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 »

13,441Medicare Part D Prescriptions Filled, Including Refills

Rank: 44 out of 308

$686K Total Retail Price of All Prescriptions

Rank: 49 out of 308

494 Patients Receiving at Least One Drug in Part D
81% Patients 65 Years and Older

36% 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 Iowa
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

21% of this provider’s 494 patients filled at least one prescription for an antibiotic drug, compared to an average of 26%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 402 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

31% of this provider’s 494 patients filled at least one prescription for an opioid, compared to an average of 17%.

More resources »

Brand Name Drugs

17% of this provider’s prescriptions were for brand-name drugs, compared to an average of 20%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $70 among peers.

Prescriptions per Patient

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


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

$679K

2012

$729K

2013

$693K

2014

$686K

2015

Number of Claims

10,885

2012

12,349

2013

12,371

2014

13,441

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
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

707

prescriptions, 5% of all prescriptions

650

prescriptions.

122

patients, 25% of all patients

1 6
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

510

prescriptions, 4% of all prescriptions

419

prescriptions.

94

patients, 19% 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

489

prescriptions, 4% of all prescriptions

408

prescriptions.

95

patients, 19% of all patients

3 2
FUROSEMIDE

Treats fluid retention (ede... +

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

455

prescriptions, 3% of all prescriptions

399

prescriptions.

85

patients, 17% of all patients

4 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

454

prescriptions, 3% of all prescriptions

369

prescriptions.

85

patients, 17% of all patients

5 4
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

411

prescriptions, 3% of all prescriptions

338

prescriptions.

75

patients, 15% of all patients

6 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

382

prescriptions, 3% of all prescriptions

328

prescriptions.

68

patients, 14% of all patients

7 11
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

381

prescriptions, 3% of all prescriptions

331

prescriptions.

70

patients, 14% of all patients

8 9
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

350

prescriptions, 3% of all prescriptions

300

prescriptions.

70

patients, 14% of all patients

9 38
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

310

prescriptions, 2% of all prescriptions

224

prescriptions.

76

patients, 15% of all patients

O 10 13
LISINOPRIL

Treats high blood pressure ... +

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

304

prescriptions, 2% of all prescriptions

246

prescriptions.

67

patients, 14% of all patients

11 5
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

287

prescriptions, 2% of all prescriptions

242

prescriptions.

67

patients, 14% of all patients

12 19
TRAMADOL HCL

Tramadol is used to relieve... +

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

285

prescriptions, 2% of all prescriptions

257

prescriptions.

63

patients, 13% of all patients

O 13 18
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

263

prescriptions, 2% of all prescriptions

231

prescriptions.

41

patients, 8% of all patients

14 10
SIMVASTATIN

Treats high cholesterol and... +

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

242

prescriptions, 2% of all prescriptions

237

prescriptions.

46

patients, 9% of all patients

15 3
GABAPENTIN

Treats certain types of sei... +

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

235

prescriptions, 2% of all prescriptions

173

prescriptions.

51

patients, 10% of all patients

16 14
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

219

prescriptions, 2% of all prescriptions

170

prescriptions.

51

patients, 10% of all patients

17 12
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

199

prescriptions, 1% of all prescriptions

174

prescriptions.

30

patients, 6% of all patients

18 89
ESCITALOPRAM OXALATE

Escitalopram is used to tre... +

Escitalopram is used to treat depression and generalized anxiety disorder (excessive worry and tension that disrupts daily life and lasts for 6 months or longer). Source: National Library of Medicine

163

prescriptions, 1% of all prescriptions

131

prescriptions.

42

patients, 9% of all patients

19 35
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

152

prescriptions, 1% of all prescriptions

134

prescriptions.

27

patients, 5% of all patients

20 46
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

149

prescriptions, 1% of all prescriptions

133

prescriptions.

27

patients, 5% of all patients

21 21
CARVEDILOL

Treats high blood pressure ... +

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

148

prescriptions, 1% of all prescriptions

119

prescriptions.

22

patients, 4% of all patients

22 30
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

144

prescriptions, 1% of all prescriptions

129

prescriptions.

25

patients, 5% of all patients

23 15
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

141

prescriptions, 1% of all prescriptions

110

prescriptions.

25

patients, 5% of all patients

24 53
CRESTOR

Lowers high levels of chole... +

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

140

prescriptions, 1% of all prescriptions

118

prescriptions.

20

patients, 4% of all patients

25 37
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

139

prescriptions, 1% of all prescriptions

134

prescriptions.

28

patients, 6% of all patients

26 16
ALLOPURINOL

Treats gout and some kinds ... +

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

135

prescriptions, 1% of all prescriptions

110

prescriptions.

