Medicare Enrolled

Dr. Nicklesh Thakur, D.O.

Neurological Surgery · Sacramento, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Consulting-driven
2800 L ST, Sacramento, CA 95816
9164546850
In practice since 2007 (19 years)
NPI: 1801917554 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Thakur from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Thakur

Dr. Nicklesh Thakur is a neurological surgery specialist in Sacramento, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Thakur performed 72,946 Medicare services across 1,123 unique beneficiaries.

Between the years covered by Open Payments, Dr. Thakur received a total of $10,166 from 19 pharmaceutical and/or device companies across 34 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Thakur is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 0% volume in CA $10,166 industry payments

Medicare Practice Summary

Medicare Utilization ↗
72,946
Medicare services
Top 0% in CA for neurological surgery
1,123
Unique beneficiaries
$6
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~3,839 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Botox injection, per unit
An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered.
71,163 $4 $12
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
485 $94 $343
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
423 $138 $461
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
271 $65 $234
Chemical nerve block for neck muscles
Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box.
131 $140 $713
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 89 $69 $309
Prolonged office E/M service, first 15 minutes
This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service.
86 $26 $122
Chemical nerve block for facial paralysis
Injection of a chemical agent to paralyze specific nerves or muscles on the side of the face.
82 $153 $745
Chemical nerve block injection, 5+ arm/leg muscles
Injection of a chemical agent to paralyze five or more muscles in the first extremity treated.
82 $140 $629
Chemical paralysis of salivary glands, bilateral
Injection of a chemical agent to paralyze the salivary glands on both sides of the mouth.
41 $93 $471
Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, each additional extremity 38 $78 $363
New patient office visit, complex (60-74 min) 28 $159 $656
Chemical nerve block injection, 1-4 muscles
An injection of a chemical agent to paralyze specific muscles in an arm or leg. This procedure targets one to four muscles in the first extremity treated.
27 $120 $554
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$10,166
Total received (2018-2024)
Avg $1,452/year across 7 years
Top 32% in CA for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
34
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$4,878 (48.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,735 (36.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,553 (15.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$292
2023
$133
2022
$2,603
2021
$202
2020
$4,672
2019
$1,665
2018
$597

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$133
Merz Pharmaceuticals, LLC
$64
Abbott Laboratories
$40
Amneal Pharmaceuticals LLC
$30
REVANCE THERAPEUTICS, INC.
$25
Top 3 companies account for 81.0% of 2024 payments
All-time payments by company (2018-2024) ›
ACADIA Pharmaceuticals Inc
$2,603
Acorda Therapeutics, Inc
$2,275
Sunovion Pharmaceuticals Inc.
$2,075
Amneal Pharmaceuticals LLC
$1,618
Abbott Laboratories
$244
Boston Scientific Corporation
$239
AbbVie Inc.
$155
Allergan Inc.
$139
ABBVIE INC.
$133
US WorldMeds, LLC
$131
Kyowa Kirin, Inc.
$119
AbbVie, Inc.
$114
Medtronic USA, Inc.
$98
Merz Pharmaceuticals, LLC
$64
Teva Pharmaceuticals USA, Inc.
$60
BOSTON SCIENTIFIC CORPORATION
$42
REVANCE THERAPEUTICS, INC.
$25
UCB, Inc.
$20
Almatica Pharma LLC
$12
Top 3 companies account for 68.4% of all-time payments
Associated products mentioned in payments ›
ACTIVA · BOTOX · DAXXIFY · DUOPA · Duopa · GENERAL DBS · GENERAL - DBS · GENERAL DBS · GRALISE · INBRIJA · INFINITY · Infinity DBS Pulse Generators · KYNMOBI · MYOBLOC · NOURIANZ · NUPLAZID · RYTARY · UBRELVY · Vercise · Xadago · Xeomin
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (48%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for a neurological surgery specialist in Sacramento?
Compare neurological surgerists in the Sacramento area by procedure volume, costs, and industry payment transparency.
Browse neurological surgerists nearby

Geographic Context

Neurological surgerists within 10 mi
66
Per 100K population
4.2
County median income
$88,724
Nearest hospital
SUTTER MEDICAL CENTER, SACRAMENTO
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Thakur is a mixed practice specialist, with above-average Medicare volume (top 0% in CA), with consulting-driven industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Thakur experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Thakur performed 71,163 botox injection, per unit services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Thakur receive payments from pharmaceutical companies?
Yes. Dr. Thakur received a total of $10,166 from 19 companies across 34 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Thakur's costs compare to other neurological surgerists in Sacramento?
Dr. Thakur's average Medicare payment per service is $6. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Thakur) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →