Nicolas Villelli, MD
Neurological Surgery · Lexington, KYNPI 1629489174
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.7% of the total across 68 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Medtronic at 36.2% of the total. That places this record below the midpoint for neurological surgery clinicians in KY, where the typical reported total is $3,068.
Across 68 payments — averaging $46.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Stryker$812
- Johnson & Johnson$361
- Abbott$178
- Spinal Simplicity, LLC$135
- Contego Medical, Inc$135
- plus $395 from 14 others
Across 4 payments — averaging $13,554 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Route 92 Medical, Inc.$54K
What the payments were for
- Travel & lodging$1354%
- Food & beverage$3,02696%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic(2 entities) | 24 | $1,145 |
| Stryker | 17 | $812 |
| Johnson & Johnson | 5 | $361 |
| Abbott | 1 | $178 |
| Spinal Simplicity, LLC | 1 | $135 |
| Contego Medical, Inc | 1 | $135 |
| AstraZeneca(2 entities) | 4 | $65 |
| Silk Road Medical, Inc. | 2 | $46 |
| Baxter Healthcare | 2 | $43 |
| Urgo Medical North America, LLC | 1 | $42 |
| Route 92 Medical, Inc. | 1 | $30 |
| Asahi Intecc USA, Inc. | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $23 |
| Kls-martin L.p. | 1 | $23 |
| Cerapedics Inc. | 1 | $22 |
| CSL Behring | 1 | $19 |
| Bard Peripheral Vascular, Inc. | 1 | $16 |
| Angiodynamics, Inc. | 1 | $16 |
| Providence Medical Technology, Inc. | 1 | $14 |
| Boston Scientific | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Solitaire$282
- PROCLAIM$178
- MAZOR X SYSTEM$160
- Pipeline$146
- HA MINUTEMAN G3-R$135
- TREVO$134
- BROADWAY 8$134
- nanoLOCK-C$131
- Embotrap$125
- TRUFILL$125
- Pulsar Vascular PulseRider Aneurysm Neck Reconstruction Device$125
- TARGET$121
How this compares
$3,161 in reported general payments places this provider in the 50th percentile of 99 neurological surgery providers in Kentucky.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 41 | $387 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 28 | $162 |
| Gabapentin | 15 | $102 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $96 |
| Diazepam | 28 | $18 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lexington
- Matthew TuttLexington$64K
- Craig VanhorneLexington$64K
- Christian RamseyLexington$35K
- David DornbosLexington$35K
- Saman SizdahkhaniLexington$29K
- Rouzbeh Motiei LangroudiLexington$25K
- Ryan HoflerLexington$12K
- Justin FraserLexington$10K
- Justin HilliardLexington$8K
- John GilbertLexington$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.