Prescriber Checkup
The Doctors and Drugs in Medicare Part D
This database was last updated in February 2019. It should only be used as a historical snapshot. You can look up doctors and find more recent data using the federal government's Prescriber Look-up Tool.
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NICHOLAS TSANOTELIS MD
At A Glance: This Prescriber in 2016
Self-Reported Primary Specialty
Rank: 22 out of 2681 providers in this state and specialty
Rank: 51 out of 2681 providers in this state and specialty
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Massachusetts lower than average
Antipsychotics
3% of this provider’s 705 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.
Antibiotics
38% of this provider’s 821 patients filled at least one prescription for an antibiotic drug, compared to an average of 18%.
Opioids
28% of this provider’s 821 patients filled at least one prescription for an opioid, compared to an average of 11%.
Brand Name Drugs
13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.
Prescription Price
$53 was the average price of a prescription from this provider, compared to $74 among peers.
Prescriptions per Patient
29 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 2014. All years may not be shown if there is insufficient data.
Cost of Claims
$1.2M
2014
$1.23M
2015
$1.27M
2016
Number of Claims
23,698
2014
23,437
2015
23,916
2016
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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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
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.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
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 provider received at least one payment from a pharmaceutical company related to this drug in 2016. More » This flag only appears for the top 50 most prescribed brand-name drugs in Medicare that year.
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This Drug's Rank
|
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
| OMEPRAZOLE |
816
prescriptions, 3% of all prescriptions |
662
prescriptions. |
175
patients, 21% of all patients |
1 | 3 | |
| WARFARIN SODIUM |
756
prescriptions, 3% of all prescriptions |
726
prescriptions. |
52
patients, 6% of all patients |
2 | 10 | |
| LEVOTHYROXINE SODIUM |
744
prescriptions, 3% of all prescriptions |
664
prescriptions. |
133
patients, 16% of all patients |
3 | 4 | |
| FUROSEMIDE |
677
prescriptions, 3% of all prescriptions |
560
prescriptions. |
126
patients, 15% of all patients |
4 | 7 | |
| ATORVASTATIN CALCIUM |
658
prescriptions, 3% of all prescriptions |
608
prescriptions. |
138
patients, 17% of all patients |
5 | 2 | |
| SIMVASTATIN |
654
prescriptions, 3% of all prescriptions |
569
prescriptions. |
132
patients, 16% of all patients |
6 | 5 | |
| AMLODIPINE BESYLATE |
604
prescriptions, 3% of all prescriptions |
543
prescriptions. |
122
patients, 15% of all patients |
7 | 6 | |
| LISINOPRIL |
596
prescriptions, 2% of all prescriptions |
496
prescriptions. |
127
patients, 15% of all patients |
8 | 1 | |
| PRAVASTATIN SODIUM |
583
prescriptions, 2% of all prescriptions |
495
prescriptions. |
107
patients, 13% of all patients |
9 | 16 | |
| GABAPENTIN |
493
prescriptions, 2% of all prescriptions |
368
prescriptions. |
105
patients, 13% of all patients |
10 | 13 | |
| HYDROCHLOROTHIAZIDE |
489
prescriptions, 2% of all prescriptions |
434
prescriptions. |
95
patients, 12% of all patients |
11 | 8 | |
| OXYCODONE-ACETAMINOPHEN |
468
prescriptions, 2% of all prescriptions |
286
prescriptions. |
77
patients, 9% of all patients |
