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Prescriber Checkup

JONATHAN FISH MD

1990 HOSPITAL DRIVE SUITE 100

Sedro-wooley | Washington | 98284

(360) 856-4141

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At A Glance: This Prescriber in 2011

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

10,594Medicare Part D Prescriptions Filled, Including Refills

Rank: 34 out of 2008

$643K Total Retail Price of All Prescriptions

Rank: 24 out of 2008

437 Patients Receiving at Least One Drug in Part D
75%Patients 65 Years and Older
72% 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
Average for
this specialty
in Washington

Narcotics

32% of this provider’s 437 patients filled at least one prescription for a narcotic painkiller, compared to an average of 22%.

Antipsychotics to Seniors

8% of this provider’s 329 patients 65 and older filled at least one prescription for an antipsychotic, compared to an average of 1%.

Risky Drugs to Seniors

2% of this provider’s 8,053 prescriptions for patients 65 and older were for "potentially dangerous" drugs, compared to an average of 1%.

Brand Name Drugs

19% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.

Prescription Price

$61 was the average price of a prescription from this provider, compared to $54 among peers.

Prescriptions per Patient

24 is the average number of prescriptions (including refills) per patient, compared to an average of 17.


Another View

This chart shows a different comparison of all providers in this specialty based on their mix of drugs and volume. Providers are grouped by similarity; those least like their peers are farthest to the right. Hover over the bars to see names of other prescribers.

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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.

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A

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.

N

A narcotic drug. More » Misuse and abuse of narcotics led to some 16,000 overdose deaths in 2010.

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
Including Refills
Prescriptions
to 65+
Category For this Prescriber For All Prescribers in
This Specialty in Washington
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. Also helps heal a damaged esophagus, and helps prevent stomach bleeding in patients who have a serious illness. This medicine may be used in combination with antibiotics to treat ulcers. This medicine is a proton pump inhibitor (PPI). More info »

394 275 1 3
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. It is prescribed for people with certain types of irregular heartbeat, people with prosthetic (replacement or mechanical) heart valves, and people who have suffered a heart attack. Warfarin is also used to treat or prevent venous thrombosis (swelling and blood clot in a vein) and pulmonary embolism (a blood clot in the lung). Warfarin is in a class of medications called anticoagulants ('blood thinners'). It works by decreasing the clotting ability of the blood. More info »

362 274 2 12
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. More info »

346 298 N 3 5
FUROSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) and high blood pressure (hypertension). More info »

337 307 4 9
SIMVASTATIN

Treats high cholesterol and... +

Treats high cholesterol and triglyceride levels in the blood. Lowers risk of heart attack, stroke, and certain blood vessel problems in people with certain risk factors. This medicine is an HMG-CoA reductase inhibitor, also called a statin. More info »

334 276 5 2
LISINOPRIL

Treats high blood pressure ... +

Treats high blood pressure and heart failure. A lower blood pressure will reduce the risk of stroke and heart attack. Also used in the first few days after a heart attack to help reduce the risk of death. This medicine is an angiotensin-converting enzyme (ACE) inhibitor. More info »

320 294 6 1
SEROQUEL

Treats schizophrenia and sy... +

Treats schizophrenia and symptoms of bipolar disorder (manic-depressive illness). Used together with other medicines to treat major depressive disorder (MDD). More info »

305 181 A 7 45
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. Without this hormone, the body cannot function properly, resulting in: poor growth; slow speech; lack of energy; weight gain; hair loss; dry, thick skin; and increased sensitivity to cold. When taken correctly, levothyroxine reverses these symptoms. Levothyroxine is also used to treat congenital hypothyroidism (cretinism) and goiter (enlarged thyroid gland). More info »

288 224 8 4
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). It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

229 136 9 24
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). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood. Metformin is not 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). More info »

197 147 10 8
ATENOLOL

Treats high blood pressure ... +

Treats high blood pressure and angina (chest pain). May also lower the risk of repeated heart attacks. More info »

196 124 11 10
HYDROCHLOROTHIAZIDE

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and fluid retention (edema). This medicine is a diuretic (water pill). More info »

