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 »

14,827Medicare Part D Prescriptions Filled, Including Refills

Rank: 6 out of 830

$816K Total Retail Price of All Prescriptions

Rank: 12 out of 830

455 Patients Receiving at Least One Drug in Part D
58% Patients 65 Years and Older

87% 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

36% of this provider’s 455 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

23% of this provider’s 266 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

61% of this provider’s 455 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

21% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$55 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

33 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

2012

$89.6K

2013

$286K

2014

$816K

2015

Number of Claims

2012

2,424

2013

7,142

2014

14,827

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,154

prescriptions, 8% of all prescriptions

604

prescriptions.

216

patients, 47% of all patients

O 1 5
GABAPENTIN

Treats certain types of sei... +

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

788

prescriptions, 5% of all prescriptions

297

prescriptions.

176

patients, 39% of all patients

2 3
ALPRAZOLAM

Treats anxiety, panic disor... +

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

468

prescriptions, 3% of all prescriptions

237

prescriptions.

103

patients, 23% of all patients

3 29
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

449

prescriptions, 3% of all prescriptions

284

prescriptions.

114

patients, 25% of all patients

4 4
TRAMADOL HCL

Tramadol is used to relieve... +

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

434

prescriptions, 3% of all prescriptions

205

prescriptions.

97

patients, 21% of all patients

O 5 31
LISINOPRIL

Treats high blood pressure ... +

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

427

prescriptions, 3% of all prescriptions

241

prescriptions.

114

patients, 25% of all patients

6 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

401

prescriptions, 3% of all prescriptions

316

prescriptions.

89

patients, 20% of all patients

7 2
CLONAZEPAM

Treats seizures, panic diso... +

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

366

prescriptions, 2% of all prescriptions

168

prescriptions.

77

patients, 17% of all patients

8 38
FUROSEMIDE

Treats fluid retention (ede... +

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

346

prescriptions, 2% of all prescriptions

226

prescriptions.

102

patients, 22% of all patients

9 10
SIMVASTATIN

Treats high cholesterol and... +

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

269

prescriptions, 2% of all prescriptions

182

prescriptions.

68

patients, 15% of all patients

10 9
MELOXICAM

Treats symptoms of osteoart... +

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

266

prescriptions, 2% of all prescriptions

156

prescriptions.

67

patients, 15% of all patients

11 24
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

256

prescriptions, 2% of all prescriptions

184

prescriptions.

66

patients, 15% of all patients

12 7
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

250

prescriptions, 2% of all prescriptions

214

prescriptions.

68

patients, 15% of all patients

13 65
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

238

prescriptions, 2% of all prescriptions

149

prescriptions.

78

patients, 17% of all patients

14 21
CARVEDILOL

Treats high blood pressure ... +

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

236

prescriptions, 2% of all prescriptions

153

prescriptions.

59

patients, 13% of all patients

15 22
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

232

prescriptions, 2% of all prescriptions

159

prescriptions.

68

patients, 15% of all patients

16 14
CLOPIDOGREL

Helps prevent stroke, heart... +

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

230

prescriptions, 2% of all prescriptions

157

prescriptions.

62

patients, 14% of all patients

17 15
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

224

prescriptions, 2% of all prescriptions

134

prescriptions.

52

patients, 11% of all patients

18 19
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

206

prescriptions, 1% of all prescriptions

113

prescriptions.

70

patients, 15% of all patients

19 26
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

204

prescriptions, 1% of all prescriptions

125

prescriptions.

57

patients, 13% of all patients

20 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

183

prescriptions, 1% of all prescriptions

93

prescriptions.

49

patients, 11% of all patients

21 12
CITALOPRAM HBR

Citalopram is used to treat... +

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

182

prescriptions, 1% of all prescriptions

75

prescriptions.

44

patients, 10% of all patients

22 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

167

prescriptions, 1% of all prescriptions

94

prescriptions.

40

patients, 9% of all patients

23 36
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

154

prescriptions, 1% of all prescriptions

110

prescriptions.

39

patients, 9% of all patients

24 40
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

147

prescriptions, 1% of all prescriptions

74

prescriptions.

38

patients, 8% of all patients

25 11
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

91

prescriptions.

36

patients, 8% of all patients

26 33
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

121

prescriptions, 1% of all prescriptions

77

prescriptions.

32

patients, 7% of all patients

27 23
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

116

prescriptions, 1% of all prescriptions

86

prescriptions.

