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 »

5,726Medicare Part D Prescriptions Filled, Including Refills

Rank: 15 out of 183

$2.47M Total Retail Price of All Prescriptions

Rank: 12 out of 183

394 Patients Receiving at Least One Drug in Part D
61% Patients 65 Years and Older

49% 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 Tennessee
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

This provider prescribed antibiotics to at least one but fewer than 11 patients, so Medicare redacted the exact figure. Comparisons are not shown.

More resources »

Risky Drugs for Seniors

8% of this provider’s 240 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 7%.

More resources »

Opioids

6% of this provider’s 394 patients filled at least one prescription for an opioid, compared to an average of 6%.

More resources »

Brand Name Drugs

28% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$432 was the average price of a prescription from this provider, compared to $326 among peers.

Prescriptions per Patient

15 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

$1.31M

2012

$1.78M

2013

$1.77M

2014

$2.47M

2015

Number of Claims

4,882

2012

5,754

2013

5,812

2014

5,726

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
LEVETIRACETAM

Used to help control certai... +

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

400

prescriptions, 7% of all prescriptions

100

prescriptions.

50

patients, 13% of all patients

1 3
GABAPENTIN

Treats certain types of sei... +

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

378

prescriptions, 7% of all prescriptions

247

prescriptions.

74

patients, 19% of all patients

2 1
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

248

prescriptions, 4% of all prescriptions

220

prescriptions.

45

patients, 11% of all patients

3 2
VIMPAT

Used to control partial sei... +

Used to control partial seizures (convulsions) in the treatment of epilepsy. Source: National Library of Medicine

185

prescriptions, 3% of all prescriptions

14

prescriptions.

21

patients, 5% of all patients

4 13
AZILECT

Used alone or together with... +

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

183

prescriptions, 3% of all prescriptions

153

prescriptions.

33

patients, 8% of all patients

5 40
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

170

prescriptions, 3% of all prescriptions

89

prescriptions.

33

patients, 8% of all patients

6 11
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

163

prescriptions, 3% of all prescriptions

108

prescriptions.

26

patients, 7% of all patients

7 28
CLONAZEPAM

Treats seizures, panic diso... +

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

154

prescriptions, 3% of all prescriptions

82

prescriptions.

22

patients, 6% of all patients

8 6
TOPIRAMATE

Helps control and prevent c... +

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

143

prescriptions, 2% of all prescriptions

40

prescriptions.

22

patients, 6% of all patients

9 5
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

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

135

prescriptions, 2% of all prescriptions

92

prescriptions.

23

patients, 6% of all patients

10 20
NEUPRO 132

prescriptions, 2% of all prescriptions

91

prescriptions.

22

patients, 6% of all patients

11 87
LAMOTRIGINE

Treats certain types of sei... +

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

127

prescriptions, 2% of all prescriptions

5

prescriptions.

17

patients, 4% of all patients

12 7
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

104

prescriptions, 2% of all prescriptions

76

prescriptions.

19

patients, 5% of all patients

13 4
LEVETIRACETAM ER 97

prescriptions, 2% of all prescriptions

52

prescriptions.

14

patients, 4% of all patients

14 70
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

97

prescriptions, 2% of all prescriptions

92

prescriptions.

15

patients, 4% of all patients

14 12
PYRIDOSTIGMINE BROMIDE 87

prescriptions, 2% of all prescriptions

59

prescriptions.

17

patients, 4% of all patients

16 45
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

87

prescriptions, 2% of all prescriptions

15

prescriptions.

13

patients, 3% of all patients

16 50
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

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

83

prescriptions, 1% of all prescriptions

21

prescriptions.

17

patients, 4% of all patients

18 27
CARBAMAZEPINE

Treats different types of s... +

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

80

prescriptions, 1% of all prescriptions

37

prescriptions.

15

patients, 4% of all patients

19 31
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

79

prescriptions.

14

patients, 4% of all patients

20 9
ZONISAMIDE

Treats partial seizures in ... +

Treats partial seizures in adults with epilepsy. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

21

prescriptions.

11

patients, 3% of all patients

21 24
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

73

prescriptions, 1% of all prescriptions

37

prescriptions.

13

patients, 3% of all patients

22 97
CARBIDOPA-LEVODOPA-ENTACAPONE 71

prescriptions, 1% of all prescriptions

59

prescriptions.

13

patients, 3% of all patients

23 39
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

66

prescriptions, 1% of all prescriptions

18

prescriptions.

<11 24 14
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

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

62

prescriptions, 1% of all prescriptions

20

prescriptions.

<11 25 25
TRAMADOL HCL

Tramadol is used to relieve... +

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

55

prescriptions, 1% of all prescriptions

13

prescriptions.

<11 O 26 43
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

53

prescriptions, 1% of all prescriptions

27

prescriptions.

<11 27 116
BUPROPION XL

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

29

prescriptions.

<11 28 101
FLUOXETINE HCL

Fluoxetine is used to treat... +

Fluoxetine 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), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 28 72
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?

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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 Feb. 25, 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.