192 154 12 6
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. Over-the-counter ranitidine is used to prevent and treat symptoms of heartburn associated with acid indigestion and sour stomach. Ranitidine is in a class of medications called H2 blockers. It decreases the amount of acid made in the stomach. More info »

190 130 13 20
METOPROLOL TARTRATE

Metoprolol is used alone or... +

Metoprolol is used alone or in combination with other medications to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. Extended-release (long-acting) metoprolol also is used in combination with other medications to treat heart failure. Metoprolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure More info »

186 150 14 11
GABAPENTIN

Treats certain types of sei... +

Treats certain types of seizures. Also treats Restless Legs Syndrome (RLS) and pain caused by shingles (postherpetic neuralgia). More info »

183 140 15 15
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). Amlodipine is in a class of medications called calcium channel blockers. It lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard. It controls chest pain by increasing the supply of blood to the heart. If taken regularly, amlodipine controls chest pain, but it does not stop chest pain once it starts. Your doctor may prescribe a different medication to take when you have chest pain. More info »

183 178 15 7
POTASSIUM CHLORIDE

Potassium is needed to main... +

Potassium is needed to maintain good health. More info »

180 145 17 16
DIVALPROEX SODIUM

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Also used to treat the manic phase of bipolar disorder (manic-depressive illness) and to prevent migraine headaches. Belongs to a class of drugs called anticonvulsants. More info »

151 90 18 71
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). Donepezil is in a class of medications called cholinesterase inhibitors. It improves mental function (such as memory, attention, social interaction, reasoning and language abilities, and ability to perform activities of daily living) by increasing the amount of a certain naturally occurring substance in the brain. Donepezil may improve the ability to think and remember or slow the loss of these abilities in people who have AD. However, donepezil will not cure AD or prevent the loss of mental abilities at some time in the future. More info »

148 135 19 39
LOVASTATIN

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Helps prevent heart attack or other problems. Helps keep atherosclerosis (hardening of the arteries) from getting worse. This medicine is an HMG-CoA inhibitor, also called a statin. More info »

137 100 20 13
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). Paroxetine tablets and suspension are also used to treat obsessive-compulsive disorder (bothersome thoughts that won't go away and the need to perform certain actions over and over), generalized anxiety disorder (GAD; excessive worrying that is difficult to control), and posttraumatic stress disorder (disturbing psychological symptoms that develop after a frightening experience). Paroxetine extended-release tablets are also used to treat premenstrual dysphoric disorder (PMDD, physical and psychological symptoms that occur before the onset of the menstrual period each month). Paroxetine is in a class of medications called selective serotonin-reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

137 80 20 54
TRAZODONE HCL

Trazodone is used to treat ... +

Trazodone is used to treat depression. Trazodone is in a class of medications called serotonin modulators. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

133 105 22 22
OXYCODONE HCL

Oxycodone is used to reliev... +

Oxycodone is used to relieve moderate to severe pain. Oxycodone is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain. More info »

126 60 N 23 25
SPIRIVA

Prevents the symptoms of br... +

Prevents the symptoms of bronchospasm caused by emphysema, chronic bronchitis, or COPD (chronic obstructive pulmonary disease). This medicine is a bronchodilator. More info »

111 91 24 52
ZYPREXA

Treats psychotic mental dis... +

Treats psychotic mental disorders, such as schizophrenia or bipolar disorder (manic-depressive illness). More info »

108 33 A 25 83
CARVEDILOL

Treats high blood pressure ... +

Treats high blood pressure and congestive heart failure (CHF). Also reduces the risk of death from a heart attack. This medicine is a beta-blocker. More info »

99 84 26 36
CITALOPRAM HBR

Citalopram is used to treat... +

Citalopram is used to treat depression. Citalopram is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It is thought to work by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. More info »

96 80 27 14
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. More info »

94 67 28 63
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. More info »

91 42 A 29 59
DIGOXIN

Treats certain heart rhythm... +

Treats certain heart rhythm problems (atrial fibrillation). Also used to treat heart failure, usually in combination with a diuretic (water pill) and an angiotensin-converting enzyme (ACE) inhibitor. This medicine is also called digitalis. More info »

