Michelle O Twito , PA-C
Physician Assistant • Brooklyn, NY
8321 20th Ave
Brooklyn, NY 112143195
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Michelle Twito is listed in NPPES under Physician Assistant.
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NPI assigned on April 1, 2013; this date does not establish years in practice.
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Published CMS data list 2,994 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Donepezil Hcl — 385 prescription fills, including refills.
- Gabapentin — 284 prescription fills, including refills.
- Sertraline Hcl — 269 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 45 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Brooklyn, NY (2024, 500 clinicians with data). Median for this group: 139. Middle half: 43 to 503.
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in New York (2024, 6,803 clinicians with data). Median for this group: 172. Middle half: 47 to 639.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 383 in 2020 to 2,994 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
8321 20th Ave
Brooklyn, NY 112143195
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Staten Island, NY. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Ny Neurocare Medical Services, Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
3,486 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$462,788 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,757.25 across 110 records.
By nature of payment
- Food and Beverage: $2,757.25 across 110 records.
Reporting-company totals (3 largest of 26)
- Axsome Therapeutics, Inc.: $371.10 across 10 records.
- ABBVIE INC.: $364.07 across 17 records.
- Pfizer Inc.: $353.71 across 15 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Michelle Twito has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Michelle Twito as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Brooklyn and New York
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Brooklyn, NY (2024, 500 clinicians with data). Median for this group: 139. Middle half: 43 to 503.
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in New York (2024, 6,803 clinicians with data). Median for this group: 172. Middle half: 47 to 639.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Brooklyn, NY (2024, 500 clinicians with data). Median for this group: $2,336. Middle half: $290 to $42,986.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in New York (2024, 6,803 clinicians with data). Median for this group: $2,861. Middle half: $382 to $63,869.
1,303 active clinicians are listed under Physician Assistant with a practice address in Brooklyn, NY (15,856 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Brooklyn
5.4% of these 1,303 clinicians have the CMS telehealth indicator.
38.5% of these 1,303 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 682% from 383 in 2020 to 2,994 in 2024.
- 2020: 383
- 2021: 411
- 2022: 630
- 2023: 1,677
- 2024: 2,994
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30-day fills
30-day fills increased 739% from 415 in 2020 to 3,486 in 2024.
- 2020: 415
- 2021: 432
- 2022: 775
- 2023: 1,934
- 2024: 3,486
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Part D drug cost
Part D drug cost increased 12080% from $3,799 in 2020 to $462,788 in 2024.
- 2020: $3,799
- 2021: $3,020
- 2022: $112,745
- 2023: $480,842
- 2024: $462,788
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $192.26 in 2021 to $2,757.25 in 2025.
- 2021: $192.26
- 2022: $701.23
- 2023: $2,160.02
- 2024: $2,216.84
- 2025: $2,757.25
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 110 records totaling $2,757.25.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $150.00 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Auvelity | General | $125.00 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Auvelity | General | $121.14 |
| ACADIA Pharmaceuticals Inc |
Food and Beverage
In-kind items and services
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NUPLAZID | General | $33.77 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $31.51 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $31.50 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
— | General | $31.43 |
| ACADIA Pharmaceuticals Inc |
Food and Beverage
In-kind items and services
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NUPLAZID | General | $30.40 |
| ACADIA Pharmaceuticals Inc |
Food and Beverage
In-kind items and services
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NUPLAZID | General | $30.36 |
| ARGENX US, INC. |
Food and Beverage
