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 »

15,094Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 830

$627K Total Retail Price of All Prescriptions

Rank: 28 out of 830

481 Patients Receiving at Least One Drug in Part D
68% Patients 65 Years and Older

60% 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

46% of this provider’s 481 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

12% 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

38% of this provider’s 481 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$42 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

31 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

$653K

2012

$584K

2013

$603K

2014

$627K

2015

Number of Claims

13,647

2012

13,403

2013

13,833

2014

15,094

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

698

prescriptions, 5% of all prescriptions

411

prescriptions.

130

patients, 27% of all patients

O 1 5
LISINOPRIL

Treats high blood pressure ... +

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

532

prescriptions, 4% of all prescriptions

371

prescriptions.

92

patients, 19% of all patients

2 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

512

prescriptions, 3% of all prescriptions

315

prescriptions.

83

patients, 17% of all patients

3 2
SIMVASTATIN

Treats high cholesterol and... +

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

456

prescriptions, 3% of all prescriptions

271

prescriptions.

66

patients, 14% of all patients

4 9
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

451

prescriptions, 3% of all prescriptions

338

prescriptions.

82

patients, 17% of all patients

5 6
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

419

prescriptions, 3% of all prescriptions

256

prescriptions.

76

patients, 16% of all patients

6 19
GABAPENTIN

Treats certain types of sei... +

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

412

prescriptions, 3% of all prescriptions

218

prescriptions.

75

patients, 16% of all patients

7 3
ATENOLOL

Treats high blood pressure ... +

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

403

prescriptions, 3% of all prescriptions

249

prescriptions.

67

patients, 14% of all patients

8 25
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

382

prescriptions, 3% of all prescriptions

229

prescriptions.

66

patients, 14% of all patients

9 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

352

prescriptions, 2% of all prescriptions

261

prescriptions.

61

patients, 13% of all patients

10 14
FUROSEMIDE

Treats fluid retention (ede... +

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

351

prescriptions, 2% of all prescriptions

224

prescriptions.

72

patients, 15% of all patients

11 10
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

348

prescriptions, 2% of all prescriptions

244

prescriptions.

59

patients, 12% of all patients

12 8
ALPRAZOLAM

Treats anxiety, panic disor... +

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

324

prescriptions, 2% of all prescriptions

185

prescriptions.

59

patients, 12% of all patients

13 29
TRAMADOL HCL

Tramadol is used to relieve... +

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

294

prescriptions, 2% of all prescriptions

142

prescriptions.

58

patients, 12% of all patients

O 14 31
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

286

prescriptions, 2% of all prescriptions

217

prescriptions.

47

patients, 10% of all patients

15 23
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

264

prescriptions, 2% of all prescriptions

159

prescriptions.

46

patients, 10% of all patients

16 11
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

260

prescriptions, 2% of all prescriptions

207

prescriptions.

46

patients, 10% of all patients

17 18
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

242

prescriptions, 2% of all prescriptions

165

prescriptions.

48

patients, 10% of all patients

18 4
DIAZEPAM

Treats anxiety, muscle spas... +

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

240

prescriptions, 2% of all prescriptions

111

prescriptions.

48

patients, 10% of all patients

19 49
CLOPIDOGREL

Helps prevent stroke, heart... +

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

213

prescriptions, 1% of all prescriptions

153

prescriptions.

43

patients, 9% of all patients

20 15
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

198

prescriptions, 1% of all prescriptions

143

prescriptions.

31

patients, 6% of all patients

21 12
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

174

prescriptions, 1% of all prescriptions

74

prescriptions.

30

patients, 6% of all patients

22 16
CITALOPRAM HBR

Citalopram is used to treat... +

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

172

prescriptions, 1% of all prescriptions

66

prescriptions.

22

patients, 5% of all patients

23 20
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

164

prescriptions, 1% of all prescriptions

83

prescriptions.

34

patients, 7% of all patients

24 26
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

160

prescriptions, 1% of all prescriptions

62

prescriptions.

37

patients, 8% of all patients

25 39
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

150

prescriptions, 1% of all prescriptions

114

prescriptions.

23

patients, 5% of all patients

26 42
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

137

prescriptions, 1% of all prescriptions

56

prescriptions.

23

patients, 5% of all patients

27 36
CARVEDILOL

Treats high blood pressure ... +

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

134

prescriptions, 1% of all prescriptions

102

prescriptions.

21

patients, 4% of all patients

28 22
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

133

prescriptions, 1% of all prescriptions

57

prescriptions.

