DR. NITHYANANDA PAKKALA M.D.
Prescription History 1578558607
Family Medicine in Bolivar, TN
What does Dr. Pakkala prescribe?
In 2024, Dr. Pakkala wrote 4,510 Medicare prescriptions for 96 medications. The most prescribed was Hydrocodone-Acetaminophen (hydrocodone/acetaminophen), with 605 prescriptions for 71 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. Pakkala prescribes.
Medications 96 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
This combination medication is used to relieve moderate to severe pain.
Compared with Tennessee prescribers
Dr. Pakkala wrote 605 prescriptions for Hydrocodone-Acetaminophen, about 6.1 times as often as the typical Tennessee prescriber of it (99). Medicare paid $14.96 per fill, versus $19.65 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
Gabapentin is used with other medications to prevent and control seizures.
Compared with Tennessee prescribers
Dr. Pakkala wrote 250 prescriptions for Gabapentin, about 1.9 times as often as the typical Tennessee prescriber of it (129). Medicare paid $9.04 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
Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Tennessee prescribers
Dr. Pakkala wrote 184 prescriptions for Rosuvastatin Calcium, about 1.5 times as often as the typical Tennessee prescriber of it (125). Medicare paid $13.66 per fill, versus $12.52 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 mineral supplement used to treat or prevent low amounts of potassium in the blood.
Compared with Tennessee prescribers
Dr. Pakkala wrote 130 prescriptions for Potassium Chloride, about 1.6 times as often as the typical Tennessee prescriber of it (81). Medicare paid $16.65 per fill, versus $17.21 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
Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Tennessee prescribers
Dr. Pakkala wrote 125 prescriptions for Atorvastatin Calcium, about 69% as often as the typical Tennessee prescriber of it (182). Medicare paid $9.89 per fill, versus $10.30 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. Pakkala wrote 116 prescriptions for Pantoprazole Sodium, about 1.2 times as often as the typical Tennessee prescriber of it (97). Medicare paid $9.31 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
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 113 prescriptions for Amlodipine Besylate, about 76% as often as the typical Tennessee prescriber of it (149). Medicare paid $6.25 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
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Tennessee prescribers
Dr. Pakkala wrote 93 prescriptions for Omeprazole, about 80% as often as the typical Tennessee prescriber of it (116). Medicare paid $12.35 per fill, versus $13.46 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
Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Tennessee prescribers
Dr. Pakkala wrote 92 prescriptions for Furosemide, about as often as the typical Tennessee prescriber of it (98). Medicare paid $3.99 per fill, versus $4.66 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
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Tennessee prescribers
Dr. Pakkala wrote 90 prescriptions for Levothyroxine Sodium, about half as often as the typical Tennessee prescriber of it (172). Medicare paid $7.63 per fill, versus $8.49 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 Tennessee prescribers
Dr. Pakkala wrote 83 prescriptions for Fluticasone Propionate, about 1.4 times as often as the typical Tennessee prescriber of it (58). Medicare paid $8.34 per fill, versus $14.80 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
Lisinopril is used to treat high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 79 prescriptions for Lisinopril, about 64% as often as the typical Tennessee prescriber of it (124). Medicare paid $5.91 per fill, versus $5.99 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
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 79 prescriptions for Losartan Potassium, about 69% as often as the typical Tennessee prescriber of it (115). Medicare paid $11.14 per fill, versus $10.09 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
This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 79 prescriptions for Metoprolol Succinate, about 82% as often as the typical Tennessee prescriber of it (96). Medicare paid $16.32 per fill, versus $13.51 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
Nifedipine is used alone or in combination with other drugs to treat high blood pressure (hypertension).
Compared with Tennessee prescribers
Dr. Pakkala wrote 79 prescriptions for Nifedipine Er, about 2.5 times as often as the typical Tennessee prescriber of it (31). Medicare paid $21.41 per fill, versus $25.24 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 Tennessee prescribers
Dr. Pakkala wrote 71 prescriptions for Albuterol Sulfate Hfa, about as often as the typical Tennessee prescriber of it (75). Medicare paid $24.09 per fill, versus $27.69 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
This medication is used to treat anxiety.
