Nikola Alexander Letham, D.O.
NPI 1497048318ActiveIndividual· Obstetrics & Gynecology· Blacksburg, VA
Obstetrics & Gynecology (D.O.) in Blacksburg, Virginia, trained at Arizona College of Osteopathic Medicine Mid Western University (class of 2011). Mostly services rather than prescriptions: Medicare paid $4,402 for 27 patients in 2024, with only 49 Part D claims. Intuitive Surgical, Inc. was the largest of 6 companies reporting payments in 2025, $4,277 in all, mostly education.
Overview
| NPI | 1497048318 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | May 25, 2011 |
| Last updated in NPPES | May 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 0102204905 | VA |
| Obstetrics & Gynecology | 207V00000X | 2015-00756 | NC |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Obstetrics/Gynecology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 48 across 16 procedure codes |
| Paid by Medicare | $4,402 |
Part D prescriptions in 2024
| Prescriptions (claims) | 49 · 71 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $4,022 |
| Generic share | 78% of claims |
Education and affiliations
| Medical school | Arizona College of Osteopathic Medicine Mid Western University |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Obstetrics/Gynecology |
Medical group
- Mary Washington Healthcare PhysiciansStafford, VA · 282 clinicians
Industry payments (Open Payments)
- 2025$4,277 · 19 payments from 6 companies
- 2024$217.79 · 10 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $4,157 | 13 |
| Astellas Pharma US Inc | $37.64 | 2 |
| Biogen, Inc. | $26.37 | 1 |
| Exeltis, USA Inc. | $21.34 | 1 |
| Coopersurgical, Inc. | $20.30 | 1 |
What the 2025 payments were for
- Education$3,000 · 2 payments
- Travel and Lodging$1,099 · 7 payments
- Food and Beverage$177.61 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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