Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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RONALD SIGLER MD
At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 18 out of 547
Rank: 55 out of 547
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
this specialty
in Idaho lower than average
Antipsychotics
6% of this provider’s 383 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 3%.
Antibiotics
43% of this provider’s 466 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.
Risky Drugs for Seniors
19% of this provider’s 383 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 12%.
Opioids
36% of this provider’s 466 patients filled at least one prescription for an opioid, compared to an average of 20%.
Brand Name Drugs
14% of this provider’s prescriptions were for brand-name drugs, compared to an average of 18%.
Prescription Price
$44 was the average price of a prescription from this provider, compared to $62 among peers.
Prescriptions per Patient
27 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 2012. All years may not be shown if there is insufficient data.
Cost of Claims
$577K
2012
$589K
2013
$563K
2014
$551K
2015
Number of Claims
12,087
2012
12,768
2013
11,802
2014
12,613
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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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.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
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
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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 |
HYDROCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
608
prescriptions, 5% of all prescriptions |
364
prescriptions. |
103
patients, 22% of all patients |
O | 1 | 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 |
534
prescriptions, 4% of all prescriptions |
451
prescriptions. |
79
patients, 17% of all patients |
2 | 1 | |
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 |
417
prescriptions, 3% of all prescriptions |
333
prescriptions. |
87
patients, 19% of all patients |
3 | 2 | |
POTASSIUM CHLORIDE
Potassium is needed to main... + Potassium is needed to maintain good health. Source: National Library of Medicine |
331
prescriptions, 3% of all prescriptions |
253
prescriptions. |
63
patients, 14% of all patients |
4 | 12 | |
LISINOPRIL
Treats high blood pressure ... + Treats high blood pressure and heart failure. Source: National Library of Medicine |
309
prescriptions, 2% of all prescriptions |
243
prescriptions. |
56
patients, 12% of all patients |
5 | 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 |
281
prescriptions, 2% of all prescriptions |
247
prescriptions. |
45
patients, 10% of all patients |
6 | 7 | |
FUROSEMIDE
Treats fluid retention (ede... + Treats fluid retention (edema) and high blood pressure (hypertension). Source: National Library of Medicine |
279
prescriptions, 2% of all prescriptions |
207
prescriptions. |
60
patients, 13% of all patients |
7 | 9 | |
SIMVASTATIN
Treats high cholesterol and... + Treats high cholesterol and triglyceride levels in the blood. Source: National Library of Medicine |
260
prescriptions, 2% of all prescriptions |
204
prescriptions. |
46
patients, 10% of all patients |
8 | 6 | |
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 |
251
prescriptions, 2% of all prescriptions |
194
prescriptions. |
43
patients, 9% of all patients |
9 | 8 | |
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 |
219
prescriptions. |
35
patients, 8% of all patients |
10 | 11 | |
ALPRAZOLAM
Treats anxiety, panic disor... + Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine |
242
prescriptions, 2% of all prescriptions |
134
prescriptions. |
39
patients, 8% of all patients |
11 | 24 | |
LORAZEPAM
Treats anxiety, anxiety wit... + Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine |
235
prescriptions, 2% of all prescriptions |
159
prescriptions. |
39
patients, 8% of all patients |
12 | 26 | |
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
227
prescriptions, 2% of all prescriptions |
162
prescriptions. |
47
patients, 10% of all patients |
13 | 10 | |
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 |
206
prescriptions, 2% of all prescriptions |
172
prescriptions. |
38
patients, 8% of all patients |
14 | 14 | |
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 |
181
prescriptions, 1% of all prescriptions |
159
prescriptions. |
28
patients, 6% of all patients |
15 | 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 |
181
prescriptions, 1% of all prescriptions |
152
prescriptions. |
33
patients, 7% of all patients |
15 | 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 |
174
prescriptions, 1% of all prescriptions |
141
prescriptions. |
35
patients, 8% of all patients |
17 | 17 | |
CITALOPRAM HBR
Citalopram is used to treat... + Citalopram is used to treat depression. Source: National Library of Medicine |
167
prescriptions, 1% of all prescriptions |
111
prescriptions. |
30
patients, 6% of all patients |
