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 »

13,189Medicare Part D Prescriptions Filled, Including Refills

Rank: 5 out of 118

$697K Total Retail Price of All Prescriptions

Rank: 10 out of 118

726 Patients Receiving at Least One Drug in Part D
83% Patients 65 Years and Older

53% 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 Vermont
lower than average

Antipsychotics

4% of this provider’s 603 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

12% of this provider’s 726 patients filled at least one prescription for an antibiotic drug, compared to an average of 22%.

More resources »

Risky Drugs for Seniors

10% of this provider’s 603 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

17% of this provider’s 726 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$53 was the average price of a prescription from this provider, compared to $74 among peers.

Prescriptions per Patient

18 is the average number of prescriptions (including refills) per patient, compared to an average of 16.


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

$574K

2012

$585K

2013

$674K

2014

$697K

2015

Number of Claims

12,507

2012

13,555

2013

14,428

2014

13,189

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
LISINOPRIL

Treats high blood pressure ... +

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

565

prescriptions, 4% of all prescriptions

531

prescriptions.

107

patients, 15% of all patients

1 1
SIMVASTATIN

Treats high cholesterol and... +

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

530

prescriptions, 4% of all prescriptions

489

prescriptions.

121

patients, 17% of all patients

2 3
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

528

prescriptions, 4% of all prescriptions

470

prescriptions.

77

patients, 11% of all patients

3 2
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

526

prescriptions, 4% of all prescriptions

504

prescriptions.

97

patients, 13% of all patients

4 8
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

490

prescriptions, 4% of all prescriptions

424

prescriptions.

90

patients, 12% of all patients

5 4
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

414

prescriptions, 3% of all prescriptions

409

prescriptions.

35

patients, 5% of all patients

6 9
FUROSEMIDE

Treats fluid retention (ede... +

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

414

prescriptions, 3% of all prescriptions

396

prescriptions.

82

patients, 11% of all patients

6 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

369

prescriptions, 3% of all prescriptions

350

prescriptions.

83

patients, 11% of all patients

8 5
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

365

prescriptions, 3% of all prescriptions

360

prescriptions.

67

patients, 9% of all patients

9 11
GABAPENTIN

Treats certain types of sei... +

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

316

prescriptions, 2% of all prescriptions

253

prescriptions.

50

patients, 7% of all patients

10 13
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

303

prescriptions, 2% of all prescriptions

278

prescriptions.

59

patients, 8% of all patients

11 12
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

270

prescriptions, 2% of all prescriptions

265

prescriptions.

57

patients, 8% of all patients

12 6
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

247

prescriptions, 2% of all prescriptions

242

prescriptions.

55

patients, 8% of all patients

13 10
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

222

prescriptions, 2% of all prescriptions

222

prescriptions.

40

patients, 6% of all patients

14 24
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

209

prescriptions, 2% of all prescriptions

181

prescriptions.

38

patients, 5% of all patients

15 17
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). Source: National Library of Medicine

185

prescriptions, 1% of all prescriptions

161

prescriptions.

27

patients, 4% of all patients

16 83
ATENOLOL

Treats high blood pressure ... +

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

178

prescriptions, 1% of all prescriptions

164

prescriptions.

41

patients, 6% of all patients

17 15
CITALOPRAM HBR

Citalopram is used to treat... +

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

171

prescriptions, 1% of all prescriptions

156

prescriptions.

29

patients, 4% of all patients

18 18
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

158

prescriptions, 1% of all prescriptions

140

prescriptions.

35

patients, 5% of all patients

19 22
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

156

prescriptions, 1% of all prescriptions

151

prescriptions.

24

patients, 3% of all patients

20 23
OXYCODONE HCL

Oxycodone is used to reliev... +

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

148

prescriptions, 1% of all prescriptions

36

prescriptions.

29

patients, 4% of all patients

O 21 25
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

147

prescriptions, 1% of all prescriptions

142

prescriptions.

39

patients, 5% of all patients

22 16
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

144

prescriptions, 1% of all prescriptions

55

prescriptions.

26

patients, 4% of all patients

O 23 36
METFORMIN HCL ER

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

116

prescriptions, 1% of all prescriptions

111

prescriptions.

