⚠️

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 →

Nicholas KipreosMD

Family Practice · Mount Airy, NC 27030

NPI: 1104825926

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21

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriber

Risk indicators are statistical patterns, not allegations. Learn more

15,013

Total Claims

$1.2M

Drug Cost

1,095

Beneficiaries

$1,131

Cost/Patient

Risk Score Breakdown 21/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8

Score components are additive. Read full methodology

Peer Comparison vs. 106,889 Family Practice providers

+33%

Opioid rate vs peers

3.4% vs 2.6% avg

+6%

Cost per patient vs peers

$1,131 vs $1,068 avg

+31%

Brand preference vs peers

11.8% 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

3.4%

Opioid Rate

515

Opioid Claims

$8,397

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 1,755 claims · $992K

Generic: 13,147 claims · $243K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban223$168K
Dulaglutide64$81K
Insulin Glargine,hum.Rec.Anlog83$75K
Fluticasone/Umeclidin/Vilanter49$60K
Rivaroxaban53$56K
Gabapentin12$30K
Evolocumab33$30K
Sitagliptin Phosphate30$27K
Insulin Lispro22$24K
Tiotropium Bromide24$24K
Budesonide/Formoterol Fumarate42$24K
Empagliflozin14$23K
Linaclotide36$18K
Fluticasone Propion/Salmeterol31$17K
Ipratropium/Albuterol Sulfate18$17K

Prescribing Profile

179

Unique Drugs

$279K

IRA Negotiated Drugs

$81K

GLP-1 Drugs

21.0

Anomaly Score

Patient Profile

74

Avg Age

57%

Female

1.51

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