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 »

14,177Medicare Part D Prescriptions Filled, Including Refills

Rank: 38 out of 308

$871K Total Retail Price of All Prescriptions

Rank: 25 out of 308

923 Patients Receiving at Least One Drug in Part D
88% Patients 65 Years and Older

27% 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

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

23% of this provider’s 923 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

8% of this provider’s 815 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

18% of this provider’s 923 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

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

Prescription Price

$61 was the average price of a prescription from this provider, compared to $70 among peers.

Prescriptions per Patient

15 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

2012

$235K

2013

$598K

2014

$871K

2015

Number of Claims

2012

5,408

2013

11,055

2014

14,177

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

697

prescriptions, 5% of all prescriptions

640

prescriptions.

154

patients, 17% of all patients

1 2
SIMVASTATIN

Treats high cholesterol and... +

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

631

prescriptions, 4% of all prescriptions

561

prescriptions.

172

patients, 19% 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

573

prescriptions, 4% of all prescriptions

456

prescriptions.

131

patients, 14% of all patients

3 1
LISINOPRIL

Treats high blood pressure ... +

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

458

prescriptions, 3% of all prescriptions

413

prescriptions.

130

patients, 14% of all patients

4 5
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

419

prescriptions, 3% of all prescriptions

414

prescriptions.

104

patients, 11% of all patients

5 16
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

397

prescriptions, 3% of all prescriptions

340

prescriptions.

98

patients, 11% of all patients

6 12
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

388

prescriptions, 3% of all prescriptions

348

prescriptions.

112

patients, 12% of all patients

7 9
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

325

prescriptions, 2% of all prescriptions

320

prescriptions.

96

patients, 10% of all patients

8 6
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

322

prescriptions, 2% of all prescriptions

265

prescriptions.

72

patients, 8% of all patients

9 8
FUROSEMIDE

Treats fluid retention (ede... +

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

310

prescriptions, 2% of all prescriptions

260

prescriptions.

97

patients, 11% of all patients

10 7
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

277

prescriptions, 2% of all prescriptions

218

prescriptions.

81

patients, 9% of all patients

O 11 13
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

271

prescriptions, 2% of all prescriptions

258

prescriptions.

71

patients, 8% of all patients

12 4
GABAPENTIN

Treats certain types of sei... +

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

236

prescriptions, 2% of all prescriptions

201

prescriptions.

52

patients, 6% of all patients

13 14
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

230

prescriptions, 2% of all prescriptions

225

prescriptions.

61

patients, 7% of all patients

14 11
ATENOLOL

Treats high blood pressure ... +

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

224

prescriptions, 2% of all prescriptions

210

prescriptions.

62

patients, 7% of all patients

15 17
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

223

prescriptions, 2% of all prescriptions

193

prescriptions.

53

patients, 6% of all patients

16 49
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

214

prescriptions, 2% of all prescriptions

197

prescriptions.

48

patients, 5% of all patients

17 53
CLOPIDOGREL

Helps prevent stroke, heart... +

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

202

prescriptions, 1% of all prescriptions

183

prescriptions.

39

patients, 4% of all patients

18 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

184

prescriptions, 1% of all prescriptions

184

prescriptions.

70

patients, 8% of all patients

19 33
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

184

prescriptions, 1% of all prescriptions

170

prescriptions.

33

patients, 4% of all patients

19 20
TRAMADOL HCL

Tramadol is used to relieve... +

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

173

prescriptions, 1% of all prescriptions

156

prescriptions.

55

patients, 6% of all patients

O 21 18
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

159

prescriptions, 1% of all prescriptions

144

prescriptions.

42

patients, 5% of all patients

22 19
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

152

prescriptions, 1% of all prescriptions

107

prescriptions.

62

patients, 7% of all patients

23 42
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

136

prescriptions, 1% of all prescriptions

104

prescriptions.

41

patients, 4% of all patients

24 38
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

128

prescriptions, 1% of all prescriptions

98

prescriptions.

47

patients, 5% of all patients

25 126
TRAZODONE HCL

Trazodone is used to treat ... +

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

125

prescriptions, 1% of all prescriptions

120

prescriptions.

45

patients, 5% of all patients

26 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

123

prescriptions, 1% of all prescriptions

118

prescriptions.

36

patients, 4% of all patients

27 10
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

121

prescriptions, 1% of all prescriptions

116

prescriptions.

25

patients, 3% of all patients

28 45
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

116

prescriptions.

