Prescriber Checkup

Prescriber Checkup

The Doctors and Drugs in Medicare Part D

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Prescriber Checkup » Virginia » Marion

BRIAN STIEFEL M.D.

Marion | Virginia | 24354

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At A Glance: This Prescriber in 2016

Family Medicine

Self-Reported Primary Specialty

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16,658Medicare Part D Prescriptions Filled, Including Refills

Rank: 71 out of 1786 providers in this state and specialty

$844K Total Retail Price of All Prescriptions

Rank: 103 out of 1786 providers in this state and specialty

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

69% 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 Virginia lower than average

Antipsychotics

5% of this provider’s 344 patients who are 65 and older filled at least one prescription for an antipsychotic drug, compared to an average of 2%.

More resources »

Antibiotics

54% of this provider’s 530 patients filled at least one prescription for an antibiotic drug, compared to an average of 28%.

More resources »

Opioids

42% of this provider’s 530 patients filled at least one prescription for an opioid, compared to an average of 15%.

More resources »

Brand Name Drugs

16% of this provider’s prescriptions were for brand-name drugs, compared to an average of 17%.

Prescription Price

$51 was the average price of a prescription from this provider, compared to $59 among peers.

Prescriptions per Patient

31 is the average number of prescriptions (including refills) per patient, compared to an average of 15.


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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's History

A comparison of this provider’s prescribing in Part D since 2014. All years may not be shown if there is insufficient data.

Cost of Claims

$803K

2014

$914K

2015

$844K

2016

Number of Claims

16,006

2014

16,840

2015

16,658

2016

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.

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 provider received at least one payment from a pharmaceutical company related to this drug in 2016. More » This flag only appears for the top 50 most prescribed brand-name drugs in Medicare that year.

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 1,184

prescriptions, 7% of all prescriptions

 550

prescriptions.

 162

patients, 31% of all patients

 O 1 14
OMEPRAZOLE 641

prescriptions, 4% of all prescriptions

 387

prescriptions.

 102

patients, 19% of all patients

 2 6
LEVOTHYROXINE SODIUM 431

prescriptions, 3% of all prescriptions

 300

prescriptions.

 62

patients, 12% of all patients

 3 3
FUROSEMIDE 410

prescriptions, 2% of all prescriptions

 279

prescriptions.

 69

patients, 13% of all patients

 4 8
METOPROLOL TARTRATE 401

prescriptions, 2% of all prescriptions

 294

prescriptions.

 68

patients, 13% of all patients

 5 12
CLONAZEPAM 351

prescriptions, 2% of all prescriptions

 152

prescriptions.

 45

patients, 8% of all patients

 6 40
METFORMIN HCL 350

prescriptions, 2% of all prescriptions

 233

prescriptions.

 66

patients, 12% of all patients

 7 7
ATORVASTATIN CALCIUM 348

prescriptions, 2% of all prescriptions

 259

prescriptions.

 63

patients, 12% of all patients

 8 1
GABAPENTIN 348

prescriptions, 2% of all prescriptions

 154

prescriptions.

 62

patients, 12% of all patients

 8 10
AMLODIPINE BESYLATE 338

prescriptions, 2% of all prescriptions

 246

prescriptions.

 56

patients, 11% of all patients

 10 2
LORAZEPAM 300

prescriptions, 2% of all prescriptions

 213

prescriptions.

 40

patients, 8% of all patients

 11 28
LISINOPRIL 296

prescriptions, 2% of all prescriptions

 220

prescriptions.

 58

patients, 11% of all patients

 12 4
SIMVASTATIN 275

prescriptions, 2% of all prescriptions

 182

prescriptions.

 50

patients, 9% of all patients

 13 5
ENALAPRIL MALEATE 242

prescriptions, 1% of all prescriptions

 143

prescriptions.

 42

patients, 8% of all patients

 14 96
POTASSIUM CHLORIDE 228

prescriptions, 1% of all prescriptions

 158

prescriptions.

 37

patients, 7% of all patients

 15 18
HYDROCHLOROTHIAZIDE 226

prescriptions, 1% of all prescriptions

 172

prescriptions.

 38

patients, 7% of all patients

 16 9
ALPRAZOLAM 225

prescriptions, 1% of all prescriptions

 95

prescriptions.

 35

patients, 7% of all patients

 17 16
PANTOPRAZOLE SODIUM 222

prescriptions, 1% of all prescriptions

 118

prescriptions.

 40

patients, 8% of all patients

 18 19
CLOPIDOGREL 216

prescriptions, 1% of all prescriptions

 154

prescriptions.

 36

patients, 7% of all patients

 19 26
NEXIUM 195

prescriptions, 1% of all prescriptions

 96

prescriptions.

 31

patients, 6% of all patients

 20 102
RANITIDINE HCL 186

prescriptions, 1% of all prescriptions

 115

prescriptions.

