Before imposing the sentence, Hudson also approved a $628,500 judgment against Scranage, the amount of illicit profit he allegedly made.

Scranage has practiced in Richmond and in Chesterfield and Henrico counties.

Oxycodone is an addictive opioid and controlled substance with a high potential for abuse. One expert witness against Scranage called him a one-man opioid epidemic.

Anthony M. Harper, 46, of Dinwiddie County, a co-conspirator, was sentenced by Hudson to 14 years in prison last week. Harper recruited “pill fillers” — people who received prescriptions from a doctor they never saw, paid to have them filled at a pharmacy, and delivered the prescribed pills to middlemen.

In all, more than 40 people played roles as recruiters, pill fillers and drug dealers, the government wrote in a sentencing memorandum to Hudson.

Several character witnesses for Scranage asked Hudson for leniency, describing the doctor as an honest, caring man whose services are needed in the community.

Hudson, while thanking the witnesses, later told Scranage he had betrayed their good will. He also rejected a request from Scranage for a sentence under the guidelines, citing medical problems.