Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Physician Assistant

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,021Medicare Part D Prescriptions Filled, Including Refills

Rank: 35 out of 1357

$522K Total Retail Price of All Prescriptions

Rank: 105 out of 1357

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

48% 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 North Carolina
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

31% of this provider’s 461 patients filled at least one prescription for an antibiotic drug, compared to an average of 23%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 376 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

24% of this provider’s 461 patients filled at least one prescription for an opioid, compared to an average of 29%.

More resources »

Brand Name Drugs

20% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$58 was the average price of a prescription from this provider, compared to $94 among peers.

Prescriptions per Patient

20 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

$484K

2012

$423K

2013

$486K

2014

$522K

2015

Number of Claims

7,853

2012

7,880

2013

8,867

2014

9,021

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
LISINOPRIL

Treats high blood pressure ... +

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

399

prescriptions, 4% of all prescriptions

326

prescriptions.

72

patients, 16% of all patients

1 3
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

286

prescriptions, 3% of all prescriptions

272

prescriptions.

60

patients, 13% of all patients

O 2 1
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

261

prescriptions, 3% of all prescriptions

243

prescriptions.

46

patients, 10% of all patients

3 18
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

259

prescriptions, 3% of all prescriptions

206

prescriptions.

55

patients, 12% of all patients

4 7
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

237

prescriptions, 3% of all prescriptions

194

prescriptions.

49

patients, 11% of all patients

5 2
SIMVASTATIN

Treats high cholesterol and... +

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

232

prescriptions, 3% of all prescriptions

204

prescriptions.

49

patients, 11% of all patients

6 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

224

prescriptions, 2% of all prescriptions

194

prescriptions.

40

patients, 9% of all patients

7 4
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

205

prescriptions, 2% of all prescriptions

181

prescriptions.

38

patients, 8% of all patients

8 8
ALPRAZOLAM

Treats anxiety, panic disor... +

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

190

prescriptions, 2% of all prescriptions

159

prescriptions.

29

patients, 6% of all patients

9 13
TRAMADOL HCL

Tramadol is used to relieve... +

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

187

prescriptions, 2% of all prescriptions

165

prescriptions.

41

patients, 9% of all patients

O 10 14
FUROSEMIDE

Treats fluid retention (ede... +

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

183

prescriptions, 2% of all prescriptions

160

prescriptions.

46

patients, 10% of all patients

11 12
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

151

prescriptions, 2% of all prescriptions

116

prescriptions.

34

patients, 7% of all patients

12 11
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

140

prescriptions, 2% of all prescriptions

135

prescriptions.

23

patients, 5% of all patients

13 41
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

138

prescriptions, 2% of all prescriptions

124

prescriptions.

26

patients, 6% of all patients

14 30
GABAPENTIN

Treats certain types of sei... +

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

132

prescriptions, 1% of all prescriptions

118

prescriptions.

31

patients, 7% of all patients

15 6
CARVEDILOL

Treats high blood pressure ... +

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

126

prescriptions, 1% of all prescriptions

114

prescriptions.

24

patients, 5% of all patients

16 26
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

120

prescriptions, 1% of all prescriptions

100

prescriptions.

22

patients, 5% of all patients

17 25
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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

20

patients, 4% of all patients

18 56
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

99

prescriptions, 1% of all prescriptions

88

prescriptions.

18

patients, 4% of all patients

19 70
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

97

prescriptions, 1% of all prescriptions

66

prescriptions.

21

patients, 5% of all patients

20 21
CRESTOR

Lowers high levels of chole... +

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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

15

patients, 3% of all patients

21 39
CITALOPRAM HBR

Citalopram is used to treat... +

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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

18

patients, 4% of all patients

22 37
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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

15

patients, 3% of all patients

23 17
CLOPIDOGREL

Helps prevent stroke, heart... +

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

85

prescriptions, 1% of all prescriptions

85

prescriptions.

18

patients, 4% of all patients

24 27
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

85

prescriptions, 1% of all prescriptions

74

prescriptions.

15

patients, 3% of all patients

24 16
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

84

prescriptions, 1% of all prescriptions

55

prescriptions.

17

patients, 4% of all patients

O 26 5
PREDNISONE

Treats inflammation (swelli... +

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

84

prescriptions, 1% of all prescriptions

61

prescriptions.

50

patients, 11% of all patients

26 19
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

84

prescriptions, 1% of all prescriptions

50

prescriptions.

17

patients, 4% of all patients

R 26 33
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

80

prescriptions, 1% of all prescriptions

75

prescriptions.

12

patients, 3% of all patients

29 57
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

78

prescriptions, 1% of all prescriptions

43

prescriptions.

21

patients, 5% of all patients

30 48
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

77

prescriptions, 1% of all prescriptions

51

prescriptions.

24

patients, 5% of all patients

31 31
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). Source: National Library of Medicine

76

prescriptions, 1% of all prescriptions

61

prescriptions.

15

patients, 3% of all patients

32 65
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

73

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 33 38
DIAZEPAM

Treats anxiety, muscle spas... +

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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

17

patients, 4% of all patients

34 62
LOVASTATIN

Lowers high cholesterol and... +

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

72

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 34 75
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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

15

patients, 3% of all patients

36 55
CLONAZEPAM

Treats seizures, panic diso... +

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

70

prescriptions, 1% of all prescriptions

65

prescriptions.

12

patients, 3% of all patients

36 24
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

69

prescriptions, 1% of all prescriptions

64

prescriptions.

14

patients, 3% of all patients

38 40
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

68

prescriptions, 1% of all prescriptions

36

prescriptions.

14

patients, 3% of all patients

39 53
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

68

prescriptions, 1% of all prescriptions

63

prescriptions.

22

patients, 5% of all patients

39 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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

13

patients, 3% of all patients

41 20
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

63

prescriptions, 1% of all prescriptions

42

prescriptions.

16

patients, 3% of all patients

41 34
TRAZODONE HCL

Trazodone is used to treat ... +

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

61

prescriptions, 1% of all prescriptions

41

prescriptions.

13

patients, 3% of all patients

43 29
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

61

prescriptions, 1% of all prescriptions

45

prescriptions.

15

patients, 3% of all patients

43 35
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

38

prescriptions.

13

patients, 3% of all patients

45 60
COMBIVENT RESPIMAT

Used to help control the sy... +

Used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. Source: National Library of Medicine

58

prescriptions, 1% of all prescriptions

45

prescriptions.

<11 46 228
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

51

prescriptions, 1% of all prescriptions

51

prescriptions.

11

patients, 2% of all patients

47 15
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

46

prescriptions.

11

patients, 2% of all patients

47 83
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 Oct. 7, 2010.
  • 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.