ADELA CASTRO GUTIERREZ MD
Prescription History 1013368430
Internal Medicine - Rheumatology in Memphis, TN
What does Dr. Castro Gutierrez prescribe?
In 2024, Dr. Castro Gutierrez wrote 1,981 Medicare prescriptions for 37 medications. The most prescribed was Prednisone, with 328 prescriptions for 121 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. Castro Gutierrez prescribes.
Medications 37 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other Tennessee prescribers.
What it is used for
Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 328 prescriptions for Prednisone, about 6.1 times as often as the typical Tennessee prescriber of it (54). Medicare paid $7.33 per fill, versus $4.53 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma), severe psoriasis that has not responded to other treatments, or rheumatoid arthritis.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 209 prescriptions for Methotrexate, about 2.2 times as often as the typical Tennessee prescriber of it (95). Medicare paid $22.91 per fill, versus $25.98 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Gabapentin is used with other medications to prevent and control seizures.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 180 prescriptions for Gabapentin, about 1.4 times as often as the typical Tennessee prescriber of it (129). Medicare paid $12.97 per fill, versus $12.39 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 127 prescriptions for Hydroxychloroquine Sulfate, about 1.5 times as often as the typical Tennessee prescriber of it (85). Medicare paid $41.62 per fill, versus $39.92 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 91 prescriptions for Allopurinol, about 1.6 times as often as the typical Tennessee prescriber of it (56). Medicare paid $7.55 per fill, versus $9.74 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat certain mental/mood disorders (such as depression, anxiety).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 88 prescriptions for Duloxetine Hcl, about 1.4 times as often as the typical Tennessee prescriber of it (61). Medicare paid $23.76 per fill, versus $23.18 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat rheumatoid arthritis, a condition in which the body's defense system (immune system) fails to recognize the body as itself and attacks the healthy tissues around the joints.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 88 prescriptions for Leflunomide, about 1.2 times as often as the typical Tennessee prescriber of it (72). Medicare paid $64.24 per fill, versus $73.96 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 83 prescriptions for Celecoxib, about 2 times as often as the typical Tennessee prescriber of it (41). Medicare paid $9.64 per fill, versus $24.41 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Adalimumab is used to reduce pain and swelling due to certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, ankylosing spondylitis).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 79 prescriptions for Humira(Cf) Pen, about 2 times as often as the typical Tennessee prescriber of it (40). Medicare paid $7,368.30 per fill, versus $8,621.50 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 73 prescriptions for Alendronate Sodium, about 1.6 times as often as the typical Tennessee prescriber of it (46). Medicare paid $6.45 per fill, versus $7.69 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Meloxicam is used to treat arthritis.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 51 prescriptions for Meloxicam, about 76% as often as the typical Tennessee prescriber of it (67). Medicare paid $2.77 per fill, versus $4.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 49 prescriptions for Diclofenac Sodium, about 1.2 times as often as the typical Tennessee prescriber of it (41). Medicare paid $75.74 per fill, versus $22.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 46 prescriptions for Mycophenolate Mofetil, about 1.6 times as often as the typical Tennessee prescriber of it (28). Medicare paid $87.96 per fill, versus $129.91 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Upadacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, axial spondyloarthritis, polyarticular juvenile idiopathic arthritis- pJIA).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 43 prescriptions for Rinvoq, about as often as the typical Tennessee prescriber of it (40). Medicare paid $6,575.94 per fill, versus $6,733.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 37 prescriptions for Cyclobenzaprine Hcl, about 90% as often as the typical Tennessee prescriber of it (41). Medicare paid $5.73 per fill, versus $8.70 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 35 prescriptions for Tizanidine Hcl, about half as often as the typical Tennessee prescriber of it (59). Medicare paid $8.44 per fill, versus $12.06 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to prevent or treat gout attacks (flares).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 31 prescriptions for Colchicine, about 1.4 times as often as the typical Tennessee prescriber of it (22). Medicare paid $31.87 per fill, versus $56.65 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 27 prescriptions for Amlodipine Besylate, about 18% as often as the typical Tennessee prescriber of it (149). Medicare paid $5.47 per fill, versus $5.21 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 27 prescriptions for Pregabalin, about half as often as the typical Tennessee prescriber of it (55). Medicare paid $17.43 per fill, versus $20.54 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or in combination with an immunosuppressant (such as methotrexate) to treat certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, and ankylosing spondylitis).