Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant, Medical

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

13,104Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 31

$665K Total Retail Price of All Prescriptions

Rank: 1 out of 31

876 Patients Receiving at Least One Drug in Part D
82% Patients 65 Years and Older

44% 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 Wyoming
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

15% of this provider’s 876 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.

86 of this provider’s 721 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

16% of this provider’s 876 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

22% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $80 among peers.

Prescriptions per Patient

15 is the average number of prescriptions (including refills) per patient, compared to an average of 10.


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

$613K

2012

$601K

2013

$777K

2014

$665K

2015

Number of Claims

12,073

2012

12,848

2013

15,157

2014

13,104

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

698

prescriptions, 5% of all prescriptions

547

prescriptions.

155

patients, 18% of all patients

1 1
LISINOPRIL

Treats high blood pressure ... +

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

547

prescriptions, 4% of all prescriptions

444

prescriptions.

121

patients, 14% of all patients

2 2
SIMVASTATIN

Treats high cholesterol and... +

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

507

prescriptions, 4% of all prescriptions

393

prescriptions.

106

patients, 12% of all patients

3 3
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

432

prescriptions, 3% of all prescriptions

281

prescriptions.

92

patients, 11% of all patients

4 5
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

322

prescriptions, 2% of all prescriptions

282

prescriptions.

89

patients, 10% of all patients

5 4
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

309

prescriptions, 2% of all prescriptions

285

prescriptions.

70

patients, 8% of all patients

6 8
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

305

prescriptions, 2% of all prescriptions

265

prescriptions.

65

patients, 7% of all patients

7 13
FUROSEMIDE

Treats fluid retention (ede... +

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

299

prescriptions, 2% of all prescriptions

240

prescriptions.

75

patients, 9% of all patients

8 9
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

292

prescriptions, 2% of all prescriptions

242

prescriptions.

70

patients, 8% of all patients

9 14
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

290

prescriptions, 2% of all prescriptions

261

prescriptions.

66

patients, 8% of all patients

10 11
GABAPENTIN

Treats certain types of sei... +

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

278

prescriptions, 2% of all prescriptions

175

prescriptions.

63

patients, 7% of all patients

11 10
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

267

prescriptions, 2% of all prescriptions

262

prescriptions.

59

patients, 7% of all patients

12 7
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

261

prescriptions, 2% of all prescriptions

247

prescriptions.

60

patients, 7% of all patients

13 15
CITALOPRAM HBR

Citalopram is used to treat... +

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

207

prescriptions, 2% of all prescriptions

136

prescriptions.

35

patients, 4% of all patients

14 20
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

203

prescriptions, 2% of all prescriptions

166

prescriptions.

26

patients, 3% of all patients

15 21
ATENOLOL

Treats high blood pressure ... +

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

195

prescriptions, 1% of all prescriptions

155

prescriptions.

59

patients, 7% of all patients

16 22
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

175

prescriptions, 1% of all prescriptions

134

prescriptions.

50

patients, 6% of all patients

17 38
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

158

prescriptions, 1% of all prescriptions

101

prescriptions.

64

patients, 7% of all patients

O 18 6
ALLOPURINOL

Treats gout and some kinds ... +

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

156

prescriptions, 1% of all prescriptions

108

prescriptions.

37

patients, 4% of all patients

19 33
MELOXICAM

Treats symptoms of osteoart... +

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

148

prescriptions, 1% of all prescriptions

119

prescriptions.

39

patients, 4% of all patients

20 23
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

142

prescriptions.

39

patients, 4% of all patients

21 12
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

143

prescriptions, 1% of all prescriptions

107

prescriptions.

32

patients, 4% of all patients

22 18
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

112

prescriptions, 1% of all prescriptions

84

prescriptions.

20

patients, 2% of all patients

23 50
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

107

prescriptions, 1% of all prescriptions

29

prescriptions.

17

patients, 2% of all patients

P 24 51
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

44

prescriptions.

12

patients, 1% of all patients

24 51
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

100

prescriptions, 1% of all prescriptions

87

prescriptions.

28

patients, 3% of all patients

26 40
ADVAIR DISKUS

Prevents symptoms of asthma... +

Prevents symptoms of asthma or COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

85

prescriptions.

25

patients, 3% of all patients

27 53
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

99

prescriptions, 1% of all prescriptions

77

prescriptions.

22

patients, 3% of all patients

27 19
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

71

prescriptions.

22

patients, 3% of all patients

29 35
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

95

prescriptions, 1% of all prescriptions

90

prescriptions.

