Allegation of Complaint:
Dr. Michael S. Creef; License # 0101043479
Nature of Complaint:
The Virginia Board of Medicine previously on 05-29-2009 summarily suspended the physician's license to practice medicine and surgery in the State of Virginia.
The physician provided fraudulent and/or deceptive information to the Virginia Board of Medicine and to an Investigator from the Department of Health Professions. The physician violated the 07-13-2004 and 10-24-2005 Virginia Board of Medicine Orders which prohibited the physician from practicing except with prior Board approval. The physician failed to obtain Board approval to practice and reported to the Board during an informal conference on 03-12-2008 that he had not practiced medicine since 2004. The physician wrote in excess of fifty new prescriptions for patients between 08-16-2004 and 06-25-2008, many with refills, evidenced from a Prescription Monitoring Program Report. The physician was not approved to practice in a solo practice setting during this time period. The physician wrote approximately sixteen prescriptions for Patient T whose wife worked in the physician's office and for whom the physician was unable to produce a patient record between 08-16-2004 and the 03-12-2008 informal conference. The physician wrote three additional new prescriptions for Patient T after the date of the informal conference. The physician denied writing prescriptions for Patient T or any prescriptions between 2006 and June 25, 2008 during an interview with a DHP Investigator on 03-12-2009. The physician on 04-09-2009 admitted that he had written prescriptions for this patient during the time the physician's ability to practice was restricted.
The physician falsely stated to the DHP Investigator during a 03-12-2009 interview that he had not practiced medicine since 2004. The physician also stated to the DHP Investigator that he had stopped seeing Patient A in 2005 and was not treating Patient A when the physician had written eight prescriptions for the patient between 10-24-2008 and 02-27-2009. The physician had also created treatment records documenting care occurring from October 2008 through January 2009 and had identified himself as the patient's primary care physician during an intake appointment with the Community Service Board.
The physician failed to maintain and/or provide to the DHP Investigator patient records for Patients T-X when requested.
The physician prescribed Xanax to Patient A on 02-27-2009 despite knowing that the patient was addicted to Xanax and on 02-16-2009 had been discharged from a substance abuse treatment center where the patient had detoxed from Xanax.
The physician failed to maintain accurate, complete and legible records for Patients B-S. The lack of entries in the records available indicated that the physician failed to obtain a complete patient history prior to prescribing controlled substances. The physician prescribed controlled substances including narcotics without first performing an adequate physical examination, evaluation or assessment. The physician prior to prescribing medications for Patients B-S did not discuss or document discussing with the patients information regarding the benefits and risks of the medications being prescribed or the physician's reasons for selecting the types and doses of the medications prescribed. The physician prescribed narcotics and amphetamines to Patients B-S without an adequate medical indication and/or without diagnosing a medical conditon warranting the prescriptions. The physician diagnosed medical conditions without sufficient evidence or diagnostic testing or studies to support his diagnoses for Patients B-S and did not consistently order or obtain appropriate diagnostic tests or studies to determine the etiology of the patients pain and/or other symptoms prior to prescribing medications. The physician failed to develop a comprehensive treatment plan and/or review and monitor the efficacy of Patients B-S treatment including monitoring and managing their usage of narcotic medications.
The physician exploited the practitioner-patient relationship with Patient A. The inappropriate relationship consisted of several interactions during the course of treatment including but not limited to refusing to provide the patient with prescriptions for Xanax if the patient refused to do favors for the physician; obtained vodka from the patient in exchange for Xanax prescriptions; the patient purchased a car for the physician in lieu of rent payments of an apartment belonging to the physician; asked the patient to dress in a lab coat and scrubs and to wear a microphone to gather information about another physician.
The physician failed to see a psychiatrist or other more appropriate physician to obtain prescriptions for Xanax despite the physician's cardiologist's repeated requests. The physician on 04-09-2007 during an investigative interview admitted to using medication prescribed to Patient G within approximately three days of the interview and later stated that the medication was Alprazolam and not Adderall.
The DHP Investigator on 04-09-2009 inspected the physician's office which was open to patients, there had been no heat or hot water for approximately one week, the office temperature was 58 degrees, there was no hazardous waste pick-up, all examination rooms lacked paper towels, and one examination room lacked gloves and soap.
The physician used prescription blanks from Chesapeake General Hospital without marking out the hospital's information and without printing by hand on the blanks the physician's own name, address, telephone number or federal controlled substances registration number.
Action Taken-Consent Order
The Virginia Board of Medicine has accepted the Voluntary Surrender for Indefinite Suspension the physician's license to practice medicine and surgery in the State of Virginia.
The physician shall not petition the Board for reinstatement of his license for a period of thirty-six months from the 05-29-2009 Order of Summary Suspension. In the event the physician seeks reinstatement of his license, the physician shall appear before the Board and must prove his competency and fitness to practice medicine and surgery safely.