Opioid Prescribing in Medicare Part D

A complete analysis of opioid prescribing patterns across 1,380,665 Medicare Part D prescribers in 2023.

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

450,343

Opioid Prescribers

113,169

High Rate (>20%)

32.6%

% of All Prescribers

1,380,665

Total Prescribers

Opioid Prescribing by State

#	State	Prescribers	Opioid Prescribers	% Prescribing	Avg Opioid Rate ▼	High Rate
1	Armed Forces Pacific	99	28	28.3%	25.1%	13
2	Foreign/Unknown	147	30	20.4%	21.2%	12
3	Unknown	34	6	17.6%	17.7%	2
4	Utah	11,191	4,074	36.4%	17.1%	1,343
5	Colorado	23,912	8,983	37.6%	17.1%	2,670
6	Missouri	25,377	8,595	33.9%	17.0%	2,493
7	Alabama	17,811	6,422	36.1%	16.6%	2,064
8	Armed Forces Europe	120	33	27.5%	16.4%	10
9	Arizona	29,429	9,285	31.6%	16.0%	2,548
10	District of Columbia	5,191	999	19.2%	16.0%	296
11	Kansas	11,495	4,775	41.5%	15.8%	1,249
12	Louisiana	20,543	7,270	35.4%	15.7%	2,195
13	Maryland	26,786	7,454	27.8%	15.6%	2,039
14	Ohio	53,444	18,527	34.7%	15.6%	5,139
15	Idaho	7,492	3,020	40.3%	15.6%	792
16	Indiana	26,170	10,363	39.6%	15.6%	2,683
17	Alaska	3,054	910	29.8%	15.4%	253
18	South Dakota	4,029	1,537	38.1%	15.4%	406
19	Connecticut	19,551	5,484	28%	15.3%	1,545
20	Delaware	4,341	1,332	30.7%	15.1%	347
21	Oregon	19,079	7,662	40.2%	15.0%	1,918
22	Washington	32,568	11,510	35.3%	15.0%	2,929
23	Minnesota	25,375	9,098	35.9%	15.0%	2,322
24	Michigan	46,434	17,242	37.1%	14.9%	4,258
25	Tennessee	29,129	11,282	38.7%	14.9%	3,091
26	Nevada	10,293	3,317	32.2%	14.9%	831
27	Wisconsin	25,408	9,671	38.1%	14.8%	2,367
28	Oklahoma	14,030	4,943	35.2%	14.8%	1,216
29	Mississippi	10,666	4,401	41.3%	14.8%	1,232
30	Nebraska	8,338	3,081	37%	14.8%	790
31	Georgia	36,843	12,899	35%	14.6%	3,481
32	Illinois	53,002	17,087	32.2%	14.6%	4,255
33	Montana	4,847	1,996	41.2%	14.5%	477
34	Virginia	32,413	10,674	32.9%	14.4%	2,704
35	Kentucky	19,073	6,873	36%	14.4%	1,732
36	Massachusetts	39,945	11,439	28.6%	14.3%	2,785
37	Hawaii	4,975	1,589	31.9%	14.3%	385
38	Arkansas	11,827	4,691	39.7%	14.2%	1,166
39	Pennsylvania	64,171	20,066	31.3%	14.2%	4,843
40	North Carolina	44,019	16,423	37.3%	14.2%	4,152
41	Florida	93,928	27,872	29.7%	14.2%	6,808
42	Texas	92,813	29,529	31.8%	14.1%	7,074
43	New Hampshire	7,126	2,243	31.5%	13.9%	530
44	North Dakota	3,423	1,354	39.6%	13.9%	335
45	New Jersey	36,308	9,773	26.9%	13.8%	2,372
46	South Carolina	21,448	8,096	37.7%	13.8%	1,979
47	New York	104,092	23,154	22.2%	13.7%	5,541
48	Wyoming	2,187	832	38%	13.7%	201
49	Rhode Island	5,750	1,831	31.8%	13.6%	425
50	California	139,057	43,850	31.5%	13.6%	9,912
51	Maine	7,200	2,655	36.9%	13.2%	505
52	Iowa	13,211	4,938	37.4%	13.0%	1,012
53	New Mexico	8,297	2,758	33.2%	12.5%	569
54	West Virginia	8,487	2,804	33%	12.4%	506
55	Armed Forces Americas	32	4	12.5%	11.0%	0
56	Vermont	2,878	921	32%	10.6%	146
57	Guam	176	40	22.7%	9.5%	6
58	Virgin Islands	187	56	29.9%	7.4%	7
59	Puerto Rico	11,379	2,558	22.5%	5.3%	208
60	Northern Mariana Islands	32	4	12.5%	5.0%	0

Showing 60 states

Highest Opioid Prescribing Rates

High opioid prescribing rates may reflect legitimate pain management specialization. Context matters.

