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 »

10,626Medicare Part D Prescriptions Filled, Including Refills

Rank: 356 out of 1114

$531K Total Retail Price of All Prescriptions

Rank: 400 out of 1114

471 Patients Receiving at Least One Drug in Part D
70% Patients 65 Years and Older

43% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Kentucky
lower than average

Antipsychotics

This provider prescribed antipsychotics to at least one but fewer than 11 patients who are 65 and older, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Antibiotics

20% of this provider’s 471 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

12% of this provider’s 328 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 14%.

More resources »

Opioids

24% of this provider’s 471 patients filled at least one prescription for an opioid, compared to an average of 20%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$50 was the average price of a prescription from this provider, compared to $55 among peers.

Prescriptions per Patient

23 is the average number of prescriptions (including refills) per patient, compared to an average of 21.


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

$369K

2012

$433K

2013

$492K

2014

$531K

2015

Number of Claims

7,067

2012

8,567

2013

9,646

2014

10,626

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

546

prescriptions, 5% of all prescriptions

329

prescriptions.

93

patients, 20% of all patients

O 1 4
ALPRAZOLAM

Treats anxiety, panic disor... +

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

467

prescriptions, 4% of all prescriptions

282

prescriptions.

74

patients, 16% of all patients

2 15
SIMVASTATIN

Treats high cholesterol and... +

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

434

prescriptions, 4% of all prescriptions

314

prescriptions.

81

patients, 17% of all patients

3 9
LISINOPRIL

Treats high blood pressure ... +

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

406

prescriptions, 4% of all prescriptions

302

prescriptions.

84

patients, 18% of all patients

4 2
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

348

prescriptions, 3% of all prescriptions

215

prescriptions.

75

patients, 16% of all patients

5 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

344

prescriptions, 3% of all prescriptions

302

prescriptions.

73

patients, 15% of all patients

6 6
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

315

prescriptions, 3% of all prescriptions

213

prescriptions.

56

patients, 12% of all patients

7 1
GABAPENTIN

Treats certain types of sei... +

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

291

prescriptions, 3% of all prescriptions

110

prescriptions.

57

patients, 12% of all patients

8 8
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

267

prescriptions, 3% of all prescriptions

193

prescriptions.

41

patients, 9% of all patients

9 18
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

230

prescriptions, 2% of all prescriptions

194

prescriptions.

42

patients, 9% of all patients

10 14
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

213

prescriptions, 2% of all prescriptions

208

prescriptions.

47

patients, 10% of all patients

11 5
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

170

prescriptions, 2% of all prescriptions

65

prescriptions.

32

patients, 7% of all patients

R 12 46
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

168

prescriptions, 2% of all prescriptions

69

prescriptions.

30

patients, 6% of all patients

13 30
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

151

prescriptions, 1% of all prescriptions

118

prescriptions.

35

patients, 7% of all patients

14 10
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

149

prescriptions, 1% of all prescriptions

47

prescriptions.

38

patients, 8% of all patients

15 56
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

145

prescriptions, 1% of all prescriptions

125

prescriptions.

28

patients, 6% of all patients

16 17
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

141

prescriptions, 1% of all prescriptions

102

prescriptions.

29

patients, 6% of all patients

17 11
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

139

prescriptions, 1% of all prescriptions

126

prescriptions.

29

patients, 6% of all patients

18 73
ATENOLOL

Treats high blood pressure ... +

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

135

prescriptions, 1% of all prescriptions

97

prescriptions.

23

patients, 5% of all patients

19 25
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

134

prescriptions, 1% of all prescriptions

66

prescriptions.

41

patients, 9% of all patients

20 29
TRAZODONE HCL

Trazodone is used to treat ... +

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

131

prescriptions, 1% of all prescriptions

71

prescriptions.

26

patients, 6% of all patients

21 33
CLONAZEPAM

Treats seizures, panic diso... +

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

119

prescriptions, 1% of all prescriptions

32

prescriptions.

19

patients, 4% of all patients

22 34
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

115

prescriptions, 1% of all prescriptions

99

prescriptions.

24

patients, 5% of all patients

23 13
CRESTOR

Lowers high levels of chole... +

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

113

prescriptions, 1% of all prescriptions

87

prescriptions.

20

patients, 4% of all patients

24 36
FUROSEMIDE

Treats fluid retention (ede... +

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

109

prescriptions, 1% of all prescriptions

89

prescriptions.

32

patients, 7% of all patients

25 7
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

95

prescriptions, 1% of all prescriptions

53

prescriptions.

30

patients, 6% of all patients

26 37
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

70

prescriptions.

18

patients, 4% of all patients

27 59
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

92

prescriptions, 1% of all prescriptions

66

prescriptions.

22

patients, 5% of all patients

28 21
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

87

prescriptions, 1% of all prescriptions

37

prescriptions.

18

patients, 4% of all patients

29 45
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

86

prescriptions, 1% of all prescriptions

47

prescriptions.

18

patients, 4% of all patients

30 27
DIAZEPAM

Treats anxiety, muscle spas... +

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

84

prescriptions, 1% of all prescriptions

47

prescriptions.

15

patients, 3% of all patients

31 39
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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

17

patients, 4% of all patients

32 23
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

42

prescriptions.

16

patients, 3% of all patients

33 80
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

57

prescriptions.

15

patients, 3% of all patients

34 109
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

75

prescriptions, 1% of all prescriptions

58

prescriptions.

14

patients, 3% of all patients

35 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

74

prescriptions, 1% of all prescriptions

49

prescriptions.

13

patients, 3% of all patients

36 43
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

72

prescriptions, 1% of all prescriptions

52

prescriptions.

20

patients, 4% of all patients

37 28
MELOXICAM

Treats symptoms of osteoart... +

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

69

prescriptions, 1% of all prescriptions

24

prescriptions.

15

patients, 3% of all patients

38 22
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

67

prescriptions, 1% of all prescriptions

55

prescriptions.

22

patients, 5% of all patients

39 12
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

66

prescriptions, 1% of all prescriptions

27

prescriptions.

<11 R 40 61
LOVASTATIN

Lowers high cholesterol and... +

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

62

prescriptions, 1% of all prescriptions

36

prescriptions.

<11 41 68
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

61

prescriptions, 1% of all prescriptions

56

prescriptions.

14

patients, 3% of all patients

42 62
CITALOPRAM HBR

Citalopram is used to treat... +

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

59

prescriptions, 1% of all prescriptions

54

prescriptions.

17

patients, 4% of all patients

43 20
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 44 78
LORAZEPAM

Treats anxiety, anxiety wit... +

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

58

prescriptions, 1% of all prescriptions

53

prescriptions.

<11 44 26
CARVEDILOL

Treats high blood pressure ... +

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

57

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 46 24
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

56

prescriptions, 1% of all prescriptions

35

prescriptions.

12

patients, 3% of all patients

47 48
CARTIA XT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

56

prescriptions, 1% of all prescriptions

44

prescriptions.

15

patients, 3% of all patients

47 222
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

30

prescriptions.

44

patients, 9% of all patients

49 100
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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

14

patients, 3% of all patients

50 16
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

51

prescriptions, 0% of all prescriptions

23

prescriptions.

13

patients, 3% of all patients

51 58
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 52 52
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 July 29, 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.