GARFIELD CAMERON PICKELL M. D.
Prescription History 1154428621
Internal Medicine - Geriatric Medicine in Modesto, CA

Active since September 19, 2006PECOS EnrolledAccepts Medicare Assignment
4368 SPYRES WAY, MODESTO, CA 95356(209) 578-6357(209) 883-3290 Get Directions

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Feb 11, 2022 (2 updates tracked since 2022).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for GARFIELD CAMERON PICKELL M. D., an active Geriatric Medicine specialist practicing in Modesto, CA. Our medical registry currently tracks 22 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 654 documented patient claims. Among these therapy options, the most frequently utilized medication is Oxycodone-Acetaminophen, which accounts for 69 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

22
Medications
654
Total Claims
972
30-Day Fills
Oxycodone-Acetaminophen
Most Prescribed · 69 claims
View details
22 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by GARFIELD CAMERON PICKELL M. D. in 2023, with claim volumes, costs, and CA state comparisons
Medication Claims 30-Day Fills Days Supply Cost / Claim Utilization vs CA Avg

Utilization: claims vs the average CA prescriber

This provider
69
CA average
48.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$37.36
CA average
$31.01

Gross Part D cost per claim; not the patient's out-of-pocket price.

69.0
30-Day Fills
1,893
Days Supply

About Oxycodone-Acetaminophen: This combination medication is used to help relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

Utilization: claims vs the average CA prescriber

This provider
62
CA average
79.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$34.15
CA average
$22.00

Gross Part D cost per claim; not the patient's out-of-pocket price.

62.0
30-Day Fills
1,699
Days Supply

About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

Utilization: claims vs the average CA prescriber

This provider
55
CA average
42.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$41.98
CA average
$25.37

Gross Part D cost per claim; not the patient's out-of-pocket price.

55.0
30-Day Fills
1,037
Days Supply

About Oxycodone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾

Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A semisynthetic derivative of CODEINE.

Utilization: claims vs the average CA prescriber

This provider
53
CA average
26.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$601.04
CA average
$826.02

This provider's average cost per claim is below the CA average for this medication.

53.0
30-Day Fills
1,588
Days Supply

About Oxycontin: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾

Oxycodone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (more than 40 milligrams per tablet) should be used only if you have been regularly taking moderate to large amounts of an opioid pain medication. These strengths may cause overdose (even death) if taken by a person who has not been regularly taking opioids. Do not use the extended-release form of oxycodone to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A semisynthetic derivative of CODEINE.

Utilization: claims vs the average CA prescriber

This provider
52
CA average
39.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$23.24
CA average
$22.92

Gross Part D cost per claim; not the patient's out-of-pocket price.

156.5
30-Day Fills
4,699
Days Supply

About Mirtazapine: Mirtazapine is used to treat depression. Show more ▾

It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain. A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders.

Utilization: claims vs the average CA prescriber

This provider
50
CA average
55.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$21.05
CA average
$13.84

Gross Part D cost per claim; not the patient's out-of-pocket price.

146.6
30-Day Fills
4,402
Days Supply

About Trazodone Hcl: This medication is used to treat depression. Show more ▾

It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain.

Utilization: claims vs the average CA prescriber

This provider
40
CA average
40.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$25.38
CA average
$38.38

This provider's average cost per claim is below the CA average for this medication.

40.0
30-Day Fills
1,194
Days Supply

About Morphine Sulfate Er: This medication is used to treat severe pain. Show more ▾

Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.

Utilization: claims vs the average CA prescriber

This provider
36
CA average
56.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$18.29
CA average
$39.99

This provider's average cost per claim is below the CA average for this medication.

73.3
30-Day Fills
2,150
Days Supply

About Quetiapine Fumarate: This medication is used to treat certain mental/mood conditions (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). Show more ▾

Quetiapine is known as an anti-psychotic drug (atypical type). It works by helping to restore the balance of certain natural substances (neurotransmitters) in the brain. This medication can decrease hallucinations and improve your concentration. It helps you to think more clearly and positively about yourself, feel less nervous, and take a more active part in everyday life. It may also improve your mood, sleep, appetite, and energy level. Quetiapine can help prevent severe mood swings or decrease how often mood swings occur. A dibenzothiazepine and ANTIPSYCHOTIC AGENT that targets the SEROTONIN 5-HT2 RECEPTOR; HISTAMINE H1 RECEPTOR, adrenergic alpha1 and alpha2 receptors, as well as the DOPAMINE D1 RECEPTOR and DOPAMINE D2 RECEPTOR. It is used in the treatment of SCHIZOPHRENIA; BIPOLAR DISORDER and DEPRESSIVE DISORDER.

