Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,468Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 535

$1.85M Total Retail Price of All Prescriptions

Rank: 42 out of 535

1,271 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

34% 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 Texas
lower than average

Antipsychotics

6% of this provider’s 1,060 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

3% of this provider’s 1,271 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

5% of this provider’s 1,060 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

7% of this provider’s 1,271 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

Prescription Price

$148 was the average price of a prescription from this provider, compared to $328 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$741K

2012

$1.09M

2013

$1.36M

2014

$1.85M

2015

Number of Claims

6,830

2012

9,532

2013

11,065

2014

12,468

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
GABAPENTIN

Treats certain types of sei... +

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

1,661

prescriptions, 13% of all prescriptions

1,414

prescriptions.

439

patients, 35% of all patients

1 1
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

769

prescriptions, 6% of all prescriptions

745

prescriptions.

151

patients, 12% of all patients

2 2
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

589

prescriptions, 5% of all prescriptions

539

prescriptions.

152

patients, 12% of all patients

3 15
MELOXICAM

Treats symptoms of osteoart... +

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

532

prescriptions, 4% of all prescriptions

444

prescriptions.

209

patients, 16% of all patients

4 46
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

489

prescriptions, 4% of all prescriptions

383

prescriptions.

118

patients, 9% of all patients

5 11
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

460

prescriptions, 4% of all prescriptions

434

prescriptions.

87

patients, 7% of all patients

6 5
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

427

prescriptions, 3% of all prescriptions

393

prescriptions.

162

patients, 13% of all patients

7 37
TOPIRAMATE

Helps control and prevent c... +

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

393

prescriptions, 3% of all prescriptions

180

prescriptions.

74

patients, 6% of all patients

8 6
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

351

prescriptions, 3% of all prescriptions

302

prescriptions.

92

patients, 7% of all patients

9 59
LEVETIRACETAM

Used to help control certai... +

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

350

prescriptions, 3% of all prescriptions

157

prescriptions.

53

patients, 4% of all patients

10 4
CLONAZEPAM

Treats seizures, panic diso... +

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

328

prescriptions, 3% of all prescriptions

210

prescriptions.

70

patients, 6% of all patients

11 7
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

309

prescriptions, 2% of all prescriptions

257

prescriptions.

72

patients, 6% of all patients

P 12 21
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

305

prescriptions, 2% of all prescriptions

274

prescriptions.

57

patients, 4% of all patients

13 18
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

255

prescriptions, 2% of all prescriptions

250

prescriptions.

53

patients, 4% of all patients

14 3
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

223

prescriptions, 2% of all prescriptions

145

prescriptions.

50

patients, 4% of all patients

O 15 48
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

217

prescriptions, 2% of all prescriptions

200

prescriptions.

42

patients, 3% of all patients

16 30
LORAZEPAM

Treats anxiety, anxiety wit... +

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

203

prescriptions, 2% of all prescriptions

158

prescriptions.

52

patients, 4% of all patients

17 39
PREDNISONE

Treats inflammation (swelli... +

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

197

prescriptions, 2% of all prescriptions

174

prescriptions.

114

patients, 9% of all patients

18 51
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

170

prescriptions, 1% of all prescriptions

132

prescriptions.

44

patients, 3% of all patients

19 24
RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

152

prescriptions, 1% of all prescriptions

147

prescriptions.

36

patients, 3% of all patients

20 65
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

129

prescriptions.

39

patients, 3% of all patients

21 8
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

117

prescriptions.

32

patients, 3% of all patients

22 17
CARBAMAZEPINE

Treats different types of s... +

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

127

prescriptions, 1% of all prescriptions

82

prescriptions.

27

patients, 2% of all patients

23 40
DIAZEPAM

Treats anxiety, muscle spas... +

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

121

prescriptions, 1% of all prescriptions

54

prescriptions.

40

patients, 3% of all patients

24 58
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

77

prescriptions.

21

patients, 2% of all patients

25 28
PYRIDOSTIGMINE BROMIDE 108

prescriptions, 1% of all prescriptions

108

prescriptions.

24

patients, 2% of all patients

26 47
CLOPIDOGREL

Helps prevent stroke, heart... +

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

105

prescriptions, 1% of all prescriptions

84

prescriptions.

28

patients, 2% of all patients

27 19
DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

73

prescriptions.

39

patients, 3% of all patients

28 146
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

101

prescriptions, 1% of all prescriptions

86

prescriptions.

37

patients, 3% of all patients

29 89
TRAMADOL HCL

Tramadol is used to relieve... +

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

95

prescriptions, 1% of all prescriptions

67

prescriptions.

29

patients, 2% of all patients

O 30 26
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

31

prescriptions.

16

patients, 1% of all patients

31 22
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

88

prescriptions, 1% of all prescriptions

59

prescriptions.

39

patients, 3% of all patients

32 132
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

78

prescriptions, 1% of all prescriptions

51

prescriptions.

21

patients, 2% of all patients

R 33 20
BACLOFEN

Treats muscle spasms caused... +

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

76

prescriptions, 1% of all prescriptions

53

prescriptions.

25

patients, 2% of all patients

34 25
NEUPRO 72

prescriptions, 1% of all prescriptions

72

prescriptions.

15

patients, 1% of all patients

35 64
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

71

prescriptions, 1% of all prescriptions

56

prescriptions.

18

patients, 1% of all patients

36 10
CITALOPRAM HBR

Citalopram is used to treat... +

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

62

prescriptions, 0% of all prescriptions

57

prescriptions.

19

patients, 1% of all patients

37 29
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

61

prescriptions, 0% of all prescriptions

30

prescriptions.

13

patients, 1% of all patients

38 79
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

28

prescriptions.

<11 38 77
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

60

prescriptions, 0% of all prescriptions

55

prescriptions.

17

patients, 1% of all patients

R 40 45
TEMAZEPAM

Treats insomnia (trouble sl... +

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

58

prescriptions, 0% of all prescriptions

44

prescriptions.

22

patients, 2% of all patients

41 62
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

38

prescriptions.

18

patients, 1% of all patients

42 88
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 43 35
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

23

prescriptions.

15

patients, 1% of all patients

R 44 57
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 July 8, 2007.
  • 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.