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 »

12,542Medicare Part D Prescriptions Filled, Including Refills

Rank: 52 out of 951

$1M Total Retail Price of All Prescriptions

Rank: 21 out of 951

523 Patients Receiving at Least One Drug in Part D
85% Patients 65 Years and Older

68% 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 Washington
lower than average

Antipsychotics

11% of this provider’s 444 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

29% of this provider’s 523 patients filled at least one prescription for an antibiotic drug, compared to an average of 20%.

More resources »

Risky Drugs for Seniors

9% of this provider’s 444 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

27% of this provider’s 523 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

24% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$80 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

24 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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

$806K

2012

$677K

2013

$760K

2014

$1M

2015

Number of Claims

12,980

2012

10,402

2013

10,443

2014

12,542

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

503

prescriptions, 4% of all prescriptions

458

prescriptions.

97

patients, 19% of all patients

1 1
FUROSEMIDE

Treats fluid retention (ede... +

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

390

prescriptions, 3% of all prescriptions

379

prescriptions.

75

patients, 14% of all patients

2 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

373

prescriptions, 3% of all prescriptions

330

prescriptions.

98

patients, 19% of all patients

3 3
LISINOPRIL

Treats high blood pressure ... +

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

349

prescriptions, 3% of all prescriptions

307

prescriptions.

79

patients, 15% of all patients

4 2
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

327

prescriptions, 3% of all prescriptions

307

prescriptions.

69

patients, 13% of all patients

5 82
CITALOPRAM HBR

Citalopram is used to treat... +

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

269

prescriptions, 2% of all prescriptions

217

prescriptions.

51

patients, 10% of all patients

6 18
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

259

prescriptions, 2% of all prescriptions

241

prescriptions.

70

patients, 13% of all patients

7 8
GABAPENTIN

Treats certain types of sei... +

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

231

prescriptions, 2% of all prescriptions

174

prescriptions.

43

patients, 8% of all patients

8 11
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

224

prescriptions, 2% of all prescriptions

183

prescriptions.

44

patients, 8% of all patients

9 13
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

200

prescriptions, 2% of all prescriptions

186

prescriptions.

32

patients, 6% of all patients

10 14
OXYCODONE HCL

Oxycodone is used to reliev... +

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

196

prescriptions, 2% of all prescriptions

134

prescriptions.

32

patients, 6% of all patients

O 11 24
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

193

prescriptions, 2% of all prescriptions

193

prescriptions.

42

patients, 8% of all patients

12 37
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

192

prescriptions, 2% of all prescriptions

187

prescriptions.

56

patients, 11% of all patients

13 15
CLONAZEPAM

Treats seizures, panic diso... +

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

191

prescriptions, 2% of all prescriptions

118

prescriptions.

38

patients, 7% of all patients

14 45
TRAZODONE HCL

Trazodone is used to treat ... +

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

183

prescriptions, 1% of all prescriptions

150

prescriptions.

39

patients, 7% of all patients

15 21
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

180

prescriptions, 1% of all prescriptions

162

prescriptions.

44

patients, 8% of all patients

16 5
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

159

prescriptions, 1% of all prescriptions

154

prescriptions.

45

patients, 9% of all patients

17 9
CARVEDILOL

Treats high blood pressure ... +

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

159

prescriptions, 1% of all prescriptions

142

prescriptions.

33

patients, 6% of all patients

17 31
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

158

prescriptions, 1% of all prescriptions

133

prescriptions.

38

patients, 7% of all patients

19 59
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

148

prescriptions, 1% of all prescriptions

122

prescriptions.

27

patients, 5% of all patients

20 30
TRAMADOL HCL

Tramadol is used to relieve... +

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

141

prescriptions, 1% of all prescriptions

121

prescriptions.

54

patients, 10% of all patients

O 21 26
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

139

prescriptions, 1% of all prescriptions

104

prescriptions.

37

patients, 7% of all patients

22 4
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

139

prescriptions, 1% of all prescriptions

134

prescriptions.

29

patients, 6% of all patients

P 22 46
RISPERIDONE

Treats schizophrenia and ce... +

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

134

prescriptions, 1% of all prescriptions

109

prescriptions.

22

patients, 4% of all patients

P 24 68
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

131

prescriptions, 1% of all prescriptions

108

prescriptions.

28

patients, 5% of all patients

25 19
LORAZEPAM

Treats anxiety, anxiety wit... +

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

122

prescriptions, 1% of all prescriptions

77

prescriptions.

31

patients, 6% of all patients

26 29
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

118

prescriptions, 1% of all prescriptions

118

prescriptions.

26

patients, 5% of all patients

27 44
BACLOFEN

Treats muscle spasms caused... +

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

112

prescriptions, 1% of all prescriptions

64

prescriptions.

23

patients, 4% of all patients

28 65
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

107

prescriptions, 1% of all prescriptions

76

prescriptions.

16

patients, 3% of all patients

O 29 42
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

107

prescriptions, 1% of all prescriptions

102

prescriptions.

