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 »

15,872Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 101

$4.75M Total Retail Price of All Prescriptions

Rank: 1 out of 101

1,161 Patients Receiving at Least One Drug in Part D
56% Patients 65 Years and Older

53% 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 South 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

2% of this provider’s 1,161 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 655 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

20% of this provider’s 1,161 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

15% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$299 was the average price of a prescription from this provider, compared to $324 among peers.

Prescriptions per Patient

14 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

$2.01M

2012

$2.57M

2013

$3.51M

2014

$4.75M

2015

Number of Claims

11,759

2012

13,816

2013

16,597

2014

15,872

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

926

prescriptions, 6% of all prescriptions

492

prescriptions.

196

patients, 17% of all patients

1 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

824

prescriptions, 5% of all prescriptions

214

prescriptions.

112

patients, 10% of all patients

O 2 7
TOPIRAMATE

Helps control and prevent c... +

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

671

prescriptions, 4% of all prescriptions

185

prescriptions.

116

patients, 10% of all patients

3 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

593

prescriptions, 4% of all prescriptions

493

prescriptions.

124

patients, 11% of all patients

4 3
CLONAZEPAM

Treats seizures, panic diso... +

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

549

prescriptions, 3% of all prescriptions

207

prescriptions.

97

patients, 8% of all patients

5 6
ALPRAZOLAM

Treats anxiety, panic disor... +

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

498

prescriptions, 3% of all prescriptions

159

prescriptions.

82

patients, 7% of all patients

6 21
LEVETIRACETAM

Used to help control certai... +

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

497

prescriptions, 3% of all prescriptions

196

prescriptions.

83

patients, 7% of all patients

7 2
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

384

prescriptions, 2% of all prescriptions

139

prescriptions.

69

patients, 6% of all patients

8 17
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

359

prescriptions, 2% of all prescriptions

171

prescriptions.

80

patients, 7% of all patients

9 16
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

337

prescriptions, 2% of all prescriptions

317

prescriptions.

58

patients, 5% of all patients

10 4
DIAZEPAM

Treats anxiety, muscle spas... +

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

324

prescriptions, 2% of all prescriptions

86

prescriptions.

49

patients, 4% of all patients

11 32
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

302

prescriptions, 2% of all prescriptions

94

prescriptions.

39

patients, 3% of all patients

O 12 18
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

301

prescriptions, 2% of all prescriptions

156

prescriptions.

53

patients, 5% of all patients

13 30
OXYCODONE HCL

Oxycodone is used to reliev... +

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

300

prescriptions, 2% of all prescriptions

107

prescriptions.

34

patients, 3% of all patients

O 14 15
TRAMADOL HCL

Tramadol is used to relieve... +

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

279

prescriptions, 2% of all prescriptions

95

prescriptions.

56

patients, 5% of all patients

O 15 24
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

259

prescriptions, 2% of all prescriptions

172

prescriptions.

59

patients, 5% of all patients

16 33
BACLOFEN

Treats muscle spasms caused... +

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

251

prescriptions, 2% of all prescriptions

80

prescriptions.

52

patients, 4% of all patients

17 13
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

248

prescriptions, 2% of all prescriptions

100

prescriptions.

55

patients, 5% of all patients

18 37
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

245

prescriptions, 2% of all prescriptions

94

prescriptions.

44

patients, 4% of all patients

19 10
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

214

prescriptions, 1% of all prescriptions

43

prescriptions.

38

patients, 3% of all patients

20 12
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

195

prescriptions, 1% of all prescriptions

85

prescriptions.

47

patients, 4% of all patients

21 22
LORAZEPAM

Treats anxiety, anxiety wit... +

Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine

189

prescriptions, 1% of all prescriptions

132

prescriptions.

33

patients, 3% of all patients

22 40
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

188

prescriptions, 1% of all prescriptions

42

prescriptions.

37

patients, 3% of all patients

R 23 41
CITALOPRAM HBR

Citalopram is used to treat... +

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

173

prescriptions, 1% of all prescriptions

49

prescriptions.

34

patients, 3% of all patients

24 38
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

170

prescriptions, 1% of all prescriptions

48

prescriptions.

17

patients, 1% of all patients

O 25 25
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

162

prescriptions, 1% of all prescriptions

113

prescriptions.

33

patients, 3% of all patients

26 11
CARBAMAZEPINE

Treats different types of s... +

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

152

prescriptions, 1% of all prescriptions

92

prescriptions.

27

patients, 2% of all patients

27 36
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

151

prescriptions, 1% of all prescriptions

27

prescriptions.

26

patients, 2% of all patients

28 9
CARBAMAZEPINE ER

Treats certain types of se... +

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

149

prescriptions, 1% of all prescriptions

27

prescriptions.

24

patients, 2% of all patients

29 45
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

148

prescriptions, 1% of all prescriptions

81

prescriptions.

43

patients, 4% of all patients

30 46
MELOXICAM

Treats symptoms of osteoart... +

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

146

prescriptions, 1% of all prescriptions

49

prescriptions.

28

patients, 2% of all patients

31 51
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

145

prescriptions, 1% of all prescriptions

43

prescriptions.

24

patients, 2% of all patients

R 32 31
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

144

prescriptions, 1% of all prescriptions

52

prescriptions.

26

patients, 2% of all patients

33 23
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

137

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 2% of all patients

34 34
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

136

prescriptions, 1% of all prescriptions

32

prescriptions.

35

patients, 3% of all patients

R 35 54
GILENYA 126

prescriptions, 1% of all prescriptions

0

prescriptions.

18

patients, 2% of all patients

36 69
OXYCONTIN

Oxycodone is used to reliev... +

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

118

prescriptions, 1% of all prescriptions

58

prescriptions.

15

patients, 1% of all patients

O 37 52
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

70

prescriptions.

21

patients, 2% of all patients

38 44
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

116

prescriptions, 1% of all prescriptions

27

prescriptions.

23

patients, 2% of all patients

38 49
PREDNISONE

Treats inflammation (swelli... +

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

112

prescriptions, 1% of all prescriptions

65

prescriptions.

35

patients, 3% of all patients

40 55
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

109

prescriptions, 1% of all prescriptions

30

prescriptions.

17

patients, 1% of all patients

R 41 48
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

50

prescriptions.

19

patients, 2% of all patients

42 53
VERAPAMIL ER

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

102

prescriptions, 1% of all prescriptions

37

prescriptions.

26

patients, 2% of all patients

43 84
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

102

prescriptions, 1% of all prescriptions

50

prescriptions.

23

patients, 2% of all patients

43 35
TRAZODONE HCL

Trazodone is used to treat ... +

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

101

prescriptions, 1% of all prescriptions

52

prescriptions.

23

patients, 2% of all patients

45 29
DEXTROAMPHETAMINE-AMPHETAMINE

The combination is used as ... +

The combination is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD) in adults and children. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

18

prescriptions.

17

patients, 1% of all patients

46 63
NAMENDA XR

Used to treat the symptoms ... +

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

99

prescriptions, 1% of all prescriptions

82

prescriptions.

22

patients, 2% of all patients

47 8
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

98

prescriptions, 1% of all prescriptions

11

prescriptions.

18

patients, 2% of all patients

R 48 67
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

94

prescriptions, 1% of all prescriptions

47

prescriptions.

14

patients, 1% of all patients

49 42
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

19

patients, 2% of all patients

49 28
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

81

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 1% of all patients

R 51 62
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

75

prescriptions, 0% of all prescriptions

23

prescriptions.

<11 52 68
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. Source: National Library of Medicine

73

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 O 53 47
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

70

prescriptions, 0% of all prescriptions

34

prescriptions.

11

patients, 1% of all patients

54 76
BETASERON 70

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 54 74
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

44

prescriptions.

21

patients, 2% of all patients

54 61
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 57 14
DOXEPIN HCL

Doxepin is used to treat de... +

Doxepin is used to treat depression and anxiety. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

28

prescriptions.

<11 R 58 129
TECFIDERA 59

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 59 56
MORPHINE SULFATE

Morphine is used to relieve... +

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

57

prescriptions, 0% of all prescriptions

19

prescriptions.

<11 O 60 80
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

57

prescriptions, 0% of all prescriptions

37

prescriptions.

13

patients, 1% of all patients

60 58
CLOPIDOGREL

Helps prevent stroke, heart... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

20

patients, 2% of all patients

62 25
KEPPRA 55

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 63 72
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

55

prescriptions, 0% of all prescriptions

17

prescriptions.

13

patients, 1% of all patients

63 71
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

34

prescriptions.

13

patients, 1% of all patients

65 57
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 66 39
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

50

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 P 67 27
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 Feb. 13, 2011.
  • 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.