Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Nurse Practitioner, Family

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,143Medicare Part D Prescriptions Filled, Including Refills

Rank: 14 out of 830

$491K Total Retail Price of All Prescriptions

Rank: 53 out of 830

381 Patients Receiving at Least One Drug in Part D
49% Patients 65 Years and Older

68% 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

0% of this provider’s 188 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 1%.

More resources »

Antibiotics

66% of this provider’s 381 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 188 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

25% of this provider’s 381 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

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

Prescription Price

$44 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

29 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

$426K

2012

$514K

2013

$573K

2014

$491K

2015

Number of Claims

8,673

2012

10,569

2013

10,889

2014

11,143

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
LISINOPRIL

Treats high blood pressure ... +

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

556

prescriptions, 5% of all prescriptions

289

prescriptions.

86

patients, 23% of all patients

1 1
GABAPENTIN

Treats certain types of sei... +

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

453

prescriptions, 4% of all prescriptions

127

prescriptions.

63

patients, 17% of all patients

2 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

408

prescriptions, 4% of all prescriptions

134

prescriptions.

72

patients, 19% of all patients

O 3 5
SIMVASTATIN

Treats high cholesterol and... +

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

333

prescriptions, 3% of all prescriptions

192

prescriptions.

51

patients, 13% of all patients

4 9
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

324

prescriptions, 3% of all prescriptions

167

prescriptions.

46

patients, 12% of all patients

5 13
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

269

prescriptions, 2% of all prescriptions

148

prescriptions.

45

patients, 12% of all patients

6 4
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

266

prescriptions, 2% of all prescriptions

193

prescriptions.

42

patients, 11% of all patients

7 2
FUROSEMIDE

Treats fluid retention (ede... +

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

256

prescriptions, 2% of all prescriptions

189

prescriptions.

44

patients, 12% of all patients

8 10
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

207

prescriptions, 2% of all prescriptions

94

prescriptions.

31

patients, 8% of all patients

9 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

204

prescriptions, 2% of all prescriptions

87

prescriptions.

33

patients, 9% of all patients

10 16
TRAMADOL HCL

Tramadol is used to relieve... +

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

197

prescriptions, 2% of all prescriptions

51

prescriptions.

33

patients, 9% of all patients

O 11 31
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

192

prescriptions, 2% of all prescriptions

44

prescriptions.

25

patients, 7% of all patients

12 48
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

190

prescriptions, 2% of all prescriptions

115

prescriptions.

26

patients, 7% of all patients

13 23
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

169

prescriptions, 2% of all prescriptions

103

prescriptions.

31

patients, 8% of all patients

14 28
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

168

prescriptions, 2% of all prescriptions

84

prescriptions.

55

patients, 14% of all patients

15 21
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

157

prescriptions, 1% of all prescriptions

43

prescriptions.

26

patients, 7% of all patients

16 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

151

prescriptions, 1% of all prescriptions

112

prescriptions.

20

patients, 5% of all patients

17 6
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

144

prescriptions, 1% of all prescriptions

54

prescriptions.

19

patients, 5% of all patients

18 32
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

140

prescriptions, 1% of all prescriptions

91

prescriptions.

25

patients, 7% of all patients

19 11
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

138

prescriptions, 1% of all prescriptions

78

prescriptions.

27

patients, 7% of all patients

20 12
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

134

prescriptions, 1% of all prescriptions

64

prescriptions.

24

patients, 6% of all patients

21 41
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

133

prescriptions, 1% of all prescriptions

74

prescriptions.

25

patients, 7% of all patients

22 17
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

132

prescriptions, 1% of all prescriptions

44

prescriptions.

33

patients, 9% of all patients

23 39
ALPRAZOLAM

Treats anxiety, panic disor... +

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

127

prescriptions, 1% of all prescriptions

54

prescriptions.

23

patients, 6% of all patients

24 29
CLOPIDOGREL

Helps prevent stroke, heart... +

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

123

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 5% of all patients

25 15
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

114

prescriptions, 1% of all prescriptions

54

prescriptions.

82

patients, 22% of all patients

A 26 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

113

prescriptions, 1% of all prescriptions

22

prescriptions.

17

patients, 4% of all patients

R 27 63
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

112

prescriptions, 1% of all prescriptions

43

prescriptions.

