DR. JAMES CHINGSHIAN WU M.D.
Prescription History 1720070113
Otolaryngology - Plastic Surgery within the Head & Neck in Brentwood, CA

Active since August 22, 2005PECOS Enrolled
0/100
CMS Quality Rating
191 SAND CREEK RD STE 125, BRENTWOOD, CA 94513(415) 362-5443 Get Directions

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. JAMES CHINGSHIAN WU M.D., an active Plastic Surgery within the Head & Neck specialist practicing in Brentwood, CA. Our medical registry currently tracks 13 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 343 documented patient claims. Among these therapy options, the most frequently utilized medication is Fluticasone Propionate, which accounts for 72 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.

13
Medications
343
Total Claims
441
30-Day Fills
Fluticasone Propionate
Most Prescribed · 72 claims
View details
13 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. JAMES CHINGSHIAN WU M.D. in 2024, with prescription volumes, average cost per fill, and CA state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other CA PrescribersVs. CA Avg

About Fluticasone Propionate: Fluticasone is used to relieve seasonal and year-round allergic and non-allergic nasal symptoms, such as stuffy/runny nose, itching, and sneezing. Show more ▾

It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. A STEROID with GLUCOCORTICOID RECEPTOR activity that is used to manage the symptoms of ASTHMA; ALLERGIC RHINITIS, and ATOPIC DERMATITIS.

In 2024, this provider wrote 72 Medicare prescriptions for Fluticasone Propionate, about 1.4 times the volume of the typical California prescriber of this medication (50.3). Medicare paid an average of $12.90 per fill, versus $15.10 statewide.

How often this provider prescribes it

This provider
72
CA average
50.3

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

What Medicare paid per fill

This provider
$12.90
CA average
$15.10

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

123
30-Day Fills
standardized to 30-day supplies
3,555
Days of Medication
total across all patients in 2024

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.

In 2024, this provider wrote 46 Medicare prescriptions for Prednisone, about the same volume as the typical California prescriber of this medication (40.3). Medicare paid an average of $2.56 per fill, versus $5.64 statewide.

How often this provider prescribes it

This provider
46
CA average
40.3

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

What Medicare paid per fill

This provider
$2.56
CA average
$5.64

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

46
30-Day Fills
standardized to 30-day supplies
468
Days of Medication
total across all patients in 2024

About Fluocinolone Acetonide Oil: This medication is used to treat eczema of the outer ear (also known as chronic itchy ear). Show more ▾

The main symptom is itchiness, but redness, flaking, or oozing may also occur. Fluocinolone reduces these symptoms. This medication is a low- to medium-strength corticosteroid.

In 2024, this provider wrote 42 Medicare prescriptions for Fluocinolone Acetonide Oil, about 1.3 times the volume of the typical California prescriber of this medication (31.6). Medicare paid an average of $39.29 per fill, versus $37.55 statewide.

How often this provider prescribes it

This provider
42
CA average
31.6

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

What Medicare paid per fill

This provider
$39.29
CA average
$37.55

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

53.3
30-Day Fills
standardized to 30-day supplies
1,342
Days of Medication
total across all patients in 2024

About Azelastine Hcl: This medication is used to relieve nasal symptoms such as runny/itching/stuffy nose, sneezing, and post-nasal drip caused by allergies or other conditions. Show more ▾

Azelastine belongs to a class of drugs known as antihistamines. It works by blocking certain natural substances called histamines that are responsible for nasal symptoms. Azeptin is azelastine hydrochloride; structure; eye drop formulation effective in relieving symptoms of allergic conjunctivitis; do not confuse with 5-loxin which is an extract of Boswellia.

In 2024, this provider wrote 39 Medicare prescriptions for Azelastine Hcl, about 83% of the volume of the typical California prescriber of this medication (47.3). Medicare paid an average of $18.46 per fill, versus $22.82 statewide.

How often this provider prescribes it

This provider
39
CA average
47.3

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

What Medicare paid per fill

This provider
$18.46
CA average
$22.82

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

39
30-Day Fills
standardized to 30-day supplies
1,030
Days of Medication
total across all patients in 2024

About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾

It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.

