Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,826Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 314

$2.75M Total Retail Price of All Prescriptions

Rank: 18 out of 314

1,311 Patients Receiving at Least One Drug in Part D
57% Patients 65 Years and Older

59% 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 Michigan
lower than average

Antipsychotics

7% of this provider’s 745 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

0% of this provider’s 1,311 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

3% of this provider’s 745 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

25% of this provider’s 1,311 patients filled at least one prescription for an opioid, compared to an average of 8%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$174 was the average price of a prescription from this provider, compared to $429 among peers.

Prescriptions per Patient

12 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$1.34M

2012

$2.41M

2013

$2.55M

2014

$2.75M

2015

Number of Claims

9,633

2012

13,685

2013

14,332

2014

15,826

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
GABAPENTIN

Treats certain types of sei... +

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

1,572

prescriptions, 10% of all prescriptions

720

prescriptions.

394

patients, 30% of all patients

1 1
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

1,029

prescriptions, 7% of all prescriptions

362

prescriptions.

279

patients, 21% of all patients

2 9
TRAMADOL HCL

Tramadol is used to relieve... +

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

824

prescriptions, 5% of all prescriptions

344

prescriptions.

249

patients, 19% of all patients

O 3 27
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

713

prescriptions, 5% of all prescriptions

678

prescriptions.

179

patients, 14% of all patients

4 4
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

540

prescriptions, 3% of all prescriptions

179

prescriptions.

110

patients, 8% of all patients

5 14
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

524

prescriptions, 3% of all prescriptions

177

prescriptions.

103

patients, 8% of all patients

6 18
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

483

prescriptions, 3% of all prescriptions

60

prescriptions.

115

patients, 9% of all patients

7 24
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

454

prescriptions, 3% of all prescriptions

182

prescriptions.

116

patients, 9% of all patients

8 17
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

449

prescriptions, 3% of all prescriptions

67

prescriptions.

86

patients, 7% of all patients

9 5
MELOXICAM

Treats symptoms of osteoart... +

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

445

prescriptions, 3% of all prescriptions

267

prescriptions.

140

patients, 11% of all patients

10 52
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

373

prescriptions, 2% of all prescriptions

280

prescriptions.

90

patients, 7% of all patients

11 10
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

318

prescriptions, 2% of all prescriptions

247

prescriptions.

92

patients, 7% of all patients

12 25
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

297

prescriptions, 2% of all prescriptions

292

prescriptions.

67

patients, 5% of all patients

13 11
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

284

prescriptions, 2% of all prescriptions

200

prescriptions.

86

patients, 7% of all patients

14 32
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

278

prescriptions, 2% of all prescriptions

125

prescriptions.

70

patients, 5% of all patients

15 57
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

277

prescriptions, 2% of all prescriptions

98

prescriptions.

68

patients, 5% of all patients

16 34
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

262

prescriptions, 2% of all prescriptions

91

prescriptions.

46

patients, 4% of all patients

17 3
CLONAZEPAM

Treats seizures, panic diso... +

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

262

prescriptions, 2% of all prescriptions

106

prescriptions.

61

patients, 5% of all patients

17 8
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

241

prescriptions, 2% of all prescriptions

63

prescriptions.

41

patients, 3% of all patients

19 7
CITALOPRAM HBR

Citalopram is used to treat... +

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

230

prescriptions, 1% of all prescriptions

169

prescriptions.

52

patients, 4% of all patients

20 31
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

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

224

prescriptions, 1% of all prescriptions

133

prescriptions.

67

patients, 5% of all patients

21 81
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

213

prescriptions, 1% of all prescriptions

196

prescriptions.

46

patients, 4% of all patients

22 2
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

211

prescriptions, 1% of all prescriptions

41

prescriptions.

26

patients, 2% of all patients

23 13
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

199

prescriptions, 1% of all prescriptions

91

prescriptions.

54

patients, 4% of all patients

24 78
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

194

prescriptions, 1% of all prescriptions

83

prescriptions.