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 26 prescriptions for Enbrel Sureclick, about half as often as the typical Tennessee prescriber of it (58). Medicare paid $7,041.41 per fill, versus $7,776.38 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used alone or in combination with an immunosuppressant (such as methotrexate) to treat certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, and ankylosing spondylitis).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 23 prescriptions for Enbrel Mini, about 60% as often as the typical Tennessee prescriber of it (38). Medicare paid $8,082.41 per fill, versus $7,258.54 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 22 prescriptions for Tramadol Hcl-Acetaminophen, about as often as the typical Tennessee prescriber of it (22). Medicare paid $17.99 per fill, versus $14.82 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tofacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, ankylosing spondylitis).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 20 prescriptions for Xeljanz Xr, about 65% as often as the typical Tennessee prescriber of it (31). Medicare paid $5,712.08 per fill, versus $5,911.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 19 prescriptions for Tramadol Hcl, about 35% as often as the typical Tennessee prescriber of it (54). Medicare paid $6.15 per fill, versus $6.85 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 17 prescriptions for Pantoprazole Sodium, about 17% as often as the typical Tennessee prescriber of it (97). Medicare paid $13.77 per fill, versus $12.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Folic acid is the man-made form of folate.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 16 prescriptions for Folic Acid, about half as often as the typical Tennessee prescriber of it (33). Medicare paid $9.75 per fill, versus $5.38 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ibandronate is used to prevent and treat certain types of bone loss (osteoporosis).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 16 prescriptions for Ibandronate Sodium, about half as often as the typical Tennessee prescriber of it (27). Medicare paid $18.61 per fill, versus $28.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat plaque psoriasis and certain types of arthritis (psoriatic arthritis, ankylosing spondylitis, axial spondyloarthritis).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 16 prescriptions for Taltz Autoinjector, about 83% as often as the typical Tennessee prescriber of it (19). Medicare paid $6,787.94 per fill, versus $7,388.09 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Febuxostat is used to lower uric acid levels in people with gout.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 15 prescriptions for Febuxostat, about 79% as often as the typical Tennessee prescriber of it (19). Medicare paid $36.50 per fill, versus $113.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methocarbamol is used to treat muscle spasms/pain.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 14 prescriptions for Methocarbamol, about half as often as the typical Tennessee prescriber of it (33). Medicare paid $10.86 per fill, versus $11.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methotrexate is used to treat certain types of cancer, severe psoriasis, or rheumatoid arthritis.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 13 prescriptions for Methotrexate Sodium, about half as often as the typical Tennessee prescriber of it (24). Medicare paid $8.24 per fill, versus $13.27 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted kidney.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 13 prescriptions for Mycophenolic Acid, about half as often as the typical Tennessee prescriber of it (23). Medicare paid $37.33 per fill, versus $295.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat rheumatoid arthritis, a condition in which the body's own defense system (immune system) attacks healthy tissue.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 13 prescriptions for Orencia Clickject, about 33% as often as the typical Tennessee prescriber of it (40). Medicare paid $5,588.12 per fill, versus $5,756.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 12 prescriptions for Etodolac, about half as often as the typical Tennessee prescriber of it (21). Medicare paid $25.07 per fill, versus $35.97 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Sulfasalazine is used to treat a certain type of bowel disease called ulcerative colitis.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 12 prescriptions for Sulfasalazine, about 41% as often as the typical Tennessee prescriber of it (29). Medicare paid $19.58 per fill, versus $23.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a certain type of arthritis (psoriatic arthritis).
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 11 prescriptions for Otezla, about half as often as the typical Tennessee prescriber of it (19). Medicare paid $4,519.06 per fill, versus $4,839.62 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat plaque psoriasis and psoriatic arthritis.
Compared with Tennessee prescribers
Dr. Castro Gutierrez wrote 11 prescriptions for Skyrizi Pen, about 64% as often as the typical Tennessee prescriber of it (17). Medicare paid $21,047.93 per fill, versus $20,872.37 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. Castro Gutierrez’s prescriptions
What does Dr. Castro Gutierrez prescribe most?
In 2024 Medicare Part D data, Dr. Castro Gutierrez's most prescribed medications were Prednisone (328), Methotrexate (209) and Gabapentin (180).
How does Dr. Castro Gutierrez's prescribing compare with other Tennessee prescribers?
Of the 37 medications with a state comparison, Dr. Castro Gutierrez prescribes 11 more often than the typical Tennessee prescriber, 8 about as often and 18 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Castro Gutierrez prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the Tennessee prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
