Medicare Enrolled
Dr. Nicolas Nammour, M.D.
Neuromuscular Medicine (Psychiatry & Neurology) Physician · Houston, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Nammour 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. Nammour
Dr. Nicolas Nammour is a neuromuscular medicine physician in Houston, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nammour performed 17,224 Medicare services across 1,782 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nammour received a total of $220,107 from 100 pharmaceutical and/or device companies across 2541 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neuromuscular medicine (psychiatry & neurology) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Nammour is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 9% volume in TX
$220,107 industry payments
Medicare Practice Summary
Medicare Utilization ↗17,224
Medicare services
Top 9% in TX for neuromuscular medicine (psychiatry & neurology) physician
1,782
Unique beneficiaries
$20
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~907 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. |
14,700 | $5 | $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. |
818 | $93 | $221 |
| 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. |
363 | $67 | $149 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
307 | $79 | $187 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
262 | $124 | $337 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
176 | $356 | $835 |
| Nerve conduction studies, 7-8 tests A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles. |
118 | $142 | $403 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
99 | $10 | $52 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 82 | $197 | $340 |
| Brain stimulator programming, first 15 minutes Electronic analysis of an implanted brain, spinal cord, or peripheral neurostimulator generator. This service includes programming the brain stimulator by a qualified health professional for the first 15 minutes. |
57 | $40 | $140 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
47 | $45 | $90 |
| Nerve conduction studies, 5-6 tests A series of 5 to 6 tests that measure how well nerves send electrical signals. The procedure evaluates nerve function and helps identify damage or dysfunction. |
42 | $109 | $303 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
39 | $115 | $304 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
39 | $89 | $222 |
| 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. |
34 | $140 | $516 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
18 | $15 | $30 |
| 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. |
12 | $115 | $298 |
| New patient office visit, complex (60-74 min) | 11 | $143 | $424 |
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 ↗$220,107
Total received (2018-2024)
Avg $31,444/year across 7 years
Top 0% in TX for neuromuscular medicine (psychiatry & neurology) physician
100
Companies
2,541
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$181,355 (82.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$36,721 (16.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,031 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$29,372
2023
$36,076
2022
$74,151
2021
$52,693
2020
$17,852
2019
$4,697
2018
$5,266
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$101,739
AbbVie Inc.
$32,793
Biohaven Pharmaceutical Holding Company Ltd.
$17,710
Allergan, Inc.
$15,865
Biohaven Pharmaceuticals, Inc.
$12,949
EMD Serono, Inc.
$3,224
UCB, Inc.
$2,640
Novartis Pharmaceuticals Corporation
$2,068
Biogen, Inc.
$1,611
Teva Pharmaceuticals USA, Inc.
$1,543
Boston Scientific Corporation
$1,543
Abbott Laboratories
$1,520
GENZYME CORPORATION
$1,427
Sunovion Pharmaceuticals Inc.
$1,384
Alexion Pharmaceuticals, Inc.
$1,325
ACADIA Pharmaceuticals Inc
$1,093
PFIZER INC.
$936
CSL Behring
$907
Genentech USA, Inc.
$885
Amneal Pharmaceuticals LLC
$861
Eisai Inc.
$769
Grifols USA, LLC
$755
Lilly USA, LLC
$685
Supernus Pharmaceuticals, Inc.
$684
Lundbeck LLC
$666
US WorldMeds, LLC
$643
Allergan Inc.
$624
Takeda Pharmaceuticals U.S.A., Inc.
$562
Medtronic, Inc.
$524
SK Life Science, Inc.
$523
Sumitomo Pharma America, Inc.
$514
Amgen Inc.
$486
Adamas Pharmaceuticals, Inc.
$452
Merz Pharmaceuticals, LLC
$445
Neurocrine Biosciences, Inc.
$435
Kyowa Kirin, Inc.
$383
Acorda Therapeutics, Inc
$328
Avanir Pharmaceuticals, Inc.
$323
ARGENX US, INC.
$317
AstraZeneca Pharmaceuticals LP
$278
Celgene Corporation
$251
Medtronic USA, Inc.
$247
CATALYST PHARMACEUTICALS, INC.
$246
Janssen Pharmaceuticals, Inc
$219
Otsuka America Pharmaceutical, Inc.
$214
Promius Pharma LLC
$204
Neurelis, Inc.
$199
Banner Life Sciences, LLC
$196
EISAI INC.
$188
Merz North America, Inc.
$187
ARBOR PHARMACEUTICALS, INC.
$187
Bausch Health US, LLC
$174
Corium, LLC
$162
GE HEALTHCARE
$159
Mitsubishi Tanabe Pharma America, Inc.
$148
Vertiflex, Inc.
$148
IMPEL PHARMACEUTICALS INC.
$137
MITSUBISHI TANABE PHARMA AMERICA, INC.
$136
SCILEX PHARMACEUTICALS INC.
$132
BOSTON SCIENTIFIC CORPORATION
$132
Arbor Pharmaceuticals, Inc.
$131
Microtransponder, Inc.
$123
GlaxoSmithKline, LLC.
$122
LivaNova USA, Inc.
$117
AQUESTIVE THERAPEUTICS, INC.
$113
Vertical Pharmaceuticals, LLC
$101
Upsher-Smith Laboratories LLC
$93
Penumbra, Inc.
