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Dr. Nikola Alexander Letham, DO

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Specializes in: Primary Care, Gynecology and Obstetrics

Professional interests include: laparoscopic surgery, pregnancy, endometriosis, and more.

614 E Main Street Suite A
Radford, VA 24141

(540) 443-0500

Dr. Nikola Alexander Letham, DO is a primary care doctor in Richmond, VA specializing in primary care, gynecology and obstetrics. Dr. Nikola Alexander Letham, DO is affiliated with U.S. Department of Veterans Affairs and HCA Virginia.

Office Locations

1201 Broad Rock Boulevard Central Virginia Va Health Care System (652)
Richmond, VA 23249

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133 Bostic Lane
Pembroke, VA 24136

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614 E Main Street Suite A
Radford, VA 24141

(540) 443-0500

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HCA Virginia

826 Davis Street
Blacksburg, VA 24060

(540) 443-0500

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Some issues Dr. Nikola Alexander Letham, DO can help you with:

Hysterectomy (Uterus Removal)

A hysterectomy is an extremely common surgery performed to remove the uterus. Sometimes the fallopian tubes, ovaries, or cervix will be removed as well. A woman who has had a hysterectomy will no longer have periods and cannot get pregnant.

There are a variety of reasons that women have hysterectomies, including:

Heavy bleeding or pain, such as that due to fibroids, endometriosis, or adenomyosis
Cancer
Prolapsed uterus, where the pelvic muscles can no longer completely hold the uterus in place

It is important to note that having any of these conditions does not necessarily mean that a hysterectomy is necessary. There are other available treatment options in most cases.

Although the uterus is responsible for a period, it is the ovaries that control the hormonal changes that women go through every month. So if a woman has a hysterectomy but keeps her ovaries, she might still experience hormonal swings every month even if she no longer has a period. Alternately, if a younger woman has a hysterectomy where her ovaries as removed, she will essentially be in immediate menopause.

A hysterectomy can be performed traditionally through one large cut in the abdomen, laparoscopically using tiny incisions and small tools, or through the vagina. Full recovery may take four to six weeks. After a hysterectomy, patients might experience sexual changes such as vaginal dryness or a change in libido. It is common to experience strong emotions after a hysterectomy, including both grief and relief. If a patient's ovaries were removed, they may be at higher risk for certain diseases, such as heart disease and osteoporosis. Taking hormonal birth control might reduce this risk.

Hysteroscopy

A hysteroscopy is a diagnostic procedure performed to examine the inside of the uterus. A thin tube with a camera and light at the end, called a hysteroscope, is inserted through the vagina. It allows the physician to view the cervix and uterine walls. Sometimes, gas or liquid is used to expand the uterus and allow a better view. If necessary, tiny instruments can also be passed through the tube and used for certain procedures, such as taking a biopsy or removing a polyp.

Hysteroscopy is often done to figure out the cause of abnormal menstrual bleeding. However, it can also be used to:

Identify the cause of recurrent miscarriage
Remove polyps or fibroids, non-cancerous growths in the uterus
Remove adhesions, scar tissue within the uterus
Identify uterine septums, a wall of tissue dividing the uterus
Perform ablation, the removal of excess uterine lining

If surgery is necessary, hysteroscopy is often used along with laparoscopy, a kind of surgery performed through small incisions in the abdomen. Tiny tools are passed through the incisions, and the hysteroscope guides the doctors while surgery is performed.

Laparoscopic Surgery

Laparoscopic surgery is a kind of minimally invasive surgery using a thin, narrow tube called a laparoscope. Usually performed on the abdomen or the pelvic region, the surgeon makes a few very small incisions instead of one large one.

During the procedure, the surgeon inserts the laparoscope, which contains a light and camera that allows the surgeon to see what is happening inside the body. Then tiny tools are placed through the small openings and used to perform the surgery.

The most common laparoscopic surgery is gallbladder removal, but laparoscopic surgery may also be used for the removal of a kidney or appendix, to treat certain cysts and tumors, for bariatric surgery, for some GERD treatments, or for hernia repairs, among others.

