Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nephrology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,355Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 51

$721K Total Retail Price of All Prescriptions

Rank: 5 out of 51

329 Patients Receiving at Least One Drug in Part D
77% Patients 65 Years and Older

46% 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 Arkansas
lower than average

Antipsychotics

6% of this provider’s 253 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 0%.

More resources »

Antibiotics

53% of this provider’s 329 patients filled at least one prescription for an antibiotic drug, compared to an average of 19%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

61 of this provider’s 253 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

33% of this provider’s 329 patients filled at least one prescription for an opioid, compared to an average of 11%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 23%.

Prescription Price

$70 was the average price of a prescription from this provider, compared to $117 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

$433K

2012

$570K

2013

$690K

2014

$721K

2015

Number of Claims

6,405

2012

9,352

2013

10,661

2014

10,355

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

390

prescriptions, 4% of all prescriptions

350

prescriptions.

69

patients, 21% of all patients

1 19
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

328

prescriptions, 3% of all prescriptions

261

prescriptions.

70

patients, 21% of all patients

2 14
FUROSEMIDE

Treats fluid retention (ede... +

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

308

prescriptions, 3% of all prescriptions

257

prescriptions.

84

patients, 26% of all patients

3 2
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

267

prescriptions, 3% of all prescriptions

177

prescriptions.

49

patients, 15% of all patients

O 4 18
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

267

prescriptions, 3% of all prescriptions

199

prescriptions.

49

patients, 15% 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

252

prescriptions, 2% of all prescriptions

174

prescriptions.

46

patients, 14% of all patients

6 9
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

224

prescriptions, 2% of all prescriptions

195

prescriptions.

40

patients, 12% of all patients

7 24
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

208

prescriptions, 2% of all prescriptions

156

prescriptions.

51

patients, 16% of all patients

O 8 53
ALLOPURINOL

Treats gout and some kinds ... +

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

187

prescriptions, 2% of all prescriptions

145

prescriptions.

41

patients, 12% of all patients

9 8
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

184

prescriptions, 2% of all prescriptions

133

prescriptions.

45

patients, 14% of all patients

10 37
LISINOPRIL

Treats high blood pressure ... +

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

178

prescriptions, 2% of all prescriptions

155

prescriptions.

39

patients, 12% of all patients

11 3
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

178

prescriptions, 2% of all prescriptions

140

prescriptions.

39

patients, 12% of all patients

11 57
GABAPENTIN

Treats certain types of sei... +

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

169

prescriptions, 2% of all prescriptions

114

prescriptions.

31

patients, 9% of all patients

13 20
ALPRAZOLAM

Treats anxiety, panic disor... +

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

162

prescriptions, 2% of all prescriptions

96

prescriptions.

28

patients, 9% of all patients

14 45
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

150

prescriptions, 1% of all prescriptions

121

prescriptions.

30

patients, 9% of all patients

15 35
ATENOLOL

Treats high blood pressure ... +

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

144

prescriptions, 1% of all prescriptions

109

prescriptions.

29

patients, 9% of all patients

16 44
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

139

prescriptions, 1% of all prescriptions

108

prescriptions.

18

patients, 5% of all patients

O 17 62
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

127

prescriptions, 1% of all prescriptions

98

prescriptions.

25

patients, 8% of all patients

18 21
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

123

prescriptions, 1% of all prescriptions

100

prescriptions.

29

patients, 9% of all patients

19 17
ACYCLOVIR

Treats herpes labialis (col... +

Treats herpes labialis (cold sores). Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

67

prescriptions.

67

patients, 20% of all patients

20 70
SIMVASTATIN

Treats high cholesterol and... +

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

121

prescriptions, 1% of all prescriptions

99

prescriptions.

27

patients, 8% of all patients

21 15
ENALAPRIL MALEATE

Enalapril is used alone or ... +

Enalapril is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

115

prescriptions.

26

patients, 8% of all patients

22 36
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

118

prescriptions, 1% of all prescriptions

96

prescriptions.

28

patients, 9% of all patients

23 22
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

113

prescriptions, 1% of all prescriptions

87

prescriptions.

80

patients, 24% of all patients

A 24 52
CLOPIDOGREL

Helps prevent stroke, heart... +

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

111

prescriptions, 1% of all prescriptions

87

prescriptions.

