Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

ALEX TAVERAS M.D.

At A Glance: This Prescriber in 2015

General Practice

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

15,068Medicare Part D Prescriptions Filled, Including Refills

Rank: 84 out of 1539

$438K Total Retail Price of All Prescriptions

Rank: 147 out of 1539

362 Patients Receiving at Least One Drug in Part D
72% Patients 65 Years and Older

4% 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 Puerto Rico
lower than average

Antipsychotics

7% of this provider’s 260 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 4%.

More resources »

Antibiotics

52% of this provider’s 362 patients filled at least one prescription for an antibiotic drug, compared to an average of 37%.

More resources »

Risky Drugs for Seniors

30% of this provider’s 260 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 10%.

More resources »

Opioids

26% of this provider’s 362 patients filled at least one prescription for an opioid, compared to an average of 13%.

More resources »

Brand Name Drugs

13% of this provider’s prescriptions were for brand-name drugs, compared to an average of 15%.

Prescription Price

$29 was the average price of a prescription from this provider, compared to $37 among peers.

Prescriptions per Patient

42 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

$301K

2012

$385K

2013

$421K

2014

$438K

2015

Number of Claims

8,902

2012

12,294

2013

14,273

2014

15,068

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
SIMVASTATIN

Treats high cholesterol and... +

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

838

prescriptions, 6% of all prescriptions

673

prescriptions.

118

patients, 33% of all patients

1 1
LOSARTAN-HYDROCHLOROTHIAZIDE

This drug is used to treat ... +

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

593

prescriptions, 4% of all prescriptions

376

prescriptions.

76

patients, 21% of all patients

2 12
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

561

prescriptions, 4% of all prescriptions

388

prescriptions.

70

patients, 19% of all patients

3 33
GABAPENTIN

Treats certain types of sei... +

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

518

prescriptions, 3% of all prescriptions

376

prescriptions.

81

patients, 22% of all patients

4 3
DICLOFENAC POTASSIUM

Diclofenac is a nonsteroida... +

Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild-to-moderate pain, and helps to relieve symptoms of arthritis (eg, osteoarthritis or rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain. Source: National Library of Medicine

482

prescriptions, 3% of all prescriptions

363

prescriptions.

103

patients, 28% of all patients

5 23
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

472

prescriptions, 3% of all prescriptions

386

prescriptions.

62

patients, 17% of all patients

6 10
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

456

prescriptions, 3% of all prescriptions

314

prescriptions.

64

patients, 18% of all patients

7 5
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

443

prescriptions, 3% of all prescriptions

373

prescriptions.

68

patients, 19% of all patients

8 2
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

424

prescriptions, 3% of all prescriptions

367

prescriptions.

62

patients, 17% of all patients

9 9
RANITIDINE HCL

Ranitidine is used to treat... +

Ranitidine is used to treat ulcers; gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the food pipe (esophagus); and conditions where the stomach produces too much acid, such as Zollinger-Ellison syndrome. Source: National Library of Medicine

397

prescriptions, 3% of all prescriptions

260

prescriptions.

72

patients, 20% of all patients

10 4
CLONAZEPAM

Treats seizures, panic diso... +

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

346

prescriptions, 2% of all prescriptions

210

prescriptions.

61

patients, 17% of all patients

11 18
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

333

prescriptions, 2% of all prescriptions

273

prescriptions.

48

patients, 13% of all patients

12 7
FUROSEMIDE

Treats fluid retention (ede... +

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

306

prescriptions, 2% of all prescriptions

251

prescriptions.

53

patients, 15% of all patients

13 19
FENOFIBRATE*

Treats high cholesterol and... +

Treats high cholesterol and triglycerides, together with a proper diet. Source: National Library of Medicine

284

prescriptions, 2% of all prescriptions

162

prescriptions.

39

patients, 11% of all patients

14 44
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

249

prescriptions, 2% of all prescriptions

228

prescriptions.

42

patients, 12% of all patients

15 15
IBANDRONATE SODIUM

Used to prevent and treat o... +

Used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause. Source: National Library of Medicine

248

prescriptions, 2% of all prescriptions

223

prescriptions.

