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 »

12,729Medicare Part D Prescriptions Filled, Including Refills

Rank: 2 out of 229

$754K Total Retail Price of All Prescriptions

Rank: 4 out of 229

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

48% Subsidized Claims for Low-Income Patients

How Does This Prescriber Compare to Peers?

In the same specialty and state. Caveats »

Drugs That Present Special Risks
Costs of Prescribing
higher than average Average for
this specialty
in Vermont
lower than average

Antipsychotics

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

34% of this provider’s 542 patients filled at least one prescription for an antibiotic drug, compared to an average of 23%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 440 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 11%.

More resources »

Opioids

19% of this provider’s 542 patients filled at least one prescription for an opioid, compared to an average of 16%.

More resources »

Brand Name Drugs

18% of this provider’s prescriptions were for brand-name drugs, compared to an average of 19%.

Prescription Price

$59 was the average price of a prescription from this provider, compared to $72 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

$669K

2012

$664K

2013

$728K

2014

$754K

2015

Number of Claims

11,808

2012

12,358

2013

12,754

2014

12,729

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
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

577

prescriptions, 5% of all prescriptions

545

prescriptions.

102

patients, 19% of all patients

1 7
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

524

prescriptions, 4% of all prescriptions

483

prescriptions.

91

patients, 17% of all patients

2 5
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

508

prescriptions, 4% of all prescriptions

415

prescriptions.

70

patients, 13% of all patients

3 4
LISINOPRIL

Treats high blood pressure ... +

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

503

prescriptions, 4% of all prescriptions

450

prescriptions.

96

patients, 18% of all patients

4 1
SIMVASTATIN

Treats high cholesterol and... +

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

413

prescriptions, 3% of all prescriptions

364

prescriptions.

79

patients, 15% of all patients

5 3
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

377

prescriptions, 3% of all prescriptions

335

prescriptions.

56

patients, 10% of all patients

6 11
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

356

prescriptions, 3% of all prescriptions

324

prescriptions.

66

patients, 12% of all patients

7 9
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

324

prescriptions, 3% of all prescriptions

267

prescriptions.

53

patients, 10% of all patients

8 2
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

271

prescriptions, 2% of all prescriptions

222

prescriptions.

43

patients, 8% of all patients

9 19
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

249

prescriptions, 2% of all prescriptions

219

prescriptions.

41

patients, 8% of all patients

10 6
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

247

prescriptions, 2% of all prescriptions

214

prescriptions.

42

patients, 8% of all patients

11 13
FUROSEMIDE

Treats fluid retention (ede... +

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

221

prescriptions, 2% of all prescriptions

196

prescriptions.

42

patients, 8% of all patients

12 8
LORAZEPAM

Treats anxiety, anxiety wit... +

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

212

prescriptions, 2% of all prescriptions

161

prescriptions.

52

patients, 10% of all patients

13 15
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

197

prescriptions, 2% of all prescriptions

165

prescriptions.

42

patients, 8% of all patients

14 24
TRAMADOL HCL

Tramadol is used to relieve... +

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

190

prescriptions, 1% of all prescriptions

130

prescriptions.

46

patients, 8% of all patients

O 15 17
TRAZODONE HCL

Trazodone is used to treat ... +

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

187

prescriptions, 1% of all prescriptions

141

prescriptions.

27

patients, 5% of all patients

16 26
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

181

prescriptions, 1% of all prescriptions

169

prescriptions.

40

patients, 7% of all patients

17 28
LANSOPRAZOLE

Treats stomach ulcers, gast... +

Treats stomach ulcers, gastroesophageal reflux disease (GERD), and conditions that cause your stomach to make too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

171

prescriptions, 1% of all prescriptions

157

prescriptions.

34

patients, 6% of all patients

18 93
GABAPENTIN

Treats certain types of sei... +

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

149

prescriptions, 1% of all prescriptions

90

prescriptions.

