Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Family Medicine

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,695Medicare Part D Prescriptions Filled, Including Refills

Rank: 180 out of 7305

$762K Total Retail Price of All Prescriptions

Rank: 396 out of 7305

684 Patients Receiving at Least One Drug in Part D
58% Patients 65 Years and Older

79% 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 California
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

19% of this provider’s 684 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 399 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

39% of this provider’s 684 patients filled at least one prescription for an opioid, compared to an average of 18%.

More resources »

Brand Name Drugs

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

Prescription Price

$49 was the average price of a prescription from this provider, compared to $59 among peers.

Prescriptions per Patient

23 is the average number of prescriptions (including refills) per patient, compared to an average of 14.


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

$508K

2012

$577K

2013

$766K

2014

$762K

2015

Number of Claims

11,111

2012

12,944

2013

15,471

2014

15,695

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
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

1,581

prescriptions, 10% of all prescriptions

698

prescriptions.

209

patients, 31% of all patients

O 1 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

552

prescriptions, 4% of all prescriptions

324

prescriptions.

104

patients, 15% of all patients

2 7
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

407

prescriptions, 3% of all prescriptions

270

prescriptions.

98

patients, 14% of all patients

3 6
ALPRAZOLAM

Treats anxiety, panic disor... +

Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine

400

prescriptions, 3% of all prescriptions

148

prescriptions.

53

patients, 8% of all patients

4 23
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

382

prescriptions, 2% of all prescriptions

263

prescriptions.

73

patients, 11% of all patients

5 4
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

372

prescriptions, 2% of all prescriptions

208

prescriptions.

71

patients, 10% of all patients

6 2
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

371

prescriptions, 2% of all prescriptions

38

prescriptions.

58

patients, 8% of all patients

R 7 122
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

337

prescriptions, 2% of all prescriptions

203

prescriptions.

69

patients, 10% of all patients

8 77
SIMVASTATIN

Treats high cholesterol and... +

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

336

prescriptions, 2% of all prescriptions

229

prescriptions.

76

patients, 11% of all patients

9 5
LISINOPRIL

Treats high blood pressure ... +

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

316

prescriptions, 2% of all prescriptions

208

prescriptions.

88

patients, 13% of all patients

10 3
FUROSEMIDE

Treats fluid retention (ede... +

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

313

prescriptions, 2% of all prescriptions

206

prescriptions.

78

patients, 11% of all patients

11 12
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

299

prescriptions, 2% of all prescriptions

188

prescriptions.

70

patients, 10% of all patients

12 26
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

296

prescriptions, 2% of all prescriptions

201

prescriptions.

77

patients, 11% of all patients

13 10
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

261

prescriptions, 2% of all prescriptions

183

prescriptions.

64

patients, 9% of all patients

14 18
DIAZEPAM

Treats anxiety, muscle spas... +

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

260

prescriptions, 2% of all prescriptions

101

prescriptions.

38

patients, 6% of all patients

15 91
LORAZEPAM

Treats anxiety, anxiety wit... +

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

256

prescriptions, 2% of all prescriptions

96

prescriptions.

43

patients, 6% of all patients

16 20
MORPHINE SULFATE ER

Morphine (extended release)... +

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

243

prescriptions, 2% of all prescriptions

83

prescriptions.

29

patients, 4% of all patients

O 17 79
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

223

prescriptions, 1% of all prescriptions

109

prescriptions.

58

patients, 8% of all patients

18 32
ATENOLOL

Treats high blood pressure ... +

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

219

prescriptions, 1% of all prescriptions

157

prescriptions.

41

patients, 6% of all patients

19 11
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

217

prescriptions, 1% of all prescriptions

114

prescriptions.

56

patients, 8% of all patients

20 152
GABAPENTIN

Treats certain types of sei... +

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

203

prescriptions, 1% of all prescriptions

91

prescriptions.

35

patients, 5% of all patients

21 13
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

182

prescriptions, 1% of all prescriptions

68

prescriptions.

34

patients, 5% of all patients

O 22 65
TRAMADOL HCL

Tramadol is used to relieve... +

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

182

prescriptions, 1% of all prescriptions

151

prescriptions.

49

patients, 7% of all patients

O 22 25
TEMAZEPAM

Treats insomnia (trouble sl... +

Treats insomnia (trouble sleeping). Source: National Library of Medicine

178

prescriptions, 1% of all prescriptions

111

prescriptions.

33

patients, 5% of all patients

24 56
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

160

prescriptions, 1% of all prescriptions

133

prescriptions.

30

patients, 4% of all patients

25 16
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

154

prescriptions, 1% of all prescriptions

62

prescriptions.

32

patients, 5% of all patients

R 26 39
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

153

prescriptions, 1% of all prescriptions

85

prescriptions.

33

patients, 5% of all patients

27 28
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

143

prescriptions, 1% of all prescriptions

14

prescriptions.

24

patients, 4% of all patients

P 28 75
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

137

prescriptions, 1% of all prescriptions

89

prescriptions.

30

patients, 4% of all patients

29 69
OXYCODONE HCL

Oxycodone is used to reliev... +

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

133

prescriptions, 1% of all prescriptions

42

prescriptions.

19

patients, 3% of all patients

O 30 94
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

132

prescriptions, 1% of all prescriptions

78

prescriptions.

