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 »

15,146Medicare Part D Prescriptions Filled, Including Refills

Rank: 4 out of 75

$1.77M Total Retail Price of All Prescriptions

Rank: 7 out of 75

1,483 Patients Receiving at Least One Drug in Part D
79% Patients 65 Years and Older

1% 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

5% of this provider’s 1,170 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 8%.

More resources »

Antibiotics

1% of this provider’s 1,483 patients filled at least one prescription for an antibiotic drug, compared to an average of 2%.

More resources »

Risky Drugs for Seniors

6% of this provider’s 1,170 patients 65 and older filled at least one prescription for a potentially inappropriate drug, compared to an average of 6%.

More resources »

Opioids

6% of this provider’s 1,483 patients filled at least one prescription for an opioid, compared to an average of 5%.

More resources »

Brand Name Drugs

25% of this provider’s prescriptions were for brand-name drugs, compared to an average of 24%.

Prescription Price

$117 was the average price of a prescription from this provider, compared to $145 among peers.

Prescriptions per Patient

10 is the average number of prescriptions (including refills) per patient, compared to an average of 9.


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

$1.32M

2012

$1.64M

2013

$1.82M

2014

$1.77M

2015

Number of Claims

13,114

2012

14,556

2013

14,570

2014

15,146

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
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

2,127

prescriptions, 14% of all prescriptions

2,051

prescriptions.

392

patients, 26% of all patients

1 1
GABAPENTIN

Treats certain types of sei... +

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

1,252

prescriptions, 8% of all prescriptions

796

prescriptions.

286

patients, 19% of all patients

2 2
NAMENDA

Treats dementia (memory los... +

Treats dementia (memory loss and mental changes) that is a sign of Alzheimer's disease. Source: National Library of Medicine

1,008

prescriptions, 7% of all prescriptions

982

prescriptions.

222

patients, 15% of all patients

3 3
MEMANTINE HCL

Treats moderate to severe ... +

Treats moderate to severe Alzheimer's disease. Source: National Library of Medicine

620

prescriptions, 4% of all prescriptions

601

prescriptions.

207

patients, 14% of all patients

10 4 9
CLONAZEPAM

Treats seizures, panic diso... +

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

566

prescriptions, 4% of all prescriptions

471

prescriptions.

120

patients, 8% of all patients

5 8
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

544

prescriptions, 4% of all prescriptions

506

prescriptions.

103

patients, 7% of all patients

6 13
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

478

prescriptions, 3% of all prescriptions

442

prescriptions.

79

patients, 5% of all patients

7 5
GALANTAMINE HBR

Galantamine is used to trea... +

Galantamine is used to treat the symptoms of 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

369

prescriptions, 2% of all prescriptions

343

prescriptions.

69

patients, 5% of all patients

8 4
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

351

prescriptions, 2% of all prescriptions

346

prescriptions.

58

patients, 4% of all patients

9 10
PRAMIPEXOLE DIHYDROCHLORIDE

Pramipexole is used alone o... +

Pramipexole 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

311

prescriptions, 2% of all prescriptions

294

prescriptions.

48

patients, 3% of all patients

10 14
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

275

prescriptions, 2% of all prescriptions

81

prescriptions.

74

patients, 5% of all patients

11 7
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

269

prescriptions, 2% of all prescriptions

128

prescriptions.

95

patients, 6% of all patients

12 15
NABUMETONE

Treats pain caused by arthr... +

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

245

prescriptions, 2% of all prescriptions

147

prescriptions.

96

patients, 6% of all patients

13 31
CLOPIDOGREL

Helps prevent stroke, heart... +

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

243

prescriptions, 2% of all prescriptions

213

prescriptions.

57

patients, 4% of all patients

14 16
LEVETIRACETAM

Used to help control certai... +

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

232

prescriptions, 2% of all prescriptions

151

prescriptions.

45

patients, 3% of all patients

15 11
PRIMIDONE

Treats seizure disorders. B... +

Treats seizure disorders. Source: National Library of Medicine

201

prescriptions, 1% of all prescriptions

180

prescriptions.

37

patients, 2% of all patients

16 25
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

195

prescriptions, 1% of all prescriptions

190

prescriptions.

39

patients, 3% of all patients

P 17 12
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

188

prescriptions, 1% of all prescriptions

113

prescriptions.

37

patients, 2% of all patients

18 18
CITALOPRAM HBR

Citalopram is used to treat... +

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

166

prescriptions, 1% of all prescriptions

145

prescriptions.

28

patients, 2% of all patients

19 17
CARBIDOPA-LEVODOPA-ENTACAPONE 156

prescriptions, 1% of all prescriptions

151

prescriptions.

23

patients, 2% of all patients

20 32
AMANTADINE

Treats or prevents the flu ... +

Treats or prevents the flu (influenza type A). Source: National Library of Medicine

153

prescriptions, 1% of all prescriptions

139

prescriptions.

26

patients, 2% of all patients

21 39
BUTALBITAL-ACETAMINOPHEN-CAFFE

This combination of drugs i... +

This combination of drugs is used to relieve tension headaches. Source: National Library of Medicine

134

prescriptions, 1% of all prescriptions

66

prescriptions.

41

patients, 3% of all patients

R 22 40
AMITRIPTYLINE HCL

Amitriptyline is used to tr... +

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

125

prescriptions, 1% of all prescriptions

55

prescriptions.

25

patients, 2% of all patients

R 23 29
NAMENDA XR

Used to treat the symptoms ... +

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

122

prescriptions, 1% of all prescriptions

103

prescriptions.