Utilization: claims vs the average CA prescriber

This provider
24
CA average
40.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$26.08
CA average
$50.41

This provider's average cost per claim is below the CA average for this medication.

65.7
30-Day Fills
1,972
Days Supply

About Duloxetine Hcl: Duloxetine is used to treat depression and anxiety. Show more ▾

In addition, duloxetine is used to help relieve nerve pain (peripheral neuropathy) in people with diabetes or ongoing pain due to medical conditions such as arthritis, chronic back pain, or fibromyalgia (a condition that causes widespread pain). Duloxetine may improve your mood, sleep, appetite, and energy level, and decrease nervousness. It can also decrease pain due to certain medical conditions. Duloxetine is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). This medication works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain. A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA.

Utilization: claims vs the average CA prescriber

This provider
24
CA average
45.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$9.93
CA average
$7.40

Gross Part D cost per claim; not the patient's out-of-pocket price.

24.3
30-Day Fills
502
Days Supply

About Lorazepam: This medication is used to treat serious seizures that do not stop (status epilepticus). Show more ▾

It is also used before surgeries or procedures to cause drowsiness, decrease anxiety, and cause forgetfulness about the procedure or surgery. Lorazepam belongs to a class of medications called benzodiazepines, which produce a calming effect on the brain and nerves (central nervous system). It is thought to work by increasing the effect of a certain natural chemical (GABA) in the brain. A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

Utilization: claims vs the average CA prescriber

This provider
21
CA average
25.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$39.43
CA average
$37.45

Gross Part D cost per claim; not the patient's out-of-pocket price.

21.0
30-Day Fills
524
Days Supply

About Morphine Sulfate: This medication is used to treat severe pain. Show more ▾

Morphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.

Utilization: claims vs the average CA prescriber

This provider
21
CA average
35.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$616.28
CA average
$345.96

Gross Part D cost per claim; not the patient's out-of-pocket price.

21.0
30-Day Fills
585
Days Supply

About Buprenorphine: This medication is used to help relieve severe ongoing pain (such as due to arthritis, chronic back pain). Show more ▾

Buprenorphine belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. The higher strengths of this drug (7.5, 10, 15, or 20 micrograms per hour patches) should be used only if you have been regularly taking moderate amounts of opioid pain medication. These strengths may cause overdose (even death) if used by a person who has not been regularly taking opioids. Do not use this medication to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use.

Utilization: claims vs the average CA prescriber

This provider
21
CA average
40.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$19.37
CA average
$8.18

Gross Part D cost per claim; not the patient's out-of-pocket price.

24.2
30-Day Fills
653
Days Supply

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

Utilization: claims vs the average CA prescriber

This provider
21
CA average
38.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$32.48
CA average
$47.56

This provider's average cost per claim is below the CA average for this medication.

22.0
30-Day Fills
660
Days Supply

About Pregabalin: This medication is used to treat pain caused by nerve damage due to diabetes, shingles (herpes zoster) infection, or spinal cord injury. Show more ▾

This medication is also used to treat pain in people with fibromyalgia. It is also used with other medications to treat certain types of seizures (focal seizures). A gamma-aminobutyric acid (GABA) derivative that functions as a CALCIUM CHANNEL BLOCKER and is used as an ANTICONVULSANT as well as an ANTI-ANXIETY AGENT. It is also used as an ANALGESIC in the treatment of NEUROPATHIC PAIN and FIBROMYALGIA.

Utilization: claims vs the average CA prescriber

This provider
18
CA average
51.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$5.86
CA average
$8.68

This provider's average cost per claim is below the CA average for this medication.

