DR. MELISSA NICHOLE THOMAS O.D.
Prescription History 1982982187
Optometrist in Lenoir City, TN

Active since July 22, 2011PECOS EnrolledAccepts Medicare Assignment
96.61/100
CMS Quality Rating
5491 CREEKWOOD PARK BLVD, LENOIR CITY, TN 37772(800) 500-4667(833) 448-2983 Get Directions

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 2, 2024, May 15, 2024, Feb 9, 2024 and 2 more (5 updates tracked since 2018).

Medicare Part D Prescription History

Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. MELISSA NICHOLE THOMAS O.D., an active Optometrist specialist practicing in Lenoir City, TN. Our medical registry currently tracks 12 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 548 documented patient claims. Among these therapy options, the most frequently utilized medication is Latanoprost, which accounts for 266 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.

12
Medications
548
Total Claims
1,000
30-Day Fills
Latanoprost
Most Prescribed · 266 claims
View details
12 medications · 2024 Medicare Part D
Medicare Part D medications prescribed by DR. MELISSA NICHOLE THOMAS O.D. in 2024, with prescription volumes, average cost per fill, and TN state comparisons
Medication Prescriptions (2024)Rx (2024) Avg Cost per FillCost / Fill Vs. Other TN PrescribersVs. TN Avg

About Latanoprost: Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension). Show more ▾

It is similar to a natural chemical in the body (prostaglandin) and works by regulating the flow of fluid within the eye which results in lower pressure. Lowering high pressure inside the eye helps to prevent blindness. A prostaglandin F analog used to treat OCULAR HYPERTENSION in patients with GLAUCOMA.

In 2024, this provider wrote 266 Medicare prescriptions for Latanoprost, about 1.9 times the volume of the typical Tennessee prescriber of this medication (141.8). Medicare paid an average of $8.72 per fill, versus $11.67 statewide.

How often this provider prescribes it

This provider
266
TN average
141.8

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

What Medicare paid per fill

This provider
$8.72
TN average
$11.67

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

546.3
30-Day Fills
standardized to 30-day supplies
15,711
Days of Medication
total across all patients in 2024

About Lumigan: Bimatoprost is used to treat high pressure inside the eye due to glaucoma (open-angle type) or other eye diseases (such as ocular hypertension). Show more ▾

Lowering high pressure inside the eye can help prevent blindness. This medication works by regulating the flow of fluid within the eye to maintain a normal pressure. A cloprostenol-derived amide that is used as an ANTIHYPERTENSIVE AGENT in the treatment of OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

In 2024, this provider wrote 51 Medicare prescriptions for Lumigan, about the same volume as the typical Tennessee prescriber of this medication (52.8). Medicare paid an average of $477.99 per fill, versus $470.12 statewide.

How often this provider prescribes it

This provider
51
TN average
52.8

This provider's prescribing volume for this medication is in line with the average TN prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$477.99
TN average
$470.12

Gross Part D cost per fill; not the patient's out-of-pocket price.

98
30-Day Fills
standardized to 30-day supplies
2,806
Days of Medication
total across all patients in 2024

About Prednisolone Acetate: This medication is used to treat certain eye conditions due to inflammation or injury. Show more ▾

Prednisolone works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids. A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states.

In 2024, this provider wrote 43 Medicare prescriptions for Prednisolone Acetate, about a third of the volume of the typical Tennessee prescriber of this medication (110.7). Medicare paid an average of $45.07 per fill, versus $38.73 statewide.

How often this provider prescribes it

This provider
43
TN average
110.7

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

What Medicare paid per fill

This provider
$45.07
TN average
$38.73

Gross Part D cost per fill; not the patient's out-of-pocket price.

52.6
30-Day Fills
standardized to 30-day supplies
1,324
Days of Medication
total across all patients in 2024

About Timolol Maleate: This medication is used to treat high pressure inside the eye due to glaucoma (open angle-type) or other eye diseases (such as ocular hypertension). Show more ▾

Lowering high pressure inside the eye helps to prevent blindness. This medication works by decreasing the amount of fluid within the eye. Timolol belongs to a class of drugs known as beta-blockers. A beta-adrenergic antagonist that is similar in action to PROPRANOLOL; the levo-isomer is more active. Timolol has been proposed as an anti-hypertensive, anti-arrhythmic, anti-angina, and anti-glaucoma agent. It is also used in the treatment of MIGRAINE DISORDERS and tremor.

In 2024, this provider wrote 38 Medicare prescriptions for Timolol Maleate, about half the volume of the typical Tennessee prescriber of this medication (72). Medicare paid an average of $7.65 per fill, versus $14.87 statewide.

