2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1194976860 DO
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THOMAS NIENKE, DO

Orthopaedic Surgery of the Spine Physician in ST PETERSBURG, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
500
Medicare Part D claims · 145 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$1.9K
39 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS NIENKE, DO reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 500 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
500
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

THOMAS NIENKE, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

THOMAS NIENKE, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about THOMAS NIENKE, DO?

High performer (top quartile)

NPI registry status

Active

Issued 09/30/2008

NPI 1194976860

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

500 38% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Florida providers

Florida providers

Orthopaedic Surgery of the Spine Physician share within Florida

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Florida

Medicare quality performance — MIPS

THOMAS NIENKE, DO's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

THOMAS NIENKE, DO appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding DO credentials at 5880 49TH ST N STE N-104, ST PETERSBURG, FL, 33709, with a listed phone of (727) 528-6100. NPI 1194976860 was issued on 09/30/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIENKE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 500 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $12K in drug spend, with an opioid prescribing rate of 59.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 93.2903), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5880 49TH ST N STE N-104
ST PETERSBURG, FL 33709

Provider Details

NPI 1194976860
Specialty Orthopaedic Surgery of the Spine Physician
Credentials DO
Gender Male
NPI Issued 09/30/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
93.2903
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where THOMAS NIENKE, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PINELLAS MEDICAL ASSOCIATES PA
ST PETERSBURG, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for THOMAS NIENKE, DO. Source: openpaymentsdata.cms.gov.

Total received

$1.9K

Largest payer

Arthrex, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to THOMAS NIENKE, DO. To verify THOMAS NIENKE, DO's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

500
Total Claims
$12K
Total Drug Cost
145
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
567
Total Day Supply
8,555
Generic Drug Cost
$4K
Opioid Claims
295 (59.0% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
2.05
Gender Split
67% female / 33% male
Age Distribution
<65: 42, 65-74: 69, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What THOMAS NIENKE, DO prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
109
Tramadol Hcl
64
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
62
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
39
Prednisone
30
Cyclobenzaprine Hcl
24
Acetaminophen-Codeine
Acetaminophen With Codeine
18
Meloxicam
18
Celecoxib
16
Methocarbamol
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Orthopaedic Surgery of the Spine Physician Overview

How THOMAS NIENKE, DO fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

THOMAS NIENKE, DO's 500 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as NIENKE.

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS NIENKE, DO's specialty?
THOMAS NIENKE, DO specializes in Orthopaedic Surgery of the Spine Physician and practices in ST PETERSBURG, Florida. Credentials: DO.
How much does THOMAS NIENKE, DO prescribe under Medicare Part D?
In 2023, THOMAS NIENKE, DO wrote 500 Medicare Part D claims totaling $12K in drug costs for 145 beneficiaries.
What is THOMAS NIENKE, DO's Medicare quality score?
THOMAS NIENKE, DO has a CMS MIPS Final Score of 100/100 (Quality: 93.2903). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS NIENKE, DO located?
THOMAS NIENKE, DO is located at 5880 49TH ST N STE N-104, ST PETERSBURG, FL, 33709. Phone: (727) 528-6100.
What is THOMAS NIENKE, DO's NPI number?
THOMAS NIENKE, DO's National Provider Identifier (NPI) is 1194976860, issued on 09/30/2008.
Does THOMAS NIENKE, DO prescribe opioids?
Yes, THOMAS NIENKE, DO had 295 opioid claims in 2023 with an opioid prescribing rate of 59.0%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does THOMAS NIENKE, DO prescribe most often?
Based on 2023 Medicare Part D data, THOMAS NIENKE, DO's most frequently prescribed drugs include Oxycodone Hcl, Tramadol Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS NIENKE, DO accept Medicare?
THOMAS NIENKE, DO appears in CMS Medicare data with 500 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS NIENKE, DO's credentials?
THOMAS NIENKE, DO's NPI is 1194976860 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology