Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

At A Glance: This Prescriber in 2015

Neurology

Self-Reported Primary Specialty

See Other Prescribers With This Specialty in This State »

9,487Medicare Part D Prescriptions Filled, Including Refills

Rank: 10 out of 535

$757K Total Retail Price of All Prescriptions

Rank: 178 out of 535

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

58% 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 Texas
lower than average

Antipsychotics

4% of this provider’s 322 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 5%.

More resources »

Antibiotics

6% of this provider’s 499 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

31% of this provider’s 322 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 9%.

More resources »

Opioids

48% of this provider’s 499 patients filled at least one prescription for an opioid, compared to an average of 7%.

More resources »

Brand Name Drugs *

12% of this provider’s prescriptions were for brand-name drugs, compared to an average of 22%.

* This is an estimate, see our methodology.

Prescription Price

$80 was the average price of a prescription from this provider, compared to $328 among peers.

Prescriptions per Patient

19 is the average number of prescriptions (including refills) per patient, compared to an average of 8.


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

$490K

2012

$568K

2013

$661K

2014

$757K

2015

Number of Claims

5,483

2012

8,080

2013

8,465

2014

9,487

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

1,153

prescriptions, 12% of all prescriptions

491

prescriptions.

171

patients, 34% of all patients

O 1 9
TRAMADOL HCL

Tramadol is used to relieve... +

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

572

prescriptions, 6% of all prescriptions

239

prescriptions.

122

patients, 24% of all patients

O 2 26
GABAPENTIN

Treats certain types of sei... +

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

488

prescriptions, 5% of all prescriptions

256

prescriptions.

114

patients, 23% of all patients

3 1
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

362

prescriptions, 4% of all prescriptions

136

prescriptions.

65

patients, 13% of all patients

R 4 20
CLOPIDOGREL

Helps prevent stroke, heart... +

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

351

prescriptions, 4% of all prescriptions

278

prescriptions.

102

patients, 20% of all patients

5 19
TOPIRAMATE

Helps control and prevent c... +

Helps control and prevent certain kinds of seizures. Source: National Library of Medicine

335

prescriptions, 4% of all prescriptions

112

prescriptions.

73

patients, 15% of all patients

6 6
LORAZEPAM

Treats anxiety, anxiety wit... +

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

249

prescriptions, 3% of all prescriptions

133

prescriptions.

59

patients, 12% of all patients

7 39
CARISOPRODOL

Treats pain and stiffness o... +

Treats pain and stiffness of muscle spasms. Source: National Library of Medicine

223

prescriptions, 2% of all prescriptions

93

prescriptions.

44

patients, 9% of all patients

R 8 54
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

185

prescriptions, 2% of all prescriptions

92

prescriptions.

46

patients, 9% of all patients

9 88
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

184

prescriptions, 2% of all prescriptions

52

prescriptions.

46

patients, 9% of all patients

10 10
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

176

prescriptions, 2% of all prescriptions

96

prescriptions.

39

patients, 8% of all patients

11 11
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

165

prescriptions, 2% of all prescriptions

55

prescriptions.

58

patients, 12% of all patients

R 12 57
CHLORDIAZEPOXIDE-AMITRIPTYLINE 161

prescriptions, 2% of all prescriptions

69

prescriptions.

43

patients, 9% of all patients

R 10 13 125
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

151

prescriptions, 2% of all prescriptions

87

prescriptions.

35

patients, 7% of all patients

14 18
DIAZEPAM

Treats anxiety, muscle spas... +

Treats anxiety, muscle spasms, seizures, and other medical conditions. Source: National Library of Medicine

151

prescriptions, 2% of all prescriptions

70

prescriptions.

28

patients, 6% of all patients

14 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

149

prescriptions, 2% of all prescriptions

72

prescriptions.

28

patients, 6% of all patients

R 16 45
PROPRANOLOL HCL

Propranolol is used to trea... +

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

149

prescriptions, 2% of all prescriptions

56

prescriptions.

40

patients, 8% of all patients

16 42
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

143

prescriptions, 2% of all prescriptions

40

prescriptions.

28

patients, 6% of all patients

18 27
ALPRAZOLAM

Treats anxiety, panic disor... +

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

141

prescriptions, 1% of all prescriptions

127

prescriptions.

