Doctor profile · Federal record

Dr. Thomas Nienke, DO

Orthopaedic Surgery of the Spine Physician (CMS: Orthopedic Surgery) · St Petersburg, FL

  • NPI 1194976860
  • Accepts Medicare
  • MIPS 96.6 / 100 · 2023
  • 18 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
5880 49Th St N Ste N-104
St Petersburg, FL 337092150
(727) 528-6100
fax (727) 528-7895
Additional location
2191 9Th Ave N Ste 105
St Petersburg, FL 337137147

Credentials & registration

NPPES · NUCC
NPI registered
September 2008 — 18 yrs on file
Profile last updated
March 17, 2018
Year of graduation
2008 — 18 yrs since
Specialty taxonomy
207XS0117X — NUCC code
State license (1)
Florida #OS12013
Medicaid
FL #008659300

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1194976860. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
765
Distinct HCPCS
10
Medicare allowed
$63,726
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 201 99 $88
99214 Established patient office or other outpatient visit, 30-39 minutes 80 57 $125
20610 Aspiration and/or injection of fluid from large joint 66 23 $73
J1030 Injection, methylprednisolone acetate, 40 mg 62 28 $8
62323 Injection of substance into lower spine canal using imaging guidance 61 42 $94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 59 54 $172
72100 X-ray of lower and sacral spine, 2-3 views 43 29 $38
73560 X-ray of knee, 1-2 views 35 21 $32
G0180 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 25 $51
99204 New patient office or other outpatient visit, 45-59 minutes 28 28 $164

In context: peer comparison

Among 2 peers in this city , average services per provider: 62. This provider delivers 12× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,925
Transactions
39
Manufacturers
10
Payer (manufacturer) Industry Txns Amount
Arthrex, Inc. 12 $581.35
SI-BONE, INC. 6 $266.60
Medtronic, Inc. 4 $259.90
Augmedics Inc. 7 $211.18
Boston Scientific Corporation 5 $176.40
Coastal Medical Technologies Llc 1 $135.57
Spine Wave, Inc. 1 $127.35
Nexxt Spine LLC 1 $111.68
Integrity Implants Inc. dba Accelus 1 $40.66
Orthofix Medical, Inc. 1 $14.47

By nature of payment

Food and Beverage
$1,498
Travel and Lodging
$427

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
434
Patients
167
Total drug cost
$3,307
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 109 45 $832
Tramadol Hcl Generic 64 19 $259
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 62 35 $574
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 39 20 $538
Prednisone Generic 30 25 $58
Cyclobenzaprine Hcl Generic 24 11 $90
Acetaminophen-Codeine (Acetaminophen With Codeine) Brand 18 0 $170
Meloxicam Generic 18 12 $61
Celecoxib Generic 16 0 $233
Methocarbamol Generic 15 0 $125

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Thomas Nienke's medical specialty?
Dr. Thomas Nienke practices Orthopaedic Surgery of the Spine Physician in St Petersburg, FL.
Where does Dr. Thomas Nienke practice?
Dr. Thomas Nienke practices at 5880 49Th St N Ste N-104, St Petersburg, FL 337092150. Office phone: 7275286100.
What is Dr. Thomas Nienke's NPI?
Dr. Thomas Nienke's National Provider Identifier (NPI) is 1194976860, issued by NPPES.
Does Dr. Thomas Nienke accept Medicare assignment?
Yes. Dr. Thomas Nienke accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Thomas Nienke commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.