18.0
30-Day Fills
480
Days Supply

About Alprazolam: Alprazolam is used to treat anxiety and panic disorders. Show more ▾

It belongs to a class of medications called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA). A triazolobenzodiazepine compound with antianxiety and sedative-hypnotic actions, that is efficacious in the treatment of PANIC DISORDERS, with or without AGORAPHOBIA, and in generalized ANXIETY DISORDERS. (From AMA Drug Evaluations Annual, 1994, p238)

Utilization: claims vs the average CA prescriber

This provider
15
CA average
34.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$41.48
CA average
$416.55

This provider's average cost per claim is below the CA average for this medication.

15.0
30-Day Fills
324
Days Supply

About Hydromorphone Hcl: This medication is used to help relieve moderate to severe pain. Show more ▾

Hydromorphone belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine.

Utilization: claims vs the average CA prescriber

This provider
14
CA average
27.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$207.51
CA average
$127.85

Gross Part D cost per claim; not the patient's out-of-pocket price.

14.0
30-Day Fills
403
Days Supply

About Fentanyl: This medication is used to help relieve severe ongoing pain (such as due to cancer). Show more ▾

Fentanyl belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Do not use the patch form of fentanyl to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (as needed) use. A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)

Utilization: claims vs the average CA prescriber

This provider
13
CA average
37.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$46.61
CA average
$17.54

Gross Part D cost per claim; not the patient's out-of-pocket price.

18.7
30-Day Fills
484
Days Supply

About Tizanidine Hcl: This medication is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury). Show more ▾

It works by helping to relax the muscles.

Utilization: claims vs the average CA prescriber

This provider
12
CA average
31.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$23.38
CA average
$14.76

Gross Part D cost per claim; not the patient's out-of-pocket price.

12.0
30-Day Fills
360
Days Supply

About Temazepam: This medication is used to treat a certain sleep problem (insomnia). Show more ▾

It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called benzodiazepines. It acts on your brain to produce a calming effect. Use of this medication is usually limited to short treatment periods of 1 to 2 weeks or less. If your insomnia continues for a longer time, talk to your doctor to see if you need other treatment. A benzodiazepine that acts as a GAMMA-AMINOBUTYRIC ACID modulator and anti-anxiety agent.

Utilization: claims vs the average CA prescriber

This provider
11
CA average
29.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$23.28
CA average
$21.13

Gross Part D cost per claim; not the patient's out-of-pocket price.

11.0
30-Day Fills
330
Days Supply

About Methadone Hcl: This medication is used to treat addiction to opioids (such as heroin) as part of an approved treatment program. Show more ▾

Methadone belongs to a class of drugs known as opioid analgesics. It helps prevent withdrawal symptoms caused by stopping other opioids. A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3)

Utilization: claims vs the average CA prescriber

This provider
11
CA average
31.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$17.79
CA average
$10.85

Gross Part D cost per claim; not the patient's out-of-pocket price.

13.0
30-Day Fills
355
Days Supply

About Mupirocin: Mupirocin is used to treat certain skin infections (such as impetigo). Show more ▾

It is an antibiotic. It works by stopping the growth of certain bacteria. A topically used antibiotic from a strain of Pseudomonas fluorescens. It has shown excellent activity against gram-positive staphylococci and streptococci. The antibiotic is used primarily for the treatment of primary and secondary skin disorders, nasal infections, and wound healing.

Utilization: claims vs the average CA prescriber

This provider
11
CA average
47.0

Averages are among CA prescribers of this medication. Utilization reflects practice size as well as clinical preference.

Cost per claim: this provider vs the CA average

This provider
$11.29
CA average
$14.32

This provider's average cost per claim is below the CA average for this medication.

36.6
30-Day Fills
1,100
Days Supply

About Escitalopram Oxalate: Escitalopram is used to treat depression and anxiety. Show more ▾

It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness. S-enantiomer of CITALOPRAM. Belongs to a class of drugs known as SELECTIVE SEROTONIN REUPTAKE INHIBITORS, used to treat depression and generalized anxiety disorder.

No medications match the current filters.
Top Prescribed= this provider's 5 highest-utilization medications. Above Avg. Typical Below Avg.= utilization vs the average CA prescriber of the same drug; volume reflects practice size as well as clinical preference.Green cost= below the CA average cost per claim.

About this data. The prescription history for GARFIELD CAMERON PICKELL M. D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Geriatric Medicine prescribing approach at this Modesto, CA practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among CA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.