For referring providers

Referrals & Care Coordination

A dual-trained neurosurgeon and radiation oncologist with fellowship training in functional neurosurgery — emphasizing multidisciplinary co-management and clear communication back to referring clinicians.

Direct Access for Referring Providers

A direct line to the physician for urgent questions, with expedited evaluation for time-sensitive cases. After the visit, you'll receive a clear plan and co-management recommendations — and we close the loop with updates after key milestones.

What We Offer Your Patients

Patient-centered, evidence-based interventions integrating surgical and non-invasive options through a single evaluation.

Robot-Assisted DBS

Parkinson's, essential tremor, dystonia, select neuropsychiatric indications

MR-guided Focused Ultrasound

Essential tremor and select functional disorders

Stereotactic Radiosurgery

Gamma Knife and LINAC-based, including functional radiosurgery

Percutaneous Procedures

Radiofrequency ablation and balloon compression for trigeminal neuralgia

Epilepsy Surgery & Neuromodulation

SEEG evaluation, DBS, and RNS for drug-resistant epilepsy

Minimally Invasive Intracranial Surgery

Robotic stereotactic biopsy, surgical resection and laser ablation in select cases

Neuromodulation for Pain

Spinal cord stimulation and peripheral nerve stimulation


Common Reasons to Refer

Below are the scenarios where a referral is most likely to add value. We're happy to discuss cases informally before a formal referral.

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Movement Disorders

  • Parkinson's disease with motor fluctuations, dyskinesia, or medication-refractory tremor
  • Essential tremor that remains functionally limiting despite medication trials
  • Dystonia or tremor syndromes requiring an expert target-based approach
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Facial Pain

  • Classical TN, atypical TN, secondary TN (tumor-related or MS-related), and complex facial pain syndromes
  • Patients considering percutaneous options vs. radiosurgery vs. neuromodulation — especially when imaging or prior procedures complicate decision-making
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Intracranial Tumors & Vascular

  • Brain metastases and benign tumors requiring radiosurgery evaluation or multidisciplinary planning
  • AVMs and other lesions where radiosurgery considerations intersect with surgical options
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Complex Pain & Neuromodulation

  • Failed back surgery syndrome, CRPS, refractory neuropathic pain syndromes
  • Patients who may benefit from neuromodulation evaluation after appropriate conservative management
How we work with you

Co-Management Philosophy

We aim to keep care collaborative and efficient — as the referring clinician, you remain central to longitudinal management. We coordinate, communicate, and close the loop.

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You Stay Central

Referring neurologists and PCPs remain central to longitudinal management.

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Multidisciplinary Input

We coordinate movement disorders neurology, neuropsychology, neuroradiology, oncology, and rehab when multiple perspectives matter.

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Structured Follow-Up

For DBS and neuromodulation: outcomes depend on diagnosis, target selection, and expert programming. We structure follow-up to support that long term.

How to Refer

Dr. Almeida is now seeing patients at UPMC Presbyterian. To refer a patient — or discuss a case informally before a formal referral — use the contacts below.

Call

412-647-5044

Direct scheduling line for Dr. Almeida's practice. Department main line: 412-647-3685.

Fax

412-647-0989

Referral documents, clinic notes, and imaging reports.

Office

Department of Neurological Surgery
UPMC Presbyterian, Suite A-402
200 Lothrop Street
Pittsburgh, PA 15213
What to include: reason for referral, relevant clinic notes, medication trials, and recent imaging (or where it was performed). For urgent cases, call the direct line.

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