Payment overview · 2025
General Payments
$3,670.39
63 reported records · 16 companies
Healthcare provider profile · identity verified
Thomas Nienke, DO
Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine · ST PETERSBURG, FL · NPI 1194976860
Verified facts
What the public records show
CMS Open Payments records show Thomas Nienke, DO received $3,670.39 in general payments during 2025 across 63 reported records.
Abbott Laboratories accounted for 35.4% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 27 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Abbott Laboratories | Unresolved — no canonical attribution shown | $1,298.46 | 35.4% | 10 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$1,125.53 | 30.7% | 29 | 2025 |
| Spine Wave, Inc. | Unresolved — no canonical attribution shown | $328.89 | 9.0% | 3 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $186.21 | 5.1% | 3 | 2025 |
| Globus Medical, Inc. | Unresolved — no canonical attribution shown | $175.91 | 4.8% | 3 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $159.69 | 4.3% | 3 | 2025 |
| Augmedics Inc. | Unresolved — no canonical attribution shown | $142.33 | 3.9% | 2 | 2025 |
| Bioventus LLC | Unresolved — no canonical attribution shown | $92.43 | 2.5% | 1 | 2025 |
| Radius Health, Inc. | Unresolved — no canonical attribution shown | $40.35 | 1.1% | 2 | 2025 |
| Integra LifeSciences Corporation | Unresolved — no canonical attribution shown | $31.59 | 0.9% | 1 | 2025 |
| SI-BONE, INC. | Unresolved — no canonical attribution shown | $24.91 | 0.7% | 1 | 2025 |
| Orthofix Medical, Inc. | Unresolved — no canonical attribution shown | $15.78 | 0.4% | 1 | 2025 |
| DePuy Synthes Sales Inc. | Unresolved — no canonical attribution shown | $15.26 | 0.4% | 1 | 2025 |
| Foundation Fusion Solutions, LLC | Unresolved — no canonical attribution shown | $14.83 | 0.4% | 1 | 2025 |
| Solventum Corporation | Unresolved — no canonical attribution shown | $14.78 | 0.4% | 1 | 2025 |
| SPINEOLOGY INC. | Unresolved — no canonical attribution shown | $3.44 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,092.21 | 51 |
| Travel and Lodging | $1,578.18 | 12 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| PROCLAIM Normalized: proclaim |
Device | Abbott Laboratories | $1,163.73 | 8 | 2025 |
Source payment records
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| CD HORIZON SPINAL SYSTEM Normalized: cd horizon spinal system |
Device | Medtronic, Inc. | $554.98 | 12 | 2025 |
Source payment records
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| KYPHON EXPRESS II KYPHOPAK TRAY Normalized: kyphon express ii kyphopak tray |
Device | Medtronic, Inc. | $228.33 | 4 | 2025 |
Source payment records
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| SPINAL IMPLANT Normalized: spinal implant |
Device | Spine Wave, Inc. | $182.51 | 2 | 2025 |
Source payment records
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| WaveWriter Alpha Prime 16 Normalized: wavewriter alpha prime 16 |
Device | Boston Scientific Corporation | $179.28 | 2 | 2025 |
Source payment records
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| EVENITY Normalized: evenity |
Biological | Amgen Inc. | $159.69 | 3 | 2025 |
Source payment records
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| SALVO SPINE SYSTEM Normalized: salvo spine system |
Device | Spine Wave, Inc. | $146.38 | 1 | 2025 |
Source payment records
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| Xvision Normalized: xvision |
Device | Augmedics Inc. | $142.33 | 2 | 2025 |
Source payment records
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| ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY Normalized: anteralign spinal system with titan nanolock surface technology |
Device | Medtronic, Inc. | $140.53 | 1 | 2025 |
Source payment records
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| Senza Normalized: senza |
Device | Globus Medical, Inc. | $125.91 | 2 | 2025 |
Source payment records
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| DURATA Normalized: durata |