29

patients, 6% of all patients

29 51
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

82

prescriptions.

19

patients, 4% of all patients

30 56
LEVOCETIRIZINE DIHYDROCHLORIDE

Levocetirizine is an antihi... +

Levocetirizine is an antihistamine used to relieve the symptoms of hay fever and hives of the skin. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

66

prescriptions.

22

patients, 5% of all patients

30 94
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

122

prescriptions, 1% of all prescriptions

75

prescriptions.

94

patients, 20% of all patients

A 32 72
TRAZODONE HCL

Trazodone is used to treat ... +

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

116

prescriptions, 1% of all prescriptions

55

prescriptions.

15

patients, 3% of all patients

33 34
CLONAZEPAM

Treats seizures, panic diso... +

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

112

prescriptions, 1% of all prescriptions

56

prescriptions.

24

patients, 5% of all patients

34 38
ALLOPURINOL

Treats gout and some kinds ... +

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

111

prescriptions, 1% of all prescriptions

64

prescriptions.

24

patients, 5% of all patients

35 43
CRESTOR

Lowers high levels of chole... +

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

109

prescriptions, 1% of all prescriptions

46

prescriptions.

17

patients, 4% of all patients

36 33
MELOXICAM

Treats symptoms of osteoart... +

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

107

prescriptions, 1% of all prescriptions

80

prescriptions.

18

patients, 4% of all patients

37 24
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

107

prescriptions, 1% of all prescriptions

102

prescriptions.

24

patients, 5% of all patients

37 27
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

97

prescriptions, 1% of all prescriptions

85

prescriptions.

17

patients, 4% of all patients

39 88
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

95

prescriptions, 1% of all prescriptions

57

prescriptions.

33

patients, 7% of all patients

40 21
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

60

prescriptions.

14

patients, 3% of all patients

41 101
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

56

prescriptions.

16

patients, 3% of all patients

42 28
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

42

prescriptions.

12

patients, 2% of all patients

43 78
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

52

prescriptions.

14

patients, 3% of all patients

44 52
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

87

prescriptions, 1% of all prescriptions

45

prescriptions.

21

patients, 4% of all patients

O 45 105
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

82

prescriptions, 1% of all prescriptions

50

prescriptions.

22

patients, 5% of all patients

46 90
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

82

prescriptions, 1% of all prescriptions

27

prescriptions.

25

patients, 5% of all patients

R 46 63
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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 4% of all patients

46 116
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

79

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

R 49 46
FAMOTIDINE*

Treats ulcers, gastroesopha... +

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

77

prescriptions, 1% of all prescriptions

36

prescriptions.

16

patients, 3% of all patients

50 135
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

77

prescriptions, 1% of all prescriptions

5

prescriptions.

14

patients, 3% of all patients

50 97
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

31

prescriptions.

14

patients, 3% of all patients

52 32
NITROGLYCERIN PATCH

Prevents chest pain (angina... +

Prevents chest pain (angina). Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 52 201
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

76

prescriptions, 1% of all prescriptions

76

prescriptions.

17

patients, 4% of all patients

52 66
CEFUROXIME

Treats infections caused by... +

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

73

prescriptions, 0% of all prescriptions

44

prescriptions.

62

patients, 13% of all patients

A 55 171
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

70

prescriptions, 0% of all prescriptions

65

prescriptions.

<11 56 136
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

67

prescriptions, 0% of all prescriptions

32

prescriptions.

11

patients, 2% of all patients

R 57 44
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

67

prescriptions, 0% of all prescriptions

44

prescriptions.

16

patients, 3% of all patients

57 13
VENTOLIN HFA

Treats or prevents bronchos... +

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

65

prescriptions, 0% of all prescriptions

32

prescriptions.

17

patients, 4% of all patients

59 69
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

51

prescriptions.

49

patients, 10% of all patients

A 59 79
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

42

prescriptions.

13

patients, 3% of all patients

61 30
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

61

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 62 45
FLUCONAZOLE

Prevents and treats certain... +

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

57

prescriptions, 0% of all prescriptions

45

prescriptions.

33

patients, 7% of all patients

63 80
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

20

patients, 4% of all patients

64 148
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

53

prescriptions, 0% of all prescriptions

33

prescriptions.

<11 65 138
AZITHROMYCIN

Treats infections caused by... +

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

51

prescriptions, 0% of all prescriptions

35

prescriptions.

42

patients, 9% of all patients

A 66 35
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 Aug. 24, 2011.
  • 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.