DOUGLAS FRANK MESSINA MD
Prescription History 1104842012
Orthopaedic Surgery in Wilmington, NC
What does Dr. Messina prescribe?
In 2024, Dr. Messina wrote 434 Medicare prescriptions for 10 medications. The most prescribed was Oxycodone Hcl, with 93 prescriptions for 77 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. Messina prescribes.
Medications 10 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other North Carolina prescribers.
What it is used for
This medication is used to help relieve moderate to severe pain.
Compared with North Carolina prescribers
Dr. Messina wrote 93 prescriptions for Oxycodone Hcl, about 1.4 times as often as the typical North Carolina prescriber of it (67). Medicare paid $7.11 per fill, versus $16.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
See also Warning section.
Compared with North Carolina prescribers
Dr. Messina wrote 67 prescriptions for Tramadol Hcl, about as often as the typical North Carolina prescriber of it (59). Medicare paid $3.34 per fill, versus $7.30 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Meloxicam is used to treat arthritis.
Compared with North Carolina prescribers
Dr. Messina wrote 61 prescriptions for Meloxicam, about as often as the typical North Carolina prescriber of it (58). Medicare paid $4.67 per fill, versus $4.21 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methylprednisolone is used to treat conditions such as arthritis, blood disorders, severe allergic reactions, certain cancers, eye conditions, skin/kidney/intestinal/lung diseases, and immune system disorders.
Compared with North Carolina prescribers
Dr. Messina wrote 59 prescriptions for Methylprednisolone, about 1.6 times as often as the typical North Carolina prescriber of it (37). Medicare paid $5.35 per fill, versus $6.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with North Carolina prescribers
Dr. Messina wrote 48 prescriptions for Celecoxib, about as often as the typical North Carolina prescriber of it (43). Medicare paid $29.82 per fill, versus $22.19 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to relieve moderate to severe pain.
Compared with North Carolina prescribers
Dr. Messina wrote 42 prescriptions for Hydrocodone-Acetaminophen, about half as often as the typical North Carolina prescriber of it (73). Medicare paid $8.49 per fill, versus $21.45 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Gabapentin is used with other medications to prevent and control seizures.
Compared with North Carolina prescribers
Dr. Messina wrote 21 prescriptions for Gabapentin, about 21% as often as the typical North Carolina prescriber of it (100). Medicare paid $7.13 per fill, versus $15.37 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amoxicillin is used to treat a wide variety of bacterial infections.
Compared with North Carolina prescribers
Dr. Messina wrote 19 prescriptions for Amoxicillin, about half as often as the typical North Carolina prescriber of it (40). Medicare paid $0.84 per fill, versus $2.90 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis.
Compared with North Carolina prescribers
Dr. Messina wrote 12 prescriptions for Ibuprofen, about 40% as often as the typical North Carolina prescriber of it (30). Medicare paid $11.77 per fill, versus $8.97 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Methocarbamol is used to treat muscle spasms/pain.
Compared with North Carolina prescribers
Dr. Messina wrote 12 prescriptions for Methocarbamol, about 39% as often as the typical North Carolina prescriber of it (31). Medicare paid $3.38 per fill, versus $12.86 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. Messina’s prescriptions
What does Dr. Messina prescribe most?
In 2024 Medicare Part D data, Dr. Messina's most prescribed medications were Oxycodone Hcl (93), Tramadol Hcl (67) and Meloxicam (61).
How does Dr. Messina's prescribing compare with other North Carolina prescribers?
Of the 10 medications with a state comparison, Dr. Messina prescribes 2 more often than the typical North Carolina prescriber, 3 about as often and 5 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Messina prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the North Carolina prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
