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 »

14,196Medicare Part D Prescriptions Filled, Including Refills

Rank: 341 out of 5332

$574K Total Retail Price of All Prescriptions

Rank: 1345 out of 5332

687 Patients Receiving at Least One Drug in Part D
94% Patients 65 Years and Older

13% 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 New York
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

22% of this provider’s 687 patients filled at least one prescription for an antibiotic drug, compared to an average of 24%.

More resources »

Risky Drugs for Seniors

11% of this provider’s 648 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

13% of this provider’s 687 patients filled at least one prescription for an opioid, compared to an average of 10%.

More resources »

Brand Name Drugs

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 23%.

Prescription Price

$40 was the average price of a prescription from this provider, compared to $88 among peers.

Prescriptions per Patient

21 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

$539K

2012

$594K

2013

$596K

2014

$574K

2015

Number of Claims

13,437

2012

15,475

2013

15,153

2014

14,196

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.

Click to Filter by Category

Clear Filter


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
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

639

prescriptions, 5% of all prescriptions

634

prescriptions.

118

patients, 17% of all patients

1 5
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

502

prescriptions, 4% of all prescriptions

428

prescriptions.

116

patients, 17% of all patients

2 2
SIMVASTATIN

Treats high cholesterol and... +

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

468

prescriptions, 3% of all prescriptions

450

prescriptions.

84

patients, 12% of all patients

3 3
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

441

prescriptions, 3% of all prescriptions

417

prescriptions.

92

patients, 13% of all patients

4 4
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

419

prescriptions, 3% of all prescriptions

370

prescriptions.

81

patients, 12% of all patients

5 1
LISINOPRIL

Treats high blood pressure ... +

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

355

prescriptions, 3% of all prescriptions

305

prescriptions.

66

patients, 10% of all patients

6 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

327

prescriptions, 2% of all prescriptions

301

prescriptions.

63

patients, 9% of all patients

7 7
FUROSEMIDE

Treats fluid retention (ede... +

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

319

prescriptions, 2% of all prescriptions

307

prescriptions.

67

patients, 10% of all patients

8 8
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

313

prescriptions, 2% of all prescriptions

279

prescriptions.

64

patients, 9% of all patients

O 9 39
PREDNISONE

Treats inflammation (swelli... +

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

301

prescriptions, 2% of all prescriptions

287

prescriptions.

171

patients, 25% of all patients

10 48
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

294

prescriptions, 2% of all prescriptions

282

prescriptions.

57

patients, 8% of all patients

11 9
ATENOLOL

Treats high blood pressure ... +

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

291

prescriptions, 2% of all prescriptions

286

prescriptions.

59

patients, 9% of all patients

12 17
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

274

prescriptions, 2% of all prescriptions

257

prescriptions.

63

patients, 9% of all patients

13 84
CLOPIDOGREL

Helps prevent stroke, heart... +

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

271

prescriptions, 2% of all prescriptions

251

prescriptions.

48

patients, 7% of all patients

14 16
LOVASTATIN

Lowers high cholesterol and... +

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

255

prescriptions, 2% of all prescriptions

250

prescriptions.

46

patients, 7% of all patients

15 70
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

233

prescriptions, 2% of all prescriptions

228

prescriptions.

52

patients, 8% of all patients

16 11
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

221

prescriptions, 2% of all prescriptions

191

prescriptions.

47

patients, 7% of all patients

17 12
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

211

prescriptions, 1% of all prescriptions

211

prescriptions.

39

patients, 6% of all patients

18 19
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

211

prescriptions, 1% of all prescriptions

197

prescriptions.

40

patients, 6% of all patients

18 22
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

197

prescriptions, 1% of all prescriptions

192

prescriptions.

43

patients, 6% of all patients

20 18
ALLOPURINOL

Treats gout and some kinds ... +

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

195

prescriptions, 1% of all prescriptions

182

prescriptions.

