Prescriber Checkup
The Doctors and Drugs in Medicare Part D
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THOMAS LACKEY
At A Glance: This Prescriber in 2015
Self-Reported Primary Specialty
Rank: 1 out of 32
Rank: 1 out of 32
How Does This Prescriber Compare to Peers?
In the same specialty and state. Caveats »
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.
Antibiotics
Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.
57 of this provider’s 950 patients filled at least one prescription for an antibiotic drug.
Risky Drugs for Seniors
Comparisons are not shown because we do not have exact prescribing data for enough providers in this specialty and state.
42 of this provider’s 288 patients who are 65 and older filled at least one prescription for a potentially inappropriate drug.
Opioids
92% of this provider’s 950 patients filled at least one prescription for an opioid, compared to an average of 78%.
Brand Name Drugs
9% of this provider’s prescriptions were for brand-name drugs, compared to an average of 12%.
Prescription Price
$69 was the average price of a prescription from this provider, compared to $66 among peers.
Prescriptions per Patient
25 is the average number of prescriptions (including refills) per patient, compared to an average of 7.
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
2012
$33.1K
2013
$828K
2014
$1.62M
2015
Number of Claims
2012
669
2013
12,715
2014
23,568
2015
This Prescriber's Drugs
The table below list this provider’s drugs, the number of prescriptions and how many went to seniors. Drugs are ranked by volume and compared with the rank for all providers in the same specialty and state. The list below includes only those drugs for which this provider wrote 50 or more prescriptions.
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An opioid drug. More » Prescription opioids (painkillers) can help alleviate certain kinds of pain in the short term but carry serious health risks.
An antibiotic drug. More » Used to treat bacterial infections but are often prescribed incorrectly to treat viral infections, such as chest colds or the flu.
An antipsychotic drug. More » Antipsychotics are frequently given to dementia patients, though it increases their risk of death.
A risky drug for seniors. More » The American Geriatrics Society has said this drug is "potentially dangerous" for seniors and might be inappropriate.
This provider is among the top 10 prescribers of this drug in the country.
This provider’s prescriptions for this drug were for more days than those of peers. More » Because of this, his or her prescription count may be lower.
This provider’s prescriptions for this drug were for fewer days than those of peers. More » Because of this, his or her prescription count may be higher.
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This Drug's Rank
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|---|---|---|---|---|---|---|
| Drug Name | Total Prescriptions Filled with Refills |
Prescriptions to 65+ |
Patients Receiving this Drug | Category | For this Prescriber | For this Prescriber's Peers |
|
HYDROCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
3,453
prescriptions, 15% of all prescriptions |
1,205
prescriptions. |
486
patients, 51% of all patients |
O | 1 | 1 |
|
GABAPENTIN
Treats certain types of sei... + Treats certain types of seizures. Source: National Library of Medicine |
3,230
prescriptions, 14% of all prescriptions |
738
prescriptions. |
506
patients, 53% of all patients |
10 | 2 | 2 |
|
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 |
2,163
prescriptions, 9% of all prescriptions |
432
prescriptions. |
333
patients, 35% of all patients |
10 | 3 | 4 |
|
OXYCODONE-ACETAMINOPHEN
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
1,635
prescriptions, 7% of all prescriptions |
394
prescriptions. |
254
patients, 27% of all patients |
O | 4 | 3 |
|
OXYCODONE HCL
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
1,458
prescriptions, 6% of all prescriptions |
223
prescriptions. |
188
patients, 20% of all patients |
O | 5 | 5 |
|
TRAMADOL HCL
Tramadol is used to relieve... + Tramadol is used to relieve moderate to moderately severe pain. Source: National Library of Medicine |
1,143
prescriptions, 5% of all prescriptions |
402
prescriptions. |
178
