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To determine metrics and provider characteristics associated with inappropriate antibiotic prescribing for respiratory tract diagnoses (RTDs). Retrospective cohort study. Primary care practices in a university health system. Patients seen by an attending physician or advanced practice provider (APP) at their primary care office visit with International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM)-coded RTDs. Medical records were reviewed for 1,200 randomly selected office visits in which an antibiotic was