Compared with Tennessee prescribers
Dr. Pakkala wrote 71 prescriptions for Lorazepam, about 1.5 times as often as the typical Tennessee prescriber of it (47). Medicare paid $6.72 per fill, versus $6.09 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
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with Tennessee prescribers
Dr. Pakkala wrote 66 prescriptions for Allopurinol, about 1.2 times as often as the typical Tennessee prescriber of it (56). Medicare paid $12.66 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
Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease).
Compared with Tennessee prescribers
Dr. Pakkala wrote 64 prescriptions for Clopidogrel, about as often as the typical Tennessee prescriber of it (70). Medicare paid $10.74 per fill, versus $10.22 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
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Tennessee prescribers
Dr. Pakkala wrote 64 prescriptions for Metformin Hcl, about 73% as often as the typical Tennessee prescriber of it (88). Medicare paid $6.38 per fill, versus $6.35 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
Semaglutide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 64 prescriptions for Ozempic, about as often as the typical Tennessee prescriber of it (63). Medicare paid $1,160.66 per fill, versus $1,248.49 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
Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Tennessee prescribers
Dr. Pakkala wrote 63 prescriptions for Januvia, about 1.9 times as often as the typical Tennessee prescriber of it (34). Medicare paid $681.24 per fill, versus $827.26 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 drug is used to treat high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 63 prescriptions for Losartan-Hydrochlorothiazide, about 1.7 times as often as the typical Tennessee prescriber of it (38). Medicare paid $12.99 per fill, versus $20.04 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. Pakkala wrote 62 prescriptions for Meloxicam, about as often as the typical Tennessee prescriber of it (67). Medicare paid $6.75 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
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with Tennessee prescribers
Dr. Pakkala wrote 60 prescriptions for Tamsulosin Hcl, about 67% as often as the typical Tennessee prescriber of it (90). Medicare paid $9.17 per fill, versus $13.09 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
Alprazolam is used to treat anxiety and panic disorders.
Compared with Tennessee prescribers
Dr. Pakkala wrote 50 prescriptions for Alprazolam, about half as often as the typical Tennessee prescriber of it (89). Medicare paid $2.93 per fill, versus $4.38 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 to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury).
Compared with Tennessee prescribers
Dr. Pakkala wrote 49 prescriptions for Tizanidine Hcl, about 83% as often as the typical Tennessee prescriber of it (59). Medicare paid $11.32 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
Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 48 prescriptions for Glimepiride, about as often as the typical Tennessee prescriber of it (52). Medicare paid $9.13 per fill, versus $8.83 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
Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed.
Compared with Tennessee prescribers
Dr. Pakkala wrote 47 prescriptions for Famotidine, about 71% as often as the typical Tennessee prescriber of it (66). Medicare paid $8.85 per fill, versus $13.93 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 blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body.
Compared with Tennessee prescribers
Dr. Pakkala wrote 47 prescriptions for Warfarin Sodium, about 1.3 times as often as the typical Tennessee prescriber of it (36). Medicare paid $2.82 per fill, versus $8.09 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
This combination medication is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Tennessee prescribers
Dr. Pakkala wrote 46 prescriptions for Janumet, about 2.3 times as often as the typical Tennessee prescriber of it (20). Medicare paid $440.71 per fill, versus $786.68 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 sleep problem (insomnia).
Compared with Tennessee prescribers
Dr. Pakkala wrote 46 prescriptions for Temazepam, about 1.7 times as often as the typical Tennessee prescriber of it (27). Medicare paid $6.52 per fill, versus $9.13 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
Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease).
Compared with Tennessee prescribers
Dr. Pakkala wrote 45 prescriptions for Isosorbide Mononitrate Er, about as often as the typical Tennessee prescriber of it (48). Medicare paid $10.28 per fill, versus $11.72 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
Carvedilol is used to treat high blood pressure and heart failure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 44 prescriptions for Carvedilol, about half as often as the typical Tennessee prescriber of it (77). Medicare paid $7.74 per fill, versus $7.68 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
Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar.
Compared with Tennessee prescribers
Dr. Pakkala wrote 43 prescriptions for Metformin Hcl Er, about 68% as often as the typical Tennessee prescriber of it (64). Medicare paid $8.78 per fill, versus $8.75 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
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with Tennessee prescribers
Dr. Pakkala wrote 39 prescriptions for Montelukast Sodium, about half as often as the typical Tennessee prescriber of it (74). Medicare paid $9.80 per fill, versus $10.70 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
Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 38 prescriptions for Farxiga, about 89% as often as the typical Tennessee prescriber of it (43). Medicare paid $584.20 per fill, versus $896.46 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 variety of skin conditions (such as eczema, dermatitis, allergies, rash).
Compared with Tennessee prescribers
Dr. Pakkala wrote 38 prescriptions for Triamcinolone Acetonide, about as often as the typical Tennessee prescriber of it (35). Medicare paid $23.94 per fill, versus $9.58 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
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 36 prescriptions for Lantus Solostar, about as often as the typical Tennessee prescriber of it (39). Medicare paid $102.49 per fill, versus $130.06 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 in men who do not make enough of a natural substance called testosterone.
Compared with Tennessee prescribers
Dr. Pakkala wrote 36 prescriptions for Testosterone Cypionate, about 1.2 times as often as the typical Tennessee prescriber of it (29). Medicare paid $36.11 per fill, versus $35.16 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
Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults.
Compared with Tennessee prescribers
Dr. Pakkala wrote 36 prescriptions for Zolpidem Tartrate, about 68% as often as the typical Tennessee prescriber of it (53). Medicare paid $4.71 per fill, versus $5.50 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
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with Tennessee prescribers
Dr. Pakkala wrote 34 prescriptions for Cyclobenzaprine Hcl, about 82% as often as the typical Tennessee prescriber of it (41). Medicare paid $5.31 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
Methocarbamol is used to treat muscle spasms/pain.
Compared with Tennessee prescribers
Dr. Pakkala wrote 33 prescriptions for Methocarbamol, about as often as the typical Tennessee prescriber of it (33). Medicare paid $8.32 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
Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Tennessee prescribers
Dr. Pakkala wrote 33 prescriptions for Simvastatin, about half as often as the typical Tennessee prescriber of it (70). Medicare paid $6.57 per fill, versus $7.18 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
Clonazepam is used to prevent and control seizures.
Compared with Tennessee prescribers
Dr. Pakkala wrote 32 prescriptions for Clonazepam, about half as often as the typical Tennessee prescriber of it (55). Medicare paid $4.69 per fill, versus $6.81 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 high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 29 prescriptions for Lisinopril-Hydrochlorothiazide, about 78% as often as the typical Tennessee prescriber of it (37). Medicare paid $5.93 per fill, versus $7.46 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 depression.
Compared with Tennessee prescribers
Dr. Pakkala wrote 27 prescriptions for Mirtazapine, about half as often as the typical Tennessee prescriber of it (56). Medicare paid $8.41 per fill, versus $18.48 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, panic attacks, obsessive compulsive disorder, post-traumatic stress disorder, social anxiety disorder).
Compared with Tennessee prescribers
Dr. Pakkala wrote 27 prescriptions for Sertraline Hcl, about 38% as often as the typical Tennessee prescriber of it (72). Medicare paid $7.31 per fill, versus $8.57 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
Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery.
Compared with Tennessee prescribers
Dr. Pakkala wrote 26 prescriptions for Eliquis, about 27% as often as the typical Tennessee prescriber of it (97). Medicare paid $558.17 per fill, versus $804.23 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. Pakkala wrote 26 prescriptions for Linzess, about 78% as often as the typical Tennessee prescriber of it (33). Medicare paid $807.83 per fill, versus $788.47 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
This medication is used to treat depression.
Compared with Tennessee prescribers
Dr. Pakkala wrote 25 prescriptions for Trazodone Hcl, about 31% as often as the typical Tennessee prescriber of it (80). Medicare paid $11.54 per fill, versus $9.21 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
See also Warning section.
