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 »

14,153Medicare Part D Prescriptions Filled, Including Refills

Rank: 225 out of 794

$1.4M Total Retail Price of All Prescriptions

Rank: 62 out of 794

220 Patients Receiving at Least One Drug in Part D
37% Patients 65 Years and Older

73% 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 Alabama
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

43% of this provider’s 220 patients filled at least one prescription for an antibiotic drug, compared to an average of 33%.

More resources »

Risky Drugs for Seniors

Comparisons are not shown because this provider has fewer than 100 patients who are 65 and older.

16 of this provider’s 81 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.

More resources »

Opioids

73% of this provider’s 220 patients filled at least one prescription for an opioid, compared to an average of 25%.

More resources »

Brand Name Drugs

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

Prescription Price

$99 was the average price of a prescription from this provider, compared to $73 among peers.

Prescriptions per Patient

64 is the average number of prescriptions (including refills) per patient, compared to an average of 19.


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

$890K

2012

$1.05M

2013

$1.21M

2014

$1.4M

2015

Number of Claims

11,251

2012

13,266

2013

13,328

2014

14,153

2015

This Prescriber's Drugs

The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.

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O

An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.

A

An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.

P

An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.

R

A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.

10

This provider is among the top 10 prescribers of this drug in the country.

This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.

This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.

This Drug's Rank
Drug Name Total Prescriptions Filled with Refills Prescriptions
to 65+
Patients Receiving this Drug Category For this Prescriber For this Prescriber's Peers
HYDROCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

935

prescriptions, 7% of all prescriptions

294

prescriptions.

104

patients, 47% of all patients

O 1 1
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

644

prescriptions, 5% of all prescriptions

196

prescriptions.

107

patients, 49% of all patients

2 5
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

577

prescriptions, 4% of all prescriptions

223

prescriptions.

95

patients, 43% of all patients

3 4
MORPHINE SULFATE ER

Morphine (extended release)... +

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

441

prescriptions, 3% of all prescriptions

135

prescriptions.

39

patients, 18% of all patients

O 4 142
GABAPENTIN

Treats certain types of sei... +

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

428

prescriptions, 3% of all prescriptions

130

prescriptions.

61

patients, 28% of all patients

5 10
LISINOPRIL

Treats high blood pressure ... +

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

404

prescriptions, 3% of all prescriptions

223

prescriptions.

59

patients, 27% of all patients

6 6
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

372

prescriptions, 3% of all prescriptions

143

prescriptions.

61

patients, 28% of all patients

7 45
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

351

prescriptions, 2% of all prescriptions

198

prescriptions.

58

patients, 26% of all patients

8 20
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

342

prescriptions, 2% of all prescriptions

126

prescriptions.

45

patients, 20% of all patients

9 2
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

310

prescriptions, 2% of all prescriptions

95

prescriptions.

30

patients, 14% of all patients

O 10 53
OXYCONTIN

Oxycodone is used to reliev... +

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

267

prescriptions, 2% of all prescriptions

95

prescriptions.

19

patients, 9% of all patients

O 11 163
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

235

prescriptions, 2% of all prescriptions

74

prescriptions.

79

patients, 36% of all patients

12 33
BACLOFEN

Treats muscle spasms caused... +

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

214

prescriptions, 2% of all prescriptions

53

prescriptions.

34

patients, 15% of all patients

13 94
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

200

prescriptions, 1% of all prescriptions

46

prescriptions.

47

patients, 21% of all patients

14 46
CARVEDILOL

Treats high blood pressure ... +

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

199

prescriptions, 1% of all prescriptions

86

prescriptions.

32

patients, 15% of all patients

15 17
PROMETHAZINE HCL

Promethazine is used to rel... +

Promethazine is used to relieve the symptoms of allergic reactions such as allergic rhinitis (runny nose and watery eyes caused by allergy to pollen, mold or dust), allergic conjunctivitis (red, watery eyes caused by allergies), allergic skin reactions, and allergic reactions to blood or plasma products. Source: National Library of Medicine

199

prescriptions, 1% of all prescriptions

29

prescriptions.

