Nikola Letham, DO
Obstetrics & Gynecology · Blacksburg, VANPI 1497048318
Payments from drug & device makers
Across 71 payments — averaging $75.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$4K
- Stryker$173
- AbbVie$137
- Optumhealth Care Solutions, LLC$104
- Astellas Pharma US Inc$102
- Bayer$80
- plus $590 from 17 others
What the payments were for
- Travel & lodging$1,09921%
- Food & beverage$1,21023%
- Education$3,03557%
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 |
|---|---|---|
| Intuitive Surgical | 13 | $4,157 |
| Stryker | 1 | $173 |
| AbbVie | 8 | $137 |
| Optumhealth Care Solutions, LLC | 2 | $104 |
| Astellas Pharma US Inc | 5 | $102 |
| Bayer | 5 | $80 |
| Organon | 4 | $77 |
| Duchesnay USA Incorporated | 6 | $67 |
| Biogen | 3 | $64 |
| Exeltis, USA Inc. | 3 | $52 |
| Amgen | 3 | $50 |
| Therapeuticsmd, Inc. | 4 | $48 |
| Merck | 3 | $41 |
| AMAG Pharmaceuticals, Inc. | 2 | $35 |
| Smith+Nephew | 1 | $23 |
| Sumitomo Pharma America, Inc. | 1 | $23 |
| Pfizer | 1 | $22 |
| Coopersurgical, Inc. | 1 | $20 |
| Olympus America Inc. | 1 | $14 |
| Minerva Surgical, Inc | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Myovant Sciences Inc. | 1 | $13 |
| Lupin Inc. | 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.
- DAVINCI XI$3,000
- Da Vinci Surgical System$1,042
- SPY-PHI SYSTEM$173
How this compares
$5,344 in reported general payments places this provider in the 90th percentile of 992 obstetrics & gynecology providers in Virginia.
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.
Other obstetrics & gynecology in Blacksburg
- Tamera HowellBlacksburg$11K
- Franklin MorganNorfolk$3.6M
- Samuel CampbellRichmond$1.5M
- Thomas KimbleNorfolk$1M
- Camilla HershReston$912K
- Stephen PoundNorth Chesterfield$548K
- Prescott PrillamanRichmond$329K
- Jack AyoubLeesburg$286K
- Chul KimFalls Church$250K
- Kurian ThottStafford$216K
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.