21

patients, 4% of all patients

19 10
CLOPIDOGREL

Helps prevent stroke, heart... +

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

147

prescriptions, 1% of all prescriptions

130

prescriptions.

23

patients, 4% of all patients

20 40
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

146

prescriptions, 1% of all prescriptions

141

prescriptions.

31

patients, 6% of all patients

21 12
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

142

prescriptions, 1% of all prescriptions

137

prescriptions.

30

patients, 6% of all patients

22 14
ALPRAZOLAM

Treats anxiety, panic disor... +

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

127

prescriptions, 1% of all prescriptions

96

prescriptions.

21

patients, 4% of all patients

23 43
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

122

prescriptions, 1% of all prescriptions

117

prescriptions.

18

patients, 3% of all patients

24 23
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

118

prescriptions, 1% of all prescriptions

79

prescriptions.

36

patients, 7% of all patients

O 25 16
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

113

prescriptions, 1% of all prescriptions

99

prescriptions.

17

patients, 3% of all patients

26 57
LANTUS SOLOSTAR

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

85

prescriptions.

17

patients, 3% of all patients

27 37
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

104

prescriptions, 1% of all prescriptions

62

prescriptions.

22

patients, 4% of all patients

28 54
TORSEMIDE

Treats fluid retention (ede... +

Treats fluid retention (edema) caused by congestive heart failure, kidney disease, or liver disease. Source: National Library of Medicine

100

prescriptions, 1% of all prescriptions

82

prescriptions.

17

patients, 3% of all patients

29 86
PREDNISONE

Treats inflammation (swelli... +

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

96

prescriptions, 1% of all prescriptions

77

prescriptions.

58

patients, 11% of all patients

30 29
SYMBICORT

This is a combination of bu... +

This is a combination of budesonide and formoterol used to help control the symptoms of asthma and improve lung function. Source: National Library of Medicine

94

prescriptions, 1% of all prescriptions

71

prescriptions.

18

patients, 3% of all patients

31 85
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

94

prescriptions, 1% of all prescriptions

89

prescriptions.

14

patients, 3% of all patients

31 39
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

92

prescriptions, 1% of all prescriptions

87

prescriptions.

17

patients, 3% of all patients

33 36
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

91

prescriptions, 1% of all prescriptions

54

prescriptions.

34

patients, 6% of all patients

34 21
VENLAFAXINE HCL ER

Venlafaxine is used to trea... +

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

85

prescriptions, 1% of all prescriptions

65

prescriptions.

<11 35 56
DICLOFENAC SODIUM

Diclofenac is used to relie... +

Diclofenac is used to relieve pain, tenderness, swelling, and stiffness caused by osteoarthritis (arthritis caused by a breakdown of the lining of the joints), rheumatoid arthritis (arthritis caused by swelling of the lining of the joints), and ankylosing spondylitis (arthritis that mainly affects the spine). Source: National Library of Medicine

84

prescriptions, 1% of all prescriptions

68

prescriptions.

30

patients, 6% of all patients

36 95
CITALOPRAM HBR

Citalopram is used to treat... +

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

81

prescriptions, 1% of all prescriptions

55

prescriptions.

11

patients, 2% of all patients

37 20
RAMIPRIL

Treats high blood pressure ... +

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

80

prescriptions, 1% of all prescriptions

80

prescriptions.

13

patients, 2% of all patients

38 92
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

74

prescriptions, 1% of all prescriptions

23

prescriptions.

<11 O 39 55
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

73

prescriptions, 1% of all prescriptions

73

prescriptions.

14

patients, 3% of all patients

40 70
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

71

prescriptions, 1% of all prescriptions

66

prescriptions.

21

patients, 4% of all patients

41 42
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

70

prescriptions, 1% of all prescriptions

51

prescriptions.

25

patients, 5% of all patients

42 30
PAROXETINE HCL

Paroxetine tablets, suspens... +

Paroxetine tablets, suspension (liquid), and extended-release (long-acting) tablets are used to treat depression, panic disorder (sudden, unexpected attacks of extreme fear and worry about these attacks), and social anxiety disorder (extreme fear of interacting with others or performing in front of others that interferes with normal life). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

67

prescriptions.

