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 »

13,124Medicare Part D Prescriptions Filled, Including Refills

Rank: 46 out of 308

$634K Total Retail Price of All Prescriptions

Rank: 65 out of 308

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

82% 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 Iowa
lower than average

Antipsychotics

11% of this provider’s 320 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.

More resources »

Antibiotics

38% of this provider’s 359 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

15% of this provider’s 320 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

42% of this provider’s 359 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

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

Prescription Price

$48 was the average price of a prescription from this provider, compared to $70 among peers.

Prescriptions per Patient

37 is the average number of prescriptions (including refills) per patient, compared to an average of 18.


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

$67.4K

2012

$257K

2013

$603K

2014

$634K

2015

Number of Claims

1,079

2012

5,577

2013

12,316

2014

13,124

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
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

654

prescriptions, 5% of all prescriptions

583

prescriptions.

83

patients, 23% of all patients

1 2
SIMVASTATIN

Treats high cholesterol and... +

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

527

prescriptions, 4% of all prescriptions

445

prescriptions.

60

patients, 17% of all patients

2 3
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

527

prescriptions, 4% of all prescriptions

486

prescriptions.

66

patients, 18% of all patients

2 1
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

401

prescriptions, 3% of all prescriptions

375

prescriptions.

54

patients, 15% of all patients

4 9
FUROSEMIDE

Treats fluid retention (ede... +

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

367

prescriptions, 3% of all prescriptions

345

prescriptions.

52

patients, 14% of all patients

5 7
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

337

prescriptions, 3% of all prescriptions

310

prescriptions.

44

patients, 12% of all patients

6 21
LISINOPRIL

Treats high blood pressure ... +

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

333

prescriptions, 3% of all prescriptions

256

prescriptions.

44

patients, 12% of all patients

7 5
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

317

prescriptions, 2% of all prescriptions

288

prescriptions.

44

patients, 12% of all patients

8 23
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

297

prescriptions, 2% of all prescriptions

270

prescriptions.

64

patients, 18% of all patients

O 9 13
GABAPENTIN

Treats certain types of sei... +

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

295

prescriptions, 2% of all prescriptions

246

prescriptions.

36

patients, 10% of all patients

10 14
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

224

prescriptions, 2% of all prescriptions

190

prescriptions.

27

patients, 8% of all patients

11 12
LORAZEPAM

Treats anxiety, anxiety wit... +

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

223

prescriptions, 2% of all prescriptions

201

prescriptions.

45

patients, 13% of all patients

12 27
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

218

prescriptions, 2% of all prescriptions

180

prescriptions.

34

patients, 9% of all patients

13 56
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

217

prescriptions, 2% of all prescriptions

198

prescriptions.

29

patients, 8% of all patients

14 6
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

212

prescriptions, 2% of all prescriptions

212

prescriptions.

25

patients, 7% of all patients

15 32
K-TAB ER

Potassium supplements are t... +

Potassium supplements are taken to replace potassium losses and prevent potassium deficiency. Source: National Library of Medicine

200

prescriptions, 2% of all prescriptions

174

prescriptions.

28

patients, 8% of all patients

16 139
TRAZODONE HCL

Trazodone is used to treat ... +

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

200

prescriptions, 2% of all prescriptions

142

prescriptions.

29

patients, 8% of all patients

16 29
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

199

prescriptions, 2% of all prescriptions

163

prescriptions.

32

patients, 9% of all patients

18 10
TRAMADOL HCL

Tramadol is used to relieve... +

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

195

prescriptions, 1% of all prescriptions

190

prescriptions.

40

patients, 11% of all patients

O 19 18
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

186

prescriptions, 1% of all prescriptions

150

prescriptions.

32

patients, 9% of all patients

20 86
CITALOPRAM HBR

Citalopram is used to treat... +

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

175

prescriptions, 1% of all prescriptions

158

prescriptions.

20

patients, 6% of all patients

21 25
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

173

prescriptions, 1% of all prescriptions

168

prescriptions.

21

patients, 6% of all patients

22 48
IPRATROPIUM-ALBUTEROL

The combination of albutero... +

The combination of albuterol and ipratropium is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Source: National Library of Medicine

171

prescriptions, 1% of all prescriptions

166

prescriptions.

62

patients, 17% of all patients

23 81
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

145

prescriptions, 1% of all prescriptions

121

prescriptions.

18

patients, 5% of all patients

24 69
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

143

prescriptions, 1% of all prescriptions

130

prescriptions.

18

patients, 5% of all patients

25 38
PREDNISONE

Treats inflammation (swelli... +

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

143

prescriptions, 1% of all prescriptions

126

prescriptions.

30

patients, 8% of all patients

25 31
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

137

prescriptions, 1% of all prescriptions

132

prescriptions.