Compared with Tennessee prescribers
Dr. Pakkala wrote 23 prescriptions for Promethazine Hcl, about 72% as often as the typical Tennessee prescriber of it (32). Medicare paid $2.15 per fill, versus $7.99 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
Spironolactone is used to treat high blood pressure and heart failure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 23 prescriptions for Spironolactone, about half as often as the typical Tennessee prescriber of it (51). Medicare paid $13.01 per fill, versus $8.83 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
Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men.
Compared with Tennessee prescribers
Dr. Pakkala wrote 22 prescriptions for Finasteride, about half as often as the typical Tennessee prescriber of it (52). Medicare paid $11.28 per fill, versus $12.71 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
Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness.
Compared with Tennessee prescribers
Dr. Pakkala wrote 22 prescriptions for Meclizine Hcl, about 88% as often as the typical Tennessee prescriber of it (25). Medicare paid $16.20 per fill, versus $9.88 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 wide variety of bacterial infections.
Compared with Tennessee prescribers
Dr. Pakkala wrote 21 prescriptions for Cephalexin, about 67% as often as the typical Tennessee prescriber of it (31). Medicare paid $6.85 per fill, versus $7.35 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
Metoprolol is used with or without other medications to treat high blood pressure (hypertension).
Compared with Tennessee prescribers
Dr. Pakkala wrote 21 prescriptions for Metoprolol Tartrate, about 25% as often as the typical Tennessee prescriber of it (85). Medicare paid $8.07 per fill, versus $5.88 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 schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder).
Compared with Tennessee prescribers
Dr. Pakkala wrote 21 prescriptions for Quetiapine Fumarate, about 35% as often as the typical Tennessee prescriber of it (60). Medicare paid $10.01 per fill, versus $15.36 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
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with Tennessee prescribers
Dr. Pakkala wrote 20 prescriptions for Topiramate, about half as often as the typical Tennessee prescriber of it (36). Medicare paid $5.62 per fill, versus $10.80 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 drug is used to treat high blood pressure (hypertension).
Compared with Tennessee prescribers
Dr. Pakkala wrote 19 prescriptions for Olmesartan-Hydrochlorothiazide, about 74% as often as the typical Tennessee prescriber of it (26). Medicare paid $28.25 per fill, versus $43.28 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
This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with Tennessee prescribers
Dr. Pakkala wrote 18 prescriptions for Ondansetron Hcl, about half as often as the typical Tennessee prescriber of it (34). Medicare paid $12.41 per fill, versus $14.26 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 depression.
Compared with Tennessee prescribers
Dr. Pakkala wrote 17 prescriptions for Amitriptyline Hcl, about half as often as the typical Tennessee prescriber of it (30). Medicare paid $18.18 per fill, versus $15.11 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
This medication is used to treat anxiety.
Compared with Tennessee prescribers
Dr. Pakkala wrote 17 prescriptions for Buspirone Hcl, about 28% as often as the typical Tennessee prescriber of it (61). Medicare paid $5.67 per fill, versus $15.01 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
Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 17 prescriptions for Glipizide, about half as often as the typical Tennessee prescriber of it (33). Medicare paid $4.35 per fill, versus $8.35 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
Hydralazine is used with or without other medications to treat high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 17 prescriptions for Hydralazine Hcl, about 36% as often as the typical Tennessee prescriber of it (47). Medicare paid $12.78 per fill, versus $12.55 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
Levetiracetam is used to treat seizures (epilepsy).
Compared with Tennessee prescribers
Dr. Pakkala wrote 17 prescriptions for Levetiracetam, about 32% as often as the typical Tennessee prescriber of it (54). Medicare paid $19.61 per fill, versus $26.88 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
Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Tennessee prescribers
Dr. Pakkala wrote 16 prescriptions for Bumetanide, about half as often as the typical Tennessee prescriber of it (35). Medicare paid $35.10 per fill, versus $29.62 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 certain mental/mood disorders (such as depression, anxiety).