 32

patients, 6% of all patients

 21 34
PREDNISONE 184

prescriptions, 1% of all prescriptions

 93

prescriptions.

 81

patients, 15% of all patients

 22 36
TRIAMTERENE-HYDROCHLOROTHIAZID 177

prescriptions, 1% of all prescriptions

 103

prescriptions.

 25

patients, 5% of all patients

 23 59
PRAVASTATIN SODIUM 174

prescriptions, 1% of all prescriptions

 126

prescriptions.

 26

patients, 5% of all patients

 24 13
CEFUROXIME 161

prescriptions, 1% of all prescriptions

 110

prescriptions.

 101

patients, 19% of all patients

 A 25 159
CITALOPRAM HBR 158

prescriptions, 1% of all prescriptions

 116

prescriptions.

 28

patients, 5% of all patients

 26 31
TAMSULOSIN HCL 147

prescriptions, 1% of all prescriptions

 65

prescriptions.

 28

patients, 5% of all patients

 27 24
DIAZEPAM 146

prescriptions, 1% of all prescriptions

 32

prescriptions.

 19

patients, 4% of all patients

 28 66
OXYCODONE-ACETAMINOPHEN 140

prescriptions, 1% of all prescriptions

 84

prescriptions.

 29

patients, 5% of all patients

 O 29 42
SERTRALINE HCL 136

prescriptions, 1% of all prescriptions

 71

prescriptions.

 23

patients, 4% of all patients

 30 20
LISINOPRIL-HYDROCHLOROTHIAZIDE 126

prescriptions, 1% of all prescriptions

 90

prescriptions.

 21

patients, 4% of all patients

 31 25
ATENOLOL 125

prescriptions, 1% of all prescriptions

 87

prescriptions.

 24

patients, 5% of all patients

 32 21
METOPROLOL SUCCINATE 119

prescriptions, 1% of all prescriptions

 73

prescriptions.

 24

patients, 5% of all patients

 33 15
AMOXICILLIN-CLAVULANATE POTASS 114

prescriptions, 1% of all prescriptions

 69

prescriptions.

 80

patients, 15% of all patients

 A 34 116
TRAMADOL HCL 114

prescriptions, 1% of all prescriptions

 61

prescriptions.

 29

patients, 5% of all patients

 O 34 17
WARFARIN SODIUM 113

prescriptions, 1% of all prescriptions

 108

prescriptions.

 23

patients, 4% of all patients

 36 23
DULOXETINE HCL 109

prescriptions, 1% of all prescriptions

 42

prescriptions.

 17

patients, 3% of all patients

 37 43
PROAIR HFA 108

prescriptions, 1% of all prescriptions

 44

prescriptions.

 23

patients, 4% of all patients

 38 56
LOSARTAN POTASSIUM 108

prescriptions, 1% of all prescriptions

 103

prescriptions.

 18

patients, 3% of all patients

 38 11
ISOSORBIDE MONONITRATE ER 107

prescriptions, 1% of all prescriptions

 65

prescriptions.

 16

patients, 3% of all patients

 40 65
CRESTOR 104

prescriptions, 1% of all prescriptions

 74

prescriptions.

 21

patients, 4% of all patients

 41 44
CARVEDILOL 102

prescriptions, 1% of all prescriptions

 82

prescriptions.

 17

patients, 3% of all patients

 42 22
VALSARTAN 101

prescriptions, 1% of all prescriptions

 76

prescriptions.

 11

patients, 2% of all patients

 43 70
TRAZODONE HCL 98

prescriptions, 1% of all prescriptions

 63

prescriptions.

 20

patients, 4% of all patients

 44 27
ZOLPIDEM TARTRATE 98

prescriptions, 1% of all prescriptions

 14

prescriptions.

 15

patients, 3% of all patients

 44 45
AZITHROMYCIN 94

prescriptions, 1% of all prescriptions

 68

prescriptions.

 67

patients, 13% of all patients

 A 46 46
SUCRALFATE 89

prescriptions, 1% of all prescriptions

 61

prescriptions.

 17

patients, 3% of all patients

 47 151
MONTELUKAST SODIUM 89

prescriptions, 1% of all prescriptions

 27

prescriptions.

 19

patients, 4% of all patients

 47 32
ESCITALOPRAM OXALATE 87

prescriptions, 1% of all prescriptions

 63

prescriptions.

 14

patients, 3% of all patients

 49 38
DONEPEZIL HCL 87

prescriptions, 1% of all prescriptions

 71

prescriptions.

 14

patients, 3% of all patients

 49 41
ESOMEPRAZOLE MAGNESIUM 82

prescriptions, 0% of all prescriptions

 51

prescriptions.

 20

patients, 4% of all patients

 51 99
FLUTICASONE PROPIONATE 80

prescriptions, 0% of all prescriptions

 24

prescriptions.