<11 43 64
ALLOPURINOL

Treats gout and some kinds ... +

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

66

prescriptions, 1% of all prescriptions

61

prescriptions.

12

patients, 2% of all patients

44 38
TEMAZEPAM

Treats insomnia (trouble sl... +

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

66

prescriptions, 1% of all prescriptions

35

prescriptions.

12

patients, 2% of all patients

44 111
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

65

prescriptions, 1% of all prescriptions

60

prescriptions.

11

patients, 2% of all patients

46 67
QUINAPRIL HCL

Quinapril is used alone or ... +

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

63

prescriptions, 0% of all prescriptions

63

prescriptions.

<11 47 149
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

15

patients, 3% of all patients

48 84
OXYCODONE HCL

Oxycodone is used to reliev... +

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

58

prescriptions, 0% of all prescriptions

35

prescriptions.

11

patients, 2% of all patients

O 49 22
VERAPAMIL ER

Verapamil is used to treat ... +

Verapamil is used to treat high blood pressure and to control angina (chest pain). Source: National Library of Medicine

58

prescriptions, 0% of all prescriptions

58

prescriptions.

11

patients, 2% of all patients

49 130
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

57

prescriptions, 0% of all prescriptions

52

prescriptions.

23

patients, 4% of all patients

51 75
FAMOTIDINE*

Treats ulcers, gastroesopha... +

Treats ulcers, gastroesophageal reflux disease (GERD), and conditions that cause the stomach to produce too much stomach acid. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 52 79
KLOR-CON M20

Potassium is essential for ... +

Potassium is essential for the proper functioning of the heart, kidneys, muscles, nerves, and digestive system. Source: National Library of Medicine

55

prescriptions, 0% of all prescriptions

55

prescriptions.

11

patients, 2% of all patients

53 119
VALSARTAN

Valsartan is used alone or ... +

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

53

prescriptions, 0% of all prescriptions

48

prescriptions.

11

patients, 2% of all patients

54 163
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

52

prescriptions, 0% of all prescriptions

29

prescriptions.

<11 55 110
CARVEDILOL

Treats high blood pressure ... +

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

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 56 72
METFORMIN HCL ER

Metformin is used alone or ... +

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 56 44
NYSTATIN

Treats fungus infections in... +

Treats fungus infections in the mouth, throat, and intestines. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

17

patients, 3% of all patients

58 87
TIZANIDINE HCL

Tizanidine is used to relie... +

Tizanidine is used to relieve the spasms and increased muscle tone caused by multiple sclerosis (MS, a disease in which the nerves do not function properly and patients may experience weakness, numbness, loss of muscle coordination and problems with vision, speech, and bladder control), stroke, or brain or spinal injury. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

26

prescriptions.

19

patients, 4% of all patients

58 98
AZITHROMYCIN

Treats infections caused by... +

Treats infections caused by certain bacteria. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

45

prescriptions.

34

patients, 6% of all patients

A 58 68
About This Data

Prescribing data from Medicare’s prescription drug benefit, known as Part D, was compiled and released by the Centers for Medicare and Medicaid Services, the federal agency that oversees the program. The data for 2015 includes more than 1.4 billion prescriptions written by nearly 1.4 million doctors, nurses and other providers. This database lists about 447,000 of those providers who wrote 50 or more prescriptions for at least one drug that year. More than three-fourths of these prescriptions went to patients 65 and older; the rest were for disabled patients. Methodology »

Incorrect Info?

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Caveats
  • No comparisons are shown if there are fewer than 20 prescribers in the state share this specialty.
  • Comparisons do not take into account the medical conditions of patients. Medications for certain conditions do not have generic alternatives, so patients would receive more expensive brand name drugs.
  • This provider's address and specialty information was last updated on Nov. 29, 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.