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 »

16,450Medicare Part D Prescriptions Filled, Including Refills

Rank: 240 out of 5332

$1.26M Total Retail Price of All Prescriptions

Rank: 302 out of 5332

692 Patients Receiving at Least One Drug in Part D
81% Patients 65 Years and Older

93% 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 New York
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

20% of this provider’s 692 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

13% of this provider’s 563 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

7% of this provider’s 692 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

30% of this provider’s prescriptions were for brand-name drugs, compared to an average of 23%.

Prescription Price

$77 was the average price of a prescription from this provider, compared to $88 among peers.

Prescriptions per Patient

24 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

$864K

2012

$1.03M

2013

$1.17M

2014

$1.26M

2015

Number of Claims

12,543

2012

15,555

2013

16,661

2014

16,450

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
SIMVASTATIN

Treats high cholesterol and... +

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

681

prescriptions, 4% of all prescriptions

633

prescriptions.

121

patients, 17% of all patients

1 3
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

680

prescriptions, 4% of all prescriptions

628

prescriptions.

106

patients, 15% of all patients

2 1
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

674

prescriptions, 4% of all prescriptions

579

prescriptions.

120

patients, 17% of all patients

3 7
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

538

prescriptions, 3% of all prescriptions

485

prescriptions.

84

patients, 12% of all patients

4 10
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

523

prescriptions, 3% of all prescriptions

412

prescriptions.

118

patients, 17% of all patients

5 5
CLOPIDOGREL

Helps prevent stroke, heart... +

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

495

prescriptions, 3% of all prescriptions

416

prescriptions.

75

patients, 11% of all patients

6 16
MELOXICAM

Treats symptoms of osteoart... +

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

392

prescriptions, 2% of all prescriptions

325

prescriptions.

152

patients, 22% of all patients

7 45
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

383

prescriptions, 2% of all prescriptions

360

prescriptions.

68

patients, 10% of all patients

8 11
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

340

prescriptions, 2% of all prescriptions

279

prescriptions.

62

patients, 9% of all patients

9 27
CRESTOR

Lowers high levels of chole... +

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

333

prescriptions, 2% of all prescriptions

264

prescriptions.

49

patients, 7% of all patients

10 13
LISINOPRIL

Treats high blood pressure ... +

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

312

prescriptions, 2% of all prescriptions

267

prescriptions.

57

patients, 8% of all patients

11 6
CARVEDILOL

Treats high blood pressure ... +

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

291

prescriptions, 2% of all prescriptions

274

prescriptions.

49

patients, 7% of all patients

12 20
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

290

prescriptions, 2% of all prescriptions

241

prescriptions.

63

patients, 9% of all patients

13 2
NEXIUM

Treats heartburn, gastroeso... +

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

281

prescriptions, 2% of all prescriptions

242

prescriptions.

46

patients, 7% of all patients

14 23
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

This drug is used to treat high blood pressure. Source: National Library of Medicine

258

prescriptions, 2% of all prescriptions

222

prescriptions.

44

patients, 6% of all patients

15 30
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

254

prescriptions, 2% of all prescriptions

194

prescriptions.

37

patients, 5% of all patients

16 21
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

253

prescriptions, 2% of all prescriptions

217

prescriptions.

43

patients, 6% of all patients

17 9
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

246

prescriptions, 1% of all prescriptions

210

prescriptions.

63

patients, 9% of all patients

18 31
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

240

prescriptions, 1% of all prescriptions

219

prescriptions.

39

patients, 6% of all patients

19 4
RAMIPRIL

Treats high blood pressure ... +

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

238

prescriptions, 1% of all prescriptions

233

prescriptions.

33

patients, 5% of all patients

20 60
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

219

prescriptions, 1% of all prescriptions

186

prescriptions.

32

patients, 5% of all patients

21 34
JANUMET

This is a combination drug ... +

This is a combination drug containing metformin and sitagliptin and is used to treat high blood sugar levels caused by type 2 diabetes. Source: National Library of Medicine

214

prescriptions, 1% of all prescriptions

187

prescriptions.

27

patients, 4% of all patients

22 71
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

212

prescriptions, 1% of all prescriptions

175

prescriptions.

42

patients, 6% of all patients

23 19
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

209

prescriptions, 1% of all prescriptions

194

prescriptions.

34

patients, 5% of all patients

24 12
GABAPENTIN

Treats certain types of sei... +

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

204

prescriptions, 1% of all prescriptions

162

prescriptions.

60

patients, 9% of all patients

25 15
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

200

prescriptions, 1% of all prescriptions

180

prescriptions.

31

patients, 4% of all patients

26 47
FUROSEMIDE

Treats fluid retention (ede... +

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

179

prescriptions, 1% of all prescriptions

160

prescriptions.

31

patients, 4% of all patients

27 8
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

174

prescriptions, 1% of all prescriptions

117

prescriptions.

30

patients, 4% of all patients

28 49
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

167

prescriptions, 1% of all prescriptions

146

prescriptions.

32

patients, 5% of all patients

29 32
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

167

prescriptions, 1% of all prescriptions

139

prescriptions.

26

patients, 4% of all patients

29 18
OMEGA-3 ACID ETHYL ESTERS

Omega-3 fatty acids are use... +

Omega-3 fatty acids are used together with lifestyle changes (diet, weight-loss, exercise) to reduce the amount of triglycerides (a fat-like substance) in the blood in people with very high triglycerides. Source: National Library of Medicine

165

prescriptions, 1% of all prescriptions

160

prescriptions.

