DR. KAVITA NIRMAL M.D.
Prescription History 1760619621
Internal Medicine - Hematology & Oncology in Marshall, TX
What does Dr. Nirmal prescribe?
In 2024, Dr. Nirmal wrote 1,559 Medicare prescriptions for 38 medications. The most prescribed was Letrozole, with 265 prescriptions for 67 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. Nirmal prescribes.
Medications 38 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 Texas prescribers.
What it is used for
This medication is used to treat certain types of breast cancer (such as hormone-receptor-positive breast cancer) in women after menopause.
Compared with Texas prescribers
Dr. Nirmal wrote 265 prescriptions for Letrozole, about 4.7 times as often as the typical Texas prescriber of it (57). Medicare paid $20.37 per fill, versus $20.81 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 Texas prescribers
Dr. Nirmal wrote 172 prescriptions for Hydrocodone-Acetaminophen, about 1.4 times as often as the typical Texas prescriber of it (120). Medicare paid $33.73 per fill, versus $25.16 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
Anastrozole is used to treat breast cancer in women after menopause.
Compared with Texas prescribers
Dr. Nirmal wrote 101 prescriptions for Anastrozole, about 1.5 times as often as the typical Texas prescriber of it (66). Medicare paid $17.65 per fill, versus $15.29 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
Gabapentin is used with other medications to prevent and control seizures.
Compared with Texas prescribers
Dr. Nirmal wrote 86 prescriptions for Gabapentin, about 89% as often as the typical Texas prescriber of it (96). Medicare paid $12.58 per fill, versus $15.87 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 mineral supplement used to treat or prevent low amounts of potassium in the blood.
Compared with Texas prescribers
Dr. Nirmal wrote 81 prescriptions for Potassium Chloride, about 1.3 times as often as the typical Texas prescriber of it (62). Medicare paid $12.56 per fill, versus $19.18 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 to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus-PE) and/or to prevent new clots from forming in your body.
Compared with Texas prescribers
Dr. Nirmal wrote 61 prescriptions for Warfarin Sodium, about 1.8 times as often as the typical Texas prescriber of it (34). Medicare paid $7.24 per fill, versus $8.54 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 by people with sickle cell anemia to reduce the number of painful crises caused by the disease and to reduce the need for blood transfusions.
Compared with Texas prescribers
Dr. Nirmal wrote 56 prescriptions for Hydroxyurea, about 1.6 times as often as the typical Texas prescriber of it (34). Medicare paid $36.61 per fill, versus $24.83 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 Texas prescribers
Dr. Nirmal wrote 47 prescriptions for Folic Acid, about 1.6 times as often as the typical Texas prescriber of it (30). Medicare paid $5.90 per fill, versus $7.18 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
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Texas prescribers
Dr. Nirmal wrote 47 prescriptions for Levothyroxine Sodium, about 31% as often as the typical Texas prescriber of it (150). Medicare paid $7.64 per fill, versus $10.05 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 depression.
Compared with Texas prescribers
Dr. Nirmal wrote 40 prescriptions for Mirtazapine, about 87% as often as the typical Texas prescriber of it (46). Medicare paid $12.00 per fill, versus $19.94 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
Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery.
Compared with Texas prescribers
Dr. Nirmal wrote 39 prescriptions for Eliquis, about half as often as the typical Texas prescriber of it (81). Medicare paid $652.70 per fill, versus $870.72 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 prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with Texas prescribers
Dr. Nirmal wrote 39 prescriptions for Ondansetron Hcl, about 1.3 times as often as the typical Texas prescriber of it (30). Medicare paid $7.75 per fill, versus $12.56 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
Acyclovir is used to treat infections caused by certain types of viruses.
Compared with Texas prescribers
Dr. Nirmal wrote 37 prescriptions for Acyclovir, about 1.6 times as often as the typical Texas prescriber of it (24). Medicare paid $14.03 per fill, versus $14.71 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
Tamoxifen is used to treat breast cancer.
Compared with Texas prescribers
Dr. Nirmal wrote 36 prescriptions for Tamoxifen Citrate, about as often as the typical Texas prescriber of it (37). Medicare paid $17.65 per fill, versus $26.20 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 Texas prescribers
Dr. Nirmal wrote 35 prescriptions for Alendronate Sodium, about 67% as often as the typical Texas prescriber of it (52). Medicare paid $6.52 per fill, versus $8.44 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
Alprazolam is used to treat anxiety and panic disorders.
Compared with Texas prescribers
Dr. Nirmal wrote 35 prescriptions for Alprazolam, about half as often as the typical Texas prescriber of it (66). Medicare paid $2.67 per fill, versus $5.46 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
Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery.
Compared with Texas prescribers
Dr. Nirmal wrote 35 prescriptions for Xarelto, about 77% as often as the typical Texas prescriber of it (45). Medicare paid $599.80 per fill, versus $943.32 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 help relieve severe ongoing pain (such as due to cancer).
Compared with Texas prescribers
Dr. Nirmal wrote 32 prescriptions for Morphine Sulfate Er, about half as often as the typical Texas prescriber of it (61). Medicare paid $46.96 per fill, versus $31.84 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
Bicalutamide is used to treat prostate cancer.
Compared with Texas prescribers
Dr. Nirmal wrote 30 prescriptions for Bicalutamide, about as often as the typical Texas prescriber of it (27). Medicare paid $23.67 per fill, versus $27.73 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
Dexamethasone is used to treat conditions such as arthritis, blood/hormone disorders, allergic reactions, skin diseases, eye problems, breathing problems, bowel disorders, cancer, and immune system disorders.
