Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,457Medicare Part D Prescriptions Filled, Including Refills

Rank: 1 out of 263

$3.37M Total Retail Price of All Prescriptions

Rank: 9 out of 263

1,218 Patients Receiving at Least One Drug in Part D
62% Patients 65 Years and Older

50% 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 North Carolina
lower than average

Antipsychotics

2% of this provider’s 755 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 7%.

More resources »

Antibiotics

2% of this provider’s 1,218 patients filled at least one prescription for an antibiotic drug, compared to an average of 1%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 755 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

28% of this provider’s 1,218 patients filled at least one prescription for an opioid, compared to an average of 9%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$218 was the average price of a prescription from this provider, compared to $321 among peers.

Prescriptions per Patient

13 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$1.77M

2012

$2.32M

2013

$3.44M

2014

$3.37M

2015

Number of Claims

7,500

2012

11,628

2013

13,244

2014

15,457

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
GABAPENTIN

Treats certain types of sei... +

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

1,966

prescriptions, 13% of all prescriptions

1,165

prescriptions.

412

patients, 34% of all patients

1 1
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

928

prescriptions, 6% of all prescriptions

365

prescriptions.

180

patients, 15% of all patients

O 2 10
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

679

prescriptions, 4% of all prescriptions

599

prescriptions.

136

patients, 11% of all patients

3 2
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

635

prescriptions, 4% of all prescriptions

208

prescriptions.

113

patients, 9% of all patients

4 8
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

610

prescriptions, 4% of all prescriptions

229

prescriptions.

138

patients, 11% of all patients

5 11
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

530

prescriptions, 3% of all prescriptions

203

prescriptions.

122

patients, 10% of all patients

6 13
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

407

prescriptions, 3% of all prescriptions

211

prescriptions.

80

patients, 7% of all patients

7 15
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

386

prescriptions, 2% of all prescriptions

120

prescriptions.

80

patients, 7% of all patients

8 12
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

380

prescriptions, 2% of all prescriptions

193

prescriptions.

81

patients, 7% of all patients

R 9 19
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

364

prescriptions, 2% of all prescriptions

236

prescriptions.

74

patients, 6% of all patients

10 9
OXYCODONE HCL

Oxycodone is used to reliev... +

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

353

prescriptions, 2% of all prescriptions

51

prescriptions.

53

patients, 4% of all patients

O 11 21
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

336

prescriptions, 2% of all prescriptions

139

prescriptions.

106

patients, 9% of all patients

12 86
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

325

prescriptions, 2% of all prescriptions

94

prescriptions.

73

patients, 6% of all patients

13 5
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

310

prescriptions, 2% of all prescriptions

37

prescriptions.

58

patients, 5% of all patients

O 14 25
LEVETIRACETAM

Used to help control certai... +

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

301

prescriptions, 2% of all prescriptions

101

prescriptions.

58

patients, 5% of all patients

15 4
CLOPIDOGREL

Helps prevent stroke, heart... +

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

297

prescriptions, 2% of all prescriptions

249

prescriptions.

48

patients, 4% of all patients

16 22
CLONAZEPAM

Treats seizures, panic diso... +

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

274

prescriptions, 2% of all prescriptions

120

prescriptions.

48

patients, 4% of all patients

17 6
ALPRAZOLAM

Treats anxiety, panic disor... +

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

214

prescriptions, 1% of all prescriptions

56

prescriptions.

49

patients, 4% of all patients

18 20
TRAMADOL HCL

Tramadol is used to relieve... +

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

186

prescriptions, 1% of all prescriptions

94

prescriptions.

64

patients, 5% of all patients

O 19 27
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

181

prescriptions, 1% of all prescriptions

155

prescriptions.

41

patients, 3% of all patients

20 3
PYRIDOSTIGMINE BROMIDE 179

prescriptions, 1% of all prescriptions

145

prescriptions.

33

patients, 3% of all patients

21 65
NAMENDA XR

Used to treat the symptoms ... +

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

173

prescriptions, 1% of all prescriptions

168

prescriptions.

34

patients, 3% of all patients

22 7
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

167

prescriptions, 1% of all prescriptions

32

prescriptions.

37

patients, 3% of all patients

O 23 61
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

164

prescriptions, 1% of all prescriptions

23

prescriptions.

38

patients, 3% of all patients

R 24 50
VALACYCLOVIR

Treats herpes virus infecti... +

Treats herpes virus infections, including shingles (herpes zoster), cold sores (herpes labialis), and genital herpes (herpes simplex) in adults. Source: National Library of Medicine

164

prescriptions, 1% of all prescriptions

47

prescriptions.

