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 »

11,720Medicare Part D Prescriptions Filled, Including Refills

Rank: 10 out of 830

$580K Total Retail Price of All Prescriptions

Rank: 36 out of 830

405 Patients Receiving at Least One Drug in Part D
64% Patients 65 Years and Older

85% 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

58% of this provider’s 405 patients filled at least one prescription for an antibiotic drug, compared to an average of 35%.

More resources »

Risky Drugs for Seniors

14% of this provider’s 258 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

12% of this provider’s 405 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

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

Prescription Price

$50 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

29 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

$110K

2013

$544K

2014

$580K

2015

Number of Claims

2012

2,290

2013

10,019

2014

11,720

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

615

prescriptions, 5% of all prescriptions

398

prescriptions.

102

patients, 25% of all patients

1 1
GABAPENTIN

Treats certain types of sei... +

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

416

prescriptions, 4% of all prescriptions

187

prescriptions.

75

patients, 19% of all patients

2 3
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

401

prescriptions, 3% of all prescriptions

216

prescriptions.

72

patients, 18% of all patients

3 4
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

397

prescriptions, 3% of all prescriptions

267

prescriptions.

64

patients, 16% of all patients

4 2
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

371

prescriptions, 3% of all prescriptions

173

prescriptions.

56

patients, 14% of all patients

5 8
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

311

prescriptions, 3% of all prescriptions

181

prescriptions.

72

patients, 18% of all patients

6 26
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

305

prescriptions, 3% of all prescriptions

219

prescriptions.

49

patients, 12% of all patients

7 6
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

283

prescriptions, 2% of all prescriptions

211

prescriptions.

52

patients, 13% of all patients

8 23
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

275

prescriptions, 2% of all prescriptions

202

prescriptions.

51

patients, 13% of all patients

9 11
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

232

prescriptions, 2% of all prescriptions

152

prescriptions.

42

patients, 10% of all patients

10 7
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

229

prescriptions, 2% of all prescriptions

104

prescriptions.

42

patients, 10% of all patients

11 12
SIMVASTATIN

Treats high cholesterol and... +

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

210

prescriptions, 2% of all prescriptions

151

prescriptions.

40

patients, 10% of all patients

12 9
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

204

prescriptions, 2% of all prescriptions

134

prescriptions.

31

patients, 8% of all patients

13 13
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

200

prescriptions, 2% of all prescriptions

81

prescriptions.

49

patients, 12% of all patients

14 21
CRESTOR

Lowers high levels of chole... +

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

193

prescriptions, 2% of all prescriptions

138

prescriptions.

34

patients, 8% of all patients

15 33
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

186

prescriptions, 2% of all prescriptions

128

prescriptions.

30

patients, 7% of all patients

16 18
CLOPIDOGREL

Helps prevent stroke, heart... +

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

182

prescriptions, 2% of all prescriptions

111

prescriptions.

36

patients, 9% of all patients

17 15
FENOFIBRATE*

Treats high cholesterol and... +

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

180

prescriptions, 2% of all prescriptions

115

prescriptions.

29

patients, 7% of all patients

18 48
CITALOPRAM HBR

Citalopram is used to treat... +

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

179

prescriptions, 2% of all prescriptions

116

prescriptions.

31

patients, 8% of all patients

19 20
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

158

prescriptions, 1% of all prescriptions

59

prescriptions.

36

patients, 9% of all patients

20 39
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

154

prescriptions, 1% of all prescriptions

79

prescriptions.

31

patients, 8% of all patients

21 41
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

149

prescriptions, 1% of all prescriptions

111

prescriptions.

23

patients, 6% of all patients

22 14
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

136

prescriptions, 1% of all prescriptions

103

prescriptions.

23

patients, 6% of all patients

23 19
TRAZODONE HCL

Trazodone is used to treat ... +

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

130

prescriptions, 1% of all prescriptions

100

prescriptions.

20

patients, 5% of all patients

24 34
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

128

prescriptions, 1% of all prescriptions

85

prescriptions.

24

patients, 6% of all patients

25 36
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

115

prescriptions, 1% of all prescriptions

81

prescriptions.