24

patients, 7% of all patients

25 29
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

101

prescriptions, 1% of all prescriptions

75

prescriptions.

18

patients, 5% of all patients

26 11
MELOXICAM

Treats symptoms of osteoart... +

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

99

prescriptions, 1% of all prescriptions

83

prescriptions.

24

patients, 7% of all patients

27 79
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

98

prescriptions, 1% of all prescriptions

68

prescriptions.

17

patients, 5% of all patients

28 39
CALCITRIOL

Treats low blood calcium in... +

Treats low blood calcium in kidney dialysis patients and other patients. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

76

prescriptions.

19

patients, 6% of all patients

29 7
TRAMADOL HCL

Tramadol is used to relieve... +

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

94

prescriptions, 1% of all prescriptions

75

prescriptions.

20

patients, 6% of all patients

O 29 32
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

81

prescriptions.

19

patients, 6% of all patients

31 48
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

91

prescriptions, 1% of all prescriptions

75

prescriptions.

21

patients, 6% of all patients

32 80
FLUCONAZOLE

Prevents and treats certain... +

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

91

prescriptions, 1% of all prescriptions

56

prescriptions.

41

patients, 12% of all patients

32 80
PREDNISONE

Treats inflammation (swelli... +

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

88

prescriptions, 1% of all prescriptions

54

prescriptions.

39

patients, 12% of all patients

34 23
AZITHROMYCIN

Treats infections caused by... +

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

87

prescriptions, 1% of all prescriptions

56

prescriptions.

60

patients, 18% of all patients

A 35 82
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

87

prescriptions, 1% of all prescriptions

56

prescriptions.

19

patients, 6% of all patients

35 27
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

87

prescriptions, 1% of all prescriptions

28

prescriptions.

41

patients, 12% of all patients

A 35 63
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

24

prescriptions.

17

patients, 5% of all patients

R 38 47
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

76

prescriptions, 1% of all prescriptions

52

prescriptions.

15

patients, 5% of all patients

39 31
CLONAZEPAM

Treats seizures, panic diso... +

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

72

prescriptions, 1% of all prescriptions

55

prescriptions.

13

patients, 4% of all patients

40 55
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

72

prescriptions, 1% of all prescriptions

43

prescriptions.

15

patients, 5% of all patients

40 56
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

71

prescriptions, 1% of all prescriptions

46

prescriptions.

28

patients, 9% of all patients

42 90
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

40

prescriptions.

14

patients, 4% of all patients

43 5
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

66

prescriptions, 1% of all prescriptions

35

prescriptions.

<11 44 54
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

44

prescriptions.

16

patients, 5% of all patients

O 45 91
METOLAZONE

Treats high blood pressure ... +

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

64

prescriptions, 1% of all prescriptions

45

prescriptions.

21

patients, 6% of all patients

46 43
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

28

prescriptions.

11

patients, 3% of all patients

47 94
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

15

patients, 5% of all patients

47 12
TRAZODONE HCL

Trazodone is used to treat ... +

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

61

prescriptions, 1% of all prescriptions

38

prescriptions.

14

patients, 4% of all patients

49 50
CARVEDILOL

Treats high blood pressure ... +

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

59

prescriptions, 1% of all prescriptions

48

prescriptions.

17

patients, 5% of all patients

50 4
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

59

prescriptions, 1% of all prescriptions

59

prescriptions.

12

patients, 4% of all patients

50 30
FLUDROCORTISONE ACETATE

Replaces certain hormones w... +

Replaces certain hormones when the body does not make enough, such as in Addison's disease. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

52

prescriptions.

17

patients, 5% of all patients

52 101
TRIMETHOPRIM

Treats urinary tract infect... +

Treats urinary tract infections. Source: National Library of Medicine

57

prescriptions, 1% of all prescriptions

36

prescriptions.

20

patients, 6% of all patients

A 52 101
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

56

prescriptions, 1% of all prescriptions

56

prescriptions.

<11 54 103
AMIODARONE HCL

Amiodarone is used to treat... +

Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias (a certain type of abnormal heart rhythm when other medications did not help or could not be tolerated. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

48

prescriptions.

18

patients, 5% of all patients

55 105
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

52

prescriptions, 1% of all prescriptions

47

prescriptions.

13

patients, 4% of all patients

56 75
OLANZAPINE

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

15

patients, 5% of all patients

P 57 114
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 3, 2013.
  • 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.