27

patients, 3% of all patients

30 16
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

92

prescriptions, 1% of all prescriptions

28

prescriptions.

29

patients, 3% of all patients

R 31 30
CELECOXIB

Treats mild to moderate pai... +

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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

16

patients, 2% of all patients

31 54
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

90

prescriptions, 1% of all prescriptions

36

prescriptions.

14

patients, 2% of all patients

33 55
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

86

prescriptions, 1% of all prescriptions

45

prescriptions.

25

patients, 3% of all patients

34 41
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

84

prescriptions, 1% of all prescriptions

63

prescriptions.

17

patients, 2% of all patients

35 32
TRAZODONE HCL

Trazodone is used to treat ... +

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

82

prescriptions, 1% of all prescriptions

44

prescriptions.

15

patients, 2% of all patients

36 28
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

78

prescriptions, 1% of all prescriptions

64

prescriptions.

17

patients, 2% of all patients

37 36
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

73

prescriptions, 1% of all prescriptions

61

prescriptions.

15

patients, 2% of all patients

38 57
ALPRAZOLAM

Treats anxiety, panic disor... +

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

71

prescriptions, 1% of all prescriptions

52

prescriptions.

20

patients, 2% of all patients

39 46
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

69

prescriptions, 1% of all prescriptions

58

prescriptions.

12

patients, 1% of all patients

40 47
GEMFIBROZIL

Lowers high triglyceride an... +

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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

<11 40 59
SUCRALFATE

Treats ulcers and other sto... +

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

69

prescriptions, 1% of all prescriptions

51

prescriptions.

18

patients, 2% of all patients

40 59
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

68

prescriptions, 1% of all prescriptions

41

prescriptions.

13

patients, 1% of all patients

43 43
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

68

prescriptions, 1% of all prescriptions

35

prescriptions.

17

patients, 2% of all patients

R 43 61
CRESTOR

Lowers high levels of chole... +

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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

12

patients, 1% of all patients

43 26
CLOPIDOGREL

Helps prevent stroke, heart... +

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

66

prescriptions, 1% of all prescriptions

66

prescriptions.

14

patients, 2% of all patients

46 17
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

65

prescriptions, 0% of all prescriptions

41

prescriptions.

18

patients, 2% of all patients

R 47 48
NAMENDA XR

Used to treat the symptoms ... +

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

63

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 48 63
BACLOFEN

Treats muscle spasms caused... +

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

62

prescriptions, 0% of all prescriptions

25

prescriptions.

16

patients, 2% of all patients

49 65
DIGOX

Digox (digoxin) is used to ... +

Digox (digoxin) is used to treat heart failure and abnormal heart rhythms (arrhythmias). Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

17

patients, 2% of all patients

R 50 66
OXYCODONE HCL

Oxycodone is used to reliev... +

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

60

prescriptions, 0% of all prescriptions

5

prescriptions.

16

patients, 2% of all patients

O 51 31
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

60

prescriptions, 0% of all prescriptions

48

prescriptions.

23

patients, 3% of all patients

51 45
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

55

prescriptions.

18

patients, 2% of all patients

51 67
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

44

prescriptions.

12

patients, 1% of all patients

54 68
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

58

prescriptions, 0% of all prescriptions

28

prescriptions.

15

patients, 2% of all patients

55 44
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 R 55 70
ESTRADIOL

Replaces estrogen that decr... +

Replaces estrogen that decreases with menopause or removal of the ovaries. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

39

prescriptions.

12

patients, 1% of all patients

R 57 71
TOPIRAMATE

Helps control and prevent c... +

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

57

prescriptions, 0% of all prescriptions

18

prescriptions.

<11 57 71
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

55

prescriptions, 0% of all prescriptions

35

prescriptions.

14

patients, 2% of all patients

59 34
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

53

prescriptions.

19

patients, 2% of all patients

60 28
TRAMADOL HCL

Tramadol is used to relieve... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

24

patients, 3% of all patients

O 60 24
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

22

patients, 3% of all patients

O 62 25
CARBAMAZEPINE

Treats different types of s... +

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

51

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 63 79
PREDNISONE

Treats inflammation (swelli... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

22

patients, 3% of all patients

63 79
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

35

prescriptions.

12

patients, 1% of all patients

63 79
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

51

prescriptions, 0% of all prescriptions

32

prescriptions.

15

patients, 2% of all patients

63 79
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 June 7, 2012.
  • 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.