In 2024, this provider wrote 24 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about the same volume as the typical California prescriber of this medication (25.6). Medicare paid an average of $10.48 per fill, versus $9.18 statewide.

How often this provider prescribes it

This provider
24
CA average
25.6

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

What Medicare paid per fill

This provider
$10.48
CA average
$9.18

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

24
30-Day Fills
standardized to 30-day supplies
297
Days of Medication
total across all patients in 2024

About Ipratropium Bromide: Ipratropium is used to treat a runny nose caused by the common cold or seasonal allergies. Show more ▾

It works by reducing the amount of fluid/mucus released from inside your nose. This medication does not relieve symptoms of stuffy nose or sneezing. A muscarinic antagonist structurally related to ATROPINE but often considered safer and more effective for inhalation use. It is used for various bronchial disorders, in rhinitis, and as an antiarrhythmic.

In 2024, this provider wrote 22 Medicare prescriptions for Ipratropium Bromide, about 63% of the volume of the typical California prescriber of this medication (34.9). Medicare paid an average of $43.26 per fill, versus $31.19 statewide.

How often this provider prescribes it

This provider
22
CA average
34.9

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

What Medicare paid per fill

This provider
$43.26
CA average
$31.19

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

45.5
30-Day Fills
standardized to 30-day supplies
1,362
Days of Medication
total across all patients in 2024

About Ciprofloxacin-Dexamethasone: This medication is used to treat bacterial ear infections. Show more ▾

It is used to treat middle ear infections in children with ear tubes, as well as outer ear infections (also known as swimmer's ear) in children and adults. This medication contains a combination of ciprofloxacin (a quinolone-type antibiotic) and dexamethasone (an anti-inflammatory corticosteroid). This ear drop works by stopping the growth of bacteria and reducing ear swelling and discomfort. This medication treats only bacterial ear infections. It will not work for other types of ear infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 19 Medicare prescriptions for Ciprofloxacin-Dexamethasone, about 75% of the volume of the typical California prescriber of this medication (25.4). Medicare paid an average of $87.04 per fill, versus $110.25 statewide.

How often this provider prescribes it

This provider
19
CA average
25.4

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

What Medicare paid per fill

This provider
$87.04
CA average
$110.25

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

19.6
30-Day Fills
standardized to 30-day supplies
439
Days of Medication
total across all patients in 2024

About Betamethasone Diprop Augmented: This medication is used to treat a variety of skin conditions (such as eczema, dermatitis, allergies, rash). Show more ▾

Betamethasone reduces the swelling, itching, and redness that can occur in these types of conditions. This medication is a strong to very strong (high- to super-high-potency) corticosteroid. The strength depends on the form (cream, gel, or ointment) that you use. For details on the strength of your product, ask your pharmacist.

In 2024, this provider wrote 16 Medicare prescriptions for Betamethasone Diprop Augmented, about half the volume of the typical California prescriber of this medication (35.6). Medicare paid an average of $64.70 per fill, versus $36.65 statewide.

How often this provider prescribes it

This provider
16
CA average
35.6

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

What Medicare paid per fill

This provider
$64.70
CA average
$36.65

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

16
30-Day Fills
standardized to 30-day supplies
360
Days of Medication
total across all patients in 2024

About Tramadol Hcl: See also Warning section. Show more ▾

This medication is used to help relieve moderate to moderately severe pain. Tramadol 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 narcotic analgesic proposed for severe pain. It may be habituating.

In 2024, this provider wrote 15 Medicare prescriptions for Tramadol Hcl, about a third of the volume of the typical California prescriber of this medication (43.7). Medicare paid an average of $2.29 per fill, versus $6.24 statewide.

How often this provider prescribes it

This provider
15
CA average
43.7

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

What Medicare paid per fill

This provider
$2.29
CA average
$6.24

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

15
30-Day Fills
standardized to 30-day supplies
24
Days of Medication
total across all patients in 2024

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

This medication is a penicillin-type antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration.