41

patients, 11% of all patients

16 86
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

248

prescriptions, 2% of all prescriptions

206

prescriptions.

35

patients, 10% of all patients

16 11
ATORVASTATIN CALCIUM

Treats high cholesterol and... +

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

243

prescriptions, 2% of all prescriptions

167

prescriptions.

42

patients, 12% of all patients

18 8
BACLOFEN

Treats muscle spasms caused... +

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

232

prescriptions, 2% of all prescriptions

98

prescriptions.

50

patients, 14% of all patients

19 52
TEMAZEPAM

Treats insomnia (trouble sl... +

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

217

prescriptions, 1% of all prescriptions

149

prescriptions.

41

patients, 11% of all patients

20 31
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

200

prescriptions, 1% of all prescriptions

154

prescriptions.

53

patients, 15% of all patients

21 25
GLIMEPIRIDE

Treats type 2 diabetes. Use... +

Treats type 2 diabetes. Source: National Library of Medicine

181

prescriptions, 1% of all prescriptions

110

prescriptions.

25

patients, 7% of all patients

22 20
NABUMETONE

Treats pain caused by arthr... +

Treats pain caused by arthritis. Source: National Library of Medicine

176

prescriptions, 1% of all prescriptions

67

prescriptions.

49

patients, 14% of all patients

23 27
CLOPIDOGREL

Helps prevent stroke, heart... +

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

174

prescriptions, 1% of all prescriptions

154

prescriptions.

25

patients, 7% of all patients

24 21
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

169

prescriptions, 1% of all prescriptions

122

prescriptions.

32

patients, 9% of all patients

25 38
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

166

prescriptions, 1% of all prescriptions

134

prescriptions.

27

patients, 7% of all patients

26 29
ENALAPRIL MALEATE

Enalapril is used alone or ... +

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

155

prescriptions, 1% of all prescriptions

101

prescriptions.

22

patients, 6% of all patients

27 6
HUMULIN 70-30

Insulin injection is used t... +

Insulin injection is used to control blood sugar in people who have type 1 diabetes (condition in which the body does not make insulin and therefore cannot control the amount of sugar in the blood) or in people who have type 2 diabetes (condition in which the blood sugar is too high because the body does not produce or use insulin normally) that cannot be controlled with oral medications alone. Source: National Library of Medicine

139

prescriptions, 1% of all prescriptions

97

prescriptions.

22

patients, 6% of all patients

28 47
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

Treats short-term, medium to medium-severe pain. Source: National Library of Medicine

137

prescriptions, 1% of all prescriptions

80

prescriptions.

58

patients, 16% of all patients

O 29 60
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

133

prescriptions, 1% of all prescriptions

90

prescriptions.

31

patients, 9% of all patients

R 30 81
IRBESARTAN-HYDROCHLOROTHIAZIDE

Used to treat high blood pr... +

Used to treat high blood pressure. Source: National Library of Medicine

133

prescriptions, 1% of all prescriptions

111

prescriptions.

18

patients, 5% of all patients

30 93
CLOTRIMAZOLE-BETAMETHASONE

This combination medication... +

This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch. Source: National Library of Medicine

132

prescriptions, 1% of all prescriptions

80

prescriptions.

45

patients, 12% of all patients

32 39
ALPRAZOLAM

Treats anxiety, panic disor... +

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

126

prescriptions, 1% of all prescriptions

101

prescriptions.

21

patients, 6% of all patients

33 28
GLYBURIDE-METFORMIN HCL

The combination of glyburid... +

The combination of glyburide and metformin is used 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) in people whose diabetes cannot be controlled by diet and exercise alone. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

83

prescriptions.

20

patients, 6% of all patients

R 34 283
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

112

prescriptions, 1% of all prescriptions

112

prescriptions.

24

patients, 7% of all patients

35 35
IRBESARTAN

Used alone or in combinatio... +

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

111

prescriptions, 1% of all prescriptions

81

prescriptions.

15

patients, 4% of all patients

36 36
QUETIAPINE FUMARATE

Quetiapine is used to treat... +

Quetiapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions). Source: National Library of Medicine

103

prescriptions, 1% of all prescriptions

80

prescriptions.