Device | Abbott Laboratories | $125.00 | 1 | 2025 |
Source payment records
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| PIVOX OBLIQUE LATERAL SPINAL SYSTEM Normalized: pivox oblique lateral spinal system |
Device | Medtronic, Inc. | $107.22 | 6 | 2025 |
Source payment records
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| Sable Normalized: sable |
Device | Globus Medical, Inc. | $50.00 | 1 | 2025 |
Source payment records
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| Tymlos Normalized: tymlos |
Drug | Radius Health, Inc. | $40.35 | 2 | 2025 |
Source payment records
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| CATALYFT PL EXPANDABLE INTERBODY SYSTEM Normalized: catalyft pl expandable interbody system |
Device | Medtronic, Inc. | $38.90 | 2 | 2025 |
Source payment records
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| Integra Normalized: integra |
Device | Integra LifeSciences Corporation | $31.59 | 1 | 2025 |
Source payment records
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| Integra Dermal Regeneration Template Normalized: integra dermal regeneration template |
Device | Integra LifeSciences Corporation | $31.59 | 1 | 2025 |
Source payment records
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| PRIMATRIX Normalized: primatrix |
Device | Integra LifeSciences Corporation | $31.59 | 1 | 2025 |
Source payment records
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| OSTEOCOOL RF ABLATION SYSTEM Normalized: osteocool rf ablation system |
Device | Medtronic, Inc. | $25.62 | 2 | 2025 |
Source payment records
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| INTELLIS ADAPTIVESTIM Normalized: intellis adaptivestim |
Device | Medtronic, Inc. | $22.31 | 1 | 2025 |
Source payment records
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| Spinal-Stim Normalized: spinal stim |
Device | Orthofix Medical, Inc. | $15.78 | 1 | 2025 |
Source payment records
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| PREVENA Normalized: prevena |
Device | Solventum Corporation | $14.78 | 1 | 2025 |
Source payment records
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| V.A.C.ULTA Normalized: v a c ulta |
Device | Solventum Corporation | $14.78 | 1 | 2025 |
Source payment records
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| ETERNA Normalized: eterna |
Device | Abbott Laboratories | $9.73 | 1 | 2025 |
Source payment records
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| UNID_PASS Normalized: unid pass |
Device | Medtronic, Inc. | $7.64 | 1 | 2025 |
Source payment records
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| Intracept Normalized: intracept |
Device | Boston Scientific Corporation | $6.93 | 1 | 2025 |
Source payment records
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| OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM Normalized: optimesh expandable interbody fusion system |
Device | SPINEOLOGY INC. | $3.44 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 126 | 43 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 91 | 39 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 48 | 29 |
| Prednisone | Prednisone | 44 | 31 |
| Meloxicam | Meloxicam | 36 | 11 |
| Tramadol Hcl | Tramadol Hcl | 33 | 22 |
| Baclofen | Baclofen | 20 | suppressed |
| Gabapentin | Gabapentin | 20 | suppressed |
| Methocarbamol | Methocarbamol | 14 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $3,670.39 · 63 records | Abbott Laboratories | ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY, CATALYFT PL EXPANDABLE INTERBODY SYSTEM, CD HORIZON SPINAL SYSTEM, DURATA, ETERNA, EVENITY, INTELLIS ADAPTIVESTIM, Integra, Integra Dermal Regeneration Template, Intracept, KYPHON EXPRESS II KYPHOPAK TRAY, OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM, OSTEOCOOL RF ABLATION SYSTEM, PIVOX OBLIQUE LATERAL SPINAL SYSTEM, PREVENA, PRIMATRIX, PROCLAIM, SALVO SPINE SYSTEM, SPINAL IMPLANT, Sable, Senza, Spinal-Stim, Tymlos, UNID_PASS, V.A.C.ULTA, WaveWriter Alpha Prime 16, Xvision | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error