30

patients, 3% of all patients

28 57
MELOXICAM

Treats symptoms of osteoart... +

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

120

prescriptions, 1% of all prescriptions

91

prescriptions.

32

patients, 3% of all patients

30 41
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

114

prescriptions, 1% of all prescriptions

84

prescriptions.

17

patients, 2% of all patients

31 47
CITALOPRAM HBR

Citalopram is used to treat... +

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

110

prescriptions, 1% of all prescriptions

94

prescriptions.

30

patients, 3% of all patients

32 25
ALLOPURINOL

Treats gout and some kinds ... +

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

110

prescriptions, 1% of all prescriptions

105

prescriptions.

27

patients, 3% of all patients

32 26
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

74

prescriptions.

30

patients, 3% of all patients

34 51
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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

29

patients, 3% of all patients

35 23
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

101

prescriptions, 1% of all prescriptions

96

prescriptions.

36

patients, 4% of all patients

36 36
PREDNISONE

Treats inflammation (swelli... +

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

100

prescriptions, 1% of all prescriptions

89

prescriptions.

75

patients, 8% of all patients

37 31
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

86

prescriptions.

28

patients, 3% of all patients

38 44
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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

23

patients, 2% of all patients

39 69
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

92

prescriptions, 1% of all prescriptions

81

prescriptions.

16

patients, 2% of all patients

40 35
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

92

prescriptions, 1% of all prescriptions

87

prescriptions.

27

patients, 3% of all patients

40 43
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

90

prescriptions, 1% of all prescriptions

77

prescriptions.

20

patients, 2% of all patients

42 72
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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

27

patients, 3% of all patients

43 15
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

83

prescriptions, 1% of all prescriptions

83

prescriptions.

21

patients, 2% of all patients

44 60
CRESTOR

Lowers high levels of chole... +

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

81

prescriptions, 1% of all prescriptions

68

prescriptions.

18

patients, 2% of all patients

45 37
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

78

prescriptions, 1% of all prescriptions

73

prescriptions.

18

patients, 2% of all patients

46 52
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

72

prescriptions.

25

patients, 3% of all patients

47 28
LYRICA

Treats nerve and muscle pai... +

Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

48

prescriptions.

14

patients, 2% of all patients

48 84
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

73

prescriptions.

12

patients, 1% of all patients

49 98
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

72

prescriptions, 1% of all prescriptions

67

prescriptions.

21

patients, 2% of all patients

50 21
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

69

prescriptions, 0% of all prescriptions

69

prescriptions.

14

patients, 2% of all patients

51 46
ALPRAZOLAM

Treats anxiety, panic disor... +

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

68

prescriptions, 0% of all prescriptions

54

prescriptions.

23

patients, 2% of all patients

52 22
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

49

prescriptions.

15

patients, 2% of all patients

53 64
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

64

prescriptions, 0% of all prescriptions

59

prescriptions.

16

patients, 2% of all patients

R 54 40
AMOXICILLIN-CLAVULANATE POTASS

Treats infections. +

Treats infections. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

59

prescriptions.

57

patients, 6% of all patients

A 54 143
FENOFIBRATE*

Treats high cholesterol and... +

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

63

prescriptions, 0% of all prescriptions

58

prescriptions.

13

patients, 1% of all patients

56 88
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

58

prescriptions.

11

patients, 1% of all patients

56 48
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

62

prescriptions, 0% of all prescriptions

57

prescriptions.

53

patients, 6% of all patients

A 58 66
AZITHROMYCIN

Treats infections caused by... +

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

62

prescriptions, 0% of all prescriptions

57

prescriptions.

47

patients, 5% of all patients

A 58 58
LOVASTATIN

Lowers high cholesterol and... +

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

62

prescriptions, 0% of all prescriptions

62

prescriptions.

18

patients, 2% of all patients

58 59
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

61

prescriptions, 0% of all prescriptions

56

prescriptions.

20

patients, 2% of all patients

61 34
DILTIAZEM 24HR CD

Diltiazem is used to treat ... +

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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

20

patients, 2% of all patients

61 76
ZETIA

Lowers cholesterol in your ... +

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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

12

patients, 1% of all patients

63 70
TEMAZEPAM

Treats insomnia (trouble sl... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

11

patients, 1% of all patients

64 128
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

54

prescriptions, 0% of all prescriptions

34

prescriptions.

11

patients, 1% of all patients

64 93
NOVOLOG FLEXPEN

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

13

patients, 1% of all patients

66 95
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

52

prescriptions, 0% of all prescriptions

47

prescriptions.

16

patients, 2% of all patients

67 39
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 June 13, 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.