⚠️

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 →

Gregory NieckulaD.O.

Internal Medicine · Signal Mountain, TN 37377

NPI: 1164716734

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24

🟡 Moderate

Risk Flags

High antipsychotic prescribing (65+)Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

23,045

Total Claims

$1.6M

Drug Cost

976

Beneficiaries

$1,650

Cost/Patient

Risk Score Breakdown 24/100

Low (0)Moderate (15)Elevated (30)High (50+)
Elderly antipsychotic prescribing+10
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

-83%

Opioid rate vs peers

0.4% vs 2.2% avg

+17%

Cost per patient vs peers

$1,650 vs $1,411 avg

+14%

Brand preference vs peers

12.1% vs 10.6% 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

0.4%

Opioid Rate

87

Opioid Claims

$960

Opioid Cost

Long-Acting Rate

Brand vs Generic

88% generic

Brand: 2,767 claims · $1.2M

Generic: 20,141 claims · $397K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Apixaban588$257K
Pimavanserin Tartrate28$102K
Upadacitinib12$78K
Rivaroxaban112$55K
Sitagliptin Phosphate116$52K
Insulin Glargine,hum.Rec.Anlog98$52K
Dulaglutide40$45K
Insulin Detemir73$41K
Dapagliflozin Propanediol63$32K
Tiotropium Bromide55$32K
Mirabegron64$30K
Semaglutide26$30K
Linaclotide42$26K
Cannabidiol (Cbd)14$23K
Epoetin Alfa19$21K

Prescribing Profile

205

Unique Drugs

$431K

IRA Negotiated Drugs

$75K

GLP-1 Drugs

24.0

Anomaly Score

Patient Profile

77

Avg Age

59%

Female

1.61

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