JULIO A MARTINEZ-SILVESTRINI M.D.
Prescription History 1891710521
Physical Medicine & Rehabilitation in Longmeadow, MA
What does Dr. Martinez-Silvestrini prescribe?
In 2024, Dr. Martinez-Silvestrini wrote 309 Medicare prescriptions for 11 medications. The most prescribed was Gabapentin, with 93 prescriptions for 20 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. Martinez-Silvestrini prescribes.
Medications 11 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 Massachusetts prescribers.
What it is used for
Gabapentin is used with other medications to prevent and control seizures.
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 93 prescriptions for Gabapentin, about 1.2 times as often as the typical Massachusetts prescriber of it (80). Medicare paid $14.88 per fill, versus $14.49 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
See also Warning section.
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 32 prescriptions for Diclofenac Sodium, about 88% as often as the typical Massachusetts prescriber of it (36). Medicare paid $15.30 per fill, versus $26.18 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
Topiramate is used alone or with other medications to prevent and control seizures (epilepsy).
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 30 prescriptions for Topiramate, about 86% as often as the typical Massachusetts prescriber of it (35). Medicare paid $13.75 per fill, versus $16.20 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
Cyclobenzaprine is used short-term to treat muscle spasms.
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 29 prescriptions for Cyclobenzaprine Hcl, about as often as the typical Massachusetts prescriber of it (31). Medicare paid $16.12 per fill, versus $8.77 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 help relieve severe ongoing pain (such as due to cancer).
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 24 prescriptions for Morphine Sulfate Er, about 76% as often as the typical Massachusetts prescriber of it (32). Medicare paid $20.58 per fill, versus $29.09 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
Baclofen is used to treat muscle spasms caused by certain conditions (such as multiple sclerosis, spinal cord injury/disease).
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 23 prescriptions for Baclofen, about 61% as often as the typical Massachusetts prescriber of it (38). Medicare paid $8.95 per fill, versus $20.34 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
Meloxicam is used to treat arthritis.
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 19 prescriptions for Meloxicam, about half as often as the typical Massachusetts prescriber of it (40). Medicare paid $5.95 per fill, versus $4.24 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 Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 17 prescriptions for Tizanidine Hcl, about half as often as the typical Massachusetts prescriber of it (33). Medicare paid $18.55 per fill, versus $12.32 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 moderate to severe pain.
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 15 prescriptions for Oxycodone Hcl, about 33% as often as the typical Massachusetts prescriber of it (45). Medicare paid $19.50 per fill, versus $12.16 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
This medication is used to help relieve moderate to severe pain.
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 14 prescriptions for Morphine Sulfate, about 63% as often as the typical Massachusetts prescriber of it (22). Medicare paid $10.91 per fill, versus $22.49 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
This medication is used to help relieve severe ongoing pain (such as due to cancer).
Compared with Massachusetts prescribers
Dr. Martinez-Silvestrini wrote 13 prescriptions for Oxycontin, about half as often as the typical Massachusetts prescriber of it (26). Medicare paid $1,314.17 per fill, versus $681.95 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. Martinez-Silvestrini’s prescriptions
What does Dr. Martinez-Silvestrini prescribe most?
In 2024 Medicare Part D data, Dr. Martinez-Silvestrini's most prescribed medications were Gabapentin (93), Diclofenac Sodium (32) and Topiramate (30).
How does Dr. Martinez-Silvestrini's prescribing compare with other Massachusetts prescribers?
Of the 11 medications with a state comparison, Dr. Martinez-Silvestrini prescribes 5 about as often than the typical Massachusetts prescriber and 6 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Martinez-Silvestrini 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 Massachusetts 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.