16

patients, 4% of all patients

27 101
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

129

prescriptions, 1% of all prescriptions

111

prescriptions.

18

patients, 5% of all patients

P 28 68
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

129

prescriptions, 1% of all prescriptions

116

prescriptions.

19

patients, 5% of all patients

28 63
RISPERIDONE

Treats schizophrenia and ce... +

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

124

prescriptions, 1% of all prescriptions

105

prescriptions.

14

patients, 4% of all patients

P 30 100
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

113

prescriptions, 1% of all prescriptions

108

prescriptions.

33

patients, 9% of all patients

31 122
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

108

prescriptions, 1% of all prescriptions

96

prescriptions.

11

patients, 3% of all patients

32 15
ATENOLOL

Treats high blood pressure ... +

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

107

prescriptions, 1% of all prescriptions

107

prescriptions.

15

patients, 4% of all patients

33 17
PERIOGARD 106

prescriptions, 1% of all prescriptions

101

prescriptions.

22

patients, 6% of all patients

10 34 175
CARVEDILOL

Treats high blood pressure ... +

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

103

prescriptions, 1% of all prescriptions

98

prescriptions.

14

patients, 4% of all patients

35 30
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

102

prescriptions, 1% of all prescriptions

102

prescriptions.

12

patients, 3% of all patients

36 94
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

100

prescriptions, 1% of all prescriptions

95

prescriptions.

13

patients, 4% of all patients

37 4
BACLOFEN

Treats muscle spasms caused... +

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

98

prescriptions, 1% of all prescriptions

74

prescriptions.

<11 38 97
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

96

prescriptions, 1% of all prescriptions

75

prescriptions.

11

patients, 3% of all patients

39 73
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

96

prescriptions, 1% of all prescriptions

72

prescriptions.

<11 39 16
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

93

prescriptions, 1% of all prescriptions

78

prescriptions.

35

patients, 10% of all patients

A 41 119
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

91

prescriptions, 1% of all prescriptions

86

prescriptions.

12

patients, 3% of all patients

42 45
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

89

prescriptions, 1% of all prescriptions

77

prescriptions.

<11 43 11
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

88

prescriptions, 1% of all prescriptions

83

prescriptions.

22

patients, 6% of all patients

O 44 67
ASMANEX

Mometasone inhalation is us... +

Mometasone inhalation is used to prevent difficulty breathing, chest tightness, wheezing, and coughing caused by asthma. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

81

prescriptions.

11

patients, 3% of all patients

45 169
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

83

prescriptions, 1% of all prescriptions

83

prescriptions.

12

patients, 3% of all patients

46 20
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

75

prescriptions.

15

patients, 4% of all patients

47 167
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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

14

patients, 4% of all patients

48 53
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

79

prescriptions, 1% of all prescriptions

74

prescriptions.

<11 48 49
ALLOPURINOL

Treats gout and some kinds ... +

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

77

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 50 26
LEVETIRACETAM

Used to help control certai... +

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

77

prescriptions, 1% of all prescriptions

35

prescriptions.

13

patients, 4% of all patients

50 103
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

74

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 52 39
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

69

prescriptions, 1% of all prescriptions

69

prescriptions.

<11 53 19
CLONAZEPAM

Treats seizures, panic diso... +

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

68

prescriptions, 1% of all prescriptions

55

prescriptions.

<11 54 61
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

64

prescriptions, 0% of all prescriptions

59

prescriptions.

12

patients, 3% of all patients

55 111
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

59

prescriptions, 0% of all prescriptions

23

prescriptions.

<11 56 33
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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

13

patients, 4% of all patients

56 83
LATANOPROST

Latanoprost ophthalmic is u... +

Latanoprost ophthalmic is used to treat glaucoma (a condition in which increased pressure in the eye can lead to gradual loss of vision) and ocular hypertension (a condition which causes increased pressure in the eye). Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 56 165
AGGRENOX

Used to prevent strokes in ... +

Used to prevent strokes in patients with blood flow disorders or a history of blood clots. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 56 199
ALBUTEROL SULFATE

Albuterol is used to preven... +

Albuterol is used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways). Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

52

prescriptions.

28

patients, 8% of all patients

60 131
GLYBURIDE

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

55

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 R 61 183
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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

<11 61 60
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

55

prescriptions, 0% of all prescriptions

42

prescriptions.

14

patients, 4% of all patients

61 117
FORADIL 50

prescriptions, 0% of all prescriptions

39

prescriptions.

<11 64 240
ISOSORBIDE DINITRATE

Treats and prevents angina ... +

Treats and prevents angina (chest pain). Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 64 254
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

50

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 R 64 40
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on July 8, 2007.
  • 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.