31

patients, 7% of all patients

28 6
ATENOLOL

Treats high blood pressure ... +

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

101

prescriptions, 1% of all prescriptions

58

prescriptions.

32

patients, 7% of all patients

29 25
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

98

prescriptions, 1% of all prescriptions

47

prescriptions.

19

patients, 4% of all patients

30 97
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

98

prescriptions, 1% of all prescriptions

50

prescriptions.

39

patients, 9% of all patients

O 30 105
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

98

prescriptions, 1% of all prescriptions

68

prescriptions.

31

patients, 7% of all patients

30 60
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

37

prescriptions.

23

patients, 5% of all patients

33 49
LEVEMIR FLEXTOUCH

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

51

prescriptions.

21

patients, 5% of all patients

34 101
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

89

prescriptions, 1% of all prescriptions

36

prescriptions.

34

patients, 7% of all patients

35 58
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

86

prescriptions, 1% of all prescriptions

21

prescriptions.

31

patients, 7% of all patients

R 36 46
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

47

prescriptions.

24

patients, 5% of all patients

36 128
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

85

prescriptions, 1% of all prescriptions

54

prescriptions.

25

patients, 5% of all patients

38 50
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

81

prescriptions, 1% of all prescriptions

47

prescriptions.

20

patients, 4% of all patients

39 17
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

81

prescriptions, 1% of all prescriptions

51

prescriptions.

15

patients, 3% of all patients

39 98
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

37

prescriptions.

21

patients, 5% of all patients

41 32
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

15

prescriptions.

28

patients, 6% of all patients

R 42 82
BACLOFEN

Treats muscle spasms caused... +

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

76

prescriptions, 1% of all prescriptions

42

prescriptions.

22

patients, 5% of all patients

43 68
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

74

prescriptions, 0% of all prescriptions

69

prescriptions.

19

patients, 4% of all patients

44 37
CILOSTAZOL

Treats a circulation proble... +

Treats a circulation problem in which too little blood flows into your leg muscles (intermittent claudication). Source: National Library of Medicine

74

prescriptions, 0% of all prescriptions

58

prescriptions.

19

patients, 4% of all patients

44 245
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

71

prescriptions, 0% of all prescriptions

44

prescriptions.

20

patients, 4% of all patients

46 16
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

41

prescriptions.

35

patients, 8% of all patients

46 69
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

69

prescriptions, 0% of all prescriptions

43

prescriptions.

21

patients, 5% of all patients

48 13
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

36

prescriptions.

19

patients, 4% of all patients

49 81
FENOFIBRATE*

Treats high cholesterol and... +

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

64

prescriptions, 0% of all prescriptions

40

prescriptions.

14

patients, 3% of all patients

50 84
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

61

prescriptions, 0% of all prescriptions

31

prescriptions.

19

patients, 4% of all patients

51 67
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

60

prescriptions, 0% of all prescriptions

31

prescriptions.

26

patients, 6% of all patients

52 39
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

58

prescriptions, 0% of all prescriptions

28

prescriptions.

16

patients, 4% of all patients

53 45
NITROSTAT

Treats or prevents angina (... +

Treats or prevents angina (chest pain). Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

41

prescriptions.

25

patients, 5% of all patients

54 95
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

29

prescriptions.

47

patients, 10% of all patients

A 55 35
ALLOPURINOL

Treats gout and some kinds ... +

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

56

prescriptions, 0% of all prescriptions

31

prescriptions.

16

patients, 4% of all patients

55 43
GLIPIZIDE

Used with diet and exercise... +

Used with diet and exercise to help control blood sugar in patients with type 2 diabetes. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

50

prescriptions.

18

patients, 4% of all patients

57 42
AVODART

Treats problems with urinat... +

Treats problems with urination caused by an enlarged prostate (benign prostatic hyperplasia or BPH). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

12

patients, 3% of all patients

58 289
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

Treats asthma, allergic reactions, inflammation, flare-ups of ongoing illnesses, and many other medical problems. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

33

prescriptions.

47

patients, 10% of all patients

58 57
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

51

prescriptions, 0% of all prescriptions

21

prescriptions.

18

patients, 4% of all patients

60 152
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

51

prescriptions, 0% of all prescriptions

25

prescriptions.

13

patients, 3% of all patients

60 87
GEMFIBROZIL

Lowers high triglyceride an... +

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

51

prescriptions, 0% of all prescriptions

32

prescriptions.

13

patients, 3% of all patients

60 104
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

31

prescriptions.

19

patients, 4% of all patients

63 75
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 July 5, 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.