20

patients, 5% of all patients

26 42
MELOXICAM

Treats symptoms of osteoart... +

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

110

prescriptions, 1% of all prescriptions

65

prescriptions.

26

patients, 6% of all patients

27 24
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

109

prescriptions, 1% of all prescriptions

72

prescriptions.

21

patients, 5% of all patients

28 65
ATENOLOL

Treats high blood pressure ... +

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

103

prescriptions, 1% of all prescriptions

47

prescriptions.

17

patients, 4% of all patients

29 25
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

101

prescriptions, 1% of all prescriptions

68

prescriptions.

19

patients, 5% of all patients

30 55
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

99

prescriptions, 1% of all prescriptions

54

prescriptions.

37

patients, 9% of all patients

31 69
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 5% of all patients

32 107
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

94

prescriptions, 1% of all prescriptions

57

prescriptions.

50

patients, 12% of all patients

O 33 5
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

75

prescriptions.

12

patients, 3% of all patients

33 144
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

94

prescriptions, 1% of all prescriptions

70

prescriptions.

23

patients, 6% of all patients

33 67
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

93

prescriptions, 1% of all prescriptions

57

prescriptions.

14

patients, 3% of all patients

36 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

86

prescriptions, 1% of all prescriptions

44

prescriptions.

19

patients, 5% of all patients

37 16
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

84

prescriptions, 1% of all prescriptions

41

prescriptions.

19

patients, 5% of all patients

R 38 44
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

83

prescriptions, 1% of all prescriptions

41

prescriptions.

13

patients, 3% of all patients

39 60
FUROSEMIDE

Treats fluid retention (ede... +

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

82

prescriptions, 1% of all prescriptions

61

prescriptions.

19

patients, 5% of all patients

40 10
FENOFIBRATE*

Treats high cholesterol and... +

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

81

prescriptions, 1% of all prescriptions

43

prescriptions.

15

patients, 4% of all patients

41 84
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

58

prescriptions.

17

patients, 4% of all patients

42 81
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

77

prescriptions, 1% of all prescriptions

40

prescriptions.

15

patients, 4% of all patients

43 28
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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

13

patients, 3% of all patients

44 40
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

37

prescriptions.

63

patients, 16% of all patients

A 45 77
CARVEDILOL

Treats high blood pressure ... +

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

72

prescriptions, 1% of all prescriptions

31

prescriptions.

<11 46 22
AZITHROMYCIN

Treats infections caused by... +

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

71

prescriptions, 1% of all prescriptions

52

prescriptions.

63

patients, 16% of all patients

A 47 35
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

70

prescriptions, 1% of all prescriptions

45

prescriptions.

12

patients, 3% of all patients

48 17
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

70

prescriptions, 1% of all prescriptions

5

prescriptions.

18

patients, 4% of all patients

R 48 46
HYDRALAZINE HCL

Hydralazine is used to trea... +

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

67

prescriptions, 1% of all prescriptions

41

prescriptions.

12

patients, 3% of all patients

50 88
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

66

prescriptions, 1% of all prescriptions

48

prescriptions.

<11 51 71
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

65

prescriptions, 1% of all prescriptions

22

prescriptions.

15

patients, 4% of all patients

52 90
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

64

prescriptions, 1% of all prescriptions

41

prescriptions.

14

patients, 3% of all patients

53 53
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

62

prescriptions, 1% of all prescriptions

47

prescriptions.

12

patients, 3% of all patients

54 87
TRADJENTA

Used with proper diet and e... +

Used with proper diet and exercise to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

39

prescriptions.

<11 55 134
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

57

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 56 136
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

40

prescriptions.

15

patients, 4% of all patients

57 103
BACLOFEN

Treats muscle spasms caused... +

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

53

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 58 68
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

28

prescriptions.

40

patients, 10% of all patients

A 59 64
DILTIAZEM ER

Diltiazem is used to treat ... +

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

51

prescriptions, 0% of all prescriptions

37

prescriptions.

<11 60 234
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 Oct. 29, 2013.
  • 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.