63

patients, 5% of all patients

24 77
TRAZODONE HCL

Trazodone is used to treat ... +

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

135

prescriptions, 1% of all prescriptions

47

prescriptions.

38

patients, 3% of all patients

26 29
MYCOPHENOLATE MOFETIL

Used with other medications... +

Used with other medications to help prevent transplant organ rejection (attack of the transplanted organ by the immune system of the person receiving the organ) in people who have received organ transplants. Source: National Library of Medicine

131

prescriptions, 1% of all prescriptions

89

prescriptions.

21

patients, 2% of all patients

27 83
PREDNISONE

Treats inflammation (swelli... +

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

128

prescriptions, 1% of all prescriptions

74

prescriptions.

61

patients, 5% of all patients

28 45
DIAZEPAM

Treats anxiety, muscle spas... +

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

120

prescriptions, 1% of all prescriptions

18

prescriptions.

23

patients, 2% of all patients

29 31
SUMATRIPTAN SUCCINATE

Sumatriptan is used to trea... +

Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes is accompanied by nausea or sensitivity to sound and light). Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

5

prescriptions.

29

patients, 2% of all patients

30 32
GAMMAGARD LIQUID 116

prescriptions, 1% of all prescriptions

42

prescriptions.

13

patients, 1% of all patients

31 89
BACLOFEN

Treats muscle spasms caused... +

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

107

prescriptions, 1% of all prescriptions

45

prescriptions.

20

patients, 2% of all patients

32 14
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

13

prescriptions.

19

patients, 2% of all patients

R 33 71
OPANA ER

Used to relieve moderate to... +

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

95

prescriptions, 1% of all prescriptions

23

prescriptions.

16

patients, 1% of all patients

O 34 88
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

91

prescriptions, 1% of all prescriptions

62

prescriptions.

19

patients, 2% of all patients

35 39
MELOXICAM

Treats symptoms of osteoart... +

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

88

prescriptions, 1% of all prescriptions

62

prescriptions.

22

patients, 2% of all patients

36 68
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

32

prescriptions.

28

patients, 2% of all patients

37 144
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

5

prescriptions.

16

patients, 1% of all patients

R 37 52
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

85

prescriptions, 1% of all prescriptions

25

prescriptions.

20

patients, 2% of all patients

R 39 34
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

84

prescriptions, 1% of all prescriptions

56

prescriptions.

20

patients, 2% of all patients

40 26
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

82

prescriptions, 1% of all prescriptions

54

prescriptions.

20

patients, 2% of all patients

41 51
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

77

prescriptions, 0% of all prescriptions

72

prescriptions.

15

patients, 1% of all patients

42 28
LAMOTRIGINE ER 74

prescriptions, 0% of all prescriptions

11

prescriptions.

13

patients, 1% of all patients

43 116
LIDOCAINE

Causes numbness or loss of ... +

Causes numbness or loss of feeling in an area of your body. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

35

prescriptions.

22

patients, 2% of all patients

44 123
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

71

prescriptions, 0% of all prescriptions

66

prescriptions.

16

patients, 1% of all patients

44 33
ROPINIROLE ER 69

prescriptions, 0% of all prescriptions

41

prescriptions.

14

patients, 1% of all patients

46 105
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

63

prescriptions, 0% of all prescriptions

39

prescriptions.

13

patients, 1% of all patients

47 16
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

57

prescriptions.

20

patients, 2% of all patients

48 56
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

60

prescriptions, 0% of all prescriptions

34

prescriptions.

17

patients, 1% of all patients

P 49 23
RIZATRIPTAN

Rizatriptan is used to trea... +

Rizatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea and sensitivity to sound and light). Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

5

prescriptions.

13

patients, 1% of all patients

50 59
SIMVASTATIN

Treats high cholesterol and... +

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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

<11 51 98
LORAZEPAM

Treats anxiety, anxiety wit... +

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

53

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 52 30
METHYLPHENIDATE HCL

Methylphenidate is used as ... +

Methylphenidate is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

33

prescriptions.

17

patients, 1% of all patients

52 81
AZILECT

Used alone or together with... +

Used alone or together with levodopa for the treatment of Parkinson's disease. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

48

prescriptions.

12

patients, 1% of all patients

52 42
AMRIX 51

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 R 10 55 201
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 March 11, 2015.
  • 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.