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 »

11,223Medicare Part D Prescriptions Filled, Including Refills

Rank: 13 out of 830

$531K Total Retail Price of All Prescriptions

Rank: 42 out of 830

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

45% 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

60% of this provider’s 448 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 368 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

13% of this provider’s 448 patients filled at least one prescription for an opioid, compared to an average of 12%.

More resources »

Brand Name Drugs

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

Prescription Price

$47 was the average price of a prescription from this provider, compared to $72 among peers.

Prescriptions per Patient

25 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

$389K

2012

$424K

2013

$527K

2014

$531K

2015

Number of Claims

8,381

2012

9,978

2013

11,166

2014

11,223

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

600

prescriptions, 5% of all prescriptions

534

prescriptions.

101

patients, 23% of all patients

1 2
LISINOPRIL

Treats high blood pressure ... +

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

470

prescriptions, 4% of all prescriptions

385

prescriptions.

76

patients, 17% of all patients

2 1
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

423

prescriptions, 4% of all prescriptions

362

prescriptions.

68

patients, 15% of all patients

3 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

292

prescriptions, 3% of all prescriptions

215

prescriptions.

63

patients, 14% of all patients

4 4
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

286

prescriptions, 3% of all prescriptions

239

prescriptions.

58

patients, 13% of all patients

5 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

276

prescriptions, 2% of all prescriptions

241

prescriptions.

53

patients, 12% of all patients

6 14
MELOXICAM

Treats symptoms of osteoart... +

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

230

prescriptions, 2% of all prescriptions

173

prescriptions.

56

patients, 13% of all patients

7 24
FUROSEMIDE

Treats fluid retention (ede... +

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

223

prescriptions, 2% of all prescriptions

183

prescriptions.

52

patients, 12% of all patients

8 10
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

222

prescriptions, 2% of all prescriptions

179

prescriptions.

36

patients, 8% of all patients

9 11
SIMVASTATIN

Treats high cholesterol and... +

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

219

prescriptions, 2% of all prescriptions

214

prescriptions.

48

patients, 11% of all patients

10 9
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

216

prescriptions, 2% of all prescriptions

197

prescriptions.

39

patients, 9% of all patients

11 18
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

212

prescriptions, 2% of all prescriptions

173

prescriptions.

40

patients, 9% of all patients

12 16
GABAPENTIN

Treats certain types of sei... +

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

207

prescriptions, 2% of all prescriptions

146

prescriptions.

41

patients, 9% of all patients

13 3
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

198

prescriptions, 2% of all prescriptions

193

prescriptions.

21

patients, 5% of all patients

14 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

195

prescriptions, 2% of all prescriptions

177

prescriptions.

40

patients, 9% of all patients

15 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

182

prescriptions, 2% of all prescriptions

131

prescriptions.

36

patients, 8% of all patients

16 8
TRAMADOL HCL

Tramadol is used to relieve... +

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

165

prescriptions, 1% of all prescriptions

122

prescriptions.

37

patients, 8% of all patients

O 17 31
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

148

prescriptions, 1% of all prescriptions

128

prescriptions.

30

patients, 7% of all patients

18 13
ATENOLOL

Treats high blood pressure ... +

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

147

prescriptions, 1% of all prescriptions

130

prescriptions.

27

patients, 6% of all patients

19 25
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

140

prescriptions, 1% of all prescriptions

105

prescriptions.

34

patients, 8% of all patients

20 17
LORAZEPAM

Treats anxiety, anxiety wit... +

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

130

prescriptions, 1% of all prescriptions

105

prescriptions.

17

patients, 4% of all patients

21 47
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

120

prescriptions, 1% of all prescriptions

108

prescriptions.

22

patients, 5% of all patients

22 28
AZITHROMYCIN

Treats infections caused by... +

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

116

prescriptions, 1% of all prescriptions

90

prescriptions.

