DR. DEREK RICHARD NYKIEL MD, DDS
Prescription History 1982918991
Dentist - Oral and Maxillofacial Surgery in Detroit, MI
What does Dr. Nykiel prescribe?
In 2024, Dr. Nykiel wrote 467 Medicare prescriptions for 6 medications. The most prescribed was Amoxicillin, with 143 prescriptions for 125 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. Nykiel prescribes.
Medications 6 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 Michigan prescribers.
What it is used for
Amoxicillin is used to treat a wide variety of bacterial infections.
Compared with Michigan prescribers
Dr. Nykiel wrote 143 prescriptions for Amoxicillin, about 3.5 times as often as the typical Michigan prescriber of it (41). Medicare paid $3.25 per fill, versus $2.77 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 along with regular tooth brushing/flossing to treat gingivitis, a gum disease that causes red, swollen, and easily bleeding gums.
Compared with Michigan prescribers
Dr. Nykiel wrote 117 prescriptions for Chlorhexidine Gluconate, about 2.7 times as often as the typical Michigan prescriber of it (43). Medicare paid $4.65 per fill, versus $4.92 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
Ibuprofen is used to relieve pain from various conditions such as headache, dental pain, menstrual cramps, muscle aches, or arthritis.
Compared with Michigan prescribers
Dr. Nykiel wrote 112 prescriptions for Ibuprofen, about 3 times as often as the typical Michigan prescriber of it (38). Medicare paid $2.61 per fill, versus $7.36 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 combination medication is used to relieve moderate to severe pain.
Compared with Michigan prescribers
Dr. Nykiel wrote 39 prescriptions for Hydrocodone-Acetaminophen, about 42% as often as the typical Michigan prescriber of it (93). Medicare paid $5.40 per fill, versus $14.86 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
Clindamycin is used to treat a wide variety of bacterial infections.
Compared with Michigan prescribers
Dr. Nykiel wrote 32 prescriptions for Clindamycin Hcl, about 1.4 times as often as the typical Michigan prescriber of it (22). Medicare paid $4.47 per fill, versus $5.91 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
Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections.
Compared with Michigan prescribers
Dr. Nykiel wrote 24 prescriptions for Amoxicillin-Clavulanate Potass, about as often as the typical Michigan prescriber of it (25). Medicare paid $12.40 per fill, versus $8.87 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. Nykiel’s prescriptions
What does Dr. Nykiel prescribe most?
In 2024 Medicare Part D data, Dr. Nykiel's most prescribed medications were Amoxicillin (143), Chlorhexidine Gluconate (117) and Ibuprofen (112).
How does Dr. Nykiel's prescribing compare with other Michigan prescribers?
Of the 6 medications with a state comparison, Dr. Nykiel prescribes 4 more often than the typical Michigan prescriber, 1 about as often and 1 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Nykiel 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 Michigan 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.
