MS. LESLIE EPPERLY SPENCER FNP-BC
Prescription History 1558097642
Nurse Practitioner - Family in Gillette, WY
What does Leslie Spencer prescribe?
In 2024, Leslie Spencer wrote 494 Medicare prescriptions for 16 medications. The most prescribed was Levetiracetam, with 85 prescriptions for 19 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 Leslie Spencer prescribes.
Medications 16 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 Wyoming prescribers.
What it is used for
Levetiracetam is used to treat seizures (epilepsy).
Compared with Wyoming prescribers
Leslie Spencer wrote 85 prescriptions for Levetiracetam, about 2.5 times as often as the typical Wyoming prescriber of it (34). Medicare paid $37.28 per fill, versus $28.91 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
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with Wyoming prescribers
Leslie Spencer wrote 66 prescriptions for Topiramate, about 2.5 times as often as the typical Wyoming prescriber of it (26). Medicare paid $5.46 per fill, versus $11.50 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 muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury).
Compared with Wyoming prescribers
Leslie Spencer wrote 49 prescriptions for Tizanidine Hcl, about 1.4 times as often as the typical Wyoming prescriber of it (34). Medicare paid $7.01 per fill, versus $13.07 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
Donepezil is used to treat confusion (dementia) related to Alzheimer's disease.
Compared with Wyoming prescribers
Leslie Spencer wrote 43 prescriptions for Donepezil Hcl, about as often as the typical Wyoming prescriber of it (39). Medicare paid $5.33 per fill, versus $11.31 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
Gabapentin is used with other medications to prevent and control seizures.
Compared with Wyoming prescribers
Leslie Spencer wrote 38 prescriptions for Gabapentin, about half as often as the typical Wyoming prescriber of it (79). Medicare paid $19.39 per fill, versus $17.42 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 alone or with other medications to control seizures.
Compared with Wyoming prescribers
Leslie Spencer wrote 31 prescriptions for Primidone, about 1.4 times as often as the typical Wyoming prescriber of it (22). Medicare paid $25.59 per fill, versus $23.26 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 Wyoming prescribers
Leslie Spencer wrote 24 prescriptions for Divalproex Sodium, about 83% as often as the typical Wyoming prescriber of it (29). Medicare paid $14.86 per fill, versus $33.55 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
Sumatriptan is used to treat migraines.
Compared with Wyoming prescribers
Leslie Spencer wrote 24 prescriptions for Sumatriptan Succinate, about 1.2 times as often as the typical Wyoming prescriber of it (19). Medicare paid $70.38 per fill, versus $20.92 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 treat symptoms of Parkinson's disease or Parkinson-like symptoms (such as shakiness, stiffness, difficulty moving).
Compared with Wyoming prescribers
Leslie Spencer wrote 20 prescriptions for Carbidopa-Levodopa, about half as often as the typical Wyoming prescriber of it (35). Medicare paid $33.61 per fill, versus $28.88 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 Wyoming prescribers
Leslie Spencer wrote 20 prescriptions for Lamotrigine, about half as often as the typical Wyoming prescriber of it (35). Medicare paid $10.75 per fill, versus $15.26 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
Amantadine is used to treat Parkinson's disease, as well as side effects caused by drugs (such as drug-induced extrapyramidal symptoms), chemicals, and other medical conditions.
Compared with Wyoming prescribers
Leslie Spencer wrote 19 prescriptions for Amantadine, about as often as the typical Wyoming prescriber of it (18). Medicare paid $21.30 per fill, versus $46.58 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
Memantine is used to treat moderate to severe confusion (dementia) related to Alzheimer's disease.
Compared with Wyoming prescribers
Leslie Spencer wrote 18 prescriptions for Memantine Hcl, about half as often as the typical Wyoming prescriber of it (37). Medicare paid $23.56 per fill, versus $30.78 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 depression.
Compared with Wyoming prescribers
Leslie Spencer wrote 16 prescriptions for Amitriptyline Hcl, about 60% as often as the typical Wyoming prescriber of it (27). Medicare paid $11.34 per fill, versus $15.54 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
Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease).
Compared with Wyoming prescribers
Leslie Spencer wrote 15 prescriptions for Clopidogrel, about 36% as often as the typical Wyoming prescriber of it (42). Medicare paid $4.87 per fill, versus $11.99 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 beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions.
Compared with Wyoming prescribers
Leslie Spencer wrote 15 prescriptions for Propranolol Hcl, about 65% as often as the typical Wyoming prescriber of it (23). Medicare paid $8.47 per fill, versus $17.34 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
Rizatriptan is used to treat migraines.
Compared with Wyoming prescribers
Leslie Spencer wrote 11 prescriptions for Rizatriptan, about 64% as often as the typical Wyoming prescriber of it (17). Medicare paid $37.98 per fill, versus $23.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Leslie Spencer’s prescriptions
What does Leslie Spencer prescribe most?
In 2024 Medicare Part D data, Leslie Spencer's most prescribed medications were Levetiracetam (85), Topiramate (66) and Tizanidine Hcl (49).
How does Leslie Spencer's prescribing compare with other Wyoming prescribers?
Of the 16 medications with a state comparison, Leslie Spencer prescribes 4 more often than the typical Wyoming prescriber, 4 about as often and 8 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Leslie Spencer 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 Wyoming 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.