Compared with Tennessee prescribers
Dr. Pakkala wrote 16 prescriptions for Duloxetine Hcl, about 26% as often as the typical Tennessee prescriber of it (61). Medicare paid $20.94 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 help relieve severe ongoing pain (such as due to cancer).
Compared with Tennessee prescribers
Dr. Pakkala wrote 16 prescriptions for Morphine Sulfate Er, about 25% as often as the typical Tennessee prescriber of it (64). Medicare paid $24.98 per fill, versus $26.91 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
Fenofibrate is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Tennessee prescribers
Dr. Pakkala wrote 15 prescriptions for Fenofibrate, about half as often as the typical Tennessee prescriber of it (26). Medicare paid $27.65 per fill, versus $21.96 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
Hydroxyzine is used to treat itching caused by allergies.
Compared with Tennessee prescribers
Dr. Pakkala wrote 15 prescriptions for Hydroxyzine Hcl, about half as often as the typical Tennessee prescriber of it (35). Medicare paid $17.48 per fill, versus $17.00 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
Rizatriptan is used to treat migraines.
Compared with Tennessee prescribers
Dr. Pakkala wrote 15 prescriptions for Rizatriptan, about 66% as often as the typical Tennessee prescriber of it (23). Medicare paid $16.38 per fill, versus $21.66 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
Donepezil is used to treat confusion (dementia) related to Alzheimer's disease.
Compared with Tennessee prescribers
Dr. Pakkala wrote 14 prescriptions for Donepezil Hcl, about 21% as often as the typical Tennessee prescriber of it (67). Medicare paid $7.20 per fill, versus $10.56 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, panic attacks, obsessive compulsive disorder).
Compared with Tennessee prescribers
Dr. Pakkala wrote 14 prescriptions for Fluoxetine Hcl, about 33% as often as the typical Tennessee prescriber of it (43). Medicare paid $9.39 per fill, versus $9.20 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
Levofloxacin is used to treat a variety of bacterial infections.
Compared with Tennessee prescribers
Dr. Pakkala wrote 14 prescriptions for Levofloxacin, about half as often as the typical Tennessee prescriber of it (26). Medicare paid $5.45 per fill, versus $5.58 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
Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders.
Compared with Tennessee prescribers
Dr. Pakkala wrote 14 prescriptions for Methylprednisolone, about 36% as often as the typical Tennessee prescriber of it (39). Medicare paid $6.81 per fill, versus $7.41 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
This drug is used to treat high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 14 prescriptions for Valsartan-Hydrochlorothiazide, about half as often as the typical Tennessee prescriber of it (27). Medicare paid $45.68 per fill, versus $44.56 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
Azithromycin is used to treat a wide variety of bacterial infections.
Compared with Tennessee prescribers
Dr. Pakkala wrote 13 prescriptions for Azithromycin, about 34% as often as the typical Tennessee prescriber of it (38). Medicare paid $4.43 per fill, versus $6.01 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. Pakkala wrote 13 prescriptions for Escitalopram Oxalate, about 22% as often as the typical Tennessee prescriber of it (60). Medicare paid $16.06 per fill, versus $10.36 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
Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood.
Compared with Tennessee prescribers
Dr. Pakkala wrote 13 prescriptions for Ezetimibe, about 25% as often as the typical Tennessee prescriber of it (51). Medicare paid $5.98 per fill, versus $25.58 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. Pakkala wrote 13 prescriptions for Methotrexate, about 14% as often as the typical Tennessee prescriber of it (95). Medicare paid $9.70 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
This medication is used alone or with other medications to treat Parkinson's disease.
Compared with Tennessee prescribers
Dr. Pakkala wrote 13 prescriptions for Ropinirole Hcl, about 36% as often as the typical Tennessee prescriber of it (37). Medicare paid $17.29 per fill, versus $14.18 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 drug is used to treat high blood pressure.