23

patients, 3% of all patients

24 74
CLOPIDOGREL

Helps prevent stroke, heart... +

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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

25

patients, 3% of all patients

25 35
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

112

prescriptions, 1% of all prescriptions

100

prescriptions.

18

patients, 2% of all patients

P 26 52
LOVASTATIN

Lowers high cholesterol and... +

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

108

prescriptions, 1% of all prescriptions

103

prescriptions.

21

patients, 3% of all patients

27 42
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

102

prescriptions, 1% of all prescriptions

72

prescriptions.

28

patients, 4% of all patients

O 28 21
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

101

prescriptions, 1% of all prescriptions

82

prescriptions.

20

patients, 3% of all patients

29 48
MORPHINE SULFATE ER

Morphine (extended release)... +

Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine

97

prescriptions, 1% of all prescriptions

26

prescriptions.

<11 O 30 49
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

95

prescriptions, 1% of all prescriptions

65

prescriptions.

13

patients, 2% of all patients

R 31 79
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

87

prescriptions, 1% of all prescriptions

87

prescriptions.

17

patients, 2% of all patients

32 57
CRESTOR

Lowers high levels of chole... +

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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

17

patients, 2% of all patients

33 34
GLIPIZIDE ER

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

83

prescriptions, 1% of all prescriptions

83

prescriptions.

20

patients, 3% of all patients

34 145
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

79

prescriptions, 1% of all prescriptions

46

prescriptions.

30

patients, 4% of all patients

35 29
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

78

prescriptions, 1% of all prescriptions

66

prescriptions.

17

patients, 2% of all patients

36 38
OXYCONTIN

Oxycodone is used to reliev... +

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

77

prescriptions, 1% of all prescriptions

24

prescriptions.

<11 O 37 117
TRAZODONE HCL

Trazodone is used to treat ... +

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

77

prescriptions, 1% of all prescriptions

60

prescriptions.

17

patients, 2% of all patients

37 20
ALLOPURINOL

Treats gout and some kinds ... +

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

75

prescriptions, 1% of all prescriptions

70

prescriptions.

18

patients, 2% of all patients

39 31
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

74

prescriptions, 1% of all prescriptions

69

prescriptions.

12

patients, 2% of all patients

40 32
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

73

prescriptions.

<11 41 105
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

73

prescriptions, 1% of all prescriptions

59

prescriptions.

19

patients, 3% of all patients

41 62
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

67

prescriptions, 1% of all prescriptions

62

prescriptions.

19

patients, 3% of all patients

R 43 27
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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

14

patients, 2% of all patients

44 65
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

65

prescriptions, 0% of all prescriptions

54

prescriptions.

<11 O 45 40
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

65

prescriptions, 0% of all prescriptions

60

prescriptions.

12

patients, 2% of all patients

45 37
LORAZEPAM

Treats anxiety, anxiety wit... +

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

60

prescriptions, 0% of all prescriptions

55

prescriptions.

29

patients, 4% of all patients

47 14
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

58

prescriptions, 0% of all prescriptions

53

prescriptions.

17

patients, 2% of all patients

48 172
DIAZEPAM

Treats anxiety, muscle spas... +

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

57

prescriptions, 0% of all prescriptions

35

prescriptions.

12

patients, 2% of all patients

49 61
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

57

prescriptions, 0% of all prescriptions

57

prescriptions.

14

patients, 2% of all patients

49 71
PREDNISONE

Treats inflammation (swelli... +

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

56

prescriptions, 0% of all prescriptions

33

prescriptions.

17

patients, 2% of all patients

51 26
CLONAZEPAM

Treats seizures, panic diso... +

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

54

prescriptions, 0% of all prescriptions

41

prescriptions.

17

patients, 2% of all patients

52 30
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 53 50
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

52

prescriptions, 0% of all prescriptions

36

prescriptions.

<11 54 133
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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 55 28
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

50

prescriptions, 0% of all prescriptions

45

prescriptions.

<11 56 53
TRAMADOL HCL

Tramadol is used to relieve... +

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

50

prescriptions, 0% of all prescriptions

36

prescriptions.

22

patients, 3% of all patients

O 56 19
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 Dec. 13, 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.