35

patients, 5% of all patients

21 35
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

190

prescriptions, 1% of all prescriptions

185

prescriptions.

32

patients, 5% of all patients

22 28
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

179

prescriptions, 1% of all prescriptions

174

prescriptions.

26

patients, 4% of all patients

23 14
GABAPENTIN

Treats certain types of sei... +

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

178

prescriptions, 1% of all prescriptions

159

prescriptions.

39

patients, 6% of all patients

24 15
ALPRAZOLAM

Treats anxiety, panic disor... +

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

166

prescriptions, 1% of all prescriptions

161

prescriptions.

39

patients, 6% of all patients

25 37
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

147

prescriptions, 1% of all prescriptions

130

prescriptions.

26

patients, 4% of all patients

26 55
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

130

prescriptions, 1% of all prescriptions

125

prescriptions.

31

patients, 5% of all patients

27 10
FLURBIPROFEN 117

prescriptions, 1% of all prescriptions

98

prescriptions.

18

patients, 3% of all patients

28 550
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

113

prescriptions, 1% of all prescriptions

108

prescriptions.

44

patients, 6% of all patients

29 25
BACLOFEN

Treats muscle spasms caused... +

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

107

prescriptions, 1% of all prescriptions

79

prescriptions.

28

patients, 4% of all patients

30 122
METOCLOPRAMIDE HCL

Metoclopramide is used to r... +

Metoclopramide is used to relieve heartburn and speed the healing of ulcers and sores in the esophagus (tube that connects the mouth to the stomach) in people who have gastroesophageal reflux disease (GERD; condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus) that did not get better with other treatments. Source: National Library of Medicine

106

prescriptions, 1% of all prescriptions

101

prescriptions.

27

patients, 4% of all patients

31 205
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

106

prescriptions, 1% of all prescriptions

101

prescriptions.

28

patients, 4% of all patients

31 90
TRAZODONE HCL

Trazodone is used to treat ... +

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

101

prescriptions, 1% of all prescriptions

86

prescriptions.

21

patients, 3% of all patients

33 52
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

100

prescriptions, 1% of all prescriptions

100

prescriptions.

19

patients, 3% of all patients

34 40
FINASTERIDE

Treats an enlarged prostate... +

Treats an enlarged prostate (benign prostatic hyperplasia or BPH) in men and causes hair growth in male pattern baldness. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

99

prescriptions.

14

patients, 2% of all patients

35 59
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

98

prescriptions, 1% of all prescriptions

98

prescriptions.

17

patients, 2% of all patients

36 33
CITALOPRAM HBR

Citalopram is used to treat... +

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

96

prescriptions, 1% of all prescriptions

91

prescriptions.

26

patients, 4% of all patients

37 42
TRAMADOL HCL

Tramadol is used to relieve... +

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

92

prescriptions, 1% of all prescriptions

80

prescriptions.

20

patients, 3% of all patients

O 38 61
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

90

prescriptions, 1% of all prescriptions

85

prescriptions.

25

patients, 4% of all patients

39 82
FELODIPINE ER

Felodipine is used to treat... +

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

86

prescriptions, 1% of all prescriptions

81

prescriptions.

22

patients, 3% of all patients

40 159
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

84

prescriptions, 1% of all prescriptions

79

prescriptions.

22

patients, 3% of all patients

41 36
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

82

prescriptions, 1% of all prescriptions

77

prescriptions.

16

patients, 2% of all patients

42 133
AMOXICILLIN

Treats infections. Also use... +

Treats infections. Source: National Library of Medicine

81

prescriptions, 1% of all prescriptions

76

prescriptions.

72

patients, 10% of all patients

A 43 144
CARVEDILOL

Treats high blood pressure ... +

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

80

prescriptions, 1% of all prescriptions

63

prescriptions.

15

patients, 2% of all patients

44 20
CARTIA XT

Used alone or together with... +

Used alone or together with other medicines to treat high blood pressure and chest pain (angina). Source: National Library of Medicine

80

prescriptions, 1% of all prescriptions

80

prescriptions.