32

patients, 15% of all patients

R 15 104
TORSEMIDE

Treats fluid retention (ede... +

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

186

prescriptions, 1% of all prescriptions

80

prescriptions.

33

patients, 15% of all patients

17 118
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

171

prescriptions, 1% of all prescriptions

31

prescriptions.

26

patients, 12% of all patients

O 18 111
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

168

prescriptions, 1% of all prescriptions

53

prescriptions.

27

patients, 12% of all patients

19 52
HYDROMORPHONE HCL*

Used to relieve moderate to... +

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

167

prescriptions, 1% of all prescriptions

39

prescriptions.

17

patients, 8% of all patients

O 20 293
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

165

prescriptions, 1% of all prescriptions

67

prescriptions.

34

patients, 15% of all patients

21 79
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

159

prescriptions, 1% of all prescriptions

47

prescriptions.

30

patients, 14% of all patients

22 11
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

146

prescriptions, 1% of all prescriptions

73

prescriptions.

27

patients, 12% of all patients

23 3
TRAZODONE HCL

Trazodone is used to treat ... +

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

145

prescriptions, 1% of all prescriptions

34

prescriptions.

22

patients, 10% of all patients

24 22
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

144

prescriptions, 1% of all prescriptions

15

prescriptions.

23

patients, 10% of all patients

25 41
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

142

prescriptions, 1% of all prescriptions

85

prescriptions.

23

patients, 10% of all patients

26 12
CLONAZEPAM

Treats seizures, panic diso... +

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

113

prescriptions, 1% of all prescriptions

30

prescriptions.

15

patients, 7% of all patients

27 24
CRESTOR

Lowers high levels of chole... +

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

112

prescriptions, 1% of all prescriptions

60

prescriptions.

19

patients, 9% of all patients

28 40
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

104

prescriptions, 1% of all prescriptions

36

prescriptions.

17

patients, 8% of all patients

29 32
FLUCONAZOLE

Prevents and treats certain... +

Prevents and treats certain fungus infections. Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

33

prescriptions.

50

patients, 23% of all patients

30 93
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

102

prescriptions, 1% of all prescriptions

38

prescriptions.

20

patients, 9% of all patients

31 30
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

98

prescriptions, 1% of all prescriptions

29

prescriptions.

17

patients, 8% of all patients

32 34
BUPROPION HCL SR

Bupropion (Aplenzin, Wellbu... +

Bupropion (Aplenzin, Wellbutrin, Wellbutrin SR, Wellbutrin XL) is used to treat depression. Source: National Library of Medicine

93

prescriptions, 1% of all prescriptions

21

prescriptions.

16

patients, 7% of all patients

33 175
ALLOPURINOL

Treats gout and some kinds ... +

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

91

prescriptions, 1% of all prescriptions

46

prescriptions.

14

patients, 6% of all patients

34 31
POTASSIUM CHLORIDE

Potassium is needed to main... +

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

89

prescriptions, 1% of all prescriptions

39

prescriptions.

16

patients, 7% of all patients

35 15
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

86

prescriptions, 1% of all prescriptions

46

prescriptions.

12

patients, 5% of all patients

36 60
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

85

prescriptions, 1% of all prescriptions

21

prescriptions.

18

patients, 8% of all patients

37 13
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

84

prescriptions, 1% of all prescriptions

25

prescriptions.

14

patients, 6% of all patients

38 132
ALPRAZOLAM

Treats anxiety, panic disor... +

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

83

prescriptions, 1% of all prescriptions

43

prescriptions.

<11 39 14
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

81

prescriptions, 1% of all prescriptions

31

prescriptions.

13

patients, 6% of all patients

40 43
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

81

prescriptions, 1% of all prescriptions

30

prescriptions.

