriptions

96

prescriptions.

32

patients, 6% of all patients

31 21
VESICARE

Solifenacin is used to trea... +

Solifenacin is used to treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination). Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

100

prescriptions.

17

patients, 3% of all patients

32 134
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

93

prescriptions, 1% of all prescriptions

72

prescriptions.

20

patients, 4% of all patients

33 22
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

91

prescriptions, 1% of all prescriptions

65

prescriptions.

20

patients, 4% of all patients

34 12
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

69

prescriptions.

11

patients, 2% of all patients

34 18
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

89

prescriptions, 1% of all prescriptions

35

prescriptions.

17

patients, 3% of all patients

R 36 36
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

89

prescriptions.

14

patients, 3% of all patients

36 182
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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

19

patients, 3% of all patients

38 40
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

88

prescriptions, 1% of all prescriptions

77

prescriptions.

16

patients, 3% of all patients

38 34
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

87

prescriptions, 1% of all prescriptions

75

prescriptions.

13

patients, 2% of all patients

40 82
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

80

prescriptions, 1% of all prescriptions

50

prescriptions.

16

patients, 3% of all patients

41 68
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

40

patients, 7% of all patients

O 42 8
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

60

prescriptions.

18

patients, 3% of all patients

43 79
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

23

patients, 4% of all patients

44 128
ALLOPURINOL

Treats gout and some kinds ... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 3% of all patients

45 32
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

21

patients, 4% of all patients

46 62
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

19

patients, 3% of all patients

47 38
CITALOPRAM HBR

Citalopram is used to treat... +

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

65

prescriptions, 0% of all prescriptions

44

prescriptions.

18

patients, 3% of all patients

48 25
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

41

prescriptions.

17

patients, 3% of all patients

49 175
ATENOLOL

Treats high blood pressure ... +

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

62

prescriptions, 0% of all prescriptions

48

prescriptions.

14

patients, 3% of all patients

50 23
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

61

prescriptions.

13

patients, 2% of all patients

51 112
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

18

patients, 3% of all patients

52 55
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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

15

patients, 3% of all patients

52 49
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

35

prescriptions.

13

patients, 2% of all patients

54 108
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

46

patients, 8% of all patients

A 55 66
LORAZEPAM

Treats anxiety, anxiety wit... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

12

patients, 2% of all patients

55 27
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

13

patients, 2% of all patients

57 84
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 Oct. 20, 2016.
  • 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.