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 »

10,805Medicare Part D Prescriptions Filled, Including Refills

Rank: 16 out of 830

$676K Total Retail Price of All Prescriptions

Rank: 20 out of 830

296 Patients Receiving at Least One Drug in Part D
53% Patients 65 Years and Older

66% 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

49% of this provider’s 296 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

17% of this provider’s 156 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

12% of this provider’s 296 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$63 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

37 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

$175K

2012

$436K

2013

$571K

2014

$676K

2015

Number of Claims

3,086

2012

7,777

2013

9,203

2014

10,805

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

458

prescriptions, 4% of all prescriptions

154

prescriptions.

80

patients, 27% of all patients

1 3
LISINOPRIL

Treats high blood pressure ... +

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

367

prescriptions, 3% of all prescriptions

177

prescriptions.

74

patients, 25% of all patients

2 1
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

348

prescriptions, 3% of all prescriptions

241

prescriptions.

62

patients, 21% of all patients

3 2
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

310

prescriptions, 3% of all prescriptions

156

prescriptions.

80

patients, 27% of all patients

4 7
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

248

prescriptions, 2% of all prescriptions

168

prescriptions.

46

patients, 16% of all patients

5 6
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

246

prescriptions, 2% of all prescriptions

135

prescriptions.

55

patients, 19% of all patients

6 4
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

241

prescriptions, 2% of all prescriptions

155

prescriptions.

49

patients, 17% of all patients

7 18
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

234

prescriptions, 2% of all prescriptions

119

prescriptions.

48

patients, 16% of all patients

8 13
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

209

prescriptions, 2% of all prescriptions

125

prescriptions.

46

patients, 16% of all patients

9 14
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

205

prescriptions, 2% of all prescriptions

79

prescriptions.

39

patients, 13% of all patients

10 19
FUROSEMIDE

Treats fluid retention (ede... +

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

203

prescriptions, 2% of all prescriptions

140

prescriptions.

42

patients, 14% of all patients

11 10
SIMVASTATIN

Treats high cholesterol and... +

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

193

prescriptions, 2% of all prescriptions

127

prescriptions.

37

patients, 13% of all patients

12 9
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

175

prescriptions, 2% of all prescriptions

97

prescriptions.

39

patients, 13% of all patients

13 16
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

163

prescriptions, 2% of all prescriptions

97

prescriptions.

39

patients, 13% of all patients

14 8
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

159

prescriptions, 1% of all prescriptions

76

prescriptions.

38

patients, 13% of all patients

15 23
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

136

prescriptions, 1% of all prescriptions

55

prescriptions.

38

patients, 13% of all patients

16 39
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

133

prescriptions, 1% of all prescriptions

63

prescriptions.

35

patients, 12% of all patients

17 12
CRESTOR

Lowers high levels of chole... +

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

130

prescriptions, 1% of all prescriptions

75

prescriptions.

25

patients, 8% of all patients

18 33
ATENOLOL

Treats high blood pressure ... +

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

130

prescriptions, 1% of all prescriptions

71

prescriptions.

25

patients, 8% of all patients

18 25
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

128

prescriptions, 1% of all prescriptions

89

prescriptions.

24

patients, 8% of all patients

20 65
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

125

prescriptions, 1% of all prescriptions

62

prescriptions.

39

patients, 13% of all patients

21 26
CLOPIDOGREL

Helps prevent stroke, heart... +

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

124

prescriptions, 1% of all prescriptions

58

prescriptions.

26

patients, 9% of all patients

22 15
METFORMIN HCL ER

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

123

prescriptions, 1% of all prescriptions

69

prescriptions.

25

patients, 8% of all patients

23 50
CITALOPRAM HBR

Citalopram is used to treat... +

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

112

prescriptions, 1% of all prescriptions

50

prescriptions.

22

patients, 7% of all patients

24 20
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

112

prescriptions, 1% of all prescriptions

47

prescriptions.

29

patients, 10% of all patients

24 36
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

107

prescriptions, 1% of all prescriptions

63

prescriptions.

