DR. REBECCA SPIEGEL M.D.
Prescription History 1114974821
Psychiatry & Neurology - Neurology in East Setauket, NY
What does Dr. Spiegel prescribe?
In 2024, Dr. Spiegel wrote 543 Medicare prescriptions for 20 medications. The most prescribed was Levetiracetam, with 64 prescriptions for 16 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. Spiegel prescribes.
Medications 20 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 New York prescribers.
What it is used for
Levetiracetam is used to treat seizures (epilepsy).
Compared with New York prescribers
Dr. Spiegel wrote 64 prescriptions for Levetiracetam, about 1.2 times as often as the typical New York prescriber of it (53). Medicare paid $47.63 per fill, versus $31.52 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
Lacosamide is used to prevent and control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 53 prescriptions for Lacosamide, about 1.3 times as often as the typical New York prescriber of it (42). Medicare paid $111.68 per fill, versus $118.17 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 used with other medications to help control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 41 prescriptions for Clobazam, about as often as the typical New York prescriber of it (45). Medicare paid $186.62 per fill, versus $133.77 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 used to treat seizure disorders, mental/mood conditions (such as manic phase of bipolar disorder), and to prevent migraine headaches.
Compared with New York prescribers
Dr. Spiegel wrote 41 prescriptions for Divalproex Sodium Er, about as often as the typical New York prescriber of it (36). Medicare paid $36.57 per fill, versus $51.96 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
Lamotrigine is used alone or with other medications to prevent and control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 37 prescriptions for Lamictal, about 1.6 times as often as the typical New York prescriber of it (22). Medicare paid $1,515.02 per fill, versus $1,293.16 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
Lamotrigine is used alone or with other medications to prevent and control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 37 prescriptions for Lamotrigine, about 83% as often as the typical New York prescriber of it (45). Medicare paid $20.28 per fill, versus $13.30 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
Carbamazepine is used to prevent and control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 29 prescriptions for Tegretol Xr, about 1.3 times as often as the typical New York prescriber of it (22). Medicare paid $215.57 per fill, versus $418.62 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 used to treat a certain type of seizure disorder (partial onset).
Compared with New York prescribers
Dr. Spiegel wrote 28 prescriptions for Xcopri, about half as often as the typical New York prescriber of it (51). Medicare paid $1,616.30 per fill, versus $1,371.91 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
Clonazepam is used to prevent and control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 24 prescriptions for Clonazepam, about half as often as the typical New York prescriber of it (51). Medicare paid $20.39 per fill, versus $8.71 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
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with New York prescribers
Dr. Spiegel wrote 22 prescriptions for Trokendi Xr, about as often as the typical New York prescriber of it (20). Medicare paid $929.17 per fill, versus $1,482.27 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
Zonisamide is used with other medications to prevent and control seizures (epilepsy).
Compared with New York prescribers
Dr. Spiegel wrote 21 prescriptions for Zonisamide, about 65% as often as the typical New York prescriber of it (33). Medicare paid $32.48 per fill, versus $33.85 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
Levetiracetam is used to treat seizures (epilepsy).
Compared with New York prescribers
Dr. Spiegel wrote 20 prescriptions for Keppra, about as often as the typical New York prescriber of it (22). Medicare paid $1,983.58 per fill, versus $1,663.31 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 used alone or with other medications to control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 19 prescriptions for Phenobarbital, about 70% as often as the typical New York prescriber of it (27). Medicare paid $55.29 per fill, versus $25.44 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
Carbamazepine is used to prevent and control seizures.
Compared with New York prescribers
Dr. Spiegel wrote 18 prescriptions for Carbamazepine Er, about 66% as often as the typical New York prescriber of it (27). Medicare paid $165.61 per fill, versus $116.67 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 used to treat seizure disorders, certain psychiatric conditions (manic phase of bipolar disorder), and to prevent migraine headaches.
Compared with New York prescribers
Dr. Spiegel wrote 17 prescriptions for Divalproex Sodium, about 34% as often as the typical New York prescriber of it (50). Medicare paid $64.98 per fill, versus $39.34 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 used by people with epilepsy to treat a certain type of serious seizure that doesn't stop (seizure clusters).
Compared with New York prescribers
Dr. Spiegel wrote 17 prescriptions for Nayzilam, about 88% as often as the typical New York prescriber of it (19). Medicare paid $1,008.00 per fill, versus $1,159.79 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
Levetiracetam is used to treat seizures (epilepsy).
Compared with New York prescribers
Dr. Spiegel wrote 16 prescriptions for Levetiracetam Er, about half as often as the typical New York prescriber of it (30). Medicare paid $53.82 per fill, versus $69.41 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
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with New York prescribers
Dr. Spiegel wrote 16 prescriptions for Topamax, about 89% as often as the typical New York prescriber of it (18). Medicare paid $1,633.70 per fill, versus $1,541.05 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 used to treat a certain sleep problem (insomnia).
Compared with New York prescribers
Dr. Spiegel wrote 12 prescriptions for Belsomra, about half as often as the typical New York prescriber of it (23). Medicare paid $449.08 per fill, versus $425.98 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 New York prescribers
Dr. Spiegel wrote 11 prescriptions for Gabapentin, about 13% as often as the typical New York prescriber of it (82). Medicare paid $20.94 per fill, versus $12.77 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. Spiegel’s prescriptions
What does Dr. Spiegel prescribe most?
In 2024 Medicare Part D data, Dr. Spiegel's most prescribed medications were Levetiracetam (64), Lacosamide (53) and Clobazam (41).
How does Dr. Spiegel's prescribing compare with other New York prescribers?
Of the 20 medications with a state comparison, Dr. Spiegel prescribes 3 more often than the typical New York prescriber, 8 about as often and 9 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Spiegel 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 New York 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.
