Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,812Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 172

$810K Total Retail Price of All Prescriptions

Rank: 4 out of 172

429 Patients Receiving at Least One Drug in Part D
90% Patients 65 Years and Older

22% 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 Wyoming
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

41% of this provider’s 429 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

19% of this provider’s 388 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

26% of this provider’s 429 patients filled at least one prescription for an opioid, compared to an average of 19%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$69 was the average price of a prescription from this provider, compared to $60 among peers.

Prescriptions per Patient

28 is the average number of prescriptions (including refills) per patient, compared to an average of 16.


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

$507K

2012

$511K

2013

$615K

2014

$810K

2015

Number of Claims

11,780

2012

13,476

2013

12,294

2014

11,812

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
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

730

prescriptions, 6% of all prescriptions

715

prescriptions.

133

patients, 31% of all patients

1 1
LISINOPRIL

Treats high blood pressure ... +

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

360

prescriptions, 3% of all prescriptions

325

prescriptions.

83

patients, 19% of all patients

2 2
FUROSEMIDE

Treats fluid retention (ede... +

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

343

prescriptions, 3% of all prescriptions

331

prescriptions.

74

patients, 17% of all patients

3 5
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

316

prescriptions, 3% of all prescriptions

262

prescriptions.

68

patients, 16% of all patients

4 3
SIMVASTATIN

Treats high cholesterol and... +

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

284

prescriptions, 2% of all prescriptions

279

prescriptions.

65

patients, 15% of all patients

5 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

266

prescriptions, 2% of all prescriptions

261

prescriptions.

54

patients, 13% of all patients

6 15
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

258

prescriptions, 2% of all prescriptions

225

prescriptions.

51

patients, 12% of all patients

O 7 7
ATENOLOL

Treats high blood pressure ... +

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

257

prescriptions, 2% of all prescriptions

242

prescriptions.

46

patients, 11% of all patients

8 24
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

255

prescriptions, 2% of all prescriptions

241

prescriptions.

59

patients, 14% of all patients

9 11
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

237

prescriptions, 2% of all prescriptions

232

prescriptions.

48

patients, 11% of all patients

10 6
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

237

prescriptions, 2% of all prescriptions

214

prescriptions.

31

patients, 7% of all patients

10 10
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

233

prescriptions, 2% of all prescriptions

221

prescriptions.

50

patients, 12% of all patients

12 8
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

214

prescriptions, 2% of all prescriptions

188

prescriptions.

48

patients, 11% of all patients

13 19
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

197

prescriptions, 2% of all prescriptions

192

prescriptions.

51

patients, 12% of all patients

14 12
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

142

prescriptions, 1% of all prescriptions

120

prescriptions.

25

patients, 6% of all patients

15 14
GABAPENTIN

Treats certain types of sei... +

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

140

prescriptions, 1% of all prescriptions

125

prescriptions.

30

patients, 7% of all patients

16 13
OXYCODONE HCL

Oxycodone is used to reliev... +

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

131

prescriptions, 1% of all prescriptions

97

prescriptions.

17

patients, 4% of all patients

O 17 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

125

prescriptions, 1% of all prescriptions

105

prescriptions.

30

patients, 7% of all patients

18 9
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

125

prescriptions, 1% of all prescriptions

108

prescriptions.

25

patients, 6% of all patients

18 25
CLOPIDOGREL

Helps prevent stroke, heart... +

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

124

prescriptions, 1% of all prescriptions

119

prescriptions.

23

patients, 5% of all patients

20 29
ALLOPURINOL

Treats gout and some kinds ... +

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

119

prescriptions, 1% of all prescriptions

119

prescriptions.

28

patients, 7% of all patients

21 23
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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

29

patients, 7% of all patients

22 16
TRAMADOL HCL

Tramadol is used to relieve... +

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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

33

patients, 8% of all patients

O 22 21
METFORMIN HCL ER

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

115

prescriptions, 1% of all prescriptions

100

prescriptions.

