WHEELERSBURG, Ohio - A Scioto County doctor who charged patients $200 or more and prescribed hundreds of pain pills at Unique Pain Management pleaded guilty Friday in federal court to conspiracy to distribute a controlled substance.

Margaret Temponeras, 52, of Portsmouth, entered the guilty plea Friday in U.S. District Court in Cincinnati.

Temponeras owned and operated the pain clinic with her father, John Temponeras, 82, who also was a physician at the clinic, according to a news release from the U.S. Department of Justice.

Final sentencing in the case is to be set at a later date, according to a spokeswoman for U.S. Attorney Benjamin C. Glassman in Columbus.

Between June 2005 and May 2011, Temponeras and her father saw more than 20 patients per day at the clinic. The patients each paid $200 or more in cash for each medical exam, according to the release.

Many patients then received monthly prescriptions for similar combinations of medications including from 120 to 150 15-milligram oxycodone, a similar amount of 30-milligram oxycodone and up to 90 two-milligram Xanax each month, according to the release.

Pain clinic patients were referred to Raymond Fankell, 62, of Wheelersburg, Ohio, who owned Prime Pharmacy, to fill their prescriptions, according to the release.

After Temponeras became aware that some pharmacies in the Scioto County area refused to fill the prescriptions, she opened the dispensary Unique Relief LLC at the same location as the clinic to fill her own prescriptions, according to the release.

She and Fankell have both pleaded guilty to one count of conspiracy to distribute a controlled substance, according to officials. They both face a maximum 20-year prison sentence.

Meanwhile, her father pleaded guilty March 15 to a charge of conspiracy to distribute oxycodone. That charge also carries a maximum 20-year prison sentence.


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