MELISSA A NATALE MD
Prescription History 1679533947
Emergency Medicine in Winchester, VA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1840 AMHERST ST, WINCHESTER, VA 22601(540) 536-8000(540) 536-7681 Get Directions

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2024, Jan 30, 2023, Jul 7, 2022 and 1 more (4 updates tracked since 2021).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for MELISSA A NATALE MD, an active Emergency Medicine specialist practicing in Winchester, VA. Our medical registry currently tracks 4 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 66 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 25 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.

4
Medications
66
Total Claims
66
30-Day Fills
Prednisone
Most Prescribed · 25 claims
View details
4 medications · 2023 Medicare Part D
Medicare Part D medications prescribed by MELISSA A NATALE MD in 2023, with prescription volumes, average cost per fill, and VA state comparisons
Medication Prescriptions (2023)Rx (2023) Avg Cost per FillCost / Fill Vs. Other VA PrescribersVs. VA Avg

About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾

Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.

In 2023, this provider wrote 25 Medicare prescriptions for Prednisone, about half the volume of the typical Virginia prescriber of this medication (47). Medicare paid an average of $4.21 per fill, versus $6.74 statewide.

How often this provider prescribes it

This provider
25
VA average
47.0

This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$4.21
VA average
$6.74

This provider's average cost per fill is below the VA average for this medication.

25
30-Day Fills
standardized to 30-day supplies
122
Days of Medication
total across all patients in 2023

About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾

It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.

In 2023, this provider wrote 14 Medicare prescriptions for Hydrocodone-Acetaminophen, about a quarter of the volume of the typical Virginia prescriber of this medication (65). Medicare paid an average of $6.59 per fill, versus $20.01 statewide.

How often this provider prescribes it

This provider
14
VA average
65.0

This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.59
VA average
$20.01

This provider's average cost per fill is below the VA average for this medication.

14
30-Day Fills
standardized to 30-day supplies
59
Days of Medication
total across all patients in 2023

About Cephalexin: This medication is used to treat a wide variety of bacterial infections. Show more ▾

This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria. This medication will not work for viral infections (such as common cold, flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semisynthetic cephalosporin antibiotic with antimicrobial activity similar to that of CEPHALORIDINE or CEPHALOTHIN, but somewhat less potent. It is effective against both gram-positive and gram-negative organisms.

In 2023, this provider wrote 14 Medicare prescriptions for Cephalexin, about half the volume of the typical Virginia prescriber of this medication (28). Medicare paid an average of $5.61 per fill, versus $8.60 statewide.

How often this provider prescribes it

This provider
14
VA average
28.0

This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$5.61
VA average
$8.60

This provider's average cost per fill is below the VA average for this medication.

14
30-Day Fills
standardized to 30-day supplies
97
Days of Medication
total across all patients in 2023

About Azithromycin: This medication is used to treat certain eye infections. Show more ▾

It is a macrolide antibiotic that works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis.

In 2023, this provider wrote 13 Medicare prescriptions for Azithromycin, about a third of the volume of the typical Virginia prescriber of this medication (34). Medicare paid an average of $6.23 per fill, versus $10.12 statewide.

How often this provider prescribes it

This provider
13
VA average
34.0

This provider prescribes this medication less often than the average VA prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$6.23
VA average
$10.12

This provider's average cost per fill is below the VA average for this medication.

13
30-Day Fills
standardized to 30-day supplies
63
Days of Medication
total across all patients in 2023
No medications match the current filters.
More than typical Typical Less than typical= prescription volume vs the average VA prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the VA average cost per fill.

About this data. The prescription history for MELISSA A NATALE MD is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Emergency Medicine prescribing approach at this Winchester, VA practice.

Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among VA prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.