Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Specialist

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

11,773Medicare Part D Prescriptions Filled, Including Refills

Rank: 3 out of 288

$669K Total Retail Price of All Prescriptions

Rank: 34 out of 288

286 Patients Receiving at Least One Drug in Part D
84% Patients 65 Years and Older

89% 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 Virginia
lower than average

Antipsychotics

8% of this provider’s 239 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

35% of this provider’s 286 patients filled at least one prescription for an antibiotic drug, compared to an average of 12%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 239 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

51% of this provider’s 286 patients filled at least one prescription for an opioid, compared to an average of 14%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 23%.

Prescription Price

$57 was the average price of a prescription from this provider, compared to $194 among peers.

Prescriptions per Patient

41 is the average number of prescriptions (including refills) per patient, compared to an average of 7.


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

$245K

2012

$206K

2013

$460K

2014

$669K

2015

Number of Claims

4,532

2012

3,923

2013

7,622

2014

11,773

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
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

1,271

prescriptions, 11% of all prescriptions

845

prescriptions.

89

patients, 31% of all patients

1 12
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Source: National Library of Medicine

421

prescriptions, 4% of all prescriptions

244

prescriptions.

64

patients, 22% of all patients

2 127
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

359

prescriptions, 3% of all prescriptions

231

prescriptions.

35

patients, 12% of all patients

3 126
FUROSEMIDE

Treats fluid retention (ede... +

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

320

prescriptions, 3% of all prescriptions

277

prescriptions.

48

patients, 17% of all patients

4 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

315

prescriptions, 3% of all prescriptions

240

prescriptions.

63

patients, 22% of all patients

5 1
VANCOMYCIN HCL*

Treats bacterial infections. +

Treats bacterial infections. Source: National Library of Medicine

287

prescriptions, 2% of all prescriptions

152

prescriptions.

43

patients, 15% of all patients

A 10 6 170
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

267

prescriptions, 2% of all prescriptions

208

prescriptions.

44

patients, 15% of all patients

7 13
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

237

prescriptions, 2% of all prescriptions

186

prescriptions.

38

patients, 13% of all patients

8 14
HEPARIN SODIUM 226

prescriptions, 2% of all prescriptions

85

prescriptions.

21

patients, 7% of all patients

9 188
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

214

prescriptions, 2% of all prescriptions

166

prescriptions.

43

patients, 15% of all patients

10 2
TRAZODONE HCL

Trazodone is used to treat ... +

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

212

prescriptions, 2% of all prescriptions

173

prescriptions.

29

patients, 10% of all patients

11 33
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

210

prescriptions, 2% of all prescriptions

155

prescriptions.

46

patients, 16% of all patients

12 109
GABAPENTIN

Treats certain types of sei... +

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

181

prescriptions, 2% of all prescriptions

100

prescriptions.

28

patients, 10% of all patients

13 7
SANTYL

Used to clean skin ulcers a... +

Used to clean skin ulcers and severe burns. Source: National Library of Medicine

177

prescriptions, 2% of all prescriptions

110

prescriptions.

28

patients, 10% of all patients

14 219
ZOSYN 138

prescriptions, 1% of all prescriptions

71

prescriptions.

24

patients, 8% of all patients

A 10 15 244
TRANSDERM-SCOP 137

prescriptions, 1% of all prescriptions

68

prescriptions.

17

patients, 6% of all patients

16 246
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

136

prescriptions, 1% of all prescriptions

123

prescriptions.

29

patients, 10% of all patients

17 3
LEVETIRACETAM

Used to help control certai... +

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

123

prescriptions, 1% of all prescriptions

74

prescriptions.

17

patients, 6% of all patients

18 56
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

120

prescriptions, 1% of all prescriptions

57

prescriptions.

18

patients, 6% of all patients

19 71
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

86

prescriptions.

31

patients, 11% of all patients

20 172
MEROPENEM 115

prescriptions, 1% of all prescriptions

51

prescriptions.

22

patients, 8% of all patients

A 10 21 264
LISINOPRIL

Treats high blood pressure ... +

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

105

prescriptions, 1% of all prescriptions

100

prescriptions.

21

patients, 7% of all patients

22 4
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

63

prescriptions.

31

patients, 11% of all patients

23 210
TRAMADOL HCL

Tramadol is used to relieve... +

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

103

prescriptions, 1% of all prescriptions

82

prescriptions.

54

patients, 19% of all patients

O 23 21
MIDODRINE HCL

Midodrine hydrochloride tab... +

Midodrine hydrochloride tablets are indicated for the treatment of symptomatic orthostatic hypotension. Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

37

prescriptions.

15

patients, 5% of all patients

25 223
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

102

prescriptions, 1% of all prescriptions

102

prescriptions.

13

patients, 5% of all patients

25 37
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

92

prescriptions.

22

patients, 8% of all patients

27 84
SODIUM BICARBONATE 94

prescriptions, 1% of all prescriptions

62

prescriptions.

11

patients, 4% of all patients

10 28 282
BACLOFEN

Treats muscle spasms caused... +

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

94

prescriptions, 1% of all prescriptions

59

prescriptions.

<11 28 159
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

13

patients, 5% of all patients

28 59
CARVEDILOL

Treats high blood pressure ... +

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

92

prescriptions, 1% of all prescriptions

67

prescriptions.

20

patients, 7% of all patients

31 5
CHLORHEXIDINE GLUCONATE

Treats gingivitis (swelling... +

Treats gingivitis (swelling of the gums) and other problems of the mouth and gums. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

65

prescriptions.

25

patients, 9% of all patients

31 283
BUDESONIDE 90

prescriptions, 1% of all prescriptions

79

prescriptions.

<11 33 285
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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

12

patients, 4% of all patients

34 51
CLONIDINE HCL

Clonidine is used alone or ... +

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

84

prescriptions, 1% of all prescriptions

67

prescriptions.

17

patients, 6% of all patients

35 80
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

41

prescriptions.

20

patients, 7% of all patients

36 298
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

76

prescriptions, 1% of all prescriptions

61

prescriptions.

12

patients, 4% of all patients

36 63
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

73

prescriptions, 1% of all prescriptions

50

prescriptions.

54

patients, 19% of all patients

O 38 32
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

68

prescriptions.

30

patients, 10% of all patients

A 38 62
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

72

prescriptions, 1% of all prescriptions

42

prescriptions.

<11 40 92
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

71

prescriptions, 1% of all prescriptions

50

prescriptions.

32

patients, 11% of all patients

O 41 11
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

68

prescriptions, 1% of all prescriptions

40

prescriptions.

<11 42 26
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

63

prescriptions, 1% of all prescriptions

16

prescriptions.

<11 43 99
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

58

prescriptions, 0% of all prescriptions

34

prescriptions.

12

patients, 4% of all patients

P 44 39
PREDNISONE

Treats inflammation (swelli... +

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

58

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 44 18
SODIUM CHLORIDE* 58

prescriptions, 0% of all prescriptions

30

prescriptions.

16

patients, 6% of all patients

44 334
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

18

patients, 6% of all patients

47 31
VANCOMYCIN 55

prescriptions, 0% of all prescriptions

42

prescriptions.

16

patients, 6% of all patients

A 10 48 345
PIPERACILLIN-TAZOBACTAM 54

prescriptions, 0% of all prescriptions

34

prescriptions.

21

patients, 7% of all patients

A 49 356
BUMETANIDE

Treats fluid retention (ede... +

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

52

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 50 61
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. 18, 2007.
  • 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.