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Opioid painkillers

Who prescribes it

109 rows

SpecialtyPrescriptionsPrescribersShare
Family Medicine10,193,25262,19620.1%
Nurse Practitioners9,474,48166,66318.6%
Pain Medicine7,034,4185,91413.8%
Internal Medicine6,746,79644,86413.3%
Physician Assistants5,794,74145,65411.4%
Orthopedic Surgery1,582,17611,9103.1%
Physical Medicine & Rehabilitation (PM&R)1,478,2823,6932.9%
Emergency Medicine827,72922,9011.6%
Anesthesiology715,2909861.4%
Rheumatology608,1153,0531.2%
General Surgery552,37411,2281.1%
Hematology & Oncology468,7815,3630.9%
Oral & Maxillofacial Surgeons427,9754,0520.8%
Dentists (general)368,67510,7900.7%
General Practice351,8892,5100.7%
Geriatric Medicine348,6632,1970.7%
Sports Medicine343,3322,8610.7%
Neurology322,3952,7600.6%
Urology307,9475,3260.6%
Hospice & Palliative Medicine260,8391,2110.5%
Podiatrists208,3855,2500.4%
Hospitalist183,4374,7680.4%
Hand Surgery182,5691,9640.4%
Neurosurgery165,4011,8470.3%
Spine Surgery160,6361,1540.3%
Medical Oncology157,5821,9340.3%
Joint Replacement Surgery152,8728090.3%
ENT (Otolaryngology)108,2513,4980.2%
Periodontists84,4361,3300.2%
Addiction Medicine79,5582470.2%
Plastic Surgery77,0842,2960.2%
Nephrology (Kidney)63,4611,1130.1%
Vascular Surgery63,2671,4380.1%
Psychiatric Nurse Practitioners55,0794470.1%
Cardiology53,4197440.1%
Pulmonology47,4106660.1%
OB-GYN (Obstetrics & Gynecology)45,4531,7060.1%
Pediatrics44,1233960.1%
Infectious Disease41,9706510.1%
Ophthalmology41,2026910.1%
Colorectal Surgery39,5149520.1%
Radiation Oncology36,8301,1490.1%
Pharmacists31,9031440.1%
Gynecologic Oncology29,3466380.1%
Psychiatry29,1345100.1%
Dermatology27,7864880.1%
Mohs Surgery27,6593770.1%
Facial Plastic Surgery27,6447390.1%
Endodontists26,2815700.1%
Surgical Oncology24,2925520.0%
Urogynecology24,2495430.0%
Osteopathic Manipulative Medicine22,0921360.0%
Hematology21,6802660.0%
Cardiothoracic Surgery21,2185530.0%
Endocrinology & Diabetes17,4462680.0%
Adolescent Medicine17,0281250.0%
Gastroenterology16,5435430.0%
Nurse Anesthetists (CRNA)13,551640.0%
Critical Care Medicine12,8741160.0%
Occupational Medicine12,728630.0%
Cardiac Electrophysiology12,3862430.0%
Preventive Medicine & Public Health12,1291110.0%
Sleep Medicine11,7682190.0%
Allergy & Immunology10,664760.0%
Interventional Radiology7,0551690.0%
Radiology6,928990.0%
Interventional Cardiology6,7111380.0%
Prosthodontists6,6202000.0%
Trauma Surgery4,4921510.0%
Pediatric Hematology & Oncology4,291350.0%
Child Neurology3,675230.0%
Obesity Medicine3,519450.0%
Transplant Surgery3,058800.0%
Naturopaths1,955840.0%
Pathology1,21090.0%
Retina Specialist1,131290.0%
Pediatric Anesthesiology1,05840.0%
Certified Nurse-Midwives724180.0%
Hepatology578230.0%
Nuclear Medicine57470.0%
Pediatric Surgery486150.0%
Child & Adolescent Psychiatry386150.0%
Dermatopathology31770.0%
Pediatric Emergency Medicine305160.0%
Fertility (Reproductive Endocrinology)281100.0%
Heart Failure & Transplant Cardiology18990.0%
Maternal-Fetal Medicine (High-Risk Pregnancy)16590.0%
Optometrists14950.0%
Acupuncturists13620.0%
Pediatric Pulmonology12630.0%
Medical Genetics11720.0%
Neuroradiology9730.0%
Addiction Counselors9420.0%
Pediatric Dentists7430.0%
Registered Dietitians7320.0%
Psychologists7010.0%
Behavior Analysts7030.0%
Developmental-Behavioral Pediatrics5530.0%
Midwives4920.0%
Orthodontists4420.0%
Pediatric Gastroenterology4020.0%
Mental Health Counselors3810.0%
Pediatric Infectious Disease3020.0%
Pediatric Critical Care2810.0%
Chiropractors2610.0%
Pediatric Endocrinology2210.0%
Audiologists2110.0%
Physical Therapists1910.0%
Neonatology1710.0%

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Sources: CMS Medicare Part D Prescribers 2024; CMS Open Payments 2025 (general payments; a payment is not evidence of wrongdoing); FDA enforcement reports (openFDA).