33

patients, 6% of all patients

29 16
CLOPIDOGREL

Helps prevent stroke, heart... +

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

102

prescriptions, 1% of all prescriptions

97

prescriptions.

28

patients, 5% of all patients

31 28
CRESTOR

Lowers high levels of chole... +

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

98

prescriptions, 1% of all prescriptions

84

prescriptions.

30

patients, 6% of all patients

32 41
XARELTO

Used to treat deep vein thr... +

Used to treat deep vein thrombosis (DVT; a blood clot, usually in the leg) and pulmonary embolism (PE; a blood clot in the lung). Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

67

prescriptions.

14

patients, 3% of all patients

33 100
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

93

prescriptions, 1% of all prescriptions

88

prescriptions.

22

patients, 4% of all patients

34 22
JANTOVEN

Helps to prevent new blood ... +

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. Source: National Library of Medicine

90

prescriptions, 1% of all prescriptions

90

prescriptions.

<11 35 106
SIMVASTATIN

Treats high cholesterol and... +

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

88

prescriptions, 1% of all prescriptions

65

prescriptions.

24

patients, 5% of all patients

36 6
NUEDEXTA

Used to treat pseudobulbar ... +

Used to treat pseudobulbar affect (PBA; a condition of sudden, frequent outbursts of crying or laughing that can not be controlled) in people with certain conditions such as amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease; condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken) or multiple sclerosis (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). Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

11

patients, 2% of all patients

37 157
ELIQUIS

Used to help prevent stroke... +

Used to help prevent strokes or blood clots in people who have atrial fibrillation (a condition in which the heart beats irregularly, increasing the chance of clots forming in the body and possibly causing strokes) that is not caused by heart valve disease. Source: National Library of Medicine

85

prescriptions, 1% of all prescriptions

80

prescriptions.

17

patients, 3% of all patients

37 213
PREDNISONE

Treats inflammation (swelli... +

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

80

prescriptions, 1% of all prescriptions

61

prescriptions.

22

patients, 4% of all patients

39 38
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

78

prescriptions, 1% of all prescriptions

64

prescriptions.

18

patients, 3% of all patients

40 103
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

69

prescriptions.

18

patients, 3% of all patients

41 77
ALLOPURINOL

Treats gout and some kinds ... +

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

73

prescriptions, 1% of all prescriptions

49

prescriptions.

13

patients, 2% of all patients

42 27
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

73

prescriptions, 1% of all prescriptions

61

prescriptions.

17

patients, 3% of all patients

42 56
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

68

prescriptions, 1% of all prescriptions

5

prescriptions.

<11 44 75
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

23

patients, 4% of all patients

45 23
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

64

prescriptions, 1% of all prescriptions

59

prescriptions.

17

patients, 3% of all patients

45 60
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

43

patients, 8% of all patients

A 47 74
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

63

prescriptions, 1% of all prescriptions

58

prescriptions.

29

patients, 6% of all patients

O 47 10
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

61

prescriptions, 0% of all prescriptions

47

prescriptions.

16

patients, 3% of all patients

49 48
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

13

patients, 2% of all patients

50 53
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

59

prescriptions, 0% of all prescriptions

54

prescriptions.

15

patients, 3% of all patients

50 58
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

58

prescriptions, 0% of all prescriptions

58

prescriptions.

20

patients, 4% of all patients

52 20
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

43

prescriptions.

27

patients, 5% of all patients

53 130
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

57

prescriptions, 0% of all prescriptions

57

prescriptions.

<11 53 122
MEMANTINE HCL

Treats moderate to severe ... +

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

56

prescriptions, 0% of all prescriptions

56

prescriptions.

17

patients, 3% of all patients

55 239
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

56

prescriptions, 0% of all prescriptions

42

prescriptions.

44

patients, 8% of all patients

A 55 151
ATENOLOL

Treats high blood pressure ... +

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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

12

patients, 2% of all patients

57 17
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

41

prescriptions.

16

patients, 3% of all patients

57 117
LEVEMIR

Helps control blood sugar l... +

Helps control blood sugar levels. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

42

prescriptions.

16

patients, 3% of all patients

57 142
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

55

prescriptions, 0% of all prescriptions

50

prescriptions.

14

patients, 3% of all patients

57 12
OXYCONTIN

Oxycodone is used to reliev... +

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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

<11 O 61 116
RENVELA

Lowers the amount of phosph... +

Lowers the amount of phosphorus in blood of patients receiving kidney dialysis. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

36

prescriptions.

<11 61 181
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

54

prescriptions, 0% of all prescriptions

49

prescriptions.

21

patients, 4% of all patients

61 32
NITROSTAT

Treats or prevents angina (... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

36

patients, 7% of all patients

64 192
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

52

prescriptions, 0% of all prescriptions

37

prescriptions.

24

patients, 5% of all patients

65 33
ONDANSETRON HCL*

Ondansetron is used to prev... +

Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

33

prescriptions.

21

patients, 4% of all patients

65 133
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 March 7, 2011.
  • 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.