Physician profile
Thomas Nienke
NPI 1194976860
$14,220.75
in general payments reported to CMS, 2019-2025
42 companies · $3,670 in 2025
The $3,670 reported for 2025 was more than what a typical Orthopaedic Surgery of The Spine provider received nationally (typical 2025 total: $2,116).
See the full distribution for Orthopaedic Surgery of the Spine
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $5,006 · 2020: $213 · 2021: $1,614 · 2022: $939 · 2023: $854 · 2024: $1,925 · 2025: $3,670.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $4,444 · Travel and Lodging: $2,006.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $4,444.27 |
| Travel and Lodging | $2,005.53 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Corelink, LLC | $1,895.92 | 2019 | |
| Medtronic, INC. | $1,861.32 | 2021-2025 | Cd Horizon Spinal System, Kyphon Express II Kyphopak Tray, Osteocool Rf Ablation System |
| Medtronic USA, INC. | $1,671.50 | 2019 | |
| Abbott Laboratories | $1,598.50 | 2019-2025 | Proclaim, Durata, Eterna |
| Depuy Synthes Sales INC. | $1,438.92 | 2019-2025 | Teligen, Na |
| Centinel Spine, LLC | $1,160.06 | 2019-2021 | |
| Arthrex, INC. | $581.35 | 2024 | |
| Augmedics INC. | $485.26 | 2023-2025 | Xvision |
| Spine Wave, INC. | $471.24 | 2020-2025 | Salvo Spine System, Spinal Implant |
| Si-Bone, INC. | $446.39 | 2020-2025 | |
| Boston Scientific Corporation | $444.99 | 2022-2025 | Wavewriter Alpha Prime 16, Intracept |
| Pacira Pharmaceuticals Incorporated | $268.59 | 2019-2023 | Exparel, Iovera, Zilretta |
| Life Spine, INC. | $187.50 | 2019 | |
| Amgen INC. | $175.96 | 2022-2025 | Evenity |
| Globus Medical, INC. | $175.91 | 2025 | Senza, Sable |
Show all 42 companies
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Thomas Nienke listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
Share this page
Keep an eye on this page
Get an email when the next June refresh changes this page. No account needed.
Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.