How often this provider prescribes it

This provider
38
TN average
72.0

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

What Medicare paid per fill

This provider
$7.65
TN average
$14.87

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

88.8
30-Day Fills
standardized to 30-day supplies
2,645
Days of Medication
total across all patients in 2024

About Restasis: Cyclosporine eye drops are used to treat a certain type of dry eyes. Show more ▾

They work by increasing the amount of tears you make. A cyclic undecapeptide from an extract of soil fungi. It is a powerful immunosupressant with a specific action on T-lymphocytes. It is used for the prophylaxis of graft rejection in organ and tissue transplantation. (From Martindale, The Extra Pharmacopoeia, 30th ed).

In 2024, this provider wrote 35 Medicare prescriptions for Restasis, about the same volume as the typical Tennessee prescriber of this medication (35.3). Medicare paid an average of $1,008.11 per fill, versus $991.57 statewide.

How often this provider prescribes it

This provider
35
TN average
35.3

This provider's prescribing volume for this medication is in line with the average TN prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$1,008.11
TN average
$991.57

Gross Part D cost per fill; not the patient's out-of-pocket price.

55
30-Day Fills
standardized to 30-day supplies
1,650
Days of Medication
total across all patients in 2024

About Brimonidine Tartrate: This medication is used to treat open-angle glaucoma or high fluid pressure in the eye. Show more ▾

Lowering high fluid pressure in the eye reduces the risk of vision loss, nerve damage, or blindness. This medication lowers pressure by allowing better fluid drainage from within the eye and also by reducing the amount of fluid formed in the eye. It is known as an alpha agonist. This drug is not recommended for use in children less than 2 years of age due to an increased risk of serious side effects such as very slowed breathing. Ask the doctor or pharmacist for details. A quinoxaline derivative and ADRENERGIC ALHPA-2 RECEPTOR AGONIST that is used to manage INTRAOCULAR PRESSURE associated with OPEN-ANGLE GLAUCOMA and OCULAR HYPERTENSION.

In 2024, this provider wrote 33 Medicare prescriptions for Brimonidine Tartrate, about half the volume of the typical Tennessee prescriber of this medication (63.6). Medicare paid an average of $9.61 per fill, versus $37.11 statewide.

How often this provider prescribes it

This provider
33
TN average
63.6

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

What Medicare paid per fill

This provider
$9.61
TN average
$37.11

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

66.9
30-Day Fills
standardized to 30-day supplies
1,997
Days of Medication
total across all patients in 2024

About Loteprednol Etabonate: This medication is used to treat certain eye conditions due to inflammation or injury. Show more ▾

It is also used after eye surgery. Loteprednol works by relieving symptoms such as swelling, redness, and itching. It belongs to a class of drugs known as corticosteroids. An androstadiene derivative corticosteroid that is used as an ANTI-ALLERGIC AGENT for the treatment of inflammatory and allergic eye conditions.

In 2024, this provider wrote 20 Medicare prescriptions for Loteprednol Etabonate, about 77% of the volume of the typical Tennessee prescriber of this medication (26.1). Medicare paid an average of $170.80 per fill, versus $146.86 statewide.

How often this provider prescribes it

This provider
20
TN average
26.1

This provider's prescribing volume for this medication is in line with the average TN prescriber. Utilization reflects practice size as well as clinical preference.

What Medicare paid per fill

This provider
$170.80
TN average
$146.86

Gross Part D cost per fill; not the patient's out-of-pocket price.

21.1
30-Day Fills
standardized to 30-day supplies
554
Days of Medication
total across all patients in 2024

About Neomycin-Polymyxin-Dexameth: This medication is used to treat conditions involving swelling (inflammation) of the eyes and to treat or prevent bacterial eye infections. Show more ▾

This product contains neomycin and polymyxin, antibiotics that work by stopping the growth of bacteria. It also contains dexamethasone, an anti-inflammatory corticosteroid that works by reducing swelling. This medication treats/prevents only bacterial eye infections. It will not work for other types of eye infections and may worsen them (such as infections caused by viruses, fungi, mycobacteria). Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 14 Medicare prescriptions for Neomycin-Polymyxin-Dexameth, about a third of the volume of the typical Tennessee prescriber of this medication (46.5). Medicare paid an average of $12.29 per fill, versus $11.87 statewide.

How often this provider prescribes it

This provider
14
TN average
46.5

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

What Medicare paid per fill

This provider
$12.29
TN average
$11.87

Gross Part D cost per fill; not the patient's out-of-pocket price.