Provider	Specialty	Location	Opioid Rate ▼	Opioid Claims	Total Claims
Cory CarlstonM.D.	Hand Surgery	Portland, OR	80.7%	N/A	212
Tyler MartinNP	Nurse Practitioner	Boston, MA	79.4%	N/A	2,720
Matthew TweetMD	Orthopedic Surgery	Sacramento, CA	78.1%	N/A	237
Jonathan RiggsPA	Physician Assistant	Vancouver, WA	77.2%	N/A	149
Ali KassamaliM.D.	Pain Management	Marietta, GA	77.0%	N/A	4,778
Laura HafertepenDO	General Surgery	Greenwood Village, CO	77.0%	N/A	139
Ryan ZitzkeM.D.	Orthopedic Surgery	Sumter, SC	70.2%	N/A	114
Nathan PolleyMD	Orthopedic Surgery	Madison, IN	70.1%	N/A	384
Angela SedaM.D.	Surgical Oncology	Arlington, TX	69.3%	N/A	114
Tracye LawyerMD, PHD	Orthopedic Surgery	Boise, ID	67.0%	N/A	270
Salim DurraniMD	Pain Management	Houston, TX	65.6%	N/A	5,994
Venkatesh SundararajanM.D.	Pain Management	Horsham, PA	63.2%	N/A	1,964
Marcus GatesMD	Neurosurgery	Austell, GA	62.7%	N/A	158
Troy BabbDDS	Dentist	Alexandria, LA	62.0%	N/A	142
Eduardo OzunaM.D.	Pain Management	New Braunfels, TX	60.8%	N/A	953
Violeta Calhoun-StandleyARNP	Nurse Practitioner	Naples, FL	60.1%	N/A	762
Andy PhungD.O.	Family Practice	High Point, NC	59.5%	N/A	3,636
Joseph KwokD.O.	Physical Medicine and Rehabilitation	Pittsburgh, PA	58.1%	N/A	893
Stephanie PearsonM.D.	Physical Medicine and Rehabilitation	San Antonio, TX	57.6%	N/A	6,060
Shashikant PatilM.D	Neurosurgery	Athens, GA	57.5%	N/A	402
Olugbemiga JegedeM.D	Internal Medicine	Greensboro, NC	56.6%	N/A	159
Irene BorjaFNP-BC	Nurse Practitioner	Syracuse, NY	56.4%	N/A	181
Trevor MciverMD	Orthopedic Surgery	Sartell, MN	56.0%	N/A	250
Aisha Baqai	Pain Management	New York, NY	55.3%	N/A	1,835
Helen OllerM.D.	Physical Medicine and Rehabilitation	New York, NY	54.5%	N/A	244
Vijian DhevanM.D.	General Surgery	Harlingen, TX	53.2%	N/A	479
Sheena ZapataM.D.	Hospice and Palliative Care	Miami, FL	53.2%	N/A	1,043
Rachel PayneNP	Nurse Practitioner	Knoxville, TN	52.3%	N/A	2,895
Lindsay WilsonDO	Family Practice	Roanoke, VA	51.5%	N/A	1,003
Mario QuesadaM.D.	Orthopedic Surgery	Brownsville, TX	51.2%	N/A	615
Charles StevensM.D.	Pain Management	El Centro, CA	51.2%	N/A	5,792
Sean LeahyPA-C	Physician Assistant	Albany, NY	51.0%	N/A	367
Meredith McamisPA-C	Physician Assistant	Springfield, MO	50.7%	N/A	274
Joseph BowenM.D.	Orthopedic Surgery	Post Falls, ID	49.1%	N/A	226
Paul LeeM.D.	Interventional Pain Management	Fullerton, CA	47.6%	N/A	991
Carina JackmanM.D.	Anesthesiology	Milwaukee, WI	47.1%	N/A	102
Suzanne ManziM.D., FAAPMR	Physical Medicine and Rehabilitation	Houston, TX	46.7%	N/A	1,299
Michael SchinaM.D.	General Surgery	Bensalem, PA	46.0%	N/A	5,896
Justin MillerPA	Physician Assistant	Grand Rapids, MI	45.6%	N/A	520
Rashid KhalilM.D.	Anesthesiology	Toledo, OH	45.6%	N/A	1,865
Abdul SayedPA-C	Physician Assistant	New Hyde Park, NY	45.3%	N/A	2,258
Geraldine Deguzman-JavierRPAC	Physician Assistant	New York, NY	44.8%	N/A	174
Leah CandellMD	General Surgery	Stanford, CA	43.8%	N/A	176
Carie BradtRPA-C	Physician Assistant	Rochester, NY	43.6%	N/A	211
Stacy BeharryPA-C	Physician Assistant	Englewood, CO	43.5%	N/A	767
Michael NecciD.O.	Orthopedic Surgery	Alliance, OH	43.4%	N/A	488
Patrick DavisM.D.	General Surgery	Nashville, TN	43.2%	N/A	132
Sidney BruceMD	General Surgery	Lafayette, IN	42.9%	N/A	231
Brad ThomasMD	Neurosurgery	Little Rock, AR	42.6%	N/A	1,311
Alecia NeroM.D.	Hematology	Dallas, TX	42.5%	N/A	179

Showing 50 of 907 prescribers

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