25

patients, 2% of all patients

24 6
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

122

prescriptions, 1% of all prescriptions

105

prescriptions.

30

patients, 2% of all patients

24 45
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

120

prescriptions, 1% of all prescriptions

100

prescriptions.

22

patients, 1% of all patients

26 23
NORTRIPTYLINE HCL

Nortriptyline is used to tr... +

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

120

prescriptions, 1% of all prescriptions

93

prescriptions.

41

patients, 3% of all patients

26 43
LAMOTRIGINE

Treats certain types of sei... +

Treats certain types of seizures and mood disorders. Source: National Library of Medicine

117

prescriptions, 1% of all prescriptions

54

prescriptions.

15

patients, 1% of all patients

28 21
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

116

prescriptions, 1% of all prescriptions

104

prescriptions.

21

patients, 1% of all patients

29 46
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

113

prescriptions, 1% of all prescriptions

79

prescriptions.

15

patients, 1% of all patients

30 61
BACLOFEN

Treats muscle spasms caused... +

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

108

prescriptions, 1% of all prescriptions

62

prescriptions.

32

patients, 2% of all patients

31 22
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

102

prescriptions, 1% of all prescriptions

53

prescriptions.

34

patients, 2% of all patients

32 79
MELOXICAM

Treats symptoms of osteoart... +

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

101

prescriptions, 1% of all prescriptions

45

prescriptions.

41

patients, 3% of all patients

33 48
ENTACAPONE 97

prescriptions, 1% of all prescriptions

97

prescriptions.

<11 34 91
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

92

prescriptions, 1% of all prescriptions

64

prescriptions.

24

patients, 2% of all patients

35 24
ALPRAZOLAM

Treats anxiety, panic disor... +

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

88

prescriptions, 1% of all prescriptions

72

prescriptions.

14

patients, 1% of all patients

36 44
TRAMADOL HCL

Tramadol is used to relieve... +

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

86

prescriptions, 1% of all prescriptions

50

prescriptions.

44

patients, 3% of all patients

O 37 50
OXCARBAZEPINE

Used alone or together with... +

Used alone or together with other medicines to treat seizures caused by epilepsy in adults and children 2 years of age and older. Source: National Library of Medicine

86

prescriptions, 1% of all prescriptions

62

prescriptions.

13

patients, 1% of all patients

37 36
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

84

prescriptions, 1% of all prescriptions

57

prescriptions.

31

patients, 2% of all patients

39 75
RIVASTIGMINE*

Used to treat mild to moder... +

Used to treat mild to moderate dementia (memory loss and mental changes) associated with Alzheimer's disease or Parkinson's disease. Source: National Library of Medicine

83

prescriptions, 1% of all prescriptions

78

prescriptions.

14

patients, 1% of all patients

40 37
PHENOBARBITAL

Used to control seizures. P... +

Used to control seizures. Source: National Library of Medicine

79

prescriptions, 1% of all prescriptions

58

prescriptions.

<11 R 41 62
LORAZEPAM

Treats anxiety, anxiety wit... +

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

77

prescriptions, 1% of all prescriptions

52

prescriptions.

13

patients, 1% of all patients

42 55
RISPERIDONE

Treats schizophrenia and ce... +

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

77

prescriptions, 1% of all prescriptions

59

prescriptions.

13

patients, 1% of all patients

P 42 28
TEMAZEPAM

Treats insomnia (trouble sl... +

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

75

prescriptions, 0% of all prescriptions

60

prescriptions.

17

patients, 1% of all patients

44 26
SIMVASTATIN

Treats high cholesterol and... +

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

73

prescriptions, 0% of all prescriptions

62

prescriptions.

14

patients, 1% of all patients

45 33
DILANTIN*

Treats seizures. This medic... +

Treats seizures. Source: National Library of Medicine

66

prescriptions, 0% of all prescriptions

30

prescriptions.

<11 46 68
TOPIRAMATE

Helps control and prevent c... +

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

66

prescriptions, 0% of all prescriptions

37

prescriptions.

15

patients, 1% of all patients

46 19
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

65

prescriptions, 0% of all prescriptions

43

prescriptions.

15

patients, 1% of all patients

48 20
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

65

prescriptions, 0% of all prescriptions

65

prescriptions.

18

patients, 1% of all patients

48 30
CARBIDOPA-LEVODOPA ER

Used to treat the symptoms ... +

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

62

prescriptions, 0% of all prescriptions

57

prescriptions.

<11 50 27
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

62

prescriptions, 0% of all prescriptions

46

prescriptions.

<11 50 82
TEGRETOL XR 60

prescriptions, 0% of all prescriptions

22

prescriptions.

<11 52 138
PREDNISONE

Treats inflammation (swelli... +

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

58

prescriptions, 0% of all prescriptions

53

prescriptions.

19

patients, 1% of all patients

53 106
TRAMADOL HCL-ACETAMINOPHEN

Treats short-term, medium t... +

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

58

prescriptions, 0% of all prescriptions

30

prescriptions.

26

patients, 2% of all patients

O 53 67
KEPPRA 57

prescriptions, 0% of all prescriptions

35

prescriptions.

<11 55 94
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

56

prescriptions, 0% of all prescriptions

45

prescriptions.

11

patients, 1% of all patients

56 71
SYNTHROID

Treats hypothyroidism. +

Treats hypothyroidism. Source: National Library of Medicine

53

prescriptions, 0% of all prescriptions

38

prescriptions.

<11 57 57
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

53

prescriptions, 0% of all prescriptions

37

prescriptions.

<11 57 58
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 Sept. 9, 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.