19

patients, 4% of all patients

27 26
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

132

prescriptions, 1% of all prescriptions

127

prescriptions.

22

patients, 4% of all patients

28 32
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

131

prescriptions, 1% of all prescriptions

69

prescriptions.

32

patients, 6% of all patients

29 42
CITALOPRAM HBR

Citalopram is used to treat... +

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

130

prescriptions, 1% of all prescriptions

125

prescriptions.

23

patients, 5% of all patients

30 25
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

115

prescriptions, 1% of all prescriptions

86

prescriptions.

16

patients, 3% of all patients

31 65
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

113

prescriptions, 1% of all prescriptions

85

prescriptions.

15

patients, 3% of all patients

32 23
LORAZEPAM

Treats anxiety, anxiety wit... +

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

112

prescriptions, 1% of all prescriptions

101

prescriptions.

28

patients, 6% of all patients

33 27
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

15

patients, 3% of all patients

34 39
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

89

prescriptions, 1% of all prescriptions

84

prescriptions.

18

patients, 4% of all patients

35 20
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

67

prescriptions.

18

patients, 4% of all patients

36 34
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

81

prescriptions, 1% of all prescriptions

55

prescriptions.

26

patients, 5% of all patients

37 36
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

79

prescriptions, 1% of all prescriptions

59

prescriptions.

16

patients, 3% of all patients

38 117
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

78

prescriptions, 1% of all prescriptions

51

prescriptions.

13

patients, 3% of all patients

39 47
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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

13

patients, 3% of all patients

40 33
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

70

prescriptions, 1% of all prescriptions

45

prescriptions.

21

patients, 4% of all patients

R 41 40
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

67

prescriptions, 0% of all prescriptions

39

prescriptions.

12

patients, 2% of all patients

42 72
ZETIA

Lowers cholesterol in your ... +

Lowers cholesterol in your blood. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

53

prescriptions.

<11 43 70
BD ULTRA-FINE PEN NEEDLE

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

49

prescriptions.

25

patients, 5% of all patients

43 90
PREDNISONE

Treats inflammation (swelli... +

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

63

prescriptions, 0% of all prescriptions

33

prescriptions.

18

patients, 4% of all patients

45 31
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

63

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 45 69
HYDRALAZINE HCL

Hydralazine is used to trea... +

Hydralazine is used to treat high blood pressure. Source: National Library of Medicine

62

prescriptions, 0% of all prescriptions

62

prescriptions.

12

patients, 2% of all patients

47 92
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

61

prescriptions, 0% of all prescriptions

56

prescriptions.

11

patients, 2% of all patients

48 28
VALACYCLOVIR

Treats herpes virus infecti... +

Treats herpes virus infections, including shingles (herpes zoster), cold sores (herpes labialis), and genital herpes (herpes simplex) in adults. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

54

prescriptions.

17

patients, 3% of all patients

49 311
ALPRAZOLAM

Treats anxiety, panic disor... +

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

59

prescriptions, 0% of all prescriptions

59

prescriptions.

<11 49 22
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

45

prescriptions.

19

patients, 4% of all patients

51 51
MELOXICAM

Treats symptoms of osteoart... +

Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

42

prescriptions.

14

patients, 3% of all patients

51 41
ATENOLOL

Treats high blood pressure ... +

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

56

prescriptions, 0% of all prescriptions

51

prescriptions.

13

patients, 3% of all patients

53 17
CLOPIDOGREL

Helps prevent stroke, heart... +

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

55

prescriptions, 0% of all prescriptions

55

prescriptions.

11

patients, 2% of all patients

54 24
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

53

prescriptions.

11

patients, 2% of all patients

55 91
NOVOLOG FLEXPEN

Used to treat type 1 diabet... +

Used to treat type 1 diabetes (condition in which the body does not produce insulin and therefore cannot control the amount of sugar in the blood). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

40

prescriptions.

19

patients, 4% of all patients

56 95
POLYETHYLENE GLYCOL 3350

Treats occasional constipat... +

Treats occasional constipation. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

22

patients, 4% of all patients

56 43
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

51

prescriptions, 0% of all prescriptions

32

prescriptions.

14

patients, 3% of all patients

58 83
VICTOZA 3-PAK

Used to treat a type of dia... +

Used to treat a type of diabetes mellitus (sugar diabetes) called type 2 diabetes. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

30

prescriptions.

14

patients, 3% of all patients

58 154
BUSPIRONE HCL

Buspirone is used to treat ... +

Buspirone is used to treat anxiety disorders or in the short-term treatment of symptoms of anxiety. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

26

prescriptions.

<11 58 111
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 Sept. 1, 2016.
  • 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.