38

patients, 6% of all patients

31 1
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

129

prescriptions, 1% of all prescriptions

64

prescriptions.

24

patients, 4% of all patients

32 21
CLOPIDOGREL

Helps prevent stroke, heart... +

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

128

prescriptions, 1% of all prescriptions

80

prescriptions.

26

patients, 4% of all patients

33 30
ALLOPURINOL

Treats gout and some kinds ... +

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

127

prescriptions, 1% of all prescriptions

99

prescriptions.

21

patients, 3% of all patients

34 35
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

114

prescriptions, 1% of all prescriptions

72

prescriptions.

31

patients, 5% of all patients

35 14
CLONAZEPAM

Treats seizures, panic diso... +

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

107

prescriptions, 1% of all prescriptions

55

prescriptions.

14

patients, 2% of all patients

36 63
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

107

prescriptions, 1% of all prescriptions

44

prescriptions.

23

patients, 3% of all patients

36 50
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

102

prescriptions, 1% of all prescriptions

73

prescriptions.

27

patients, 4% of all patients

38 51
BACLOFEN

Treats muscle spasms caused... +

Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

43

prescriptions.

34

patients, 5% of all patients

39 62
TRIAMCINOLONE ACETONIDE

Triamcinolone is used to tr... +

Triamcinolone is used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

41

prescriptions.

41

patients, 6% of all patients

40 52
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

94

prescriptions, 1% of all prescriptions

54

prescriptions.

20

patients, 3% of all patients

41 29
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

94

prescriptions, 1% of all prescriptions

68

prescriptions.

22

patients, 3% of all patients

41 19
PIOGLITAZONE HCL

Pioglitazone is used to tre... +

Pioglitazone is used 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

84

prescriptions, 1% of all prescriptions

54

prescriptions.

14

patients, 2% of all patients

43 53
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

83

prescriptions, 1% of all prescriptions

67

prescriptions.

15

patients, 2% of all patients

44 17
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

80

prescriptions, 1% of all prescriptions

51

prescriptions.

19

patients, 3% of all patients

45 15
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

47

prescriptions.

18

patients, 3% of all patients

46 126
CARVEDILOL

Treats high blood pressure ... +

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

77

prescriptions, 0% of all prescriptions

52

prescriptions.

20

patients, 3% of all patients

47 24
TRAZODONE HCL

Trazodone is used to treat ... +

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

77

prescriptions, 0% of all prescriptions

50

prescriptions.

11

patients, 2% of all patients

47 34
LIDOCAINE

Causes numbness or loss of ... +

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

73

prescriptions, 0% of all prescriptions

35

prescriptions.

14

patients, 2% of all patients

49 132
BENAZEPRIL HCL

Benazepril is used alone or... +

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

70

prescriptions, 0% of all prescriptions

56

prescriptions.

16

patients, 2% of all patients

50 27
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

68

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 51 37
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

66

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 52 72
OXYBUTYNIN CHLORIDE

Oxybutynin is used to contr... +

Oxybutynin is used to control urgent, frequent, or uncontrolled urination in people who have overactive bladder (a condition in which the bladder muscles have uncontrollable spasms), spina bifida (a disability that occurs when the spinal cord does not close properly before birth), or other conditions that affect the bladder muscles. Source: National Library of Medicine

64

prescriptions, 0% of all prescriptions

45

prescriptions.

14

patients, 2% of all patients

53 117
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

33

prescriptions.

13

patients, 2% of all patients

54 73
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

49

prescriptions.

12

patients, 2% of all patients

54 42
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

62

prescriptions, 0% of all prescriptions

25

prescriptions.

11

patients, 2% of all patients

56 31
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

62

prescriptions, 0% of all prescriptions

25

prescriptions.

12

patients, 2% of all patients

R 56 119
CEPHALEXIN

Treats bacterial infections... +

Treats bacterial infections. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

28

prescriptions.

53

patients, 8% of all patients

A 58 95
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

59

prescriptions, 0% of all prescriptions

21

prescriptions.

<11 59 85
NOVOLOG

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

28

prescriptions.

18

patients, 3% of all patients

60 151
TRIAMTERENE-HYDROCHLOROTHIAZID

Used to treat high blood pr... +

Used to treat high blood pressure and edema (fluid retention; excess fluid held in body tissues) in patients who have lower amounts of potassium in their bodies or for whom low potassium levels in the body could be dangerous. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

35

prescriptions.

14

patients, 2% of all patients

61 57
CYCLOBENZAPRINE HCL

Cyclobenzaprine, a muscle r... +

Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

24

prescriptions.

14

patients, 2% of all patients

R 62 153
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

52

prescriptions, 0% of all prescriptions

32

prescriptions.

<11 63 109
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

51

prescriptions, 0% of all prescriptions

17

prescriptions.

<11 64 59
NAPROXEN

Treats fever and pain, incl... +

Treats fever and pain, including pain caused by arthritis, gout, menstrual cramps, tendinitis, headache, backache, and toothache. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

18

prescriptions.

15

patients, 2% of all patients

64 66
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 64 199
CELECOXIB

Treats mild to moderate pai... +

Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

19

prescriptions.

<11 67 84
CIPROFLOXACIN HCL

Ciprofloxacin is used to tr... +

Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

29

prescriptions.

39

patients, 6% of all patients

A 67 70
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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected].

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 July 9, 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.
  • 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.