Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Internal Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

14,569Medicare Part D Prescriptions Filled, Including Refills

Rank: 27 out of 196

$907K Total Retail Price of All Prescriptions

Rank: 18 out of 196

497 Patients Receiving at Least One Drug in Part D
89% Patients 65 Years and Older

31% 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 Nebraska
lower than average

Antipsychotics

5% of this provider’s 443 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

33% of this provider’s 497 patients filled at least one prescription for an antibiotic drug, compared to an average of 27%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 443 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

21% of this provider’s 497 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

26% of this provider’s prescriptions were for brand-name drugs, compared to an average of 21%.

Prescription Price

$62 was the average price of a prescription from this provider, compared to $65 among peers.

Prescriptions per Patient

29 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$844K

2012

$906K

2013

$882K

2014

$907K

2015

Number of Claims

15,273

2012

15,560

2013

14,749

2014

14,569

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
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

778

prescriptions, 5% of all prescriptions

726

prescriptions.

113

patients, 23% of all patients

1 1
FUROSEMIDE

Treats fluid retention (ede... +

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

638

prescriptions, 4% of all prescriptions

554

prescriptions.

101

patients, 20% of all patients

2 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

459

prescriptions, 3% of all prescriptions

377

prescriptions.

80

patients, 16% of all patients

3 3
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

411

prescriptions, 3% of all prescriptions

350

prescriptions.

58

patients, 12% of all patients

4 4
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

394

prescriptions, 3% of all prescriptions

389

prescriptions.

65

patients, 13% of all patients

5 2
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

367

prescriptions, 3% of all prescriptions

352

prescriptions.

65

patients, 13% of all patients

6 19
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

296

prescriptions, 2% of all prescriptions

296

prescriptions.

53

patients, 11% of all patients

7 12
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

287

prescriptions, 2% of all prescriptions

282

prescriptions.

30

patients, 6% of all patients

8 8
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

262

prescriptions, 2% of all prescriptions

248

prescriptions.

48

patients, 10% of all patients

9 10
LISINOPRIL

Treats high blood pressure ... +

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

261

prescriptions, 2% of all prescriptions

239

prescriptions.

45

patients, 9% of all patients

10 7
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

239

prescriptions, 2% of all prescriptions

176

prescriptions.

52

patients, 10% of all patients

O 11 15
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

224

prescriptions, 2% of all prescriptions

224

prescriptions.

32

patients, 6% of all patients

12 55
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

222

prescriptions, 2% of all prescriptions

217

prescriptions.

44

patients, 9% of all patients

13 9
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

210

prescriptions, 1% of all prescriptions

122

prescriptions.

21

patients, 4% of all patients

14 57
CLOPIDOGREL

Helps prevent stroke, heart... +

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

209

prescriptions, 1% of all prescriptions

204

prescriptions.

29

patients, 6% of all patients

15 29
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

199

prescriptions, 1% of all prescriptions

178

prescriptions.

34

patients, 7% of all patients

16 13
ALLOPURINOL

Treats gout and some kinds ... +

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

195

prescriptions, 1% of all prescriptions

195

prescriptions.

29

patients, 6% of all patients

17 25
SIMVASTATIN

Treats high cholesterol and... +

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

194

prescriptions, 1% of all prescriptions

189

prescriptions.

45

patients, 9% of all patients

18 5
GABAPENTIN

Treats certain types of sei... +

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

182

prescriptions, 1% of all prescriptions

150

prescriptions.

27

patients, 5% of all patients

19 11
ALPRAZOLAM

Treats anxiety, panic disor... +

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

181

prescriptions, 1% of all prescriptions

176

prescriptions.

41

patients, 8% of all patients

20 24
CARVEDILOL

Treats high blood pressure ... +

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

173

prescriptions, 1% of all prescriptions

168

prescriptions.

28

patients, 6% of all patients

21 20
CRESTOR

Lowers high levels of chole... +

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

172

prescriptions, 1% of all prescriptions

147

prescriptions.

22

patients, 4% of all patients

22 32
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

160

prescriptions, 1% of all prescriptions

155

prescriptions.

33

patients, 7% of all patients

23 31
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

155

prescriptions, 1% of all prescriptions

136

prescriptions.

24

patients, 5% of all patients

24 23
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

154

prescriptions, 1% of all prescriptions

134

prescriptions.

29

patients, 6% of all patients

25 14
SPIRONOLACTONE

Treats fluid retention (ede... +

Treats fluid retention (edema) in patients with congestive heart failure, liver cirrhosis, or nephrotic syndrome. Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

133

prescriptions.

25

patients, 5% of all patients

26 39
PREDNISONE

Treats inflammation (swelli... +

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

136

prescriptions, 1% of all prescriptions

131

prescriptions.