27

patients, 9% of all patients

26 94
PREDNISONE

Treats inflammation (swelli... +

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

103

prescriptions, 1% of all prescriptions

56

prescriptions.

73

patients, 25% of all patients

27 30
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

100

prescriptions, 1% of all prescriptions

32

prescriptions.

18

patients, 6% of all patients

28 45
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

95

prescriptions, 1% of all prescriptions

23

prescriptions.

23

patients, 8% of all patients

29 41
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

56

prescriptions.

18

patients, 6% of all patients

30 134
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

86

prescriptions, 1% of all prescriptions

17

prescriptions.

14

patients, 5% of all patients

R 31 63
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

85

prescriptions, 1% of all prescriptions

44

prescriptions.

19

patients, 6% of all patients

32 11
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

83

prescriptions, 1% of all prescriptions

52

prescriptions.

13

patients, 4% of all patients

33 102
TRAMADOL HCL

Tramadol is used to relieve... +

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

83

prescriptions, 1% of all prescriptions

54

prescriptions.

26

patients, 9% of all patients

O 33 31
CARVEDILOL

Treats high blood pressure ... +

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

83

prescriptions, 1% of all prescriptions

62

prescriptions.

16

patients, 5% of all patients

33 22
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

79

prescriptions, 1% of all prescriptions

34

prescriptions.

16

patients, 5% of all patients

36 17
FLUCONAZOLE

Prevents and treats certain... +

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

74

prescriptions, 1% of all prescriptions

34

prescriptions.

46

patients, 16% of all patients

37 80
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

73

prescriptions, 1% of all prescriptions

23

prescriptions.

15

patients, 5% of all patients

38 28
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

71

prescriptions, 1% of all prescriptions

33

prescriptions.

31

patients, 10% of all patients

39 21
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

67

prescriptions, 1% of all prescriptions

24

prescriptions.

20

patients, 7% of all patients

40 67
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

28

prescriptions.

12

patients, 4% of all patients

R 41 44
MELOXICAM

Treats symptoms of osteoart... +

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

63

prescriptions, 1% of all prescriptions

31

prescriptions.

14

patients, 5% of all patients

42 24
TRAZODONE HCL

Trazodone is used to treat ... +

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

60

prescriptions, 1% of all prescriptions

16

prescriptions.

19

patients, 6% of all patients

43 34
HYDROXYZINE PAMOATE

Treats anxiety, tension, ne... +

Treats anxiety, tension, nervousness, nausea, vomiting, allergies, skin rash, hives, and itching. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

14

prescriptions.

14

patients, 5% of all patients

R 43 164
CHLORTHALIDONE

Treats high blood pressure ... +

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

59

prescriptions, 1% of all prescriptions

48

prescriptions.

11

patients, 4% of all patients

45 149
BUMETANIDE

Treats fluid retention (ede... +

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

57

prescriptions, 1% of all prescriptions

43

prescriptions.

11

patients, 4% of all patients

46 115
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

57

prescriptions, 1% of all prescriptions

20

prescriptions.

20

patients, 7% of all patients

46 90
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

56

prescriptions, 1% of all prescriptions

31

prescriptions.

11

patients, 4% of all patients

48 40
FENOFIBRATE*

Treats high cholesterol and... +

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

55

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 49 48
SUCRALFATE

Treats ulcers and other sto... +

Treats ulcers and other stomach problems. Source: National Library of Medicine

55

prescriptions, 1% of all prescriptions

26

prescriptions.

14

patients, 5% of all patients

49 167
GEMFIBROZIL

Lowers high triglyceride an... +

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

55

prescriptions, 1% of all prescriptions

13

prescriptions.

12

patients, 4% of all patients

49 104
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

53

prescriptions, 0% of all prescriptions

29

prescriptions.

<11 52 27
INVOKANA

Used along with diet and ex... +

Used along with diet and exercise, and sometimes with other medications, to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

16

prescriptions.

11

patients, 4% of all patients

53 113
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

30

prescriptions.

43

patients, 15% of all patients

A 53 64
ISOSORBIDE MONONITRATE ER

Isosorbide mononitrate is u... +

Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 55 37
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 56 70
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 Dec. 22, 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.