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 »

8,299Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 119

$1.08M Total Retail Price of All Prescriptions

Rank: 25 out of 119

738 Patients Receiving at Least One Drug in Part D
54% 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 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

2% of this provider’s 738 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 401 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 8%.

More resources »

Opioids

9% of this provider’s 738 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$130 was the average price of a prescription from this provider, compared to $262 among peers.

Prescriptions per Patient

11 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$496K

2012

$1.03M

2013

$1.06M

2014

$1.08M

2015

Number of Claims

4,820

2012

7,835

2013

7,592

2014

8,299

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

806

prescriptions, 10% of all prescriptions

307

prescriptions.

146

patients, 20% of all patients

1 1
LEVETIRACETAM

Used to help control certai... +

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

529

prescriptions, 6% of all prescriptions

171

prescriptions.

88

patients, 12% of all patients

2 2
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

519

prescriptions, 6% of all prescriptions

318

prescriptions.

87

patients, 12% of all patients

10 3 7
TOPIRAMATE

Helps control and prevent c... +

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

461

prescriptions, 6% of all prescriptions

122

prescriptions.

84

patients, 11% of all patients

4 5
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

445

prescriptions, 5% of all prescriptions

374

prescriptions.

82

patients, 11% of all patients

5 3
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

285

prescriptions, 3% of all prescriptions

105

prescriptions.

57

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

251

prescriptions, 3% of all prescriptions

50

prescriptions.

49

patients, 7% of all patients

7 24
NAMENDA XR

Used to treat the symptoms ... +

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

219

prescriptions, 3% of all prescriptions

172

prescriptions.

34

patients, 5% of all patients

8 8
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

219

prescriptions, 3% of all prescriptions

80

prescriptions.

75

patients, 10% of all patients

8 17
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

215

prescriptions, 3% of all prescriptions

159

prescriptions.

36

patients, 5% of all patients

10 4
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

190

prescriptions, 2% of all prescriptions

21

prescriptions.

62

patients, 8% of all patients

11 32
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

189

prescriptions, 2% of all prescriptions

88

prescriptions.

35

patients, 5% of all patients

12 13
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

177

prescriptions, 2% of all prescriptions

45

prescriptions.

38

patients, 5% of all patients

13 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

155

prescriptions, 2% of all prescriptions

48

prescriptions.

30

patients, 4% of all patients

O 14 40
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

143

prescriptions, 2% of all prescriptions

17

prescriptions.

32

patients, 4% of all patients

R 15 73
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

136

prescriptions, 2% of all prescriptions

61

prescriptions.

18

patients, 2% of all patients

16 22
CLONAZEPAM

Treats seizures, panic diso... +

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

126

prescriptions, 2% of all prescriptions

57

prescriptions.

15

patients, 2% of all patients

17 6
CARBAMAZEPINE

Treats different types of s... +

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

124

prescriptions, 1% of all prescriptions

37

prescriptions.

17

patients, 2% of all patients

18 34
MELOXICAM

Treats symptoms of osteoart... +

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

113

prescriptions, 1% of all prescriptions

20

prescriptions.

30

patients, 4% of all patients

19 57
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

105

prescriptions, 1% of all prescriptions

12

prescriptions.

22

patients, 3% of all patients

O 20 10
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 R 21 31
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

89

prescriptions, 1% of all prescriptions

55

prescriptions.

17

patients, 2% of all patients

22 11
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

66

prescriptions.

13

patients, 2% of all patients

23 50
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

81

prescriptions.

29

patients, 4% of all patients

24 29
RIZATRIPTAN

Rizatriptan is used to trea... +

Rizatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea and sensitivity to sound and light). Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

21

prescriptions.

16

patients, 2% of all patients

25 88
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

77

prescriptions, 1% of all prescriptions

40

prescriptions.

12

patients, 2% of all patients

R 26 61
DIFLUNISAL 75

prescriptions, 1% of all prescriptions

25

prescriptions.

<11 27 116
COPAXONE

This is used to reduce the ... +

This is used to reduce the frequency of relapses (flare-ups) in patients with relapsing-remitting multiple sclerosis (RMMS). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 28 26
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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

18

patients, 2% of all patients

29 35
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

56

prescriptions, 1% of all prescriptions

24

prescriptions.

32

patients, 4% of all patients

30 132
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

55

prescriptions, 1% of all prescriptions

0

prescriptions.

<11 31 49
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

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

54

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 32 28
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

53

prescriptions.

20

patients, 3% of all patients

33 63
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?

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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 March 31, 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.