THOMAS ANTHONY ESTHER PA-C
Prescription History 1619200375
Physician Assistant in Durham, NC
What does Thomas Esther prescribe?
In 2024, Thomas Esther wrote 2,477 Medicare prescriptions for 27 medications. The most prescribed was Tamsulosin Hcl, with 801 prescriptions for 241 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 Thomas Esther prescribes.
Medications 27 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 North Carolina prescribers.
What it is used for
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with North Carolina prescribers
Thomas Esther wrote 801 prescriptions for Tamsulosin Hcl, about 9.6 times as often as the typical North Carolina prescriber of it (83). Medicare paid $13.32 per fill, versus $13.02 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
Finasteride is used to shrink an enlarged prostate (benign prostatic hyperplasia or BPH) in adult men.
Compared with North Carolina prescribers
Thomas Esther wrote 735 prescriptions for Finasteride, about 13 times as often as the typical North Carolina prescriber of it (55). Medicare paid $11.10 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
Alfuzosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with North Carolina prescribers
Thomas Esther wrote 215 prescriptions for Alfuzosin Hcl Er, about 5.2 times as often as the typical North Carolina prescriber of it (41). Medicare paid $15.80 per fill, versus $20.79 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 bladder problems (overactive bladder, neurogenic detrusor overactivity).
Compared with North Carolina prescribers
Thomas Esther wrote 205 prescriptions for Myrbetriq, about 5 times as often as the typical North Carolina prescriber of it (41). Medicare paid $565.30 per fill, versus $618.02 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
Solifenacin is used to treat an overactive bladder.
Compared with North Carolina prescribers
Thomas Esther wrote 66 prescriptions for Solifenacin Succinate, about 2 times as often as the typical North Carolina prescriber of it (34). Medicare paid $50.53 per fill, versus $33.07 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 to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with North Carolina prescribers
Thomas Esther wrote 39 prescriptions for Dutasteride, about 1.3 times as often as the typical North Carolina prescriber of it (31). Medicare paid $21.77 per fill, versus $26.46 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
Silodosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with North Carolina prescribers
Thomas Esther wrote 37 prescriptions for Silodosin, about 1.2 times as often as the typical North Carolina prescriber of it (32). Medicare paid $72.19 per fill, versus $71.93 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 an antibiotic used to treat bladder infections (acute cystitis).
Compared with North Carolina prescribers
Thomas Esther wrote 36 prescriptions for Nitrofurantoin Mono-Macro, about 1.4 times as often as the typical North Carolina prescriber of it (25). Medicare paid $32.22 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
Methenamine is used to prevent or control returning urinary tract infections caused by certain bacteria.
Compared with North Carolina prescribers
Thomas Esther wrote 35 prescriptions for Methenamine Hippurate, about 87% as often as the typical North Carolina prescriber of it (40). Medicare paid $55.67 per fill, versus $60.27 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
This medication is used to treat an overactive bladder.
Compared with North Carolina prescribers
Thomas Esther wrote 29 prescriptions for Tolterodine Tartrate Er, about 1.5 times as often as the typical North Carolina prescriber of it (20). Medicare paid $66.08 per fill, versus $69.36 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 medication is used to improve the symptoms of a certain blood flow problem in the legs/arms (intermittent claudication due to occlusive artery disease).
Compared with North Carolina prescribers
Thomas Esther wrote 24 prescriptions for Pentoxifylline, about as often as the typical North Carolina prescriber of it (27). Medicare paid $30.33 per fill, versus $28.41 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
See also Warning section.
Compared with North Carolina prescribers
Thomas Esther wrote 23 prescriptions for Naproxen, about as often as the typical North Carolina prescriber of it (24). Medicare paid $8.61 per fill, versus $11.30 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
This medication is used to treat a variety of bacterial infections.
Compared with North Carolina prescribers
Thomas Esther wrote 22 prescriptions for Ciprofloxacin Hcl, about 80% as often as the typical North Carolina prescriber of it (27). Medicare paid $5.32 per fill, versus $7.29 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
This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with North Carolina prescribers
Thomas Esther wrote 21 prescriptions for Celecoxib, about half as often as the typical North Carolina prescriber of it (43). Medicare paid $12.90 per fill, versus $22.19 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 medication is used to treat overactive bladder.