15

patients, 4% of all patients

P 37 58
NIFEDIPINE ER

Used for the treatment of v... +

Used for the treatment of vasospastic angina, chronic stable angina and hypertension. Source: National Library of Medicine

99

prescriptions, 1% of all prescriptions

86

prescriptions.

13

patients, 4% of all patients

38 131
MELOXICAM

Treats symptoms of osteoart... +

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

98

prescriptions, 1% of all prescriptions

93

prescriptions.

20

patients, 6% of all patients

39 75
FLUTICASONE PROPIONATE

Treats stuffy nose caused b... +

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

98

prescriptions, 1% of all prescriptions

64

prescriptions.

39

patients, 11% of all patients

39 49
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

96

prescriptions, 1% of all prescriptions

77

prescriptions.

15

patients, 4% of all patients

41 66
LANTUS

Treats diabetes mellitus. I... +

Treats diabetes mellitus. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

65

prescriptions.

22

patients, 6% of all patients

42 30
LORAZEPAM

Treats anxiety, anxiety wit... +

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

89

prescriptions, 1% of all prescriptions

43

prescriptions.

12

patients, 3% of all patients

42 50
TRAMADOL HCL

Tramadol is used to relieve... +

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

89

prescriptions, 1% of all prescriptions

47

prescriptions.

23

patients, 6% of all patients

O 42 24
OXYCODONE-ACETAMINOPHEN

Used to relieve moderate to... +

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

89

prescriptions, 1% of all prescriptions

5

prescriptions.

18

patients, 5% of all patients

O 42 56
VALSARTAN-HYDROCHLOROTHIAZIDE

Treats high blood pressure. +

Treats high blood pressure. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

63

prescriptions.

<11 46 77
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

85

prescriptions, 1% of all prescriptions

67

prescriptions.

13

patients, 4% of all patients

47 41
LEVOFLOXACIN

Levofloxacin is used to tre... +

Levofloxacin is used to treat certain infections such as pneumonia, chronic bronchitis and sinus, urinary tract, kidney, prostate (a male reproductive gland), and skin infections. Source: National Library of Medicine

77

prescriptions, 1% of all prescriptions

44

prescriptions.

69

patients, 19% of all patients

A 48 68
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

76

prescriptions, 1% of all prescriptions

71

prescriptions.

12

patients, 3% of all patients

49 98
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

74

prescriptions, 0% of all prescriptions

55

prescriptions.

12

patients, 3% of all patients

50 40
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

72

prescriptions, 0% of all prescriptions

17

prescriptions.

12

patients, 3% of all patients

51 26
PREDNISOLONE 70

prescriptions, 0% of all prescriptions

48

prescriptions.

53

patients, 15% of all patients

52 133
DICYCLOMINE HCL

Dicyclomine is used to trea... +

Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Source: National Library of Medicine

67

prescriptions, 0% of all prescriptions

62

prescriptions.

20

patients, 6% of all patients

53 92
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

62

prescriptions, 0% of all prescriptions

21

prescriptions.

<11 54 139
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

62

prescriptions, 0% of all prescriptions

25

prescriptions.

<11 54 53
AZITHROMYCIN

Treats infections caused by... +

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

59

prescriptions, 0% of all prescriptions

41

prescriptions.

48

patients, 13% of all patients

A 56 37
MECLIZINE HCL

Meclizine is used to preven... +

Meclizine is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. Source: National Library of Medicine

59

prescriptions, 0% of all prescriptions

59

prescriptions.

17

patients, 5% of all patients

56 48
CITALOPRAM HBR

Citalopram is used to treat... +

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

57

prescriptions, 0% of all prescriptions

40

prescriptions.

<11 58 83
MOXIFLOXACIN HCL 57

prescriptions, 0% of all prescriptions

36

prescriptions.

49

patients, 14% of all patients

A 58 183
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

52

prescriptions, 0% of all prescriptions

52

prescriptions.

<11 60 13
RISPERIDONE

Treats schizophrenia and ce... +

Treats schizophrenia and certain problems caused by bipolar disorder. Source: National Library of Medicine

50

prescriptions, 0% of all prescriptions

31

prescriptions.

<11 P 61 72
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 2, 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.