DR. ROBERT F SPIERA MD
Prescription History 1215031521
Internal Medicine - Rheumatology in New York, NY
What does Dr. Spiera prescribe?
In 2024, Dr. Spiera wrote 1,308 Medicare prescriptions for 33 medications. The most prescribed was Methotrexate (methotrexate sodium), with 194 prescriptions for 36 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. Spiera prescribes.
Medications 33 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
Methotrexate is used to treat certain types of cancer (such as acute lymphoblastic leukemia, non-Hodgkin's lymphoma), severe psoriasis that has not responded to other treatments, or rheumatoid arthritis.
Compared with New York prescribers
Dr. Spiera wrote 194 prescriptions for Methotrexate, about 2 times as often as the typical New York prescriber of it (96). Medicare paid $24.61 per fill, versus $24.43 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
Hydroxychloroquine is used to prevent or treat malaria caused by mosquito bites.
Compared with New York prescribers
Dr. Spiera wrote 173 prescriptions for Hydroxychloroquine Sulfate, about 2 times as often as the typical New York prescriber of it (86). Medicare paid $32.84 per fill, versus $34.33 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
Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders.
Compared with New York prescribers
Dr. Spiera wrote 100 prescriptions for Prednisone, about 2.1 times as often as the typical New York prescriber of it (47). Medicare paid $16.00 per fill, versus $4.12 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 New York prescribers
Dr. Spiera wrote 87 prescriptions for Methylprednisolone, about 2.5 times as often as the typical New York prescriber of it (35). Medicare paid $20.34 per fill, versus $7.58 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 in combination with an immunosuppressant (such as methotrexate) to treat certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, and ankylosing spondylitis).
Compared with New York prescribers
Dr. Spiera wrote 78 prescriptions for Enbrel Sureclick, about 1.6 times as often as the typical New York prescriber of it (48). Medicare paid $7,873.27 per fill, versus $8,323.54 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
Folic acid is the man-made form of folate.
Compared with New York prescribers
Dr. Spiera wrote 64 prescriptions for Folic Acid, about 2.1 times as often as the typical New York prescriber of it (31). Medicare paid $6.24 per fill, versus $4.40 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
Adalimumab is used to reduce pain and swelling due to certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, ankylosing spondylitis).
Compared with New York prescribers
Dr. Spiera wrote 64 prescriptions for Humira(Cf) Pen, about 1.6 times as often as the typical New York prescriber of it (39). Medicare paid $11,697.13 per fill, versus $8,927.54 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 prevent or treat gout attacks (flares).
Compared with New York prescribers
Dr. Spiera wrote 60 prescriptions for Colchicine, about 2.4 times as often as the typical New York prescriber of it (25). Medicare paid $108.75 per fill, versus $61.42 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
This medication is used to treat rheumatoid arthritis, a condition in which the body's defense system (immune system) fails to recognize the body as itself and attacks the healthy tissues around the joints.
Compared with New York prescribers
Dr. Spiera wrote 40 prescriptions for Leflunomide, about 73% as often as the typical New York prescriber of it (55). Medicare paid $50.83 per fill, versus $60.46 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
Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults.
Compared with New York prescribers
Dr. Spiera wrote 38 prescriptions for Alendronate Sodium, about 73% as often as the typical New York prescriber of it (52). Medicare paid $6.39 per fill, versus $7.76 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
Upadacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, axial spondyloarthritis, polyarticular juvenile idiopathic arthritis- pJIA).
Compared with New York prescribers
Dr. Spiera wrote 34 prescriptions for Rinvoq, about as often as the typical New York prescriber of it (32). Medicare paid $6,125.50 per fill, versus $7,250.52 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
Mycophenolate is used in combination with other medications to keep your body from attacking and rejecting your transplanted organ (such as kidney, liver, heart).
Compared with New York prescribers
Dr. Spiera wrote 32 prescriptions for Mycophenolate Mofetil, about as often as the typical New York prescriber of it (30). Medicare paid $179.41 per fill, versus $132.18 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 in combination with an immunosuppressant (such as methotrexate) to treat certain types of arthritis (such as rheumatoid, psoriatic, juvenile idiopathic, and ankylosing spondylitis).
Compared with New York prescribers
Dr. Spiera wrote 29 prescriptions for Enbrel, about 1.3 times as often as the typical New York prescriber of it (23). Medicare paid $12,302.14 per fill, versus $8,155.91 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
Gabapentin is used with other medications to prevent and control seizures.
Compared with New York prescribers
Dr. Spiera wrote 27 prescriptions for Gabapentin, about 33% as often as the typical New York prescriber of it (82). Medicare paid $11.86 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.
What it is used for
This medication is used to treat symptoms of dry mouth due to a certain immune disease (Sjogren's syndrome).
Compared with New York prescribers
Dr. Spiera wrote 26 prescriptions for Cevimeline Hcl, about 1.2 times as often as the typical New York prescriber of it (22). Medicare paid $224.96 per fill, versus $149.05 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 a nonsteroidal anti-inflammatory drug (NSAID), specifically a COX-2 inhibitor, which relieves pain and swelling (inflammation).
Compared with New York prescribers
Dr. Spiera wrote 24 prescriptions for Celecoxib, about half as often as the typical New York prescriber of it (43). Medicare paid $18.90 per fill, versus $24.33 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 New York prescribers
Dr. Spiera wrote 22 prescriptions for Meloxicam, about 41% as often as the typical New York prescriber of it (53). Medicare paid $8.39 per fill, versus $3.65 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 rheumatoid arthritis in adults and in children (such as polyarticular juvenile idiopathic arthritis-PJIA, systemic juvenile idiopathic arthritis-SJIA).
Compared with New York prescribers
Dr. Spiera wrote 18 prescriptions for Actemra Actpen, about 70% as often as the typical New York prescriber of it (26). Medicare paid $1,181.43 per fill, versus $4,220.31 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
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with New York prescribers
Dr. Spiera wrote 18 prescriptions for Allopurinol, about 39% as often as the typical New York prescriber of it (46). Medicare paid $10.44 per fill, versus $10.29 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 combination of two antibiotics: sulfamethoxazole and trimethoprim.
Compared with New York prescribers
Dr. Spiera wrote 18 prescriptions for Sulfamethoxazole-Trimethoprim, about 68% as often as the typical New York prescriber of it (26). Medicare paid $3.69 per fill, versus $4.43 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 skin disorder (dermatitis herpetiformis).
Compared with New York prescribers
Dr. Spiera wrote 16 prescriptions for Dapsone, about as often as the typical New York prescriber of it (17). Medicare paid $40.77 per fill, versus $82.77 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
Tofacitinib is used to treat certain types of arthritis (such as psoriatic arthritis, rheumatoid arthritis, ankylosing spondylitis).
Compared with New York prescribers
Dr. Spiera wrote 15 prescriptions for Xeljanz Xr, about half as often as the typical New York prescriber of it (31). Medicare paid $5,419.77 per fill, versus $6,532.16 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
Febuxostat is used to lower uric acid levels in people with gout.
Compared with New York prescribers
Dr. Spiera wrote 14 prescriptions for Febuxostat, about half as often as the typical New York prescriber of it (24). Medicare paid $206.23 per fill, versus $107.36 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 symptoms of dry mouth due to a certain immune disease (Sjogren's syndrome) or from saliva gland damage due to radiation treatments of the head/neck for cancer.
Compared with New York prescribers
Dr. Spiera wrote 14 prescriptions for Pilocarpine Hcl, about half as often as the typical New York prescriber of it (31). Medicare paid $47.29 per fill, versus $59.84 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 certain mental/mood disorders (such as depression, anxiety).
Compared with New York prescribers
Dr. Spiera wrote 13 prescriptions for Duloxetine Hcl, about 27% as often as the typical New York prescriber of it (47). Medicare paid $18.61 per fill, versus $23.60 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
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with New York prescribers
Dr. Spiera wrote 12 prescriptions for Pantoprazole Sodium, about 17% as often as the typical New York prescriber of it (70). Medicare paid $6.50 per fill, versus $11.79 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
This medication is used as part of a complete treatment program including non-drug therapies (such as rest, physical therapy) to treat active rheumatoid arthritis.
Compared with New York prescribers
Fewer than five New York prescribers wrote this medication, so there is no state comparison.
What it is used for
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with New York prescribers
Dr. Spiera wrote 11 prescriptions for Cyclobenzaprine Hcl, about 31% as often as the typical New York prescriber of it (35). Medicare paid $33.27 per fill, versus $7.82 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
Lisinopril is used to treat high blood pressure.
Compared with New York prescribers
Dr. Spiera wrote 11 prescriptions for Lisinopril, about 12% as often as the typical New York prescriber of it (93). Medicare paid $0.45 per fill, versus $6.94 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
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with New York prescribers
Dr. Spiera wrote 11 prescriptions for Omeprazole, about 11% as often as the typical New York prescriber of it (99). Medicare paid $11.16 per fill, versus $11.48 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
Methotrexate is used to treat severe psoriasis that has not responded to other treatments or rheumatoid arthritis.
Compared with New York prescribers
Dr. Spiera wrote 11 prescriptions for Rasuvo, about 38% as often as the typical New York prescriber of it (29). Medicare paid $859.39 per fill, versus $639.66 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
Sulfasalazine is used to treat a certain type of bowel disease called ulcerative colitis.
Compared with New York prescribers
Dr. Spiera wrote 11 prescriptions for Sulfasalazine, about 28% as often as the typical New York prescriber of it (39). Medicare paid $45.03 per fill, versus $23.25 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 or prevent certain skin conditions related to Hansen's disease, once known as leprosy (erythema nodosum leprosum).
Compared with New York prescribers
Dr. Spiera wrote 11 prescriptions for Thalomid, about 90% as often as the typical New York prescriber of it (12). Medicare paid $4,667.29 per fill, versus $7,687.38 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. Spiera’s prescriptions
What does Dr. Spiera prescribe most?
In 2024 Medicare Part D data, Dr. Spiera's most prescribed medications were Methotrexate (194), Hydroxychloroquine Sulfate (173) and Prednisone (100).
How does Dr. Spiera's prescribing compare with other New York prescribers?
Of the 32 medications with a state comparison, Dr. Spiera prescribes 9 more often than the typical New York prescriber, 5 about as often and 18 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Spiera 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.