$74
BANNER LIFE SCIENCES, LLC
$72
Nevro Corp.
$71
JAZZ PHARMACEUTICALS INC.
$70
E.R. Squibb & Sons, L.L.C.
$67
Impax Laboratories, Inc.
$66
Almatica Pharma LLC
$55
Ipsen Biopharmaceuticals, Inc
$54
Zyla Life Sciences
$51
Amylyx Pharmaceuticals, Inc.
$50
Avion Pharmaceuticals
$49
MERZ NORTH AMERICA, INC.
$48
MDD US Operations, LLC
$38
Averitas Pharma Inc.
$37
ASSERTIO THERAPEUTICS, Inc.
$35
InSightec,Inc
$35
GE HealthCare
$34
Assertio Therapeutics, Inc.
$32
Life Molecular Imaging Ltd
$27
Mallinckrodt Hospital Products Inc.
$27
Exeltis, USA Inc.
$26
Zyla Life Sciences, Inc.
$25
Horizon Pharma plc
$23
Shire North American Group Inc
$21
UPSHER-SMITH LABORATORIES LLC
$18
DERMIRA, INC.
$18
Alnylam Pharmaceuticals Inc.
$17
Scilex Pharmaceuticals Inc.
$16
Chiesi USA, Inc.
$16
Axsome Therapeutics, Inc.
$14
Collegium Pharmaceutical, Inc.
$14
Aprecia Pharmaceuticals, LLC
$14
ANI Pharmaceuticals, Inc.
$12
Top 3 companies account for 69.2% of total payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ACTIVA PC · ADLARITY · ADUHELM · AGAMREE · AIMOVIG · AJOVY · AMPYRA · AMYVID · ANDEXXA · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AVONEX · Activase · Adlarity · Aimovig · Apokyn · Auvelity · BAFIERTAM · BOTOX · BOTOX - NEUROLOGY · BOTOX THERAPEUTIC · BRILINTA · Bionic Navigator · Briviact · CHANTIX · CLEVIPREX · COMIRNATY · COPAXONE · CREXONT · Cambia · DIVIGEL · DUOPA · DYSPORT · Dayvigo · Dhivy · Dysport · ELIQUIS · ELYXYB - celecoxib · EMGALITY · EPIDIOLEX · ETERNA · EXCLAIM · Enspryng · Evekeo · Exablate · FABRAZYME · FIRDAPSE · FYCOMPA · Fintepla · Fycompa · GAMMAGARD · GENERAL DBS · GENERAL DBS · GENERAL DBS · GILENYA · GOCOVRI · Gamunex-C · General - DBS · Gralise · HYQVIA · Hizentra · Horizant · INBRIJA · INFINITY · INGREZZA · InderalXL · Infinity DBS Pulse Generators · KESIMPTA · KYNMOBI · LEMTRADA · LORZONE · LYRICA · Leqembi · MAVENCLAD · MAYZENT · MIGRANAL · Mavenclad · NAMZARIC · NAPRELAN · NEURACEQ · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neupro · Neuromodulation Dspsbls and Accs · Nourianz · Nuedexta · OCREVUS · ONFI · ONGENTYS · ONPATTRO · OSMOLEX ER · OXTELLAR XR · Ocrevus · Omnia · Ongentys · PAXLOVID · PERCEPT PC BRAINSENSE · PLEGRIDY · PROCLAIM · PRODIGY · PURIFIED CORTROPHIN GEL · Penumbra Coil 400 · Ponvory · Privigen · Proclaim Family of SCS IPGs · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUTENZA · Qelbree · RADICAVA · RAYOS · RELEXXII · RELYVRIO · REXULTI · RYTARY · Radicava · Rebif · Rystiggo · SHINGRIX · SKYCLARYS · SOLIRIS · SPINRAZA · SPRIX · SYMPAZAN · Senza · Soliris · Spritam · Superion ISS · TECFIDERA · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TRINTELLIX · TROKENDI XR · TYSABRI · Trintellix · Trudhesa · UBRELVY · ULTOMIRIS · VALTOCO · VERCISE · VNS - Sentiva · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VRAYLAR · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vercise · Vimpat · XARELTO · XEOMIN · Xadago · Xeomin · ZEMBRACE SYMTOUCH · ZEPOSIA · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zembrace · Zipsor
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 (82%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neuromuscular medicine (psychiatry & neurology) physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for neuromuscular medicine (psychiatry & neurology) physician in TX.
Equivalent to $1,278 per 100 Medicare services performed
Geographic Context
Neuromuscular medicine physicians within 10 mi
5
Per 100K population
0.1
County median income
$73,104
Nearest hospital
HOUSTON METHODIST WEST HOSPITAL
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Nammour is a mixed practice specialist, with above-average Medicare volume (top 9% in TX), with speaking/promotional industry engagement in the top 0% of TX peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Nammour experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Nammour performed 14,700 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. Nammour receive payments from pharmaceutical companies?
Yes. Dr. Nammour received a total of $220,107 from 100 companies across 2,541 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. Nammour's costs compare to other neuromuscular medicine physicians in Houston?
Dr. Nammour's average Medicare payment per service is $20. 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. Nammour) 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 →
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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. The Transparency Score measures 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.
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