O | 12 | 35 |
| LORAZEPAM |
467
prescriptions, 2% of all prescriptions |
362
prescriptions. |
103
patients, 13% of all patients |
13 | 17 | |
| METFORMIN HCL |
459
prescriptions, 2% of all prescriptions |
397
prescriptions. |
102
patients, 12% of all patients |
14 | 11 | |
| METOPROLOL SUCCINATE |
447
prescriptions, 2% of all prescriptions |
410
prescriptions. |
84
patients, 10% of all patients |
15 | 9 | |
| CITALOPRAM HBR |
437
prescriptions, 2% of all prescriptions |
361
prescriptions. |
83
patients, 10% of all patients |
16 | 20 | |
| METOPROLOL TARTRATE |
388
prescriptions, 2% of all prescriptions |
356
prescriptions. |
71
patients, 9% of all patients |
17 | 15 | |
| LOSARTAN POTASSIUM |
384
prescriptions, 2% of all prescriptions |
345
prescriptions. |
84
patients, 10% of all patients |
18 | 14 | |
| TRAZODONE HCL |
379
prescriptions, 2% of all prescriptions |
307
prescriptions. |
77
patients, 9% of all patients |
19 | 18 | |
| LISINOPRIL-HYDROCHLOROTHIAZIDE |
369
prescriptions, 2% of all prescriptions |
307
prescriptions. |
77
patients, 9% of all patients |
20 | 43 | |
| ATENOLOL |
361
prescriptions, 2% of all prescriptions |
294
prescriptions. |
66
patients, 8% of all patients |
21 | 12 | |
| OXYCODONE HCL |
310
prescriptions, 1% of all prescriptions |
187
prescriptions. |
56
patients, 7% of all patients |
O | 22 | 25 |
| PANTOPRAZOLE SODIUM |
293
prescriptions, 1% of all prescriptions |
247
prescriptions. |
49
patients, 6% of all patients |
23 | 24 | |
| LOSARTAN-HYDROCHLOROTHIAZIDE |
284
prescriptions, 1% of all prescriptions |
269
prescriptions. |
52
patients, 6% of all patients |
24 | 80 | |
| POTASSIUM CHLORIDE |
258
prescriptions, 1% of all prescriptions |
228
prescriptions. |
50
patients, 6% of all patients |
25 | 27 | |
| ALPRAZOLAM |
253
prescriptions, 1% of all prescriptions |
198
prescriptions. |
55
patients, 7% of all patients |
26 | 33 | |
| TAMSULOSIN HCL |
246
prescriptions, 1% of all prescriptions |
228
prescriptions. |
54
patients, 7% of all patients |
27 | 21 | |
| CLONAZEPAM |
245
prescriptions, 1% of all prescriptions |
161
prescriptions. |
42
patients, 5% of all patients |
28 | 36 | |
| FLUTICASONE PROPIONATE |
241
prescriptions, 1% of all prescriptions |
174
prescriptions. |
95
patients, 12% of all patients |
29 | 22 | |
| SERTRALINE HCL |
224
prescriptions, 1% of all prescriptions |
176
prescriptions. |
40
patients, 5% of all patients |
30 | 19 | |
| PREDNISONE |
219
prescriptions, 1% of all prescriptions |
190
prescriptions. |
85
patients, 10% of all patients |
31 | 34 | |
| HYDROCODONE-ACETAMINOPHEN |
212
prescriptions, 1% of all prescriptions |
167
prescriptions. |
51
patients, 6% of all patients |
O | 32 | 38 |
| DULOXETINE HCL |
173
prescriptions, 1% of all prescriptions |
106
prescriptions. |
35
patients, 4% of all patients |
33 | 53 | |
| FINASTERIDE |
168
prescriptions, 1% of all prescriptions |
163
prescriptions. |
32
patients, 4% of all patients |
34 | 50 | |
| DONEPEZIL HCL |
165
prescriptions, 1% of all prescriptions |
160
prescriptions. |
29
patients, 4% of all patients |
35 | 31 | |
| ALLOPURINOL |
164
prescriptions, 1% of all prescriptions |
151
prescriptions. |
42
patients, 5% of all patients |
36 | 23 | |
| MIRTAZAPINE |
159
prescriptions, 1% of all prescriptions |
136
prescriptions. |
28
patients, 3% of all patients |
37 | 28 | |
| GLIMEPIRIDE |
156
prescriptions, 1% of all prescriptions |
124
prescriptions. |
36
patients, 4% of all patients |
38 | 58 | |
| RANITIDINE HCL |
152
prescriptions, 1% of all prescriptions |
103
prescriptions. |
35
patients, 4% of all patients |
39 | 29 | |
| ALENDRONATE SODIUM |