14
30-Day Fills
standardized to 30-day supplies
234
Days of Medication
total across all patients in 2024

About Miebo: This medication is used to relieve dry, irritated eyes. Show more ▾

Perfluorohexyloctane works by keeping your tears from drying up. This keeps the eye moist, helps protect the eye from injury and infection, and decreases symptoms of dry eyes such as burning, itching, and feeling as if something is in the eye. Used for removing silicone oil from the surface of silicone intraocular lenses; MF is C14F13H17.

In 2024, this provider wrote 13 Medicare prescriptions for Miebo, about half the volume of the typical Tennessee prescriber of this medication (23.4). Medicare paid an average of $955.71 per fill, versus $847.23 statewide.

How often this provider prescribes it

This provider
13
TN average
23.4

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

What Medicare paid per fill

This provider
$955.71
TN average
$847.23

Gross Part D cost per fill; not the patient's out-of-pocket price.

17
30-Day Fills
standardized to 30-day supplies
486
Days of Medication
total across all patients in 2024

About Doxycycline Hyclate: This medication is used to treat a wide variety of bacterial infections, including those that cause acne. Show more ▾

This medication is also used to prevent malaria. This medication is known as a tetracycline antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A synthetic tetracycline derivative with similar antimicrobial activity.

In 2024, this provider wrote 12 Medicare prescriptions for Doxycycline Hyclate, about a third of the volume of the typical Tennessee prescriber of this medication (35.4). Medicare paid an average of $79.46 per fill, versus $11.43 statewide.

How often this provider prescribes it

This provider
12
TN average
35.4

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

What Medicare paid per fill

This provider
$79.46
TN average
$11.43

Gross Part D cost per fill; not the patient's out-of-pocket price.

16
30-Day Fills
standardized to 30-day supplies
289
Days of Medication
total across all patients in 2024

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

Tobramycin belongs to a class of drugs called aminoglycoside antibiotics. It 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 overuse of any antibiotic can lead to its decreased effectiveness. An aminoglycoside, broad-spectrum antibiotic produced by Streptomyces tenebrarius. It is effective against gram-negative bacteria, especially the PSEUDOMONAS species. It is a 10% component of the antibiotic complex, NEBRAMYCIN, produced by the same species.

In 2024, this provider wrote 12 Medicare prescriptions for Tobramycin, about a third of the volume of the typical Tennessee prescriber of this medication (35.2). Medicare paid an average of $6.42 per fill, versus $5.41 statewide.

How often this provider prescribes it

This provider
12
TN average
35.2

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

What Medicare paid per fill

This provider
$6.42
TN average
$5.41

Gross Part D cost per fill; not the patient's out-of-pocket price.

12.9
30-Day Fills
standardized to 30-day supplies
307
Days of Medication
total across all patients in 2024

About Tobramycin-Dexamethasone: This medication is used to treat or prevent eye infections. Show more ▾

This medication contains two drugs. Tobramycin belongs to a class of drugs called aminoglycoside antibiotics. It works by stopping the growth of bacteria. Dexamethasone belongs to a class of drugs called corticosteroids. It works by reducing swelling. This medication treats/prevents only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness.

In 2024, this provider wrote 11 Medicare prescriptions for Tobramycin-Dexamethasone, about a third of the volume of the typical Tennessee prescriber of this medication (36.6). Medicare paid an average of $64.67 per fill, versus $48.40 statewide.

How often this provider prescribes it

This provider
11
TN average
36.6

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

What Medicare paid per fill

This provider
$64.67
TN average
$48.40

Gross Part D cost per fill; not the patient's out-of-pocket price.

11
30-Day Fills
standardized to 30-day supplies
192
Days of Medication
total across all patients in 2024
No medications match the current filters.
= the 5 medications this provider prescribes most.▲ More than typical≈ Typical▼ Less than typical= prescription volume vs the average TN prescriber of the same medication; volume reflects practice size as well as clinical preference.Green cost= below the TN average cost per fill.

About this data. The prescription history for DR. MELISSA NICHOLE THOMAS O.D. is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2024, 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 Optometrist prescribing approach at this Lenoir City, TN 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 among TN prescribers of the same medication and form, shown only when at least five prescribers contribute. Always confirm current medications and costs directly with the provider and your plan.

About the medication summaries. Drug use descriptions come from the CMS Medicare Part D Drug Spending Dashboard (2024), and substance definitions from Medical Subject Headings (MeSH) 2026, U.S. National Library of Medicine. They are summaries that do not contain all possible information about a medication and are not individual medical advice. Ask a health care professional about any medication and your specific health needs.