55

patients, 4% of all patients

P 25 20
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

191

prescriptions, 1% of all prescriptions

21

prescriptions.

44

patients, 3% of all patients

26 107
CARBAMAZEPINE

Treats different types of s... +

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

183

prescriptions, 1% of all prescriptions

60

prescriptions.

37

patients, 3% of all patients

27 28
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

179

prescriptions, 1% of all prescriptions

124

prescriptions.

47

patients, 4% of all patients

28 97
TRAZODONE HCL

Trazodone is used to treat ... +

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

170

prescriptions, 1% of all prescriptions

88

prescriptions.

47

patients, 4% of all patients

29 35
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

169

prescriptions, 1% of all prescriptions

80

prescriptions.

56

patients, 4% of all patients

O 30 6
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

39

prescriptions.

30

patients, 2% of all patients

31 23
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

This combination of drugs is used to relieve mild to moderate pain. Source: National Library of Medicine

143

prescriptions, 1% of all prescriptions

58

prescriptions.

41

patients, 3% of all patients

O 32 76
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

138

prescriptions, 1% of all prescriptions

106

prescriptions.

34

patients, 3% of all patients

33 30
CLOPIDOGREL

Helps prevent stroke, heart... +

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

138

prescriptions, 1% of all prescriptions

79

prescriptions.

36

patients, 3% of all patients

33 37
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

124

prescriptions, 1% of all prescriptions

66

prescriptions.

36

patients, 3% of all patients

35 51
FETZIMA 117

prescriptions, 1% of all prescriptions

26

prescriptions.

21

patients, 2% of all patients

36 139
CARBAMAZEPINE ER

Treats certain types of se... +

Treats certain types of seizures (epilepsy). Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

52

prescriptions.

18

patients, 1% of all patients

36 26
ETODOLAC

Treats pain caused by arthr... +

Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

26

prescriptions.

46

patients, 4% of all patients

38 140
RISPERIDONE

Treats schizophrenia and ce... +

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

116

prescriptions, 1% of all prescriptions

98

prescriptions.

27

patients, 2% of all patients

P 38 53
NAPROXEN SODIUM

Naproxen is a nonsteroidal ... +

Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve symptoms of arthritis (osteoarthritis, rheumatoid arthritis, or juvenile arthritis) such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

112

prescriptions, 1% of all prescriptions

15

prescriptions.

39

patients, 3% of all patients

40 142
LEVETIRACETAM ER 101

prescriptions, 1% of all prescriptions

40

prescriptions.

24

patients, 2% of all patients

41 70
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

31

prescriptions.

21

patients, 2% of all patients

42 49
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

92

prescriptions, 1% of all prescriptions

5

prescriptions.

19

patients, 1% of all patients

R 43 33
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

25

prescriptions.

23

patients, 2% of all patients

R 44 89
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

27

patients, 2% of all patients

45 42
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

79

prescriptions, 0% of all prescriptions

62

prescriptions.

20

patients, 2% of all patients

46 19
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

79

prescriptions, 0% of all prescriptions

14

prescriptions.

13

patients, 1% of all patients

46 158
ALPRAZOLAM

Treats anxiety, panic disor... +

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

71

prescriptions, 0% of all prescriptions

66

prescriptions.

25

patients, 2% of all patients

48 16
OXYBUTYNIN CHLORIDE

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

69

prescriptions, 0% of all prescriptions

5

prescriptions.

11

patients, 1% of all patients

49 134
SULINDAC

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine

68

prescriptions, 0% of all prescriptions

12

prescriptions.

20

patients, 2% of all patients

50 163
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

66

prescriptions, 0% of all prescriptions

11

prescriptions.

22

patients, 2% of all patients

R 51 36
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

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

65

prescriptions, 0% of all prescriptions

50

prescriptions.

15

patients, 1% of all patients

52 91
VALPROIC ACID*

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 53 142
AUBAGIO 54

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 54 92
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

15

prescriptions.

12

patients, 1% of all patients

55 15
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

35

prescriptions.

14

patients, 1% of all patients

55 184
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Feb. 27, 2017.
  • 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.