Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,693Medicare Part D Prescriptions Filled, Including Refills

Rank: 254 out of 1584

$702K Total Retail Price of All Prescriptions

Rank: 375 out of 1584

656 Patients Receiving at Least One Drug in Part D
89% Patients 65 Years and Older

31% 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

2% of this provider’s 586 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

31% of this provider’s 656 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

17% of this provider’s 586 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.

More resources »

Opioids

23% of this provider’s 656 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $71 among peers.

Prescriptions per Patient

21 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$611K

2012

$1.05M

2013

$1.16M

2014

$702K

2015

Number of Claims

13,712

2012

22,392

2013

22,734

2014

13,693

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

487

prescriptions, 4% of all prescriptions

458

prescriptions.

112

patients, 17% of all patients

1 2
FUROSEMIDE

Treats fluid retention (ede... +

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

421

prescriptions, 3% of all prescriptions

381

prescriptions.

96

patients, 15% of all patients

2 7
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

372

prescriptions, 3% of all prescriptions

330

prescriptions.

90

patients, 14% of all patients

3 4
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

369

prescriptions, 3% of all prescriptions

333

prescriptions.

87

patients, 13% of all patients

4 1
SIMVASTATIN

Treats high cholesterol and... +

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

352

prescriptions, 3% of all prescriptions

309

prescriptions.

93

patients, 14% of all patients

5 6
LISINOPRIL

Treats high blood pressure ... +

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

349

prescriptions, 3% of all prescriptions

291

prescriptions.

85

patients, 13% of all patients

6 5
TRAMADOL HCL

Tramadol is used to relieve... +

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

307

prescriptions, 2% of all prescriptions

277

prescriptions.

76

patients, 12% of all patients

O 7 19
LORAZEPAM

Treats anxiety, anxiety wit... +

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

306

prescriptions, 2% of all prescriptions

283

prescriptions.

56

patients, 9% of all patients

8 29
PREDNISONE

Treats inflammation (swelli... +

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

294

prescriptions, 2% of all prescriptions

258

prescriptions.

143

patients, 22% of all patients

9 36
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

287

prescriptions, 2% of all prescriptions

261

prescriptions.

71

patients, 11% of all patients

10 15
GABAPENTIN

Treats certain types of sei... +

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

278

prescriptions, 2% of all prescriptions

206

prescriptions.

59

patients, 9% of all patients

11 10
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

254

prescriptions, 2% of all prescriptions

249

prescriptions.

52

patients, 8% of all patients

12 14
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

244

prescriptions, 2% of all prescriptions

207

prescriptions.

62

patients, 9% of all patients

13 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

243

prescriptions, 2% of all prescriptions

204

prescriptions.

62

patients, 9% of all patients

O 14 16
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

231

prescriptions, 2% of all prescriptions

226

prescriptions.

56

patients, 9% of all patients

15 11
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

220

prescriptions, 2% of all prescriptions

206

prescriptions.

53

patients, 8% of all patients

16 18
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

214

prescriptions, 2% of all prescriptions

209

prescriptions.

44

patients, 7% of all patients

17 20
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

212

prescriptions, 2% of all prescriptions

186

prescriptions.

41

patients, 6% of all patients

R 18 35
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

202

prescriptions, 1% of all prescriptions

169

prescriptions.

56

patients, 9% of all patients

19 9
CARVEDILOL

Treats high blood pressure ... +

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

187

prescriptions, 1% of all prescriptions

169

prescriptions.

46

patients, 7% of all patients

20 22
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

181

prescriptions, 1% of all prescriptions

160

prescriptions.

76

patients, 12% of all patients

21 24
ALPRAZOLAM

Treats anxiety, panic disor... +

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

180

prescriptions, 1% of all prescriptions

175

prescriptions.

28

patients, 4% of all patients

22 17
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

174

prescriptions, 1% of all prescriptions

174

prescriptions.

35

patients, 5% of all patients

23 12
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

168

prescriptions, 1% of all prescriptions

139

prescriptions.

28

patients, 4% of all patients

24 23
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

148

prescriptions, 1% of all prescriptions

143

prescriptions.