80 80 30 48
PREDNISONE

Treats inflammation (swelli... +

Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Also used to decrease some symptoms of cancer. This medicine is a steroid. More info »

80 74 30 41
ESTRADIOL

Replaces estrogen that decr... +

Replaces estrogen that decreases with menopause or removal of the ovaries. Also prevents osteoporosis and treats advanced prostate or advanced breast cancer in certain men and women. This medicine is an estrogen, which is a female hormone. More info »

73 46 R 32 85
PLAVIX

Used alone or together with... +

Used alone or together with aspirin to help prevent stroke, heart attack, and other heart problems. This medicine is a blood thinner. More info »

72 66 33 32
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. More info »

71 12 34 130
FENTANYL

Treats severe, ongoing pain... +

Treats severe, ongoing pain (during and after surgery, cancer pain) that cannot be controlled with other medicines. This medicine is a narcotic pain reliever. More info »

67 67 N 35 61
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. It also is used to prevent withdrawal symptoms in patients who were addicted to opiate drugs and are enrolled in treatment programs in order to stop taking or continue not taking the drugs. Methadone is in a class of medications called opiate (narcotic) analgesics. Methadone works to treat pain by changing the way the brain and nervous system respond to pain. It also works as a substitute for opiate drugs of abuse by producing similar effects and preventing withdrawal symptoms in people who have stopped using these drugs. More info »

65 46 N 36 46
TRAMADOL HCL

Tramadol is used to relieve... +

Tramadol is used to relieve moderate to moderately severe pain. Tramadol extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Tramadol is in a class of medications called opiate agonists. It works by changing the way the body senses pain. More info »

64 59 N 37 28
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

Used to relieve moderate to severe pain. More info »

64 62 N 37 40
PROAIR HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Also prevents wheezing caused by exercise (exercise-induced bronchospasm). This medicine is a bronchodilator. More info »

62 53 39 35
CRESTOR

Lowers high levels of chole... +

Lowers high levels of cholesterol and triglycerides (fats) in your blood. Helps keep atherosclerosis (hardening of the arteries) from getting worse. Lowers the risk of stroke and heart attack in people who have certain risk factors. This medicine is an HMG-CoA inhibitor, also called a statin. More info »

61 56 40 27
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. Tamsulosin is in a class of medications called alpha blockers. It works by relaxing the muscles in the prostate and bladder so that urine can flow easily. More info »

60 45 41 31
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. More info »

57 57 42 57
MIRTAZAPINE

Treats depression. +

Treats depression. More info »

56 53 43 47
ALLOPURINOL

Treats gout and some kinds ... +

Treats gout and some kinds of kidney stones. Lowers the amount of uric acid in blood. More info »

55 55 44 34
LIPITOR

Lowers high cholesterol and... +

Lowers high cholesterol and triglyceride levels in the blood. Lowers the risk of chest pain, stroke, heart attack, or certain heart and blood vessel problems in people who have certain risk factors. This medicine is an HMG-CoA inhibitor, also called a statin. More info »

52 34 45 18
PROPRANOLOL HCL

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, abnormal heart rhythms, heart disease, pheochromocytoma (tumor on a small gland near the kidneys), and certain types of tremor. It is also used to prevent angina (chest pain) and migraine headaches. Propranolol is also used to improve survival after a heart attack. Propranolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure. More info »

51 34 46 132
About This Data

ProPublica obtained prescribing data from Medicare’s prescription drug benefit, known as Part D, under the Freedom of Information Act. The data for 2011 includes nearly 1.2 billion prescriptions written by 1.6 million doctors, nurses and other providers. This database lists about 364,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. About three-fourths went to patients 65 and older; the rest were for disabled patients. Methodology »

Caveats
  • No comparisons are shown if 10 or fewer prescribers in the state share this specialty.
  • The list of top drugs includes only those for which this provider wrote 50 or more prescriptions, but all prescriptions are counted in the summary totals at the top.
  • The calculation of “Risky Drugs to Seniors” does not include drugs for which a provider wrote 11 or fewer prescriptions because Medicare redacted the information to protect patient privacy.
  • 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 July 8, 2007.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
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 drugs@propublica.org and we will update your information. If you have other questions about this data, send a note to drugs@propublica.org.