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 »

10,309Medicare Part D Prescriptions Filled, Including Refills

Rank: 21 out of 830

$445K Total Retail Price of All Prescriptions

Rank: 67 out of 830

581 Patients Receiving at Least One Drug in Part D
56% Patients 65 Years and Older

79% 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 Kentucky
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

40% of this provider’s 581 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 327 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

31% of this provider’s 581 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$43 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 12.


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

$989K

2012

$831K

2013

$333K

2014

$445K

2015

Number of Claims

22,053

2012

19,437

2013

8,060

2014

10,309

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

777

prescriptions, 8% of all prescriptions

257

prescriptions.

166

patients, 29% of all patients

O 1 5
GABAPENTIN

Treats certain types of sei... +

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

465

prescriptions, 5% of all prescriptions

121

prescriptions.

90

patients, 15% of all patients

2 3
ALPRAZOLAM

Treats anxiety, panic disor... +

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

392

prescriptions, 4% of all prescriptions

134

prescriptions.

91

patients, 16% of all patients

3 29
LISINOPRIL

Treats high blood pressure ... +

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

357

prescriptions, 3% of all prescriptions

199

prescriptions.

67

patients, 12% of all patients

4 1
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

279

prescriptions, 3% of all prescriptions

173

prescriptions.

59

patients, 10% of all patients

5 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

278

prescriptions, 3% of all prescriptions

102

prescriptions.

51

patients, 9% of all patients

6 8
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

252

prescriptions, 2% of all prescriptions

73

prescriptions.

54

patients, 9% of all patients

7 4
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

251

prescriptions, 2% of all prescriptions

154

prescriptions.

44

patients, 8% of all patients

8 2
FUROSEMIDE

Treats fluid retention (ede... +

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

229

prescriptions, 2% of all prescriptions

144

prescriptions.

49

patients, 8% of all patients

9 10
SIMVASTATIN

Treats high cholesterol and... +

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

211

prescriptions, 2% of all prescriptions

118

prescriptions.

45

patients, 8% of all patients

10 9
DIAZEPAM

Treats anxiety, muscle spas... +

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

184

prescriptions, 2% of all prescriptions

64

prescriptions.

52

patients, 9% of all patients

11 49
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

178

prescriptions, 2% of all prescriptions

70

prescriptions.

32

patients, 6% of all patients

12 12
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

140

prescriptions, 1% of all prescriptions

90

prescriptions.

29

patients, 5% of all patients

13 6
MELOXICAM

Treats symptoms of osteoart... +

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

137

prescriptions, 1% of all prescriptions

72

prescriptions.

33

patients, 6% of all patients

14 24
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

117

prescriptions, 1% of all prescriptions

63

prescriptions.

34

patients, 6% of all patients

15 14
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

35

prescriptions.

27

patients, 5% of all patients

15 32
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

77

prescriptions.

93

patients, 16% of all patients

A 17 73
ATENOLOL

Treats high blood pressure ... +

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

111

prescriptions, 1% of all prescriptions

40

prescriptions.

21

patients, 4% of all patients

18 25
BACLOFEN

Treats muscle spasms caused... +

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

111

prescriptions, 1% of all prescriptions

60

prescriptions.

16

patients, 3% of all patients

18 68
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

108

prescriptions, 1% of all prescriptions

17

prescriptions.

29

patients, 5% of all patients

20 41
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

107

prescriptions, 1% of all prescriptions

5

prescriptions.

19

patients, 3% of all patients

21 23
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

69

prescriptions.

35

patients, 6% of all patients

22 116
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

99

prescriptions, 1% of all prescriptions

35

prescriptions.

28

patients, 5% of all patients

23 26
CRESTOR

Lowers high levels of chole... +

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

95

prescriptions, 1% of all prescriptions

38

prescriptions.

15

patients, 3% of all patients

24 33
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

90

prescriptions, 1% of all prescriptions

27

prescriptions.

22

patients, 4% of all patients

25 39
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

86

prescriptions, 1% of all prescriptions

34

prescriptions.

23

patients, 4% of all patients

R 26 63
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

33

prescriptions.