18

patients, 5% of all patients

28 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

110

prescriptions, 1% of all prescriptions

66

prescriptions.

20

patients, 5% of all patients

29 14
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

106

prescriptions, 1% of all prescriptions

64

prescriptions.

27

patients, 7% of all patients

30 26
CRESTOR

Lowers high levels of chole... +

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

100

prescriptions, 1% of all prescriptions

43

prescriptions.

14

patients, 4% of all patients

31 33
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

88

prescriptions, 1% of all prescriptions

54

prescriptions.

15

patients, 4% of all patients

32 19
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

43

prescriptions.

67

patients, 18% of all patients

A 33 64
CLONAZEPAM

Treats seizures, panic diso... +

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

79

prescriptions, 1% of all prescriptions

56

prescriptions.

19

patients, 5% of all patients

34 38
ALLOPURINOL

Treats gout and some kinds ... +

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

77

prescriptions, 1% of all prescriptions

51

prescriptions.

14

patients, 4% of all patients

35 43
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

76

prescriptions, 1% of all prescriptions

22

prescriptions.

12

patients, 3% of all patients

R 36 44
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

75

prescriptions, 1% of all prescriptions

35

prescriptions.

57

patients, 15% of all patients

A 37 62
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

74

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 38 27
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

11

patients, 3% of all patients

38 65
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

70

prescriptions, 1% of all prescriptions

17

prescriptions.

<11 40 45
CLONIDINE HCL

Clonidine is used alone or ... +

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

70

prescriptions, 1% of all prescriptions

36

prescriptions.

12

patients, 3% of all patients

40 60
LEVOCETIRIZINE DIHYDROCHLORIDE

Levocetirizine is an antihi... +

Levocetirizine is an antihistamine used to relieve the symptoms of hay fever and hives of the skin. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

19

prescriptions.

11

patients, 3% of all patients

42 94
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

68

prescriptions, 1% of all prescriptions

27

prescriptions.

11

patients, 3% of all patients

43 61
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

67

prescriptions, 1% of all prescriptions

30

prescriptions.

62

patients, 16% of all patients

44 57
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

67

prescriptions, 1% of all prescriptions

34

prescriptions.

15

patients, 4% of all patients

44 90
AZITHROMYCIN

Treats infections caused by... +

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

60

prescriptions, 1% of all prescriptions

40

prescriptions.

30

patients, 8% of all patients

A 46 35
VALSARTAN

Valsartan is used alone or ... +

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

60

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 46 119
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

59

prescriptions, 1% of all prescriptions

39

prescriptions.

19

patients, 5% of all patients

48 116
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

58

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 49 18
MELOXICAM

Treats symptoms of osteoart... +

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

58

prescriptions, 1% of all prescriptions

15

prescriptions.

12

patients, 3% of all patients

49 24
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

57

prescriptions, 1% of all prescriptions

28

prescriptions.

49

patients, 13% of all patients

A 51 120
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

56

prescriptions, 1% of all prescriptions

15

prescriptions.

<11 52 58
ZETIA

Lowers cholesterol in your ... +

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

55

prescriptions, 0% of all prescriptions

23

prescriptions.

<11 53 71
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

54

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 3% of all patients

54 51
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

54

prescriptions, 0% of all prescriptions

24

prescriptions.

11

patients, 3% of all patients

54 40
CELECOXIB

Treats mild to moderate pai... +

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

54

prescriptions, 0% of all prescriptions

28

prescriptions.

<11 54 109
PREMARIN

Estrogens are female hormon... +

Estrogens are female hormones. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 R 54 213
CARVEDILOL

Treats high blood pressure ... +

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

53

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 58 22
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

53

prescriptions, 0% of all prescriptions

32

prescriptions.

12

patients, 3% of all patients

58 55
CITALOPRAM HBR

Citalopram is used to treat... +

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

53

prescriptions, 0% of all prescriptions

31

prescriptions.

11

patients, 3% of all patients

58 20
TRAZODONE HCL

Trazodone is used to treat ... +

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

52

prescriptions, 0% of all prescriptions

27

prescriptions.

<11 61 34
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

52

prescriptions, 0% of all prescriptions

24

prescriptions.

<11 61 102
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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 63 53
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. 25, 2014.
  • 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.