145
prescriptions, 1% of all prescriptions |
145
prescriptions. |
26
patients, 3% of all patients |
40 | 30 | |
| CLOPIDOGREL |
143
prescriptions, 1% of all prescriptions |
138
prescriptions. |
38
patients, 5% of all patients |
41 | 32 | |
| FAMOTIDINE* |
137
prescriptions, 1% of all prescriptions |
119
prescriptions. |
36
patients, 4% of all patients |
42 | 87 | |
| IBUPROFEN |
135
prescriptions, 1% of all prescriptions |
68
prescriptions. |
40
patients, 5% of all patients |
43 | 44 | |
| ZOLPIDEM TARTRATE |
134
prescriptions, 1% of all prescriptions |
105
prescriptions. |
29
patients, 4% of all patients |
44 | 42 | |
| SPIRONOLACTONE |
130
prescriptions, 1% of all prescriptions |
109
prescriptions. |
25
patients, 3% of all patients |
45 | 74 | |
| BD ULTRA-FINE PEN NEEDLE |
128
prescriptions, 1% of all prescriptions |
84
prescriptions. |
28
patients, 3% of all patients |
46 | 96 | |
| DIAZEPAM |
128
prescriptions, 1% of all prescriptions |
90
prescriptions. |
22
patients, 3% of all patients |
46 | 93 | |
| DILTIAZEM 24HR ER |
126
prescriptions, 1% of all prescriptions |
110
prescriptions. |
32
patients, 4% of all patients |
48 | 70 | |
| ADVAIR DISKUS |
124
prescriptions, 1% of all prescriptions |
86
prescriptions. |
29
patients, 4% of all patients |
49 | 51 | |
| TRAMADOL HCL |
120
prescriptions, 1% of all prescriptions |
109
prescriptions. |
55
patients, 7% of all patients |
O | 50 | 26 |
| LABETALOL HCL |
119
prescriptions, 0% of all prescriptions |
96
prescriptions. |
24
patients, 3% of all patients |
51 | 110 | |
| AZITHROMYCIN |
118
prescriptions, 0% of all prescriptions |
98
prescriptions. |
85
patients, 10% of all patients |
A | 52 | 73 |
| PROAIR HFA |
110
prescriptions, 0% of all prescriptions |
62
prescriptions. |
43
patients, 5% of all patients |
53 | 37 | |
| TIZANIDINE HCL |
97
prescriptions, 0% of all prescriptions |
66
prescriptions. |
39
patients, 5% of all patients |
54 | 129 | |
| VENLAFAXINE HCL ER |
95
prescriptions, 0% of all prescriptions |
74
prescriptions. |
22
patients, 3% of all patients |
55 | 72 | |
| ISOSORBIDE MONONITRATE ER |
94
prescriptions, 0% of all prescriptions |
89
prescriptions. |
16
patients, 2% of all patients |
56 | 54 | |
| SPIRIVA |
91
prescriptions, 0% of all prescriptions |
86
prescriptions. |
16
patients, 2% of all patients |
57 | 67 | |
| CLOZAPINE |
89
prescriptions, 0% of all prescriptions |
57
prescriptions. |
<11 | P | 58 | 97 |
| GLIPIZIDE |
82
prescriptions, 0% of all prescriptions |
77
prescriptions. |
20
patients, 2% of all patients |
59 | 39 | |
| AMITRIPTYLINE HCL |
81
prescriptions, 0% of all prescriptions |
51
prescriptions. |
13
patients, 2% of all patients |
60 | 92 | |
| LEVOFLOXACIN |
79
prescriptions, 0% of all prescriptions |
65
prescriptions. |
54
patients, 7% of all patients |
A | 61 | 104 |
| HYDRALAZINE HCL |
79
prescriptions, 0% of all prescriptions |
74
prescriptions. |
13
patients, 2% of all patients |
61 | 91 | |
| BUPROPION HCL SR |
77
prescriptions, 0% of all prescriptions |
45
prescriptions. |
20
patients, 2% of all patients |
63 | 118 | |
| NAPROXEN |
77
prescriptions, 0% of all prescriptions |
66
prescriptions. |
33
patients, 4% of all patients |
63 | 102 | |
| DIVALPROEX SODIUM |
74
prescriptions, 0% of all prescriptions |
69
prescriptions. |
15
patients, 2% of all patients |
65 | 52 | |
| KLOR-CON M20 |
74
prescriptions, 0% of all prescriptions |
69
prescriptions. |
15
patients, 2% of all patients |
65 | 145 | |
| CIPROFLOXACIN HCL |
74
prescriptions, 0% of all prescriptions |
63
prescriptions. |
60
patients, 7% of all patients |
A | 65 | 103 |
| ESCITALOPRAM OXALATE |
