Dr. Thomas Nienke, DO
What this data tells you about Dr. Nienke
Dr. Thomas Nienke is an orthopaedic surgery of the spine physician in St Petersburg, FL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Nienke performed 765 Medicare services across 484 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nienke received a total of $11,259 from 40 pharmaceutical and/or device companies across 163 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Nienke 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Office visit, established patient (20-29 min) | 201 | $65 | $515 |
| Office visit, established patient (30-39 min) | 80 | $96 | $780 |
| Joint injection, major joint | 66 | $56 | $583 |
| Injection, methylprednisolone acetate, 40 mg | 62 | $6 | $88 |
| Injection of substance into lower spine canal using imaging guidance | 61 | $74 | $3,630 |
| Initial hospital admission, high complexity | 59 | $137 | $1,148 |
| X-ray of lower and sacral spine, 2-3 views | 43 | $29 | $200 |
| X-ray of knee, 1-2 views | 35 | $25 | $157 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 30 | $39 | $343 |
| New patient office visit (45-59 min) | 28 | $114 | $1,015 |
| Hospital follow-up visit, moderate complexity | 26 | $63 | $435 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 23 | $72 | $3,477 |
| Hip X-ray, 2-3 views | 20 | $33 | $215 |
| X-ray of upper spine, 2-3 views | 19 | $30 | $186 |
| X-ray of middle spine, 2 views | 12 | $23 | $177 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (73%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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. Nienke is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 17 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. Nienke experienced with office visit, established patient (20-29 min)?
Does Dr. Nienke receive payments from pharmaceutical companies?
How do Dr. Nienke's costs compare to other orthopaedic surgery of the spine physicians in St Petersburg?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology