⚠️

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 →

David CastorM.D.

Family Practice · Bryson City, NC 28713

NPI: 1073735155

Share:

29

🟡 Moderate

Risk Flags

Elevated long-acting opioid rateHigh antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

18,358

Total Claims

$1.0M

Drug Cost

887

Beneficiaries

$1,163

Cost/Patient

Risk Score Breakdown 29/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
Long-acting opioid rate+4
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

-28%

Opioid rate vs peers

1.9% vs 2.6% avg

+9%

Cost per patient vs peers

$1,163 vs $1,068 avg

+96%

Brand preference vs peers

17.6% vs 9.0% 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

1.9%

Opioid Rate

341

Opioid Claims

$18K

Opioid Cost

22.6%

Long-Acting Rate

Brand vs Generic

82% generic

Brand: 3,231 claims · $690K

Generic: 15,084 claims · $339K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban552$136K
Empagliflozin82$25K
Semaglutide24$24K
Lacosamide65$23K
Rivaroxaban92$22K
Sitagliptin Phosphate53$22K
Mirabegron91$17K
Linaclotide31$17K
Dapagliflozin Propanediol31$15K
Insulin Aspart68$15K
Insulin Detemir44$14K
Insulin Glargine,hum.Rec.Anlog75$13K
Fluticasone/Umeclidin/Vilanter21$12K
Memantine Hcl163$12K
Brexpiprazole22$11K

Prescribing Profile

189

Unique Drugs

$249K

IRA Negotiated Drugs

$34K

GLP-1 Drugs

29.0

Anomaly Score

Patient Profile

75

Avg Age

64%

Female

1.44

Avg Risk Score

Explore More

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