Compared with Texas prescribers
Dr. Nirmal wrote 27 prescriptions for Dexamethasone, about 75% as often as the typical Texas prescriber of it (36). Medicare paid $14.97 per fill, versus $10.59 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 types of breast cancer (such as hormone-receptor-positive breast cancer) in women after menopause.
Compared with Texas prescribers
Dr. Nirmal wrote 24 prescriptions for Exemestane, about 79% as often as the typical Texas prescriber of it (30). Medicare paid $70.66 per fill, versus $143.77 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 alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy.
Compared with Texas prescribers
Dr. Nirmal wrote 20 prescriptions for Ondansetron Odt, about 72% as often as the typical Texas prescriber of it (28). Medicare paid $17.31 per fill, versus $13.32 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
Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Texas prescribers
Dr. Nirmal wrote 18 prescriptions for Furosemide, about 23% as often as the typical Texas prescriber of it (78). Medicare paid $3.40 per fill, versus $5.09 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 schizophrenia, bipolar disorder).
Compared with Texas prescribers
Dr. Nirmal wrote 17 prescriptions for Olanzapine, about 40% as often as the typical Texas prescriber of it (42). Medicare paid $3.97 per fill, versus $22.50 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
Zolpidem is used for a short time to treat a certain sleep problem (insomnia) in adults.
Compared with Texas prescribers
Dr. Nirmal wrote 17 prescriptions for Zolpidem Tartrate, about 36% as often as the typical Texas prescriber of it (47). Medicare paid $7.29 per fill, versus $7.60 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
Palbociclib is used to treat a certain type of breast cancer.
Compared with Texas prescribers
Dr. Nirmal wrote 15 prescriptions for Ibrance, about 62% as often as the typical Texas prescriber of it (24). Medicare paid $12,493.65 per fill, versus $15,523.07 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
This medication is used to treat certain types of cancer (chronic lymphocytic leukemia-CLL, small lymphocytic lymphoma-SLL, acute myeloid leukemia-AML).
Compared with Texas prescribers
Dr. Nirmal wrote 15 prescriptions for Venclexta, about 61% as often as the typical Texas prescriber of it (25). Medicare paid $11,281.43 per fill, versus $7,715.31 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
Everolimus is used to treat various types of cancer (such as kidney, breast, pancreas, lung, stomach/intestinal cancers).
Compared with Texas prescribers
Dr. Nirmal wrote 13 prescriptions for Everolimus, about 71% as often as the typical Texas prescriber of it (18). Medicare paid $2,182.24 per fill, versus $3,659.47 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
Pazopanib is used to treat certain types of cancer (kidney, soft tissue sarcoma).
Compared with Texas prescribers
Dr. Nirmal wrote 13 prescriptions for Pazopanib Hcl, about as often as the typical Texas prescriber of it (13). Medicare paid $6,506.69 per fill, versus $9,192.55 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
Lenalidomide is used to treat various types of cancers.
Compared with Texas prescribers
Dr. Nirmal wrote 13 prescriptions for Revlimid, about 35% as often as the typical Texas prescriber of it (37). Medicare paid $12,890.54 per fill, versus $17,008.95 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 cancers (mantle cell lymphoma, marginal zone lymphoma, Waldenstrom's macroglobulinemia, chronic lymphocytic leukemia, small lymphocytic lymphoma, follicular lymphoma).
Compared with Texas prescribers
Dr. Nirmal wrote 12 prescriptions for Brukinsa, about half as often as the typical Texas prescriber of it (26). Medicare paid $14,019.02 per fill, versus $13,482.56 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, panic attacks, obsessive compulsive disorder).
Compared with Texas prescribers
Dr. Nirmal wrote 12 prescriptions for Fluoxetine Hcl, about 32% as often as the typical Texas prescriber of it (37). Medicare paid $5.67 per fill, versus $10.79 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
Ribociclib is used to treat breast cancer.
Compared with Texas prescribers
Dr. Nirmal wrote 12 prescriptions for Kisqali, about 61% as often as the typical Texas prescriber of it (20). Medicare paid $16,525.58 per fill, versus $15,214.49 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
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with Texas prescribers
Dr. Nirmal wrote 12 prescriptions for Montelukast Sodium, about 17% as often as the typical Texas prescriber of it (69). Medicare paid $5.16 per fill, versus $10.85 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
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with Texas prescribers
Dr. Nirmal wrote 12 prescriptions for Pantoprazole Sodium, about 15% as often as the typical Texas prescriber of it (81). Medicare paid $5.32 per fill, versus $11.71 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
This medication is used to treat kidney cancer.
Compared with Texas prescribers
Dr. Nirmal wrote 11 prescriptions for Inlyta, about half as often as the typical Texas prescriber of it (20). Medicare paid $10,478.00 per fill, versus $18,283.53 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 severe nausea and vomiting from certain causes (for example, after surgery or cancer treatment).
Compared with Texas prescribers
Dr. Nirmal wrote 11 prescriptions for Prochlorperazine Maleate, about 38% as often as the typical Texas prescriber of it (29). Medicare paid $7.20 per fill, versus $14.01 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 Texas prescribers
Dr. Nirmal wrote 11 prescriptions for Tramadol Hcl, about 18% as often as the typical Texas prescriber of it (61). Medicare paid $4.65 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.
Questions about Dr. Nirmal’s prescriptions
What does Dr. Nirmal prescribe most?
In 2024 Medicare Part D data, Dr. Nirmal's most prescribed medications were Letrozole (265), Hydrocodone-Acetaminophen (172) and Anastrozole (101).
How does Dr. Nirmal's prescribing compare with other Texas prescribers?
Of the 38 medications with a state comparison, Dr. Nirmal prescribes 9 more often than the typical Texas prescriber, 8 about as often and 21 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Nirmal 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 Texas 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.