Compared with Tennessee prescribers
Dr. Pakkala wrote 13 prescriptions for Triamterene-Hydrochlorothiazid, about 37% as often as the typical Tennessee prescriber of it (35). Medicare paid $16.14 per fill, versus $8.54 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 to treat certain mental/mood disorders (such as bipolar disorder, schizophrenia, Tourette's syndrome, and irritability associated with autistic disorder).
Compared with Tennessee prescribers
Dr. Pakkala wrote 12 prescriptions for Aripiprazole, about 28% as often as the typical Tennessee prescriber of it (43). Medicare paid $16.09 per fill, versus $50.96 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 used to treat depression.
Compared with Tennessee prescribers
Dr. Pakkala wrote 12 prescriptions for Citalopram Hbr, about 26% as often as the typical Tennessee prescriber of it (46). Medicare paid $2.71 per fill, versus $6.47 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
This medication is used to help relieve moderate to severe pain.
Compared with Tennessee prescribers
Dr. Pakkala wrote 12 prescriptions for Oxycodone Hcl, about 17% as often as the typical Tennessee prescriber of it (72). Medicare paid $13.07 per fill, versus $17.19 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 help relieve moderate to severe pain.
Compared with Tennessee prescribers
Dr. Pakkala wrote 12 prescriptions for Oxycodone-Acetaminophen, about 13% as often as the typical Tennessee prescriber of it (94). Medicare paid $13.23 per fill, versus $24.67 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
Phenytoin is used to prevent and control seizures (also called an anticonvulsant or antiepileptic drug).
Compared with Tennessee prescribers
Dr. Pakkala wrote 12 prescriptions for Phenytoin Sodium Extended, about half as often as the typical Tennessee prescriber of it (24). Medicare paid $27.37 per fill, versus $26.75 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
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 12 prescriptions for Toujeo Max Solostar, about half as often as the typical Tennessee prescriber of it (27). Medicare paid $537.44 per fill, versus $1,134.24 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
Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease).
Compared with Tennessee prescribers
Dr. Pakkala wrote 11 prescriptions for Baclofen, about 25% as often as the typical Tennessee prescriber of it (44). Medicare paid $6.34 per fill, versus $14.02 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. Pakkala wrote 11 prescriptions for Clozapine, about 25% as often as the typical Tennessee prescriber of it (43). Medicare paid $55.89 per fill, versus $72.50 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
This combination medication is used to treat attention deficit hyperactivity disorder - ADHD.
Compared with Tennessee prescribers
Dr. Pakkala wrote 11 prescriptions for Dextroamphetamine-Amphet Er, about half as often as the typical Tennessee prescriber of it (20). Medicare paid $83.30 per fill, versus $55.25 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
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 11 prescriptions for Lantus, about half as often as the typical Tennessee prescriber of it (24). Medicare paid $63.96 per fill, versus $128.39 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
This medication is used to treat attention deficit hyperactivity disorder - ADHD.
Compared with Tennessee prescribers
Dr. Pakkala wrote 11 prescriptions for Methylphenidate Hcl, about half as often as the typical Tennessee prescriber of it (20). Medicare paid $8.01 per fill, versus $27.12 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
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Tennessee prescribers
Dr. Pakkala wrote 11 prescriptions for Synthroid, about 30% as often as the typical Tennessee prescriber of it (36). Medicare paid $60.81 per fill, versus $65.48 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
Insulin degludec is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Tennessee prescribers
Dr. Pakkala wrote 11 prescriptions for Tresiba Flextouch U-200, about 37% as often as the typical Tennessee prescriber of it (30). Medicare paid $998.54 per fill, versus $1,153.23 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. Pakkala’s prescriptions
What does Dr. Pakkala prescribe most?
In 2024 Medicare Part D data, Dr. Pakkala's most prescribed medications were Hydrocodone-Acetaminophen (605), Gabapentin (250) and Rosuvastatin Calcium (184).
How does Dr. Pakkala's prescribing compare with other Tennessee prescribers?
Of the 96 medications with a state comparison, Dr. Pakkala prescribes 12 more often than the typical Tennessee prescriber, 22 about as often and 62 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Pakkala 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.
