Oakton doctor pleads guilty to running pill mill
ALEXANDRIA, Va. – An Oakton doctor pled guilty today to conspiracy to distribute oxycodone and amphetamines, maintaining drug premises, and false statements relating to health care matters.
According to court documents, David Allingham, 64, was the owner of and sole medically licensed practitioner at Oakton Primacy Care Center (OPCC), an urgent care center. Between at least April 2019 and January 2024, Allingham wrote prescriptions for opioids and amphetamines for numerous patients without properly assessing the individual needs of those patients, which was outside the usual course of professional practice and regulations and without legitimate medical purpose. During that time, Virginia pharmacies filled approximately 7,330 prescriptions for oxycodone prescribed by Allingham, totaling approximately 405,164 pills.
All of Allingham’s patients were instructed to pay out of pocket for office visits at Allingham’s practice, which cost $300-$550 per patient, typically paid via cash, credit card, or Venmo. An extra $700 was required if the patient wanted a doctor’s letter. Allingham required his chronic pain patients to pay for an office visit at least every 21 days, though he allowed a significant number of these “office visits” to be conducted via a phone call to employees who were not medically trained. Allingham authorized renewals of medication without physically examining patients or without medical indication other than the uncorroborated information the patients provided.
Multiple pharmacies investigated Allingham’s opioid prescribing practices and thereafter refused to fill prescriptions for controlled substances issued by Allingham. After a national pharmacy chain informed Allingham that its stores would no longer fill prescriptions written by him, Allingham instructed his employees to phase out all brand pharmacies in favor of “mom and pop” pharmacies to avoid further scrutiny of his patients and so he could continue to prescribe high-dose opioids for them.
Allingham authorized and directed untrained medical staff to issue prescriptions for controlled substances for his patients in his absence and without a proper medical exam. Allingham directed untrained staff to issue his prescriptions for opioids or amphetamines on at least 487 occasions, generating at least $168,000 in proceeds.
Allingham typically required a urine drug screen (UDS) at each in office appointment but failed to act on them in a medically appropriate way. Allingham consistently excused or ignored failed UDSs, which were then withheld from patient files or falsely documented in his medical records. One patient failed 40 drug tests between 2019 and 2023. Allingham’s medical record falsely documented that the patient had tested positive for cocaine in his urine merely from handling currency contaminated with cocaine residue. Allingham nevertheless continued to prescribe oxycodone to the patient.
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