17

patients, 2% of all patients

44 263
PRAZOSIN HCL

Prazosin is used alone or i... +

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

80

prescriptions, 1% of all prescriptions

80

prescriptions.

<11 44 504
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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

16

patients, 2% of all patients

47 91
MELOXICAM

Treats symptoms of osteoart... +

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

79

prescriptions, 1% of all prescriptions

79

prescriptions.

23

patients, 3% of all patients

47 45
SULINDAC

Treats pain caused by arthr... +

Treats pain caused by arthritis, gout, or sore tendons. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

74

prescriptions.

19

patients, 3% of all patients

47 439
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

16

patients, 2% of all patients

50 110
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

75

prescriptions, 1% of all prescriptions

70

prescriptions.

19

patients, 3% of all patients

51 38
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

73

prescriptions, 1% of all prescriptions

68

prescriptions.

30

patients, 4% of all patients

52 228
TERAZOSIN HCL

Terazosin is used in men to... +

Terazosin 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

73

prescriptions, 1% of all prescriptions

73

prescriptions.

13

patients, 2% of all patients

52 194
CRESTOR

Lowers high levels of chole... +

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

72

prescriptions, 1% of all prescriptions

72

prescriptions.

18

patients, 3% of all patients

54 13
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

67

prescriptions, 0% of all prescriptions

67

prescriptions.

13

patients, 2% of all patients

55 232
JANUVIA

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

65

prescriptions, 0% of all prescriptions

60

prescriptions.

13

patients, 2% of all patients

56 21
ACARBOSE 65

prescriptions, 0% of all prescriptions

31

prescriptions.

12

patients, 2% of all patients

56 207
GLIPIZIDE-METFORMIN

Treats type 2 diabetes. +

Treats type 2 diabetes. Source: National Library of Medicine

63

prescriptions, 0% of all prescriptions

58

prescriptions.

<11 58 174
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

59

prescriptions, 0% of all prescriptions

59

prescriptions.

<11 R 59 195
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

58

prescriptions, 0% of all prescriptions

53

prescriptions.

11

patients, 2% of all patients

60 50
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

58

prescriptions, 0% of all prescriptions

58

prescriptions.

12

patients, 2% of all patients

60 30
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.

12

patients, 2% of all patients

60 211
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

57

prescriptions, 0% of all prescriptions

57

prescriptions.

<11 63 92
AMLODIPINE BESYLATE-BENAZEPRIL

The combination of amlodipi... +

The combination of amlodipine and benazepril is used to treat high blood pressure. Source: National Library of Medicine

56

prescriptions, 0% of all prescriptions

56

prescriptions.

14

patients, 2% of all patients

64 67
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

55

prescriptions, 0% of all prescriptions

44

prescriptions.

13

patients, 2% of all patients

65 56
LISINOPRIL-HYDROCHLOROTHIAZIDE

Treats high blood pressure.... +

Treats high blood pressure. Source: National Library of Medicine

54

prescriptions, 0% of all prescriptions

54

prescriptions.

11

patients, 2% of all patients

66 58
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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

11

patients, 2% of all patients

R 67 29
PROPRANOLOL HCL ER

Propranolol is used to trea... +

Propranolol is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

47

prescriptions.

<11 67 383
NYSTATIN-TRIAMCINOLONE

The combination of nystatin... +

The combination of nystatin and triamcinolone is used to treat fungal skin infections. Source: National Library of Medicine

51

prescriptions, 0% of all prescriptions

51

prescriptions.

26

patients, 4% of all patients

69 279
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 March 31, 2011.
  • Comparisons are based on each provider’s current address, not necessarily where he or she worked during the time period covered in this database.
  • In rare circumstances, providers' prescription tallies may be inflated. Sometimes providers are credited with prescriptions written by colleagues (this happens in long-term care facilities) or are victims of fraud involving theft of their provider number.