Compared with North Carolina prescribers
Thomas Esther wrote 21 prescriptions for Gemtesa, about 38% as often as the typical North Carolina prescriber of it (55). Medicare paid $673.80 per fill, versus $692.82 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
This is a long-acting form of oxybutynin that is used to treat overactive bladder and urinary conditions.
Compared with North Carolina prescribers
Thomas Esther wrote 20 prescriptions for Oxybutynin Chloride Er, about 69% as often as the typical North Carolina prescriber of it (29). Medicare paid $14.23 per fill, versus $15.82 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
Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension).
Compared with North Carolina prescribers
Thomas Esther wrote 18 prescriptions for Doxazosin Mesylate, about 71% as often as the typical North Carolina prescriber of it (25). Medicare paid $9.09 per fill, versus $13.63 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 North Carolina prescribers
Thomas Esther wrote 15 prescriptions for Alprazolam, about 21% as often as the typical North Carolina prescriber of it (72). Medicare paid $3.42 per fill, versus $4.85 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
Gabapentin is used with other medications to prevent and control seizures.
Compared with North Carolina prescribers
Thomas Esther wrote 15 prescriptions for Gabapentin, about 15% as often as the typical North Carolina prescriber of it (100). Medicare paid $14.27 per fill, versus $15.37 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 medicated gel contains testosterone.
Compared with North Carolina prescribers
Thomas Esther wrote 15 prescriptions for Testosterone, about 73% as often as the typical North Carolina prescriber of it (21). Medicare paid $517.11 per fill, versus $150.52 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
Sildenafil is used to treat male sexual function problems (impotence or erectile dysfunction-ED).
Compared with North Carolina prescribers
Thomas Esther wrote 14 prescriptions for Sildenafil Citrate, about 74% as often as the typical North Carolina prescriber of it (19). Medicare paid $2.89 per fill, versus $67.43 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 North Carolina prescribers
Thomas Esther wrote 14 prescriptions for Testosterone Cypionate, about half as often as the typical North Carolina prescriber of it (26). Medicare paid $39.01 per fill, versus $34.60 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 medication is used to treat certain bladder problems (overactive bladder, neurogenic detrusor overactivity).
Compared with North Carolina prescribers
Thomas Esther wrote 12 prescriptions for Mirabegron Er, about 62% as often as the typical North Carolina prescriber of it (19). Medicare paid $764.25 per fill, versus $386.64 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 combination of two antibiotics: sulfamethoxazole and trimethoprim.
Compared with North Carolina prescribers
Thomas Esther wrote 12 prescriptions for Sulfamethoxazole-Trimethoprim, about half as often as the typical North Carolina prescriber of it (26). Medicare paid $9.79 per fill, versus $5.44 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
Bicalutamide is used to treat prostate cancer.
Compared with North Carolina prescribers
Thomas Esther wrote 11 prescriptions for Bicalutamide, about 41% as often as the typical North Carolina prescriber of it (27). Medicare paid $17.73 per fill, versus $27.18 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
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 North Carolina prescribers
Thomas Esther wrote 11 prescriptions for Prednisone, about 21% as often as the typical North Carolina prescriber of it (51). Medicare paid $1.31 per fill, versus $4.07 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 an overactive bladder.
Compared with North Carolina prescribers
Thomas Esther wrote 11 prescriptions for Trospium Chloride, about 32% as often as the typical North Carolina prescriber of it (34). Medicare paid $40.96 per fill, versus $49.29 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Thomas Esther’s prescriptions
What does Thomas Esther prescribe most?
In 2024 Medicare Part D data, Thomas Esther's most prescribed medications were Tamsulosin Hcl (801), Finasteride (735) and Alfuzosin Hcl Er (215).
How does Thomas Esther's prescribing compare with other North Carolina prescribers?
Of the 27 medications with a state comparison, Thomas Esther prescribes 8 more often than the typical North Carolina prescriber, 5 about as often and 14 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Thomas Esther 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 North Carolina 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.