20

patients, 4% of all patients

19 23
CLONAZEPAM

Treats seizures, panic diso... +

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

134

prescriptions, 1% of all prescriptions

53

prescriptions.

27

patients, 5% of all patients

20 7
LEVETIRACETAM

Used to help control certai... +

Used to help control certain types of seizures caused by epilepsy. Source: National Library of Medicine

116

prescriptions, 1% of all prescriptions

32

prescriptions.

22

patients, 4% of all patients

21 4
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

107

prescriptions, 1% of all prescriptions

82

prescriptions.

25

patients, 5% of all patients

22 30
NAMENDA XR

Used to treat the symptoms ... +

Used to treat the symptoms of Alzheimer's disease. Source: National Library of Medicine

107

prescriptions, 1% of all prescriptions

96

prescriptions.

27

patients, 5% of all patients

22 5
PHENYTOIN SODIUM EXTENDED

Phenytoin is used to contro... +

Phenytoin is used to control certain type of seizures, and to treat and prevent seizures that may begin during or after surgery to the brain or nervous system. Source: National Library of Medicine

96

prescriptions, 1% of all prescriptions

33

prescriptions.

14

patients, 3% of all patients

24 28
VOLTAREN

Treats pain caused by arthr... +

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

95

prescriptions, 1% of all prescriptions

55

prescriptions.

49

patients, 10% of all patients

25 119
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

91

prescriptions, 1% of all prescriptions

37

prescriptions.

41

patients, 8% of all patients

26 146
PENTOXIFYLLINE

Treats problems from poor b... +

Treats problems from poor blood circulation by improving the flow of blood through blood vessels. Source: National Library of Medicine

89

prescriptions, 1% of all prescriptions

70

prescriptions.

21

patients, 4% of all patients

27 191
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

88

prescriptions, 1% of all prescriptions

73

prescriptions.

36

patients, 7% of all patients

28 2
CARBIDOPA-LEVODOPA

The combination of levodopa... +

The combination of levodopa and carbidopa is used to treat the symptoms of Parkinson's disease and Parkinson's-like symptoms that may develop after encephalitis (swelling of the brain) or injury to the nervous system caused by carbon monoxide poisoning or manganese poisoning. Source: National Library of Medicine

87

prescriptions, 1% of all prescriptions

82

prescriptions.

19

patients, 4% of all patients

29 3
MELOXICAM

Treats symptoms of osteoart... +

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

71

prescriptions, 1% of all prescriptions

38

prescriptions.

18

patients, 4% of all patients

30 46
DIVALPROEX SODIUM ER

Treats seizures (epilepsy).... +

Treats seizures (epilepsy). Source: National Library of Medicine

67

prescriptions, 1% of all prescriptions

32

prescriptions.

20

patients, 4% of all patients

31 34
LISINOPRIL

Treats high blood pressure ... +

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

65

prescriptions, 1% of all prescriptions

21

prescriptions.

17

patients, 3% of all patients

32 71
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

59

prescriptions, 1% of all prescriptions

40

prescriptions.

16

patients, 3% of all patients

33 8
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

54

prescriptions, 1% of all prescriptions

31

prescriptions.

11

patients, 2% of all patients

34 78
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

53

prescriptions, 1% of all prescriptions

12

prescriptions.

12

patients, 2% of all patients

35 52
NUVIGIL 53

prescriptions, 1% of all prescriptions

48

prescriptions.

12

patients, 2% of all patients

35 170
METHOCARBAMOL

Treats muscle pain and spas... +

Treats muscle pain and spasms. Source: National Library of Medicine

53

prescriptions, 1% of all prescriptions

16

prescriptions.

12

patients, 2% of all patients

R 35 176
EXELON

Rivastigmine is used to tre... +

Rivastigmine is used to treat mild to moderate dementia (memory loss) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

51

prescriptions, 1% of all prescriptions

46

prescriptions.

16

patients, 3% of all patients

38 17
TRAZODONE HCL

Trazodone is used to treat ... +

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

50

prescriptions, 1% of all prescriptions

37

prescriptions.

<11 39 33
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

50

prescriptions, 1% of all prescriptions

27

prescriptions.

15

patients, 3% of all patients

39 133
BACLOFEN

Treats muscle spasms caused... +

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

50

prescriptions, 1% of all prescriptions

27

prescriptions.

<11 39 25
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 Dec. 14, 2010.
  • 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.