37

patients, 6% of all patients

27 92
NEXIUM

Treats heartburn, gastroeso... +

Treats heartburn, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

46

prescriptions.

17

patients, 3% of all patients

27 36
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

80

prescriptions, 1% of all prescriptions

52

prescriptions.

19

patients, 3% of all patients

29 28
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

80

prescriptions, 1% of all prescriptions

29

prescriptions.

12

patients, 2% of all patients

29 27
TRAZODONE HCL

Trazodone is used to treat ... +

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

79

prescriptions, 1% of all prescriptions

35

prescriptions.

22

patients, 4% of all patients

31 34
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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

18

patients, 3% of all patients

32 40
FLURBIPROFEN 76

prescriptions, 1% of all prescriptions

32

prescriptions.

24

patients, 4% of all patients

33 242
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

16

prescriptions.

30

patients, 5% of all patients

R 34 82
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

73

prescriptions, 1% of all prescriptions

29

prescriptions.

12

patients, 2% of all patients

35 58
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

69

prescriptions, 1% of all prescriptions

52

prescriptions.

12

patients, 2% of all patients

36 17
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

65

prescriptions, 1% of all prescriptions

19

prescriptions.

16

patients, 3% of all patients

37 59
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

34

prescriptions.

55

patients, 9% of all patients

A 38 64
CLOPIDOGREL

Helps prevent stroke, heart... +

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

63

prescriptions, 1% of all prescriptions

31

prescriptions.

13

patients, 2% of all patients

39 15
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

62

prescriptions, 1% of all prescriptions

22

prescriptions.

13

patients, 2% of all patients

40 61
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

5

prescriptions.

13

patients, 2% of all patients

41 48
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

60

prescriptions, 1% of all prescriptions

22

prescriptions.

<11 42 85
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

59

prescriptions, 1% of all prescriptions

45

prescriptions.

12

patients, 2% of all patients

43 102
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

58

prescriptions, 1% of all prescriptions

32

prescriptions.

17

patients, 3% of all patients

44 7
AZITHROMYCIN

Treats infections caused by... +

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

58

prescriptions, 1% of all prescriptions

25

prescriptions.

42

patients, 7% of all patients

A 44 35
CLONAZEPAM

Treats seizures, panic diso... +

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

58

prescriptions, 1% of all prescriptions

15

prescriptions.

16

patients, 3% of all patients

44 38
MUPIROCIN*

Treats skin infections and ... +

Treats skin infections and bacterial infections in your nose. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

21

prescriptions.

32

patients, 6% of all patients

47 140
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

57

prescriptions, 1% of all prescriptions

21

prescriptions.

<11 R 47 44
CITALOPRAM HBR

Citalopram is used to treat... +

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

57

prescriptions, 1% of all prescriptions

23

prescriptions.

15

patients, 3% of all patients

47 20
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

55

prescriptions, 1% of all prescriptions

25

prescriptions.

13

patients, 2% of all patients

50 13
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

54

prescriptions, 1% of all prescriptions

26

prescriptions.

12

patients, 2% of all patients

51 18
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

54

prescriptions, 1% of all prescriptions

13

prescriptions.

29

patients, 5% of all patients

51 80
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

54

prescriptions, 1% of all prescriptions

23

prescriptions.

20

patients, 3% of all patients

51 67
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

0

prescriptions.

15

patients, 3% of all patients

R 54 46
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

53

prescriptions, 1% of all prescriptions

27

prescriptions.

11

patients, 2% of all patients

54 16
CARVEDILOL

Treats high blood pressure ... +

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

52

prescriptions, 1% of all prescriptions

11

prescriptions.

<11 56 22
ROPINIROLE HCL

Ropinirole is used alone or... +

Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

19

prescriptions.

11

patients, 2% of all patients

56 53
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

51

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 58 51
HYDROXYZINE HCL

Hydroxyzine is used to reli... +

Hydroxyzine is used to relieve the itching caused by allergies and to control the nausea and vomiting caused by various conditions, including motion sickness. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

5

prescriptions.

19

patients, 3% of all patients

R 59 232
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?

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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 April 19, 2017.
  • 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.