Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

12,175Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 596

$559K Total Retail Price of All Prescriptions

Rank: 63 out of 596

561 Patients Receiving at Least One Drug in Part D
69% Patients 65 Years and Older

63% 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 North Carolina
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

42% of this provider’s 561 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 389 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

35% of this provider’s 561 patients filled at least one prescription for an opioid, compared to an average of 23%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$46 was the average price of a prescription from this provider, compared to $128 among peers.

Prescriptions per Patient

22 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$269K

2012

$319K

2013

$390K

2014

$559K

2015

Number of Claims

5,714

2012

7,417

2013

8,808

2014

12,175

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
ALPRAZOLAM

Treats anxiety, panic disor... +

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

877

prescriptions, 7% of all prescriptions

342

prescriptions.

122

patients, 22% of all patients

1 12
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

764

prescriptions, 6% of all prescriptions

374

prescriptions.

116

patients, 21% of all patients

O 2 4
SIMVASTATIN

Treats high cholesterol and... +

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

346

prescriptions, 3% of all prescriptions

196

prescriptions.

60

patients, 11% of all patients

3 9
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

344

prescriptions, 3% of all prescriptions

227

prescriptions.

70

patients, 12% of all patients

4 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

319

prescriptions, 3% of all prescriptions

206

prescriptions.

57

patients, 10% of all patients

5 6
LISINOPRIL

Treats high blood pressure ... +

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

312

prescriptions, 3% of all prescriptions

212

prescriptions.

63

patients, 11% of all patients

6 3
OXYCODONE HCL

Oxycodone is used to reliev... +

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

293

prescriptions, 2% of all prescriptions

85

prescriptions.

39

patients, 7% of all patients

O 7 13
CLONAZEPAM

Treats seizures, panic diso... +

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

269

prescriptions, 2% of all prescriptions

108

prescriptions.

43

patients, 8% of all patients

8 28
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

250

prescriptions, 2% of all prescriptions

148

prescriptions.

50

patients, 9% of all patients

9 15
FUROSEMIDE

Treats fluid retention (ede... +

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

216

prescriptions, 2% of all prescriptions

143

prescriptions.

59

patients, 11% of all patients

10 10
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

208

prescriptions, 2% of all prescriptions

41

prescriptions.

33

patients, 6% of all patients

R 11 32
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

195

prescriptions, 2% of all prescriptions

126

prescriptions.

31

patients, 6% of all patients

12 16
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

189

prescriptions, 2% of all prescriptions

67

prescriptions.

45

patients, 8% of all patients

13 24
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

186

prescriptions, 2% of all prescriptions

104

prescriptions.

41

patients, 7% of all patients

14 11
GABAPENTIN

Treats certain types of sei... +

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

178

prescriptions, 1% of all prescriptions

53

prescriptions.

39

patients, 7% of all patients

15 7
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

167

prescriptions, 1% of all prescriptions

41

prescriptions.

33

patients, 6% of all patients

O 16 8
ATENOLOL

Treats high blood pressure ... +

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

163

prescriptions, 1% of all prescriptions

117

prescriptions.

29

patients, 5% of all patients

17 38
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

160

prescriptions, 1% of all prescriptions

26

prescriptions.

17

patients, 3% of all patients

18 40
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

157

prescriptions, 1% of all prescriptions

85

prescriptions.

31

patients, 6% of all patients

19 5
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

129

prescriptions, 1% of all prescriptions

89

prescriptions.

103

patients, 18% of all patients

A 20 107
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

119

prescriptions, 1% of all prescriptions

63

prescriptions.

18

patients, 3% of all patients

21 17
AZITHROMYCIN

Treats infections caused by... +

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

118

prescriptions, 1% of all prescriptions

62

prescriptions.

79

patients, 14% of all patients

A 22 50
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

115

prescriptions, 1% of all prescriptions

83

prescriptions.

21

patients, 4% of all patients

23 21
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

114

prescriptions, 1% of all prescriptions

72

prescriptions.

19

patients, 3% of all patients

24 35
TRAZODONE HCL

Trazodone is used to treat ... +

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

114

prescriptions, 1% of all prescriptions

45

prescriptions.

24

patients, 4% of all patients

24 36
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

112

prescriptions, 1% of all prescriptions

70

prescriptions.