83

patients, 19% of all patients

A 23 35
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

112

prescriptions, 1% of all prescriptions

72

prescriptions.

18

patients, 4% of all patients

24 23
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

110

prescriptions, 1% of all prescriptions

105

prescriptions.

22

patients, 5% of all patients

25 61
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

108

prescriptions, 1% of all prescriptions

80

prescriptions.

46

patients, 10% of all patients

26 21
CEFPROZIL 106

prescriptions, 1% of all prescriptions

83

prescriptions.

87

patients, 19% of all patients

A 27 141
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

103

prescriptions, 1% of all prescriptions

90

prescriptions.

21

patients, 5% of all patients

28 36
CRESTOR

Lowers high levels of chole... +

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

101

prescriptions, 1% of all prescriptions

67

prescriptions.

19

patients, 4% of all patients

29 33
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

97

prescriptions, 1% of all prescriptions

75

prescriptions.

21

patients, 5% of all patients

30 19
TRAZODONE HCL

Trazodone is used to treat ... +

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

97

prescriptions, 1% of all prescriptions

65

prescriptions.

21

patients, 5% of all patients

30 34
CITALOPRAM HBR

Citalopram is used to treat... +

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

90

prescriptions, 1% of all prescriptions

59

prescriptions.

15

patients, 3% of all patients

32 20
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

89

prescriptions, 1% of all prescriptions

65

prescriptions.

16

patients, 4% of all patients

33 50
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

84

prescriptions, 1% of all prescriptions

73

prescriptions.

15

patients, 3% of all patients

34 66
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

44

prescriptions.

43

patients, 10% of all patients

35 80
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

82

prescriptions, 1% of all prescriptions

82

prescriptions.

13

patients, 3% of all patients

36 85
CEFDINIR

Treats certain types of ski... +

Treats certain types of skin infections, throat infections, and lung infections, such as pneumonia, bronchitis, sinusitis, pharyngitis, or tonsillitis. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

65

prescriptions.

69

patients, 15% of all patients

A 37 79
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 3% of all patients

38 32
ZETIA

Lowers cholesterol in your ... +

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

79

prescriptions, 1% of all prescriptions

59

prescriptions.

14

patients, 3% of all patients

39 71
BACLOFEN

Treats muscle spasms caused... +

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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

31

patients, 7% of all patients

39 68
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

73

prescriptions.

61

patients, 14% of all patients

A 41 72
DIAZEPAM

Treats anxiety, muscle spas... +

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

76

prescriptions, 1% of all prescriptions

60

prescriptions.

16

patients, 4% of all patients

42 49
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

47

prescriptions.

18

patients, 4% of all patients

43 109
BUMETANIDE

Treats fluid retention (ede... +

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

73

prescriptions, 1% of all prescriptions

54

prescriptions.

<11 43 115
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

72

prescriptions, 1% of all prescriptions

61

prescriptions.

14

patients, 3% of all patients

R 45 63
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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

13

patients, 3% of all patients

46 58
ALLOPURINOL

Treats gout and some kinds ... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

20

patients, 4% of all patients

46 43
METHYLPREDNISOLONE

Treats asthma, allergic rea... +

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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

55

patients, 12% of all patients

46 57
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

62

prescriptions, 1% of all prescriptions

50

prescriptions.

<11 R 49 44
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

60

prescriptions, 1% of all prescriptions

46

prescriptions.

12

patients, 3% of all patients

50 52
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

60

prescriptions, 1% of all prescriptions

60

prescriptions.

13

patients, 3% of all patients

50 40
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

46

prescriptions.

17

patients, 4% of all patients

52 59
ACETAMINOPHEN-CODEINE

This combination of drugs i... +

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

55

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 O 53 105
CARVEDILOL

Treats high blood pressure ... +

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

53

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 54 22
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

50

prescriptions, 0% of all prescriptions

5

prescriptions.

<11 R 55 46
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 Sept. 10, 2012.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.