 19

patients, 4% of all patients

 52 29
MIRTAZAPINE 80

prescriptions, 0% of all prescriptions

 61

prescriptions.

 16

patients, 3% of all patients

 52 50
ALLOPURINOL 79

prescriptions, 0% of all prescriptions

 36

prescriptions.

 17

patients, 3% of all patients

 54 30
SPIRONOLACTONE 77

prescriptions, 0% of all prescriptions

 28

prescriptions.

 13

patients, 2% of all patients

 55 57
DIPHENOXYLATE-ATROPINE 73

prescriptions, 0% of all prescriptions

 37

prescriptions.

 25

patients, 5% of all patients

 56 261
VENTOLIN HFA 72

prescriptions, 0% of all prescriptions

 38

prescriptions.

 24

patients, 5% of all patients

 57 54
SULFAMETHOXAZOLE-TRIMETHOPRIM 72

prescriptions, 0% of all prescriptions

 56

prescriptions.

 55

patients, 10% of all patients

 A 57 112
CYCLOBENZAPRINE HCL 71

prescriptions, 0% of all prescriptions

 <11 16

patients, 3% of all patients

 59 105
ADVAIR DISKUS 69

prescriptions, 0% of all prescriptions

 20

prescriptions.

 <11 60 76
MELOXICAM 68

prescriptions, 0% of all prescriptions

 40

prescriptions.

 23

patients, 4% of all patients

 61 37
QUETIAPINE FUMARATE 68

prescriptions, 0% of all prescriptions

 50

prescriptions.

 11

patients, 2% of all patients

 P 61 49
GLIMEPIRIDE 67

prescriptions, 0% of all prescriptions

 62

prescriptions.

 12

patients, 2% of all patients

 63 33
MECLIZINE HCL 65

prescriptions, 0% of all prescriptions

 44

prescriptions.

 12

patients, 2% of all patients

 64 120
LYRICA 65

prescriptions, 0% of all prescriptions

 28

prescriptions.

 12

patients, 2% of all patients

 64 89
KLOR-CON M20 64

prescriptions, 0% of all prescriptions

 46

prescriptions.

 12

patients, 2% of all patients

 66 91
PIOGLITAZONE HCL 63

prescriptions, 0% of all prescriptions

 26

prescriptions.

 <11 67 81
POLYETHYLENE GLYCOL 3350 63

prescriptions, 0% of all prescriptions

 26

prescriptions.

 11

patients, 2% of all patients

 67 62
LEVOFLOXACIN 63

prescriptions, 0% of all prescriptions

 36

prescriptions.

 52

patients, 10% of all patients

 A 67 106
IBUPROFEN 62

prescriptions, 0% of all prescriptions

 21

prescriptions.

 16

patients, 3% of all patients

 70 80
TOPIRAMATE 62

prescriptions, 0% of all prescriptions

 11

prescriptions.

 <11 70 130
OXYCODONE HCL 61

prescriptions, 0% of all prescriptions

 38

prescriptions.

 <11 O 72 51
TEMAZEPAM 60

prescriptions, 0% of all prescriptions

 55

prescriptions.

 18

patients, 3% of all patients

 73 122
NYSTATIN 60

prescriptions, 0% of all prescriptions

 36

prescriptions.

 31

patients, 6% of all patients

 73 127
DOXYCYCLINE HYCLATE 58

prescriptions, 0% of all prescriptions

 39

prescriptions.

 30

patients, 6% of all patients

 A 75 124
ZETIA 58

prescriptions, 0% of all prescriptions

 46

prescriptions.

 <11 75 75
METHOTREXATE 58

prescriptions, 0% of all prescriptions

 40

prescriptions.

 <11 75 227
FAMOTIDINE* 55

prescriptions, 0% of all prescriptions

 55

prescriptions.

 <11 78 79
BYSTOLIC 53

prescriptions, 0% of all prescriptions

 20

prescriptions.

 <11 79 135
PAROXETINE HCL 53

prescriptions, 0% of all prescriptions

 27

prescriptions.

 <11 79 69
TRIAMCINOLONE ACETONIDE 52

prescriptions, 0% of all prescriptions

 30

prescriptions.

 24

patients, 5% of all patients

 81 103
CLONIDINE HCL 52

prescriptions, 0% of all prescriptions

 41

prescriptions.

 <11 81 58
ROPINIROLE HCL 52

prescriptions, 0% of all prescriptions

 30

prescriptions.

 <11 81 98
VENLAFAXINE HCL ER 51

prescriptions, 0% of all prescriptions

 16

prescriptions.

 <11 84 64
NAMENDA XR 50

prescriptions, 0% of all prescriptions

 50

prescriptions.

 <11 85 71
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 2016 includes more than 1.5 billion prescriptions written by 1.1 million doctors, nurses and other providers. This database lists over 460,000 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. 25, 2007.
  • 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.