patients, 19% of all patients |
O | 6 | 8 |
|
MORPHINE SULFATE ER
Morphine (extended release)... + Morphine (extended release) is used to relieve moderate to severe pain. Source: National Library of Medicine |
810
prescriptions, 3% of all prescriptions |
145
prescriptions. |
108
patients, 11% of all patients |
O | 7 | 7 |
|
DIAZEPAM
Treats anxiety, muscle spas... + Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine |
751
prescriptions, 3% of all prescriptions |
89
prescriptions. |
100
patients, 11% of all patients |
8 | 17 | |
|
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 |
663
prescriptions, 3% of all prescriptions |
161
prescriptions. |
86
patients, 9% of all patients |
O | 9 | 12 |
|
CLONAZEPAM
Treats seizures, panic diso... + Treats seizures, panic disorder, and anxiety. Source: National Library of Medicine |
654
prescriptions, 3% of all prescriptions |
85
prescriptions. |
88
patients, 9% of all patients |
10 | 15 | |
|
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 |
606
prescriptions, 3% of all prescriptions |
60
prescriptions. |
99
patients, 10% of all patients |
11 | 11 | |
|
MELOXICAM
Treats symptoms of osteoart... + Treats symptoms of osteoarthritis (OA). Source: National Library of Medicine |
544
prescriptions, 2% of all prescriptions |
142
prescriptions. |
98
patients, 10% of all patients |
12 | 14 | |
|
CYCLOBENZAPRINE HCL
Cyclobenzaprine, a muscle r... + Cyclobenzaprine, a muscle relaxant, is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Source: National Library of Medicine |
503
prescriptions, 2% of all prescriptions |
61
prescriptions. |
97
patients, 10% of all patients |
R | 13 | 13 |
|
OXYCONTIN
Oxycodone is used to reliev... + Oxycodone is used to relieve moderate to severe pain. Source: National Library of Medicine |
462
prescriptions, 2% of all prescriptions |
126
prescriptions. |
62
patients, 7% of all patients |
O | 14 | 10 |
|
ALPRAZOLAM
Treats anxiety, panic disor... + Treats anxiety, panic disorder, insomnia (trouble sleeping), and anxiety caused by depression. Source: National Library of Medicine |
370
prescriptions, 2% of all prescriptions |
91
prescriptions. |
54
patients, 6% of all patients |
15 | 20 | |
|
BACLOFEN
Treats muscle spasms caused... + Treats muscle spasms caused by multiple sclerosis and spinal cord injury or disease. Source: National Library of Medicine |
359
prescriptions, 2% of all prescriptions |
65
prescriptions. |
81
patients, 9% of all patients |
16 | 16 | |
|
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 |
357
prescriptions, 2% of all prescriptions |
47
prescriptions. |
39
patients, 4% of all patients |
O | 17 | 9 |
|
LIDOCAINE-PRILOCAINE
This is used on the skin or... + This is used on the skin or in the genital area to cause numbness or loss of feeling before certain medical procedures. Source: National Library of Medicine |
350
prescriptions, 1% of all prescriptions |
82
prescriptions. |
114
patients, 12% of all patients |
18 | 6 | |
|
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 |
243
prescriptions, 1% of all prescriptions |
71
prescriptions. |
41
patients, 4% of all patients |
19 | 21 | |
|
MORPHINE SULFATE
Morphine is used to relieve... + Morphine is used to relieve moderate to severe pain. Source: National Library of Medicine |
224
prescriptions, 1% of all prescriptions |
40
prescriptions. |
31
patients, 3% of all patients |
O | 20 | 18 |
|
TRAZODONE HCL
Trazodone is used to treat ... + Trazodone is used to treat depression. Source: National Library of Medicine |
184
prescriptions, 1% of all prescriptions |
25
prescriptions. |
39
patients, 4% of all patients |
21 | 24 | |
|
METHOCARBAMOL
Treats muscle pain and spas... + Treats muscle pain and spasms. Source: National Library of Medicine |
177
prescriptions, 1% of all prescriptions |
49
prescriptions. |
45
patients, 5% of all patients |
R | 22 | 26 |
| OXYMORPHONE HCL ER |
162
prescriptions, 1% of all prescriptions |
23
prescriptions. |
30
patients, 3% of all patients |
O | 23 | 29 |
|
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 |
150
prescriptions, 1% of all prescriptions |
37
prescriptions. |
29
patients, 3% of all patients |
R | 24 | 22 |
|
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 |
147
prescriptions, 1% of all prescriptions |
5
prescriptions. |
45
patients, 5% of all patients |