30

patients, 7% of all patients

24 46
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

114

prescriptions, 1% of all prescriptions

97

prescriptions.

12

patients, 3% of all patients

P 25 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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

24

patients, 6% of all patients

26 22
LORAZEPAM

Treats anxiety, anxiety wit... +

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

105

prescriptions, 1% of all prescriptions

70

prescriptions.

23

patients, 5% of all patients

27 26
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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

27

patients, 6% of all patients

28 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

101

prescriptions, 1% of all prescriptions

101

prescriptions.

20

patients, 5% of all patients

29 40
CARVEDILOL

Treats high blood pressure ... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

22

patients, 5% of all patients

29 33
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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

16

patients, 4% of all patients

31 83
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

18

patients, 4% of all patients

32 49
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.

19

patients, 4% of all patients

33 17
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

73

prescriptions.

56

patients, 13% of all patients

A 34 138
ALPRAZOLAM

Treats anxiety, panic disor... +

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

89

prescriptions, 1% of all prescriptions

76

prescriptions.

23

patients, 5% of all patients

35 34
MELOXICAM

Treats symptoms of osteoart... +

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

85

prescriptions, 1% of all prescriptions

80

prescriptions.

25

patients, 6% of all patients

36 27
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

84

prescriptions.

12

patients, 3% of all patients

37 45
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

80

prescriptions, 1% of all prescriptions

58

prescriptions.

24

patients, 6% of all patients

38 43
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

80

prescriptions, 1% of all prescriptions

46

prescriptions.

14

patients, 3% of all patients

38 56
AZITHROMYCIN

Treats infections caused by... +

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

75

prescriptions, 1% of all prescriptions

64

prescriptions.

61

patients, 14% of all patients

A 40 53
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

11

patients, 3% of all patients

41 55
PREDNISONE

Treats inflammation (swelli... +

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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

36

patients, 8% of all patients

42 32
TRAZODONE HCL

Trazodone is used to treat ... +

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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

13

patients, 3% of all patients

42 28
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

68

prescriptions, 1% of all prescriptions

63

prescriptions.

16

patients, 4% of all patients

44 78
BACLOFEN

Treats muscle spasms caused... +

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

67

prescriptions, 1% of all prescriptions

44

prescriptions.

15

patients, 3% of all patients

45 81
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

59

prescriptions.

57

patients, 13% of all patients

A 46 89
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

64

prescriptions, 1% of all prescriptions

52

prescriptions.

<11 46 100
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

64

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 46 90
GEMFIBROZIL

Lowers high triglyceride an... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

16

patients, 4% of all patients

49 93
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

62

prescriptions, 1% of all prescriptions

40

prescriptions.

13

patients, 3% of all patients

O 50 30
SUCRALFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. Source: National Library of Medicine

62

prescriptions, 1% of all prescriptions

57

prescriptions.

19

patients, 4% of all patients

50 93
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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

20

patients, 5% of all patients

R 52 35
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, 1% of all prescriptions

56

prescriptions.

15

patients, 3% of all patients

52 38
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

61

prescriptions, 1% of all prescriptions

50

prescriptions.

11

patients, 3% of all patients

52 120
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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

13

patients, 3% of all patients

52 50
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

61

prescriptions, 1% of all prescriptions

61

prescriptions.

<11 52 48
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

60

prescriptions.

12

patients, 3% of all patients

57 66
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

57

prescriptions, 0% of all prescriptions

43

prescriptions.

18

patients, 4% of all patients

58 74
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

11

patients, 3% of all patients

59 39
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

54

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 60 31
ZETIA

Lowers cholesterol in your ... +

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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 61 92
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

51

prescriptions, 0% of all prescriptions

29

prescriptions.

19

patients, 4% of all patients

R 62 68
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 Sept. 4, 2008.
  • 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.