<11 40 91
SULFAMETHOXAZOLE-TRIMETHOPRIM

Treating infections caused ... +

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

80

prescriptions, 1% of all prescriptions

22

prescriptions.

43

patients, 20% of all patients

A 42 92
PREDNISONE

Treats inflammation (swelli... +

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

79

prescriptions, 1% of all prescriptions

42

prescriptions.

28

patients, 13% of all patients

43 48
MIRTAZAPINE

Treats depression. +

Treats depression. Source: National Library of Medicine

74

prescriptions, 1% of all prescriptions

26

prescriptions.

17

patients, 8% of all patients

44 51
CLOPIDOGREL

Helps prevent stroke, heart... +

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

73

prescriptions, 1% of all prescriptions

33

prescriptions.

12

patients, 5% of all patients

45 23
MORPHINE SULFATE

Morphine is used to relieve... +

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

72

prescriptions, 1% of all prescriptions

12

prescriptions.

<11 O 46 230
VENTOLIN HFA

Treats or prevents bronchos... +

Treats or prevents bronchospasm in patients with asthma, emphysema, bronchitis, and other lung diseases. Source: National Library of Medicine

71

prescriptions, 1% of all prescriptions

24

prescriptions.

21

patients, 10% of all patients

47 168
OXYCODONE HCL

Oxycodone is used to reliev... +

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

70

prescriptions, 0% of all prescriptions

18

prescriptions.

<11 O 48 85
METHOTREXATE

Treats several kinds of can... +

Treats several kinds of cancer, including cancer of the blood, bone, lung, breast, head, or neck. Source: National Library of Medicine

70

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 48 263
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

70

prescriptions, 0% of all prescriptions

65

prescriptions.

11

patients, 5% of all patients

48 63
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

67

prescriptions, 0% of all prescriptions

11

prescriptions.

<11 51 47
HYDROXYCHLOROQUINE SULFATE

Hydroxychloroquine is in a ... +

Hydroxychloroquine is in a class of drugs called antimalarials. Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

19

prescriptions.

<11 51 226
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

67

prescriptions, 0% of all prescriptions

17

prescriptions.

17

patients, 8% of all patients

51 70
CITALOPRAM HBR

Citalopram is used to treat... +

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

61

prescriptions, 0% of all prescriptions

12

prescriptions.

<11 54 25
LACTULOSE

Treats constipation. Also t... +

Treats constipation. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

33

prescriptions.

21

patients, 10% of all patients

55 178
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

60

prescriptions, 0% of all prescriptions

13

prescriptions.

<11 55 56
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

60

prescriptions, 0% of all prescriptions

34

prescriptions.

<11 55 19
INSULIN SYRINGE*

Needle/syringe +

Needle/syringe. Source: National Library of Medicine

60

prescriptions, 0% of all prescriptions

38

prescriptions.

13

patients, 6% of all patients

55 268
LORAZEPAM

Treats anxiety, anxiety wit... +

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

60

prescriptions, 0% of all prescriptions

41

prescriptions.

<11 55 36
ZETIA

Lowers cholesterol in your ... +

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

58

prescriptions, 0% of all prescriptions

25

prescriptions.

11

patients, 5% of all patients

60 73
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

55

prescriptions, 0% of all prescriptions

17

prescriptions.

11

patients, 5% of all patients

61 50
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

54

prescriptions, 0% of all prescriptions

25

prescriptions.

12

patients, 5% of all patients

62 82
AZITHROMYCIN

Treats infections caused by... +

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

54

prescriptions, 0% of all prescriptions

17

prescriptions.

30

patients, 14% of all patients

A 62 49
METHADONE HCL

Methadone is used to reliev... +

Methadone is used to relieve moderate to severe pain that has not been relieved by non-narcotic pain relievers. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

0

prescriptions.

<11 O 64 137
VOLTAREN

Treats pain caused by arthr... +

Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine

52

prescriptions, 0% of all prescriptions

20

prescriptions.

18

patients, 8% of all patients

65 169
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 May 8, 2012.
  • 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.