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Home > NC Providers > Neurologists

Dr. Nicholas James Fleming, MD

Accepting New Patients

(1 Rating)

Specializes in: Neurology (Brain & Spinal Cord Disease)

University of Arkansas for Medical Sciences College of Medicine

Professional interests include: movement disorders, deep brain stimulation (DBS)

1010 Edgehill Road
Charlotte, NC 28207

(704) 446-1900

Dr. Nicholas James Fleming, MD is a neurologist in Charlotte, NC specializing in neurology (brain & spinal cord disease). He graduated from University of Arkansas for Medical Sciences College of Medicine. Dr. Nicholas James Fleming, MD is affiliated with Carolinas Medical Center (CMC), Atrium Health and CAROLINAS PHYSICIANS NETWORK INC.

Office Locations

Address:

1010 Edgehill Road
Charlotte, NC 28207

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Some issues Dr. Nicholas James Fleming, MD can help you with:

Deep Brain Stimulation (DBS)

Deep brain stimulation (DBS) is a procedure performed to help treat neurological conditions such as Parkinson's disease and epilepsy. Electrode leads are surgically implanted in the brain and connected to a device, called a neurostimulator (deep brain stimulator), that is placed underneath the skin (subcutaneously). The deep brain stimulator can send electrical signals through the electrodes to the brain to restore normal rhythms, or it can block electrical signals in specific areas of the brain to restore functioning. Although not a cure, DBS can treat symptoms of movement disorders such as pain and tremor when medication fails to work.

DBS surgery may be completed in one operating session, but it is more commonly performed in two parts. In the first stage of the procedure, the surgeon will map targets in the brain using CT or MRI imaging to determine where to place the electrodes. Then, by drilling holes into the skull, the surgeon will place the electrodes into specific areas in the brain. The holes will be closed, and patients will require 1-2 days to recover in the hospital. After about two weeks, patients will undergo another surgery to have the deep brain stimulator implanted. The stimulator is usually placed under the skin around the collarbone, chest, or abdomen, and it will be connected to the DBS electrodes through a subcutaneous wire. No component of the DBS system will be visible from outside. Following stimulator implantation, patients may need to recover in the hospital for 1-2 days.

Within 2-4 weeks of the operation, doctors will program the stimulator using a wireless device. Patients will work with their doctor to determine the most effective settings for the stimulator during follow-up visits. Patients will be given a handheld device so that they can turn the stimulator on or off and adjust its settings themselves. The stimulator may have a rechargeable battery, in which case patients will be given a charging unit. Stimulator batteries generally need to be replaced in 3-5 years.

doctor visit	191

**Gender**
Male	83
Female	75

**Ethnicity**
Non-Hispanic White	141
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	77
From 75 to 84	63
85 and over	0
Less than 65	0

Hypertension	61
High Cholesterol	63
Stroke	10
Ischemic Heart Disease	30
Depression	40
Chronic Kidney Disease	25
Asthma	0
Osteoperosis	12
Atrial Fibrilation	9
Heart Failure	8
Chronic Obstructive Pulmonary Disease	9
Diabetes	22
Dementia	30
Cancer	10

doctor visit	1180
injections	30
minimally invasive procedures	30

Average Medicare Procedure Volume From 2020 - 2021

Volume of procedures performed by Dr. Nicholas James Fleming, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nicholas James Fleming, MD treated as a neurologist in Charlotte, NC were minimally invasive procedures and injections.

doctor visit	685
injections	30
minimally invasive procedures	30

Average Medicare Patient Data From 2020 - 2021

Information about Medicare patients treated by Dr. Nicholas James Fleming, MD.

**Gender**
Female	7
Male	8

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	14
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	0
75 to 84	6
Less than 65	0
65 to 74	7

Average of Total of Conditions of Medicare patients treated by Dr. Nicholas James Fleming, MD From 2020 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Nicholas James Fleming, MD treated were high cholesterol, hypertension, depression and chronic kidney disease.

Hypertension	6
High Cholesterol	6
Stroke	1
Ischemic Heart Disease	3
Depression	4
Chronic Kidney Disease	2
Asthma	0
Osteoporosis	1
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	2
Atrial Fibrillation	0
Cancer	1
Dementia	3

Education & Training

Dr. Nicholas James Fleming, MD graduated from University of Arkansas for Medical Sciences College of Medicine. He completed residency at Virginia Commonwealth University (VCU) Affiliated Hospitals. He is certified by the American Board of Psychiatry and Neurology and has a state license in North Carolina.

Medical School: University of Arkansas for Medical Sciences College of Medicine

Residency: Virginia Commonwealth University (VCU) Affiliated Hospitals

Board Certification: American Board of Psychiatry and Neurology

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Nicholas James Fleming, MD is associated with these hospitals and organizations:

Carolinas Medical Center (CMC)

Atrium Health

CAROLINAS PHYSICIANS NETWORK INC

Ratings & Reviews

Dr. Nicholas James Fleming, MD has an average of 1.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Nicholas James Fleming, MD from all over the web to help you find the right in Charlotte, NC.

Overall Rating

(1 Rating)

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Reviews Left On DocSpot

Overall Rating: 1.0 2023-11-09

My wife and I went to see Dr. Fleming and we could not be more disappointed. Not only did he not listen to us about my condition but omitted specific test results from the progress notes that went against his opinion (Pull Test). We feel he had his opinion about my case decided before he even opened the door to see us. He also was dismissive about the symptoms communicated I've had since before taking my medication. Dismissive about my secondary symptoms, and said I had "subjective" benefits from taking my medication, and used terminology in the progress notes to try to discredit my symptoms (Huff and Puff). I do not present as a normal PD patient and am possibly beyond his scope of expertise when making a proper diagnosis in my case, but it is concerning when a regular neurologist had no issue determining I had Parkinson's disease within the first 15 minutes of my visit. It looks like I am not alone being misdiagnosed and minimalized by Dr. Fleming as another reviewer has had the same issue. This leads me to believe that he does not go into an appointment with an open mind and makes a diagnosis arbitrarily based on text book examples, not what is actually happening with the patient in that moment. Its really unfortunate because I thought I was seeing an "expert". I was asked to do a follow up appointment with him, but will be seeing my primary neurologist instead since he is more in tune with my medical needs.

General Payments

These charts describe general payments received by Dr. Nicholas James Fleming, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$21,029 VERCISE $20,036	GENERAL DBS $993
Medtronic USA, Inc.	$20,007 ACTIVA $20,007
ACADIA Pharmaceuticals Inc	$126 NUPLAZID $126
Teva Pharmaceuticals USA, Inc.	$111 $111
AbbVie Inc.	$17 Duopa $17
Other	$16 KYNMOBI $16

**Types of Payments**
Grant	$38,750
Travel and Lodging	$1,917
Food and Beverage	$458
Education	$181

Biography

Dr. Nicholas Fleming is a neurology (brain & spinal cord disease) specialist in Charlotte, NC. After attending the University of Arkansas for Medical Sciences College of Medicine for medical school, he completed his residency training at a hospital affiliated with Virginia Commonwealth University (VCU). His areas of clinical interest consist of movement disorders and deep brain stimulation (DBS). Dr. Fleming is professionally affiliated with Carolinas Medical Center (CMC). His practice in Charlotte, NC is open to new patients as reported by Atrium Health.

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Dr. Nicholas James Fleming, MD

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Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nicholas James Fleming, MD in 2020