18 | 21 | |
OXYCODONE HCL
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
161
prescriptions, 1% of all prescriptions |
67
prescriptions. |
22
patients, 5% of all patients |
O | 19 | 48 |
AZITHROMYCIN
Treats infections caused by... + Treats infections caused by certain bacteria. Source: National Library of Medicine |
158
prescriptions, 1% of all prescriptions |
113
prescriptions. |
86
patients, 18% of all patients |
A | 20 | 56 |
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 |
152
prescriptions, 1% of all prescriptions |
96
prescriptions. |
35
patients, 8% of all patients |
R | 21 | 27 |
TRAMADOL HCL
Tramadol is used to relieve... + Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine |
135
prescriptions, 1% of all prescriptions |
95
prescriptions. |
34
patients, 7% of all patients |
O | 22 | 16 |
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 |
134
prescriptions, 1% of all prescriptions |
62
prescriptions. |
18
patients, 4% of all patients |
23 | 30 | |
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 |
129
prescriptions, 1% of all prescriptions |
82
prescriptions. |
25
patients, 5% of all patients |
P | 24 | 54 |
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 |
127
prescriptions, 1% of all prescriptions |
103
prescriptions. |
27
patients, 6% of all patients |
25 | 87 | |
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 |
126
prescriptions, 1% of all prescriptions |
86
prescriptions. |
16
patients, 3% of all patients |
26 | 36 | |
ROPINIROLE HCL
Ropinirole is used alone or... + Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease (PD; a disorder of the nervous system that causes difficulties with movement, muscle control, and balance), including shaking of parts of the body, stiffness, slowed movements, and problems with balance. Source: National Library of Medicine |
121
prescriptions, 1% of all prescriptions |
72
prescriptions. |
25
patients, 5% of all patients |
27 | 55 | |
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 |
116
prescriptions, 1% of all prescriptions |
103
prescriptions. |
22
patients, 5% of all patients |
28 | 20 | |
DIAZEPAM
Treats anxiety, muscle spas... + Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine |
115
prescriptions, 1% of all prescriptions |
58
prescriptions. |
17
patients, 4% of all patients |
29 | 75 | |
ATORVASTATIN CALCIUM
Treats high cholesterol and... + Treats high cholesterol and triglyceride levels. Source: National Library of Medicine |
107
prescriptions, 1% of all prescriptions |
80
prescriptions. |
21
patients, 5% of all patients |
30 | 5 | |
CIPROFLOXACIN HCL
Ciprofloxacin is used to tr... + Ciprofloxacin is used to treat or prevent certain infections caused by bacteria. Source: National Library of Medicine |
102
prescriptions, 1% of all prescriptions |
79
prescriptions. |
54
patients, 12% of all patients |
A | 31 | 77 |
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 |
98
prescriptions, 1% of all prescriptions |
72
prescriptions. |
17
patients, 4% of all patients |
32 | 47 | |
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 |
93
prescriptions, 1% of all prescriptions |
76
prescriptions. |
20
patients, 4% of all patients |
O | 33 | 50 |
LYRICA
Treats nerve and muscle pai... + Treats nerve and muscle pain caused by diabetes, shingles, fibromyalgia, or a spinal cord injury. Source: National Library of Medicine |
91
prescriptions, 1% of all prescriptions |
49
prescriptions. |
12
patients, 3% of all patients |
34 | 68 | |
MELOXICAM
Treats symptoms of osteoart... + Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine |
90
prescriptions, 1% of all prescriptions |
69
prescriptions. |
13
patients, 3% of all patients |
35 | 23 | |
TRAZODONE HCL
Trazodone is used to treat ... + Trazodone is used to treat depression. Source: National Library of Medicine |
85
prescriptions, 1% of all prescriptions |
67
prescriptions. |
11
patients, 2% of all patients |
36 | 18 | |
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 |
84
prescriptions, 1% of all prescriptions |
84
prescriptions. |
11
patients, 2% of all patients |
37 | 101 | |
ATENOLOL
Treats high blood pressure ... + Treats high blood pressure and angina (chest pain). Source: National Library of Medicine |
83
prescriptions, 1% of all prescriptions |
78
prescriptions. |
15
patients, 3% of all patients |
38 | 34 | |
CLONAZEPAM
Treats seizures, panic diso... + Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine |
82
prescriptions, 1% of all prescriptions |
45
prescriptions. |
11
patients, 2% of all patients |
39 | 37 | |
ALLOPURINOL
Treats gout and some kinds ... + Treats gout and some kinds of kidney stones. Source: National Library of Medicine |
76
prescriptions, 1% of all prescriptions |
71
prescriptions. |
12
patients, 3% of all patients |
40 | 33 | |
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 |
72
prescriptions, 1% of all prescriptions |
60
prescriptions. |
13
patients, 3% of all patients |
41 | 15 | |
NITROFURANTOIN MONO-MACRO