25

patients, 4% of all patients

26 2
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

102

prescriptions, 1% of all prescriptions

50

prescriptions.

15

patients, 3% of all patients

27 25
PROMETHAZINE HCL

Promethazine is used to rel... +

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

102

prescriptions, 1% of all prescriptions

5

prescriptions.

29

patients, 5% of all patients

R 27 109
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

66

prescriptions.

20

patients, 4% of all patients

29 18
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

101

prescriptions, 1% of all prescriptions

54

prescriptions.

63

patients, 11% of all patients

A 29 175
DIAZEPAM

Treats anxiety, muscle spas... +

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

100

prescriptions, 1% of all prescriptions

55

prescriptions.

16

patients, 3% of all patients

31 57
CLOPIDOGREL

Helps prevent stroke, heart... +

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

98

prescriptions, 1% of all prescriptions

55

prescriptions.

16

patients, 3% of all patients

32 19
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

93

prescriptions, 1% of all prescriptions

45

prescriptions.

21

patients, 4% of all patients

33 65
VERAPAMIL ER

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

64

prescriptions.

17

patients, 3% of all patients

34 232
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

85

prescriptions, 1% of all prescriptions

23

prescriptions.

<11 P 35 70
TRAMADOL HCL

Tramadol is used to relieve... +

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

84

prescriptions, 1% of all prescriptions

70

prescriptions.

22

patients, 4% of all patients

O 36 20
LORAZEPAM

Treats anxiety, anxiety wit... +

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

84

prescriptions, 1% of all prescriptions

49

prescriptions.

16

patients, 3% of all patients

36 33
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

82

prescriptions, 1% of all prescriptions

61

prescriptions.

13

patients, 2% of all patients

38 111
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

82

prescriptions, 1% of all prescriptions

41

prescriptions.

17

patients, 3% of all patients

38 62
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

33

prescriptions.

15

patients, 3% of all patients

40 76
BISOPROLOL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

14

prescriptions.

15

patients, 3% of all patients

41 169
CARVEDILOL

Treats high blood pressure ... +

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

79

prescriptions, 1% of all prescriptions

51

prescriptions.

16

patients, 3% of all patients

42 27
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

79

prescriptions, 1% of all prescriptions

26

prescriptions.

17

patients, 3% of all patients

42 80
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

78

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 2% of all patients

R 44 51
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

13

prescriptions.

11

patients, 2% of all patients

45 39
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

69

prescriptions, 1% of all prescriptions

46

prescriptions.

45

patients, 8% of all patients

A 46 73
GLIPIZIDE XL

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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

12

patients, 2% of all patients

47 150
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

66

prescriptions, 1% of all prescriptions

32

prescriptions.

15

patients, 3% of all patients

48 99
PREDNISONE

Treats inflammation (swelli... +

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

66

prescriptions, 1% of all prescriptions

22

prescriptions.

36

patients, 6% of all patients

48 26
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

65

prescriptions, 1% of all prescriptions

34

prescriptions.

14

patients, 2% of all patients

50 44
CITALOPRAM HBR

Citalopram is used to treat... +

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

64

prescriptions, 1% of all prescriptions

31

prescriptions.

13

patients, 2% of all patients

51 37
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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

12

patients, 2% of all patients

52 14
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

63

prescriptions, 1% of all prescriptions

32

prescriptions.

21

patients, 4% of all patients

52 22
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

62

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 2% of all patients

54 138
FLUCONAZOLE

Prevents and treats certain... +

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

61

prescriptions, 1% of all prescriptions

33

prescriptions.

23

patients, 4% of all patients

55 140
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

19

prescriptions.

11

patients, 2% of all patients

56 131
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

56

prescriptions, 0% of all prescriptions

20

prescriptions.

11

patients, 2% of all patients

56 52
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

54

prescriptions, 0% of all prescriptions

41

prescriptions.

<11 58 68
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

53

prescriptions, 0% of all prescriptions

22

prescriptions.

12

patients, 2% of all patients

59 90
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

52

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 60 41
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

50

prescriptions, 0% of all prescriptions

5

prescriptions.

12

patients, 2% of all patients

61 54
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 61 167
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 June 20, 2016.
  • 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.