25 | 23 | |
|
ETODOLAC
Treats pain caused by arthr... + Treats pain caused by arthritis and other medical problems. Source: National Library of Medicine |
137
prescriptions, 1% of all prescriptions |
17
prescriptions. |
18
patients, 2% of all patients |
26 | 31 | |
|
AMITRIPTYLINE HCL
Amitriptyline is used to tr... + Amitriptyline is used to treat symptoms of depression. Source: National Library of Medicine |
126
prescriptions, 1% of all prescriptions |
19
prescriptions. |
18
patients, 2% of all patients |
R | 27 | 25 |
|
CELECOXIB
Treats mild to moderate pai... + Treats mild to moderate pain and help relieve symptoms of arthritis (e. Source: National Library of Medicine |
121
prescriptions, 1% of all prescriptions |
5
prescriptions. |
23
patients, 2% of all patients |
28 | 35 | |
|
TEMAZEPAM
Treats insomnia (trouble sl... + Treats insomnia (trouble sleeping). Source: National Library of Medicine |
117
prescriptions, 0% of all prescriptions |
5
prescriptions. |
21
patients, 2% of all patients |
29 | 37 | |
|
OPANA ER
Used to relieve moderate to... + Used to relieve moderate to severe pain. Source: National Library of Medicine |
117
prescriptions, 0% of all prescriptions |
21
prescriptions. |
31
patients, 3% of all patients |
O | 29 | 28 |
|
ONDANSETRON HCL*
Ondansetron is used to prev... + Ondansetron is used to prevent nausea and vomiting caused by cancer chemotherapy, radiation therapy, and surgery. Source: National Library of Medicine |
116
prescriptions, 0% of all prescriptions |
22
prescriptions. |
19
patients, 2% of all patients |
31 | 38 | |
|
TOPIRAMATE
Helps control and prevent c... + Helps control and prevent certain kinds of seizures. Source: National Library of Medicine |
107
prescriptions, 0% of all prescriptions |
19
prescriptions. |
33
patients, 3% of all patients |
32 | 40 | |
|
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 |
104
prescriptions, 0% of all prescriptions |
13
prescriptions. |
22
patients, 2% of all patients |
R | 33 | 27 |
|
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 |
75
prescriptions, 0% of all prescriptions |
11
prescriptions. |
14
patients, 1% of all patients |
34 | 45 | |
|
VOLTAREN
Treats pain caused by arthr... + Treats pain caused by arthritis, ankylosing spondylitis, or other medical problems. Source: National Library of Medicine |
70
prescriptions, 0% of all prescriptions |
20
prescriptions. |
20
patients, 2% of all patients |
35 | 30 | |
|
IBUPROFEN
Treats fever and pain, incl... + Treats fever and pain, including pain caused by headache, toothache, arthritis, cold or flu, migraine, or menstrual cramps. Source: National Library of Medicine |
68
prescriptions, 0% of all prescriptions |
12
prescriptions. |
15
patients, 2% of all patients |
36 | 46 | |
|
ENDOCET
Treats moderate to moderate... + Treats moderate to moderately severe pain. Source: National Library of Medicine |
68
prescriptions, 0% of all prescriptions |
20
prescriptions. |
21
patients, 2% of all patients |
O | 36 | 46 |
|
LORAZEPAM
Treats anxiety, anxiety wit... + Treats anxiety, anxiety with depression, and insomnia (trouble sleeping). Source: National Library of Medicine |
64
prescriptions, 0% of all prescriptions |
21
prescriptions. |
17
patients, 2% of all patients |
38 | 33 | |
|
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 |
63
prescriptions, 0% of all prescriptions |
15
prescriptions. |
11
patients, 1% of all patients |
39 | 48 | |
|
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 |
57
prescriptions, 0% of all prescriptions |
24
prescriptions. |
<11 | 40 | 53 | |
|
CITALOPRAM HBR
Citalopram is used to treat... + Citalopram is used to treat depression. Source: National Library of Medicine |
53
prescriptions, 0% of all prescriptions |
5
prescriptions. |
19
patients, 2% of all patients |
41 | 57 | |
|
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 |
52
prescriptions, 0% of all prescriptions |
12
prescriptions. |
<11 | 42 | 34 | |
|
BUTALBITAL-ACETAMINOPHEN-CAFFE
This combination of drugs i... + This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine |
51
prescriptions, 0% of all prescriptions |
5
prescriptions. |
12
patients, 1% of all patients |
R | 43 | 59 |
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 Oct. 16, 2013.
- 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.