⚠️

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 →

Nathaniel EpsteinMD

Cardiology · Lynbrook, NY 11563

NPI: 1043393010

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9

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

9,143

Total Claims

$764K

Drug Cost

893

Beneficiaries

$856

Cost/Patient

Risk Score Breakdown 9/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 18,720 Cardiology providers

-44%

Cost per patient vs peers

$856 vs $1,524 avg

-41%

Brand preference vs peers

8.0% vs 13.7% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

0.5%

Opioid Rate

50

Opioid Claims

$480

Opioid Cost

Long-Acting Rate

Brand vs Generic

92% generic

Brand: 731 claims · $580K

Generic: 8,382 claims · $184K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban167$198K
Rivaroxaban60$94K
Semaglutide42$70K
Dulaglutide32$41K
Sacubitril/Valsartan20$36K
Sitagliptin Phosphate20$34K
Rosuvastatin Calcium600$10K
Atorvastatin Calcium771$8,869
Metoprolol Succinate389$7,176
Fluticasone Propion/Salmeterol13$6,704
Levothyroxine Sodium109$6,702
Dexlansoprazole11$6,422
Telmisartan208$6,241
Amlodipine Besylate675$5,109
Levothyroxine Sodium239$5,070

Prescribing Profile

115

Unique Drugs

$362K

IRA Negotiated Drugs

$112K

GLP-1 Drugs

9.0

Anomaly Score

Patient Profile

76

Avg Age

57%

Female

1.00

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data