41

patients, 6% of all patients

25 13
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

147

prescriptions, 1% of all prescriptions

119

prescriptions.

43

patients, 7% of all patients

26 8
CLOPIDOGREL

Helps prevent stroke, heart... +

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

136

prescriptions, 1% of all prescriptions

131

prescriptions.

33

patients, 5% of all patients

27 21
CLONAZEPAM

Treats seizures, panic diso... +

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

133

prescriptions, 1% of all prescriptions

85

prescriptions.

26

patients, 4% of all patients

28 42
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

125

prescriptions, 1% of all prescriptions

120

prescriptions.

23

patients, 4% of all patients

29 27
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

123

prescriptions, 1% of all prescriptions

118

prescriptions.

33

patients, 5% of all patients

30 51
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

120

prescriptions, 1% of all prescriptions

85

prescriptions.

29

patients, 4% of all patients

31 68
CITALOPRAM HBR

Citalopram is used to treat... +

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

117

prescriptions, 1% of all prescriptions

94

prescriptions.

33

patients, 5% of all patients

32 30
ALLOPURINOL

Treats gout and some kinds ... +

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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

31

patients, 5% of all patients

33 28
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

112

prescriptions, 1% of all prescriptions

112

prescriptions.

18

patients, 3% of all patients

34 38
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

92

prescriptions, 1% of all prescriptions

78

prescriptions.

23

patients, 4% of all patients

35 62
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

91

prescriptions, 1% of all prescriptions

78

prescriptions.

18

patients, 3% of all patients

36 40
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

84

prescriptions, 1% of all prescriptions

73

prescriptions.

13

patients, 2% of all patients

37 46
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

19

patients, 3% of all patients

38 34
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 3% of all patients

38 86
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

80

prescriptions, 1% of all prescriptions

80

prescriptions.

15

patients, 2% of all patients

40 50
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

79

prescriptions, 1% of all prescriptions

40

prescriptions.

12

patients, 2% of all patients

41 47
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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

59

patients, 9% of all patients

A 42 75
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

66

prescriptions.

62

patients, 9% of all patients

A 42 128
TRAZODONE HCL

Trazodone is used to treat ... +

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

76

prescriptions, 1% of all prescriptions

57

prescriptions.

22

patients, 3% of all patients

44 32
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.

24

patients, 4% of all patients

45 71
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

75

prescriptions.

22

patients, 3% of all patients

45 41
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

63

prescriptions.

15

patients, 2% of all patients

47 124
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

<11 48 82
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

55

prescriptions.

17

patients, 3% of all patients

49 37
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

65

prescriptions.

<11 50 80
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

63

prescriptions, 0% of all prescriptions

42

prescriptions.

13

patients, 2% of all patients

51 61
IPRATROPIUM BROMIDE

Ipratropium oral inhalation... +

Ipratropium oral inhalation is used to prevent wheezing, shortness of breath, coughing, and chest tightness in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

39

prescriptions.

32

patients, 5% of all patients

52 207
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

60

prescriptions, 0% of all prescriptions

40

prescriptions.

13

patients, 2% of all patients

O 53 43
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

60

prescriptions, 0% of all prescriptions

55

prescriptions.

21

patients, 3% of all patients

53 48
OXYBUTYNIN CHLORIDE ER

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

36

prescriptions.

<11 55 127
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

52

prescriptions.

36

patients, 5% of all patients

55 201
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

52

prescriptions.

13

patients, 2% of all patients

55 54
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

57

prescriptions, 0% of all prescriptions

17

prescriptions.

17

patients, 3% of all patients

55 44
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

57

prescriptions.

11

patients, 2% of all patients

55 73
DIAZEPAM

Treats anxiety, muscle spas... +

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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

12

patients, 2% of all patients

60 74
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 P 61 101
BENAZEPRIL HCL

Benazepril is used alone or... +

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

51

prescriptions, 0% of all prescriptions

51

prescriptions.

11

patients, 2% of all patients

61 60
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

13

patients, 2% of all patients

63 212
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

14

patients, 2% of all patients

63 31
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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

15

patients, 2% of all patients

63 117
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. 21, 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.