DR. DOUGLAS W. PURYEAR M.D.
Prescription History 1295768521
Internal Medicine - Sleep Medicine in Midlothian, VA
What does Dr. Puryear prescribe?
In 2024, Dr. Puryear wrote 300 Medicare prescriptions for 12 medications. The most prescribed was Montelukast Sodium, with 60 prescriptions for 18 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. Puryear prescribes.
Medications 12 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 Virginia prescribers.
What it is used for
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with Virginia prescribers
Dr. Puryear wrote 60 prescriptions for Montelukast Sodium, about as often as the typical Virginia prescriber of it (64). Medicare paid $13.53 per fill, versus $10.28 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
Clonazepam is used to prevent and control seizures.
Compared with Virginia prescribers
Dr. Puryear wrote 38 prescriptions for Clonazepam, about 84% as often as the typical Virginia prescriber of it (45). Medicare paid $4.70 per fill, versus $7.60 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 combination medication is used to treat attention deficit hyperactivity disorder - ADHD.
Compared with Virginia prescribers
Dr. Puryear wrote 38 prescriptions for Dextroamphetamine-Amphetamine, about 1.3 times as often as the typical Virginia prescriber of it (28). Medicare paid $55.25 per fill, versus $29.45 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
Pramipexole is used alone or with other medications to treat Parkinson's disease.
Compared with Virginia prescribers
Dr. Puryear wrote 27 prescriptions for Pramipexole Dihydrochloride, about as often as the typical Virginia prescriber of it (24). Medicare paid $16.76 per fill, versus $14.83 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
Albuterol (also known as salbutamol) is used to prevent and treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease).
Compared with Virginia prescribers
Dr. Puryear wrote 26 prescriptions for Albuterol Sulfate Hfa, about 40% as often as the typical Virginia prescriber of it (65). Medicare paid $40.92 per fill, versus $26.36 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 product is used to control and prevent symptoms (such as wheezing and shortness of breath) caused by asthma and ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).
Compared with Virginia prescribers
Dr. Puryear wrote 26 prescriptions for Trelegy Ellipta, about half as often as the typical Virginia prescriber of it (60). Medicare paid $850.99 per fill, versus $860.31 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 combination medication is used to treat attention deficit hyperactivity disorder - ADHD.
Compared with Virginia prescribers
Dr. Puryear wrote 21 prescriptions for Dextroamphetamine-Amphet Er, about as often as the typical Virginia prescriber of it (19). Medicare paid $100.32 per fill, versus $50.39 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
Ciclesonide is used to prevent and reduce the symptoms (wheezing and shortness of breath) caused by asthma.
Compared with Virginia prescribers
Dr. Puryear wrote 15 prescriptions for Alvesco, about half as often as the typical Virginia prescriber of it (29). Medicare paid $1,177.06 per fill, versus $118.20 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
Armodafinil reduces extreme sleepiness due to narcolepsy and other sleep disorders, such as periods of stopped breathing during sleep (obstructive sleep apnea).
Compared with Virginia prescribers
Dr. Puryear wrote 15 prescriptions for Armodafinil, about 88% as often as the typical Virginia prescriber of it (17). Medicare paid $65.19 per fill, versus $69.91 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
Gabapentin is used with other medications to prevent and control seizures.
Compared with Virginia prescribers
Dr. Puryear wrote 12 prescriptions for Gabapentin, about 13% as often as the typical Virginia prescriber of it (89). Medicare paid $4.26 per fill, versus $13.47 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
Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing.
Compared with Virginia prescribers
Dr. Puryear wrote 11 prescriptions for Fluticasone Propionate, about 23% as often as the typical Virginia prescriber of it (48). Medicare paid $34.15 per fill, versus $14.95 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 attention deficit hyperactivity disorder - ADHD.
Compared with Virginia prescribers
Dr. Puryear wrote 11 prescriptions for Methylphenidate Hcl, about half as often as the typical Virginia prescriber of it (19). Medicare paid $53.17 per fill, versus $24.84 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. Puryear’s prescriptions
What does Dr. Puryear prescribe most?
In 2024 Medicare Part D data, Dr. Puryear's most prescribed medications were Montelukast Sodium (60), Clonazepam (38) and Dextroamphetamine-Amphetamine (38).
How does Dr. Puryear's prescribing compare with other Virginia prescribers?
Of the 12 medications with a state comparison, Dr. Puryear prescribes 1 more often than the typical Virginia prescriber, 5 about as often and 6 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Puryear 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 Virginia 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.