In-kind items and services
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VYVGART HYTRULO | General | $29.80 |
| Eisai Inc. |
Food and Beverage
In-kind items and services
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Leqembi | General | $29.47 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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REXULTI | General | $29.34 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $29.25 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $28.88 |
| Eisai Inc. |
Food and Beverage
In-kind items and services
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Leqembi | General | $28.86 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $28.64 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
|
VYEPTI | General | $28.30 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ZAVZPRET | General | $28.00 |
| Eisai Inc. |
Food and Beverage
In-kind items and services
|
Leqembi | General | $27.87 |
| ACADIA Pharmaceuticals Inc |
Food and Beverage
In-kind items and services
|
NUPLAZID | General | $27.84 |
| ACADIA Pharmaceuticals Inc |
Food and Beverage
In-kind items and services
|
NUPLAZID | General | $27.75 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
NURTEC ODT | General | $27.49 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $27.48 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
— | General | $27.45 |
| ACADIA Pharmaceuticals Inc |
Food and Beverage
In-kind items and services
|
NUPLAZID | General | $27.42 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Donepezil Hcl | Donepezil Hcl | 385 | 14,580 | $1,945.69 | 110 |
| Gabapentin | Gabapentin | 284 | 9,699 | $2,979.06 | 109 |
| Sertraline Hcl | Sertraline Hcl | 269 | 8,871 | $1,017.09 | 68 |
| Lidocaine | Lidocaine | 220 | 7,320 | $26,854.87 | 76 |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 156 | 6,000 | $2,120.37 | 48 |
| Cyanocobalamin Injection | Cyanocobalamin (Vitamin B-12) | 122 | 3,660 | $5,638.80 | 41 |
| Piroxicam | Piroxicam | 118 | 3,540 | $20,205.98 | 40 |
| Duloxetine Hcl | Duloxetine Hcl | 104 | 4,380 | $1,208.06 | 29 |
| Quetiapine Fumarate | Quetiapine Fumarate | 90 | 3,008 | $544.60 | 26 |
| Pregabalin | Pregabalin | 89 | 2,959 | $2,134.12 | 35 |
| Nortriptyline Hcl | Nortriptyline Hcl | 77 | 2,485 | $665.09 | 26 |
| Qulipta | Atogepant | 73 | 2,190 | $76,784.69 | 20 |
| Nurtec Odt | Rimegepant Sulfate | 68 | 1,970 | $127,155.05 | 33 |
| Memantine Hcl | Memantine Hcl | 65 | 2,700 | $1,116.26 | 21 |
| Ubrelvy | Ubrogepant | 62 | 1,722 | $93,313.19 | 19 |
| Mirtazapine | Mirtazapine | 60 | 2,160 | $592.65 | 18 |
| Topiramate | Topiramate | 45 | 1,650 | $218.62 | 16 |
| Fluocinonide | Fluocinonide | 44 | 1,320 | $6,756.41 | 20 |
| Naproxen | Naproxen | 41 | 1,215 | $1,599.24 | 17 |
| Ropinirole Hcl | Ropinirole Hcl | 40 | 1,805 | $731.15 | 12 |
| Levetiracetam | Levetiracetam | 38 | 1,800 | $613.81 | — |
| Baclofen | Baclofen | 37 | 1,000 | $370.10 | 20 |
| Trazodone Hcl | Trazodone Hcl | 37 | 1,224 | $95.16 | — |
| Propranolol Hcl | Propranolol Hcl | 34 | 1,233 | $229.24 | 13 |
| Clonazepam | Clonazepam | 32 | 885 | $420.94 | 16 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-02-12NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20210901003837
NJ
9234367707
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ny Neurocare Medical Services, Pllc
8321 20th Ave, Brooklyn, NY 112143195
Phone: 7189969888
Ny Neurocare Medical Services, Pllc
8321 20th Ave, Brooklyn, NY 112143001
Secondary Practice Locations
2205 Hylan Blvd
Staten Island, NY 103063319
Phone: 7189969888
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Neurology
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 8321 20TH AVE, BROOKLYN, NY 112143195 (Tel: 7189969888)
Registered at 8321 20TH AVE, BROOKLYN, NY 112143195 (Tel: 7189969888)
Additional practice office at 2205 Hylan Blvd, Staten Island, NY 103063319
Registered at 3311 HYLAN BLVD, STATEN ISLAND, NY 103063611 (Tel: 7184483210)
Registered at 2535 ARTHUR KILL RD, STATEN ISLAND, NY 103091207 (Tel: 7184483210)
NPI status registered as active in NPPES database
Registered at 1050 CLOVE RD, STATEN ISLAND, NY 103013627 (Tel: 7188166440)
Registered at 2791 RICHMOND AVE, SUITE 201, STATEN ISLAND, NY 103145882 (Tel: 7188166440)
Recorded as MICHELLE TWITO, PA-C
Physician Assistant (license number reported to NPPES: NY 016496)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Brooklyn
- Lyubov Odes, PA
- Virgen Ramos, PA
- Andrew Yu, PA-C
- Parnaz Partovitabar
- Bruno Suditu, PA
- Zuzanna Niewiadomska
Mailing Address
8321 20th Ave
Brooklyn, NY 112143195
Phone: 7189969888