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#52 Drug: Spiriva Respimat (Tiotropium Bromide)
Top prescriber in each state and DC based on Medicare Part D records.
Home / Data Tools / Part D Prescribers / Top 100 Drug Pages / Spiriva Respimat (Tiotropium Bromide)
State-Level #1 Prescriber Table
Drug ranking is based on Medicare Part D drug spending in 2024 (Q1-Q4). Prescriber ranking is based on Medicare Part D prescriber data in 2023.
Top-100 rank metric for this drug: $877,227,399.79 total spending in 2024.
| State | Prescriber | NPI | Provider Type | Total Claims | Total Benes | Total Costs |
|---|---|---|---|---|---|---|
| Alabama | Misbahuddin Siddiqui | 1114028271 | Pulmonary Disease | 339 | 70 | $226,457.34 |
| Alaska | Gregory Gerboth | 1407838170 | Pulmonary Disease | 200 | 47 | $191,670.04 |
| Arizona | Mohammad-Ali El-Harakeh | 1184829061 | Internal Medicine | 445 | 114 | $381,048.39 |
| Arkansas | Tyrone Lee | 1235108697 | Pulmonary Disease | 393 | 88 | $274,971.06 |
| California | Sidharth Bagga | 1285865436 | Internal Medicine | 633 | 143 | $388,912.68 |
| Colorado | Vamsi Guntur | 1578687331 | Pulmonary Disease | 328 | 79 | $248,578.93 |
| Connecticut | Kevin Watson | 1205891280 | Pulmonary Disease | 232 | 57 | $216,947.55 |
| Delaware | Hummayun Ismail | 1962422469 | Pulmonary Disease | 275 | 58 | $209,396.36 |
| District of Columbia | Eldrige Pineda | 1033378922 | Internal Medicine | 510 | 184 | $286,539.58 |
| Florida | Jorge Sanchez-Masiques | 1376541961 | Pulmonary Disease | 2,215 | 373 | $1,173,722.62 |
| Georgia | Robert Rusher | 1578767596 | Pulmonary Disease | 363 | 79 | $135,562.18 |
| Hawaii | Donald Helman | 1619036662 | Pulmonary Disease | 170 | 65 | $123,907.39 |
| Idaho | Joshua Killpack | 1164777181 | Physician Assistant | 168 | 32 | $112,005.27 |
| Illinois | Jon Michel | 1437244555 | Pulmonary Disease | 521 | 100 | $378,295.05 |
| Indiana | Leonard Buccellato | 1437198348 | Internal Medicine | 333 | 132 | $247,608.80 |
| Iowa | Angela Beckel | 1881874436 | Nurse Practitioner | 323 | 46 | $196,157.95 |
| Kansas | Nader Eldika | 1033231006 | Pulmonary Disease | 243 | 61 | $168,489.16 |
| Kentucky | Matthew Craig | 1518275379 | Pulmonary Disease | 296 | 74 | $260,916.44 |
| Louisiana | Jennifer Littell | 1336568468 | Nurse Practitioner | 139 | 38 | $103,796.00 |
| Maine | Ganesha Santhyadka | 1063443752 | Pulmonary Disease | 364 | 83 | $245,812.93 |
| Maryland | Fiona Meller Azrieli | 1659363885 | Internal Medicine | 453 | 170 | $336,253.81 |
| Massachusetts | Shamim Najeebi | 1720060098 | Hospitalist | 456 | 79 | $281,517.21 |
| Michigan | Asker Asmi | 1649240177 | Pulmonary Disease | 270 | 86 | $179,577.53 |
| Minnesota | Charlene Mcevoy | 1295708931 | Pulmonary Disease | 329 | 68 | $237,143.24 |
| Mississippi | Shawn French | 1124238449 | Pulmonary Disease | 188 | 42 | $146,063.39 |
| Missouri | Jamil Darrouj | 1326275868 | Internal Medicine | 347 | 75 | $120,856.50 |
| Montana | Jason Kjono | 1427199009 | Physician Assistant | 170 | 36 | $106,222.40 |
| Nebraska | Lisa Mansur | 1558300830 | Pulmonary Disease | 150 | 38 | $88,381.21 |
| Nevada | Deketra Mcdowell-Willis | 1124429386 | Nurse Practitioner | 199 | 65 | $141,851.29 |
| New Hampshire | Prerna Mota | 1619282852 | Pulmonary Disease | 177 | 40 | $129,154.44 |
| New Jersey | Frederick Potulski | 1659373439 | Pulmonary Disease | 209 | 54 | $169,919.90 |
| New Mexico | Jamie Lujan | 1356985428 | Nurse Practitioner | 310 | 90 | $270,908.25 |
| New York | Irina Zolotarevskaya | 1730127622 | Pulmonary Disease | 2,061 | 300 | $1,236,654.29 |
| North Carolina | Donald Rabil | 1144214917 | Pulmonary Disease | 220 | 50 | $178,607.89 |
| North Dakota | Toni Rheault | 1881093029 | Physician Assistant | 217 | 53 | $171,355.73 |
| Ohio | Bryson Stair | 1245596238 | Nurse Practitioner | 604 | 95 | $341,353.96 |
| Oklahoma | Schuyler Steelberg | 1528052875 | Family Practice | 418 | 49 | $225,395.10 |
| Oregon | Hataya Poonyagariyagorn | 1720264476 | Pulmonary Disease | 667 | 125 | $476,732.89 |
| Pennsylvania | Samer Alkhuja | 1346299922 | Pulmonary Disease | 477 | 116 | $322,008.76 |
| Rhode Island | Molly Holt | 1265689855 | Nurse Practitioner | 176 | 30 | $91,710.44 |
| South Carolina | Michael Marshall | 1326026287 | Pulmonary Disease | 298 | 65 | $222,041.64 |
| South Dakota | Ashraf Elshami | 1306842968 | Pulmonary Disease | 126 | 24 | $68,257.39 |
| Tennessee | Ernesto Mejia | 1205814605 | Pulmonary Disease | 645 | 139 | $434,423.41 |
| Texas | Ahmed Bhatti | 1023190055 | Pulmonary Disease | 429 | 95 | $283,224.16 |
| Utah | Erica Olson | 1518418623 | Nurse Practitioner | 134 | 29 | $103,401.50 |
| Vermont | Michael Algus | 1447296223 | Pulmonary Disease | 102 | 12 | $58,952.32 |
| Virginia | John Leslie | 1972584431 | Pulmonary Disease | 310 | 60 | $242,467.10 |
| Washington | Katherine Cayetano | 1376741603 | Pulmonary Disease | 310 | 63 | $215,112.29 |
| West Virginia | Phillip Aguila | 1134157555 | Pulmonary Disease | 233 | 51 | $168,589.00 |
| Wisconsin | Jackie Pfeifer | 1528298197 | Nurse Practitioner | 364 | 65 | $220,735.44 |
| Wyoming | Muhammad Hussieno | 1922112531 | Pulmonary Disease | 95 | 27 | $72,756.75 |
Method Note
- Top 100 drugs are ranked by Tot_Spndng from CMS Part D drug spending data. Brand + generic pair is used for ranking and matching.
- For each state and DC, the #1 prescriber is selected by highest Tot_Drug_Cst for the same brand + generic pair, using the 2023 prescriber file.
- If a state has no matching record, values are shown as em dash.