In 2024, this provider wrote 13 Medicare prescriptions for Amoxicillin, about a third of the volume of the typical California prescriber of this medication (38.3). Medicare paid an average of $2.87 per fill, versus $4.15 statewide.

How often this provider prescribes it

This provider
13
CA average
38.3

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

What Medicare paid per fill

This provider
$2.87
CA average
$4.15

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

13
30-Day Fills
standardized to 30-day supplies
80
Days of Medication
total across all patients in 2024

About Gabapentin: Gabapentin is used with other medications to prevent and control seizures. Show more ▾

It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug. A cyclohexane-gamma-aminobutyric acid derivative that is used for the treatment of PARTIAL SEIZURES; NEURALGIA; and RESTLESS LEGS SYNDROME.

In 2024, this provider wrote 13 Medicare prescriptions for Gabapentin, about 16% of the volume of the typical California prescriber of this medication (80.2). Medicare paid an average of $13.28 per fill, versus $15.63 statewide.

How often this provider prescribes it

This provider
13
CA average
80.2

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

What Medicare paid per fill

This provider
$13.28
CA average
$15.63

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

24.5
30-Day Fills
standardized to 30-day supplies
735
Days of Medication
total across all patients in 2024

About Hydrocortisone-Acetic Acid: This combination medication is used to treat outer ear infections (such as swimmer's ear). Show more ▾

This product contains 2 medications. Acetic acid works by stopping the growth of bacteria and fungus. Hydrocortisone is a steroid that helps to decrease the redness, swelling, and itching from the infection.

In 2024, this provider wrote 11 Medicare prescriptions for Hydrocortisone-Acetic Acid, about 62% of the volume of the typical California prescriber of this medication (17.8). Medicare paid an average of $68.88 per fill, versus $92.31 statewide.

How often this provider prescribes it

This provider
11
CA average
17.8

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

What Medicare paid per fill

This provider
$68.88
CA average
$92.31

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

11
30-Day Fills
standardized to 30-day supplies
226
Days of Medication
total across all patients in 2024

About Promethazine Hcl: See also Warning section. Show more ▾

Promethazine is used to prevent and treat nausea and vomiting related to certain conditions (such as before/after surgery, motion sickness). It is also used to treat allergy symptoms such as rash, itching, and runny nose. It may be used to help you feel sleepy/relaxed before and after surgery or to help certain opioid pain relievers (such as meperidine) work better. It may also be used for a short time to treat a runny nose due to the common cold. Promethazine is an antihistamine and works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Its other effects (such as anti-nausea, calming, pain relief) may work by affecting other natural substances (such as acetylcholine) and by acting directly on certain parts of the brain. Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Do not use this product to treat cold symptoms in children younger than 6 years unless specifically directed by the doctor. Some products (such as long-acting tablets/capsules) are not recommended for use in children younger than 12 years. Ask your doctor or pharmacist for more details about using your product safely. These products do not cure or shorten the length of the common cold and may cause serious side effects. To decrease the risk for serious side effects, carefully follow all dosage directions. Do not give other cough-and-cold medication that might contain the same or similar ingredients (see also Drug Interactions section). Ask the doctor or pharmacist about other ways to relieve cough and cold symptoms (such as drinking enough fluids, using a humidifier or saline nose drops/spray). A phenothiazine derivative with histamine H1-blocking, antimuscarinic, and sedative properties. It is used as an antiallergic, in pruritus, for motion sickness and sedation, and also in animals.

In 2024, this provider wrote 11 Medicare prescriptions for Promethazine Hcl, about half the volume of the typical California prescriber of this medication (22.4). Medicare paid an average of $2.82 per fill, versus $11.51 statewide.

How often this provider prescribes it

This provider
11
CA average
22.4

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

What Medicare paid per fill

This provider
$2.82
CA average
$11.51

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

11
30-Day Fills
standardized to 30-day supplies
11
Days of Medication
total across all patients in 2024
No medications match the current filters.
= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average CA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the CA average cost per fill.

About this data. The prescription history for DR. JAMES CHINGSHIAN WU M.D. 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 Plastic Surgery within the Head & Neck prescribing approach at this Brentwood, 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 among CA 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.