Nitrofurantoinis used to tr... + Nitrofurantoinis used to treat urinary tract infections. Source: National Library of Medicine |
71
prescriptions, 1% of all prescriptions |
66
prescriptions. |
26
patients, 6% of all patients |
A R | 42 | 158 |
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, 1% of all prescriptions |
58
prescriptions. |
<11 | 43 | 79 | |
MIRTAZAPINE
Treats depression. + Treats depression. Source: National Library of Medicine |
67
prescriptions, 1% of all prescriptions |
54
prescriptions. |
12
patients, 3% of all patients |
44 | 63 | |
CARVEDILOL
Treats high blood pressure ... + Treats high blood pressure and congestive heart failure (CHF). Source: National Library of Medicine |
66
prescriptions, 1% of all prescriptions |
61
prescriptions. |
14
patients, 3% of all patients |
45 | 31 | |
AMOXICILLIN-CLAVULANATE POTASS
Treats infections. + Treats infections. Source: National Library of Medicine |
65
prescriptions, 1% of all prescriptions |
53
prescriptions. |
40
patients, 9% of all patients |
A | 46 | 97 |
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 |
65
prescriptions, 1% of all prescriptions |
19
prescriptions. |
<11 | 46 | 35 | |
CARBIDOPA-LEVODOPA
The combination of levodopa... + The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine |
62
prescriptions, 0% of all prescriptions |
51
prescriptions. |
11
patients, 2% of all patients |
48 | 107 | |
DOXEPIN HCL
Doxepin is used to treat de... + Doxepin is used to treat depression and anxiety. Source: National Library of Medicine |
62
prescriptions, 0% of all prescriptions |
5
prescriptions. |
<11 | R | 48 | 163 |
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 |
61
prescriptions, 0% of all prescriptions |
36
prescriptions. |
23
patients, 5% of all patients |
50 | 32 | |
MORPHINE SULFATE ER
Morphine (extended release)... + Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine |
61
prescriptions, 0% of all prescriptions |
40
prescriptions. |
<11 | O | 50 | 57 |
BUTALBITAL-ACETAMINOPHEN-CAFFE
This combination of drugs i... + This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine |
60
prescriptions, 0% of all prescriptions |
21
prescriptions. |
14
patients, 3% of all patients |
R | 52 | 242 |
HYDROMORPHONE HCL*
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
60
prescriptions, 0% of all prescriptions |
22
prescriptions. |
13
patients, 3% of all patients |
O | 52 | 126 |
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 |
59
prescriptions, 0% of all prescriptions |
32
prescriptions. |
<11 | 54 | 51 | |
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 |
57
prescriptions, 0% of all prescriptions |
57
prescriptions. |
<11 | 55 | 45 | |
AMITRIPTYLINE HCL
Amitriptyline is used to tr... + Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine |
57
prescriptions, 0% of all prescriptions |
37
prescriptions. |
<11 | R | 55 | 60 |
AMOXICILLIN
Treats infections. Also use... + Treats infections. Source: National Library of Medicine |
56
prescriptions, 0% of all prescriptions |
51
prescriptions. |
40
patients, 9% of all patients |
A | 57 | 173 |
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 |
55
prescriptions, 0% of all prescriptions |
42
prescriptions. |
45
patients, 10% of all patients |
58 | 86 | |
PREDNISONE
Treats inflammation (swelli... + Treats inflammation (swelling), severe allergies, complications of chronic illnesses, and other medical problems. Source: National Library of Medicine |
54
prescriptions, 0% of all prescriptions |
49
prescriptions. |
19
patients, 4% of all patients |
59 | 41 | |
BACLOFEN
Treats muscle spasms caused... + Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine |
53
prescriptions, 0% of all prescriptions |
16
prescriptions. |
<11 | 60 | 66 | |
DIGOXIN
Treats certain heart rhythm... + Treats certain heart rhythm problems (atrial fibrillation). Source: National Library of Medicine |
53
prescriptions, 0% of all prescriptions |
53
prescriptions. |
<11 | R | 60 | 110 |
MUPIROCIN*
Treats skin infections and ... + Treats skin infections and bacterial infections in your nose. Source: National Library of Medicine |
53
prescriptions, 0% of all prescriptions |
38
prescriptions. |
32
patients, 7% of all patients |
60 | 259 | |
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 |
53
prescriptions, 0% of all prescriptions |
48
prescriptions. |
<11 | 60 | 80 | |
DILTIAZEM 24HR CD
Diltiazem is used to treat ... + Diltiazem is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine |
51
prescriptions, 0% of all prescriptions |
46
prescriptions. |
<11 | 64 | 165 | |
NITROSTAT
Treats or prevents angina (... + Treats or prevents angina (chest pain). Source: National Library of Medicine |
51
prescriptions, 0% of all prescriptions |
37
prescriptions. |
29
patients, 6% of all patients |
64 | 209 | |
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 |
51
prescriptions, 0% of all prescriptions |
46
prescriptions. |
<11 | 64 | 74 |
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 Jan. 28, 2008.
- 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.