The violations were related to opioid prescription management, and disciplinary actions taken in other states.
In April, RIDOH took disciplinary action against five other physicians.
Todd Viccione, MD
Viccione has been licensed to practice in the state since April 1999.
According to RIDOH, a complaint was filed alleging that Viccione "prescribed opioids to a certain patient for an extended period of time."
"Based upon an examination of the patient's medical records, as well as a review of [Viccione's] written reply and appearance, the Investigative Committee determined that [Viccione] failed to comply with the requirements set forth under the [Dept. of Health pain management regulation]," wrote RIDOH.
"The Pain Management regulation requires chronic patients who receive opioid medications to enter a written patient treatment agreement no later than 90 days following the commencement of treatment with an opioid medication," wrote RIDOH, adding that the investigation found that Viccone's patient "had been treated with opioids for an extended period of time without a written patient agreement."
"The medical records indicated that no urine toxicology testing to screen for active substance abuse disorder and/or diversion of prescribed controlled substance was performed on the patient in question over the course of the years of treatment...[Viccione] acknowledged that he did not require toxicology screening since he had treated this patient for approximately 20 years," wrote RIDOH.
The investigative committee voted to make a "probable cause determination of unprofessional conduct" under Rhode Island General Laws.
Viccione is required to pay an administrative fee of $1,100
Scott has been licensed to practice medicine in the state since 1998.
RIDOH wrote that in October 2023, the board "received a complaint filed by a patient of [Scott's] alleging that she suffers from chronic pain due to a condition known as RSD (reflex sympathetic dystrophy/)CRPS (complex regional pain syndrome."
"As a result of the condition, the complainant stated that she was prescribed opioids to treat the chronic pain condition by [Scott] from approximately 2006 through 2019," RIDOH continued. "There was a cessation in the prescribing of opioids in 2019 for the complainant's pain at the time that [she] was pregnant, for which other controlled substances were prescribed," RIDOH continued. "[Scott] treated the complainant until December of 2022, at which time [he] transferred her care to another physician."
RIDOH noted that the board investigative committee "received copies of letters prepared by [Scott] on behalf of the patient that were intended to be presented to hospitals by the patient during any emergency room visit."
"The correspondence stated that the patient did not suffer from opioid abuse and at times required intravenous opioids for a chronic pain condition," write RIDOH. [Scott] failed to conform to the standard of care with the use of a generic correspondence in support of the patient's receipt of additional opioids from any [nonspecific] emergency room."
RIDOH added that the committee found that Scott "failed to follow appropriate protocol for writing prescriptions for controlled substances since the prescriptions lacked a reference to the correct diagnosis code."
According to RIDOH, "[Scott] maintains that the letters he supplied to the patient were not intended to act as prescriptions but rather to explain the seriousness of the patient's condition and notify the providers that she was considered to be a 'drug seeker.' However, [Scott] did not provide evidence of efforts to regularly ensure compliance with the opioid and other controlled substance regimen and preclude diversion of medications."
The conduct, said RIDOH, "constitutes unprofessional conduct under RI General Laws."
Scott is required under the terms of the reprimand to pay administrative fees of $1,100; complete a course on management of chronic pain, as well as a DEA course on the treatment and management of opioid use disorder.
Purdy has been licensed to practice medicine in the state since April 2020.
"On May 18, 2023, the Mississippi Medical Board entered into a determination and order against [Purdy]," wrote RIDOH. "[Purdy's] license to practice medicine in Mississippi was suspended for a period of three months."
RIDOH added that in Mississippi, required Purdy to "successfully complete a Center for Personalized Education for Professionals ethics course," she was "prohibited from practicing telehealth medicine in the state of Mississippi for 30 days."
"The entry of the Mississippi order was based, in part, upon a finding that [Purdy] prescribed medication to patients without first conducting audio or video communications with her patients in violation of [Mississippi Code]," wrote RIDOH.
RIDOH wrote that based on the findings in Mississippi, Purdy violated [Rhode Island General Law], which states that "any disciplinary action against a license or authorization to practice medicine in another state constitutes unprofessional conduct."
According to RIDOH, Green has been licensed to practice medicine in the state since August 2022.
RIDOD wrote, "On November 27, 2024, the Medical Board of California Department of Consumer Affairs entered into a stipulated settlement and disciplinary order, finding that [Green] prescribed Lipotropic injections to her patient over the course of years, and prescribed and dispensed to the same patient weekly intramuscular self-injections of testosterone, as well as Sermorelin and anastozole," wrote RIDOH.
According ot the California order, RIDOH reported that the California Medical Board "found that Green did not consider other measures to address her patient's root cause of obesity and hypotestosteronemia...and failed to ask her patient about fertility planning and/or failed to obtain her patient's informed consent regarding the potential infertility that could result from testosterone replacement therapy.
RIDOH said the California Medical Board determined Green "failed to maintain adequate and accurate medical records relating to her care and treatments" of the patient and ordered her to pay $25,785 in administrative costs and complete a medical record-keeping course.
According to RIDOH, in consideration of the actions taken against [Green] in California, it was found [sic]that Green violated [Rhode Island General Law], which states that "any disciplinary action against a license or authorization to practice medicine in another state constitutes unprofessional conduct."
Green was issued a reprimand and "shall pay administrative fees in the amount of $1,100." She must also provide a report indicating she completed the medical record-keeping course required by the state of California."