⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Excluded Providers in Medicare Part D

372 providers in our dataset match the OIG's List of Excluded Individuals/Entities (LEIE). These are individuals or entities that have been convicted of healthcare fraud, patient abuse, or related offenses.

Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026

Share:

372

Excluded Providers

971,072

Total Claims

$105.8M

Total Drug Costs

10

High Risk (≥50)

What is the LEIE? The Office of Inspector General (OIG) maintains a list of providers excluded from all federal healthcare programs. Excluded providers are prohibited from receiving payment for services rendered to Medicare or Medicaid beneficiaries. Matching is based on NPI numbers and may include false positives.

Showing 25 of 372 providers

Kamyar CohanshohetMDEXCLUDED

Internal Medicine · Beverly Hills, CA

226 claims$75K drug cost62.4% opioid rate
63
Duane DixonM.D.EXCLUDED

Pain Management · Lynchburg, VA

418 claims$76K drug cost57.7% opioid rate
60
Felicia GonzalezD.O.EXCLUDED

Internal Medicine · Toms River, NJ

492 claims$145K drug cost41.9% opioid rate
60
Mark RubinM.D.EXCLUDED

Interventional Pain Management · Scottsdale, AZ

1,077 claims$70K drug cost73.1% opioid rate
55
Elizabeth ButterworthRN, MSN, APNCEXCLUDED

Nurse Practitioner · Cape May Court House, NJ

3,565 claims$152K drug cost71.0% opioid rate
55
Randall BerinhoutM.D.EXCLUDED

Pain Management · Stockbridge, GA

4,120 claims$226K drug cost69.7% opioid rate
55
David SmithMDEXCLUDED

Pain Management · San Diego, CA

3,369 claims$178K drug cost55.0% opioid rate
55
Lawrence PetersMDEXCLUDED

Pain Management · Louisville, KY

23,514 claims$2.1M drug cost52.5% opioid rate
53
Margaret KeithM.DEXCLUDED

Internal Medicine · Tarpon Springs, FL

3,342 claims$188K drug cost37.0% opioid rate
53
Odette CampbellM.D.EXCLUDED

Internal Medicine · Plano, TX

39,453 claims$7.8M drug cost8.8% opioid rate
50
Desi BarrogaMDEXCLUDED

Physical Medicine and Rehabilitation · Dallas, TX

134 claims$5,341 drug cost70.1% opioid rate
45
Ryan Allen-BradyFNPEXCLUDED

Nurse Practitioner · Phoenix, AZ

908 claims$39K drug cost31.9% opioid rate
45
Eduardo MirandaM.D.EXCLUDED

Hematology-Oncology · Laredo, TX

1,475 claims$8.3M drug cost8.0% opioid rate
45
Medea KarrN.P.EXCLUDED

Nurse Practitioner · Seattle, WA

802 claims$76K drug cost52.4% opioid rate
45
Steven BurackD.O.EXCLUDED

Physical Medicine and Rehabilitation · Boca Raton, FL

111 claims$2,679 drug cost57.7% opioid rate
45
Shiva AkulaM.DEXCLUDED

Infectious Disease · New Orleans, LA

291 claims$763K drug cost
45
Joseph SappEXCLUDED

Nurse Practitioner · Washington, PA

1,765 claims$112K drug cost35.4% opioid rate
45
Andre BrutusEXCLUDED

Internal Medicine · Brooklyn, NY

4,745 claims$5.8M drug cost
45
Steven BrewerPAEXCLUDED

Physician Assistant · Richmond, VA

5,853 claims$378K drug cost44.0% opioid rate
45
Wendell RandallMDEXCLUDED

Pathology · Mount Airy, NC

349 claims$38K drug cost55.9% opioid rate
45
Harvey LeslieM.D.EXCLUDED

Internal Medicine · Decatur, GA

13,287 claims$413K drug cost45.2% opioid rate
45
Deno BarrogaMDEXCLUDED

Physical Medicine and Rehabilitation · Dallas, TX

239 claims$21K drug cost50.2% opioid rate
43
Janet PettyjohnD.O.EXCLUDED

Family Practice · Tampa, FL

744 claims$35K drug cost22.8% opioid rate
43
Martin MaassenM.D.EXCLUDED

Emergency Medicine · West Lafayette, IN

370 claims$51K drug cost37.8% opioid rate
43
Ernesto MalaveM.D.EXCLUDED

Family Practice · Killeen, TX

11,956 claims$2.8M drug cost2.1% opioid rate
43

Related Analysis

🚫 Excluded Providers Still Prescribing

Deep dive into how OIG-excluded providers continue to appear in Medicare Part D prescribing data.