The Challenge Your Patients Face
Painful Diabetic Neuropathy (PDN) is one of the most difficult conditions to manage. Traditional pharmacologic options — Gabapentin, Lyrica, Cymbalta, opioids — deliver limited relief and carry significant risks including tolerance, dependency, and reduced quality of life. Many patients remain at a pain scale of 5 or greater despite maximal medical therapy.
The NS100 gives your practice a covered, non-pharmacologic alternative backed by a Level 1 Randomized Controlled Trial and published peer-reviewed research.
How It Works
The NS100 is a programmable, software and voltage-controlled Class II peripheral nerve stimulator. Four titanium electrode arrays are precisely implanted in a 45–60 minute in-office procedure, targeting the TrigeminoCervical Complex (TCC), cervical spinal roots (C2–C3), and the trigeminal and vagus nerves. The device is worn continuously for 20 days, delivering low-level electrical pulses that activate multiple neuroreceptors.
Results can last up to 6 months. The procedure is performed by or under the direction of a physician or qualifying mid-level provider.
Clinical Evidence
- Level 1 Randomized Controlled Trial demonstrating significant PDN pain reduction
- Published in Frontiers in Neuroscience (August 2025) — 83-patient observational trial in Native Americans demonstrating pain reduction and blood sugar improvement
- Cleveland Clinic Foundation serving as Principal Investigator for a 2,000-subject prospective multi-center study
- Off-label benefit: significant blood sugar reduction observed in a meaningful subset of Type 2 diabetes patients
- 70%+ of patients report meaningful pain relief
Reimbursement & Practice Revenue
- Covered by Medicare, UHC, BCBS, Aetna, and major commercial payers
- On-label indication: Painful Diabetic Neuropathy with pain scale ≥5
- Full RCM services included — billing, prior authorization, claims submission, and collections
- NeuroSolutions 100 handles clearinghouse enrollment under your NPI
- All remittances remain with your practice
- Consistent, favorable cash-on-cash returns documented across multiple provider sample reports
What's Included with Summit
- Full practice onboarding and staff training
- Medical necessity review and documentation support
- Prior authorization and predetermination management
- Post-procedure adjudication and payment tracking
- Dedicated account support from Summit Medical