65

patients, 13% of all patients

27 30
TRAMADOL HCL

Tramadol is used to relieve... +

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

129

prescriptions, 1% of all prescriptions

124

prescriptions.

34

patients, 7% of all patients

O 28 16
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

121

prescriptions, 1% of all prescriptions

121

prescriptions.

19

patients, 4% of all patients

29 71
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

117

prescriptions.

18

patients, 4% of all patients

30 98
AMITIZA

Treats certain types of lon... +

Treats certain types of long-term constipation by helping you have a bowel movement. Source: National Library of Medicine

108

prescriptions, 1% of all prescriptions

103

prescriptions.

<11 31 178
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

103

prescriptions, 1% of all prescriptions

87

prescriptions.

35

patients, 7% of all patients

32 54
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

38

prescriptions.

11

patients, 2% of all patients

33 107
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

99

prescriptions, 1% of all prescriptions

87

prescriptions.

<11 33 61
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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

16

patients, 3% of all patients

35 33
NAMENDA XR

Used to treat the symptoms ... +

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

97

prescriptions, 1% of all prescriptions

72

prescriptions.

<11 36 49
BISOPROLOL FUMARATE

Bisoprolol is used alone or... +

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

94

prescriptions, 1% of all prescriptions

82

prescriptions.

14

patients, 3% of all patients

37 118
CITALOPRAM HBR

Citalopram is used to treat... +

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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

14

patients, 3% of all patients

38 26
OXYCODONE HCL

Oxycodone is used to reliev... +

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

82

prescriptions, 1% of all prescriptions

67

prescriptions.

<11 O 39 91
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

81

prescriptions, 1% of all prescriptions

66

prescriptions.

14

patients, 3% of all patients

40 51
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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

15

patients, 3% of all patients

P 41 52
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

78

prescriptions, 1% of all prescriptions

78

prescriptions.

<11 42 62
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

78

prescriptions, 1% of all prescriptions

63

prescriptions.

18

patients, 4% of all patients

42 45
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

14

patients, 3% of all patients

44 53
MELOXICAM

Treats symptoms of osteoart... +

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

72

prescriptions, 0% of all prescriptions

72

prescriptions.

17

patients, 3% of all patients

45 28
DOXYCYCLINE HYCLATE

Doxycycline is used to trea... +

Doxycycline is used to treat bacterial infections, including pneumonia and other respiratory tract infections; Lyme disease; acne; infections of skin, genital, and urinary systems; and anthrax (after inhalational exposure). Source: National Library of Medicine

72

prescriptions, 0% of all prescriptions

67

prescriptions.

46

patients, 9% of all patients

A 45 106
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

72

prescriptions, 0% of all prescriptions

67

prescriptions.

22

patients, 4% of all patients

45 72
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

71

prescriptions.

<11 48 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

71

prescriptions, 0% of all prescriptions

66

prescriptions.

15

patients, 3% of all patients

48 79
FENOFIBRATE*

Treats high cholesterol and... +

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

68

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 50 81
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

68

prescriptions, 0% of all prescriptions

63

prescriptions.

30

patients, 6% of all patients

50 34
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

60

prescriptions.

15

patients, 3% of all patients

52 47
BYSTOLIC

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 52 56
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

62

prescriptions, 0% of all prescriptions

14

prescriptions.

<11 54 133
TRIMETHOPRIM

Treats urinary tract infect... +

Treats urinary tract infections. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

61

prescriptions.

<11 A 55 187
BENAZEPRIL HCL

Benazepril is used alone or... +

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

60

prescriptions, 0% of all prescriptions

60

prescriptions.

<11 56 48
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

49

prescriptions.

22

patients, 4% of all patients

56 46
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

12

patients, 2% of all patients

R 58 94
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

59

prescriptions, 0% of all prescriptions

30

prescriptions.

12

patients, 2% of all patients

R 58 40
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

25

prescriptions.

<11 60 37
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

58

prescriptions, 0% of all prescriptions

58

prescriptions.

19

patients, 4% of all patients

60 17
ATENOLOL

Treats high blood pressure ... +

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

55

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 62 21
RAMIPRIL

Treats high blood pressure ... +

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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 62 93
GLIPIZIDE ER

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

54

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 64 103
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 65 74
LORAZEPAM

Treats anxiety, anxiety wit... +

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

52

prescriptions, 0% of all prescriptions

31

prescriptions.

11

patients, 2% of all patients

66 36
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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

11

patients, 2% of all patients

66 64
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

51

prescriptions, 0% of all prescriptions

51

prescriptions.

13

patients, 3% of all patients

68 87
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

26

prescriptions.

12

patients, 2% of all patients

69 133
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 P 69 104
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 3, 2016.
  • 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.