Because laparoscopic surgery only uses a few tiny incisions, the scars are minimal and recovery is easier than with open surgery.

Medicare Procedure and Patient Information

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	15

Medicare Procedure and Patient Information

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	17

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Nikola Alexander Letham, DO for Medicare patients.

doctor visit	27

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	37

**Age**
From 65 to 74	14
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nikola Alexander Letham, DO in 2018

Hypertension	68
High Cholesterol	41
Stroke	0
Ischemic Heart Disease	30
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Dr. Nikola Alexander Letham, DO for Medicare patients.

doctor visit	29

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	43

**Age**
From 65 to 74	13
From 75 to 84	0
85 and over	0
Less than 65	17

Conditions of Medicare patients treated by Dr. Nikola Alexander Letham, DO in 2019

Hypertension	60
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	35
Depression	37
Chronic Kidney Disease	28
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

Volume of procedures performed by Dr. Nikola Alexander Letham, DO for Medicare patients.

doctor visit	12

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	34

**Age**
From 65 to 74	13
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nikola Alexander Letham, DO in 2020

Hypertension	65
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	38
Depression	32
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	20

Conditions of Medicare patients treated by Dr. Nikola Alexander Letham, DO in 2021

Hypertension	70
High Cholesterol	0
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

Volume of procedures performed by Dr. Nikola Alexander Letham, DO for Medicare patients.

doctor visit	12

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	29

**Age**
From 65 to 74	17
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Nikola Alexander Letham, DO in 2022

Hypertension	62
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	21

Conditions of Medicare patients treated by Dr. Nikola Alexander Letham, DO in 2023

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2016 - 2023

Volume of procedures performed by Dr. Nikola Alexander Letham, DO for Medicare patients.

doctor visit	20

Average Medicare Patient Data From 2016 - 2023

Information about Medicare patients treated by Dr. Nikola Alexander Letham, DO.

**Gender**
Male	0
Female	27

**Age**
75 to 84	0
85 and over	0
Less than 65	2
65 to 74	7

Average of Total of Conditions of Medicare patients treated by Dr. Nikola Alexander Letham, DO From 2016 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Nikola Alexander Letham, DO treated were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	50
High Cholesterol	34
Stroke	0
Ischemic Heart Disease	12
Depression	8
Chronic Kidney Disease	3
Asthma	0
Osteoporosis	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Atrial Fibrillation	0
Cancer	0
Dementia	0

Education & Training

He completed residency at University of Connecticut Affiliated Hospitals. He has a state license in North Carolina.

Residency: University of Connecticut Affiliated Hospitals

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Nikola Alexander Letham, DO is associated with these hospitals and organizations:

U.S. Department of Veterans Affairs

HCA Virginia

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Nikola Alexander Letham, DO. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Duchesnay USA Incorporated	$18,032 Diclegis $17,937	Osphena $94	Mteryti $2
AMAG Pharmaceuticals, Inc.	$184 INTRAROSA $157	Makena $27
Stryker Corporation	$173 SPY-PHI SYSTEM $173
Ariosa Diagnostics, Inc.	$164 MD-Harmony Prenatal $164
AbbVie, Inc.	$146 Orilissa $70	Humira $40	Lupron $36
Other	$1,132 Prolia $130	GARDASIL9 $94	RS Harmony Test Related Products $84	Vivify Health Care Team Portal $73	Kyleena $64	Other $687

**Types of Payments**
Honoraria	$11,550
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$3,362
Food and Beverage	$2,764
Travel and Lodging	$1,975
Education	$181

Biography

Dr. Nikola Letham is a primary care and obstetrics & gynecology specialist in Blacksburg, VA, Pembroke, VA, and Radford, VA. Dr. Letham studied medicine at Midwestern University, Arizona College of Osteopathic Medicine. He is affiliated with U.S. Department of Veterans Affairs.