Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRESTON CARR
Prescription History 1598339913
Podiatrist - Foot & Ankle Surgery in Richmond, VA

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment
7660 E PARHAM RD STE 201, RICHMOND, VA 23294(513) 967-2592(804) 934-9381 Get Directions

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2026, May 19, 2021 (2 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for PRESTON CARR, an active Foot & Ankle Surgery specialist practicing in Richmond, VA. Our medical registry currently tracks 3 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 54 documented patient claims. Among these therapy options, the most frequently utilized medication is Ciclopirox, which accounts for 31 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.

3
Medications
54
Total Claims
54
30-Day Fills
Ciclopirox
Most Prescribed · 31 claims
View details
3 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by PRESTON CARR in 2024, with prescription volumes, average cost per fill, and VA state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other VA PrescribersVs. VA Avg
Ciclopirox31$14.37▼ below VA avg≈ Typical

About Ciclopirox: This medication is used to treat fungal infections of the fingernails and toenails. Show more ▾

It is used as part of a treatment program that may include the removal of unattached, infected nails by a health care professional. Ciclopirox works by stopping the growth of fungus. A cyclohexane and pyridinone derivative that is used for the treatment of fungal infections of the skin and nails, and for treatment of VAGINAL YEAST INFECTIONS.

In 2024, this provider wrote 31 Medicare prescriptions for Ciclopirox, about the same volume as the typical Virginia prescriber of this medication (29). Medicare paid an average of $14.37 per fill, versus $28.23 statewide.

How often this provider prescribes it

This provider
31
VA average
29.0

This provider's prescribing volume for this medication is in line with the average VA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$14.37
VA average
$28.23

This provider's average cost per fill is below the VA average for this medication.

31
30-Day Fills
standardized to 30-day supplies
911
Days of Medication
total across all patients in 2024
Ketoconazole12$35.84▼ Less than typical

About Ketoconazole: Ketoconazole is used to treat skin infections such as athlete's foot, jock itch, ringworm, and certain kinds of dandruff. Show more ▾

This medication is also used to treat a skin condition known as pityriasis (tinea versicolor), a fungal infection that causes a lightening or darkening of the skin of the neck, chest, arms, or legs. Ketoconazole is an azole antifungal that works by preventing the growth of fungus. Broad spectrum antifungal agent used for long periods at high doses, especially in immunosuppressed patients.

In 2024, this provider wrote 12 Medicare prescriptions for Ketoconazole, about a quarter of the volume of the typical Virginia prescriber of this medication (43.7). Medicare paid an average of $35.84 per fill, versus $18.66 statewide.

How often this provider prescribes it

This provider
12
VA average
43.7

This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$35.84
VA average
$18.66

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

12
30-Day Fills
standardized to 30-day supplies
291
Days of Medication
total across all patients in 2024
Cephalexin11$4.57▼ below VA avg▼ Less than typical

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2024, this provider wrote 11 Medicare prescriptions for Cephalexin, about a third of the volume of the typical Virginia prescriber of this medication (30.4). Medicare paid an average of $4.57 per fill, versus $7.06 statewide.

How often this provider prescribes it

This provider
11
VA average
30.4

This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$4.57
VA average
$7.06

This provider's average cost per fill is below the VA average for this medication.

11
30-Day Fills
standardized to 30-day supplies
91
Days of Medication
total across all patients in 2024
No medications match the current filters.
▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average VA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the VA average cost per fill.

About this data. The prescription history for PRESTON CARR is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Foot & Ankle Surgery prescribing approach at this Richmond, VA 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 among VA prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.