Skip to main content
Press Release

Trio Charged With Running Illegal Pill Mill In Scioto County

For Immediate Release
U.S. Attorney's Office, Southern District of Ohio
Oxycodone, Other Medications Distributed Resulted In At Least Eight Deaths



CINCINNATI – A federal grand jury has charged Margaret Temponeras, 50, of Portsmouth, Ohio, John Temponeras, 80, of Portsmouth, Ohio and Raymond Fankell, 60, of Wheelersburg, Ohio, with illegally running a pain clinic and distributing pain killers not for a legitimate purpose and outside the scope of medical practice in an indictment returned in Cincinnati.

Carter M. Stewart, United States Attorney for the Southern District of Ohio, Joseph P. Reagan, Special Agent in Charge, Drug Enforcement Administration (DEA), Angela L. Byers, Special Agent in Charge, Federal Bureau of Investigation (FBI), Cincinnati Field Division, Steven W. Schierholt, Executive Director, Ohio State Board of Pharmacy, and the Ohio High Intensity Drug Trafficking Area (HIDTA) announced the indictment returned today.

The indictment alleges that Margaret Temponeras and John Temponeras were physicians specializing in family practice and OBGYN respectively, who changed their medical focus to pain management and began operating Unique Pain Management LLC in Wheelersburg, Ohio. Margaret Temponeras also opened Unique Relief LLC in Wheelersburg, Ohio. Raymond Fankell owned and operated Prime Pharmacy Group Inc., doing business as Medi-Mart Pharmacy in Portsmouth, Ohio.

It is alleged that all three defendants dispensed diazepam, hydrocodone and oxycodone not for a legitimate purpose and outside the scope of medical practice. Margaret and John Temponeras allegedly “examined” more than 20 customers per day, and provided large amounts of prescription medications to customers that they knew or had a reasonable cause to believe were drug addicts or diverting/selling the medication.

The five-count indictment states that in furtherance of the conspiracy, the father and daughter would charge customers cash amounts that started at approximately $200 per office visit; they would not accept insurance payments. They allegedly referred patients to Fankell to have Fankell fill prescriptions. The court document also indicates that at least eight individuals were found dead after consuming medications prescribed by and dispensed from the defendants.

The three were charged with two counts of illegally distributing medication, which each carry a maximum penalty of 20 years in prison and a million dollar fine; these charges also carry an enhanced penalty of 20 years to life in prison if death resulted. John Temponeras and Raymond Fankell were charged with one count and Margaret Temponeras with two counts of maintaining a place for the purpose of distributing controlled substance, a crime punishable by up to 20 years in prison and a fine of up to $500,000.

U.S. Attorney Stewart commended the investigation of this case by the DEA, FBI, Ohio State Board of Pharmacy, and Ohio HIDTA.

An indictment merely contains allegations, and the defendant is presumed innocent unless proven guilty in a court of law.

Updated July 23, 2015