30

patients, 4% of all patients

31 51
ATENOLOL

Treats high blood pressure ... +

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

164

prescriptions, 1% of all prescriptions

159

prescriptions.

31

patients, 4% of all patients

32 17
VOLTAREN

Treats pain caused by arthr... +

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

134

prescriptions, 1% of all prescriptions

129

prescriptions.

32

patients, 5% of all patients

33 53
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

126

prescriptions, 1% of all prescriptions

121

prescriptions.

40

patients, 6% of all patients

R 34 29
VALSARTAN

Valsartan is used alone or ... +

Valsartan is used alone or in combination with other medications to treat high blood pressure. Source: National Library of Medicine

122

prescriptions, 1% of all prescriptions

117

prescriptions.

19

patients, 3% of all patients

35 40
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

119

prescriptions, 1% of all prescriptions

91

prescriptions.

30

patients, 4% of all patients

36 72
ALCOHOL PADS 118

prescriptions, 1% of all prescriptions

92

prescriptions.

28

patients, 4% of all patients

37 109
AMMONIUM LACTATE

Treats dry, scaly skin cond... +

Treats dry, scaly skin conditions called xerosis and ichthyosis. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

112

prescriptions.

31

patients, 4% of all patients

38 65
ALCOHOL PREP PADS

Prep pads +

Prep pads. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

98

prescriptions.

38

patients, 5% of all patients

38 103
TRAMADOL HCL

Tramadol is used to relieve... +

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

108

prescriptions, 1% of all prescriptions

87

prescriptions.

38

patients, 5% of all patients

O 40 61
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

105

prescriptions, 1% of all prescriptions

81

prescriptions.

15

patients, 2% of all patients

41 58
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

104

prescriptions, 1% of all prescriptions

81

prescriptions.

46

patients, 7% of all patients

42 25
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

94

prescriptions.

13

patients, 2% of all patients

43 38
SINGLE USE SWAB

Single-use swabs +

Single-use swabs. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

84

prescriptions.

30

patients, 4% of all patients

44 112
BENICAR

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

95

prescriptions, 1% of all prescriptions

95

prescriptions.

16

patients, 2% of all patients

45 81
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

95

prescriptions, 1% of all prescriptions

71

prescriptions.

21

patients, 3% of all patients

45 36
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

91

prescriptions, 1% of all prescriptions

73

prescriptions.

21

patients, 3% of all patients

47 79
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

87

prescriptions.

11

patients, 2% of all patients

48 150
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

84

prescriptions, 1% of all prescriptions

84

prescriptions.

15

patients, 2% of all patients

49 64
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

81

prescriptions, 0% of all prescriptions

69

prescriptions.

21

patients, 3% of all patients

50 102
AZITHROMYCIN

Treats infections caused by... +

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

79

prescriptions, 0% of all prescriptions

66

prescriptions.

73

patients, 11% of all patients

A 51 46
IBUPROFEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine

76

prescriptions, 0% of all prescriptions

53

prescriptions.

40

patients, 6% of all patients

52 69
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

71

prescriptions, 0% of all prescriptions

60

prescriptions.

23

patients, 3% of all patients

53 94
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

70

prescriptions.

<11 54 57
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

70

prescriptions, 0% of all prescriptions

54

prescriptions.

14

patients, 2% of all patients

54 55
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

46

prescriptions.

14

patients, 2% of all patients

54 129
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

68

prescriptions, 0% of all prescriptions

63

prescriptions.

11

patients, 2% of all patients

57 56
CREON

Helps patients who have cys... +

Helps patients who have cystic fibrosis, pancreatitis, or digestive disorders digest food. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

66

prescriptions.

<11 58 99
LIDOCAINE

Causes numbness or loss of ... +

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

66

prescriptions, 0% of all prescriptions

50

prescriptions.

15

patients, 2% of all patients

58 73
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

64

prescriptions, 0% of all prescriptions

49

prescriptions.

11

patients, 2% of all patients

60 22
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

64

prescriptions, 0% of all prescriptions

64

prescriptions.

12

patients, 2% of all patients

60 24
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

55

prescriptions.

14

patients, 2% of all patients

62 54
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

60

prescriptions, 0% of all prescriptions

60

prescriptions.

12

patients, 2% of all patients

62 82
FLOVENT HFA

Prevents asthma attacks. Th... +

Prevents asthma attacks. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

28

patients, 4% of all patients

64 212
ZETIA

Lowers cholesterol in your ... +

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

57

prescriptions, 0% of all prescriptions

29

prescriptions.

<11 65 76
LOVAZA 57

prescriptions, 0% of all prescriptions

52

prescriptions.

19

patients, 3% of all patients

65 396
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

57

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 65 14
PLAVIX 54

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 68 347
DOXAZOSIN MESYLATE

Doxazosin (Cardura, Cardura... +

Doxazosin (Cardura, Cardura XL) 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

51

prescriptions, 0% of all prescriptions

51

prescriptions.

<11 69 120
GLIPIZIDE XL

Glipizide is used along wit... +

Glipizide is used along with diet and exercise, and sometimes with other medications, 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

50

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 70 107
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 Dec. 10, 2014.
  • 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.