74
prescriptions, 0% of all prescriptions |
61
prescriptions. |
12
patients, 1% of all patients |
65 | 47 | |
| VENTOLIN HFA |
69
prescriptions, 0% of all prescriptions |
38
prescriptions. |
24
patients, 3% of all patients |
69 | 64 | |
| FLUOXETINE HCL |
68
prescriptions, 0% of all prescriptions |
63
prescriptions. |
14
patients, 2% of all patients |
70 | 41 | |
| NAMENDA XR |
67
prescriptions, 0% of all prescriptions |
67
prescriptions. |
<11 | 71 | 56 | |
| LANTUS SOLOSTAR |
66
prescriptions, 0% of all prescriptions |
45
prescriptions. |
15
patients, 2% of all patients |
72 | 61 | |
| BETAMETHASONE DIPROPIONATE* |
65
prescriptions, 0% of all prescriptions |
60
prescriptions. |
40
patients, 5% of all patients |
73 | 296 | |
| QUINAPRIL HCL |
65
prescriptions, 0% of all prescriptions |
65
prescriptions. |
11
patients, 1% of all patients |
73 | 133 | |
| LEVEMIR FLEXTOUCH |
64
prescriptions, 0% of all prescriptions |
51
prescriptions. |
<11 | 75 | 140 | |
| CEPHALEXIN |
63
prescriptions, 0% of all prescriptions |
58
prescriptions. |
38
patients, 5% of all patients |
A | 76 | 159 |
| CYCLOBENZAPRINE HCL |
62
prescriptions, 0% of all prescriptions |
37
prescriptions. |
24
patients, 3% of all patients |
77 | 127 | |
| NADOLOL |
59
prescriptions, 0% of all prescriptions |
46
prescriptions. |
12
patients, 1% of all patients |
78 | 371 | |
| JANUVIA |
59
prescriptions, 0% of all prescriptions |
54
prescriptions. |
14
patients, 2% of all patients |
78 | 69 | |
| PAROXETINE HCL |
59
prescriptions, 0% of all prescriptions |
44
prescriptions. |
13
patients, 2% of all patients |
78 | 60 | |
| LOVASTATIN |
57
prescriptions, 0% of all prescriptions |
57
prescriptions. |
12
patients, 1% of all patients |
81 | 46 | |
| CELECOXIB |
57
prescriptions, 0% of all prescriptions |
44
prescriptions. |
15
patients, 2% of all patients |
81 | 116 | |
| CARTIA XT |
57
prescriptions, 0% of all prescriptions |
45
prescriptions. |
12
patients, 1% of all patients |
81 | 291 | |
| OLANZAPINE |
56
prescriptions, 0% of all prescriptions |
25
prescriptions. |
<11 | P | 84 | 66 |
| OXYBUTYNIN CHLORIDE ER |
56
prescriptions, 0% of all prescriptions |
51
prescriptions. |
<11 | 84 | 84 | |
| SULFAMETHOXAZOLE-TRIMETHOPRIM |
55
prescriptions, 0% of all prescriptions |
44
prescriptions. |
41
patients, 5% of all patients |
A | 86 | 167 |
| CARVEDILOL |
54
prescriptions, 0% of all prescriptions |
54
prescriptions. |
16
patients, 2% of all patients |
87 | 49 | |
| MECLIZINE HCL |
54
prescriptions, 0% of all prescriptions |
49
prescriptions. |
20
patients, 2% of all patients |
87 | 111 | |
| KETOCONAZOLE |
54
prescriptions, 0% of all prescriptions |
43
prescriptions. |
32
patients, 4% of all patients |
87 | 194 | |
| GEMFIBROZIL |
54
prescriptions, 0% of all prescriptions |
31
prescriptions. |
<11 | 87 | 150 | |
| AMOXICILLIN-CLAVULANATE POTASS |
53
prescriptions, 0% of all prescriptions |
48
prescriptions. |
46
patients, 6% of all patients |
A | 91 | 154 |
| PROPRANOLOL HCL |
52
prescriptions, 0% of all prescriptions |
39
prescriptions. |
<11 | 92 | 151 | |
| CARBIDOPA-LEVODOPA |
52
prescriptions, 0% of all prescriptions |
47
prescriptions. |
<11 | 92 | 101 | |
| MONTELUKAST SODIUM |
50
prescriptions, 0% of all prescriptions |
45
prescriptions. |
13
patients, 2% of all patients |
94 | 59 | |
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 2016 includes more than 1.5 billion prescriptions written by 1.1 million doctors, nurses and other providers. This database lists over 460,000 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 Sept. 22, 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.