Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THOMAS NIENKE DO
NPI 1194976860
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in St Petersburg, FL

Q: What is Thomas Nienke's NPI number?

The NPI number for Thomas Nienke is 1194976860. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Q: What is Thomas Nienke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Nienke was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5880 49TH ST N STE N-104, ST PETERSBURG, FL 33709(727) 528-6100(727) 528-7895 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, Mar 17, 2018, Mar 2, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Thomas Nienke Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS NIENKE DO (NPI 1194976860) is an individual orthopaedic surgery of the spine provider in St Petersburg, Florida, licensed in Florida (OS12013) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1194976860

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. THOMAS NIENKECredential: DO

Location Address5880 49TH ST N STE N-104St Petersburg, FL 33709-2150

Mailing Address5880 49th St N Ste N-104St Petersburg, FL 33709-2150 · (727) 528-6100 · Fax (727) 528-7895

Phone(727) 528-6100

Fax(727) 528-7895

Sole ProprietorNo

Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2008

Enumeration DateSeptember 30, 2008

Last NPPES UpdateSeptember 23, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1194976860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in FL · OS12013

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

5880 49TH ST N STE N-104, St Petersburg, FL 33709

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Secondary Practice Location 1

Location 15800 49th St N Ste S-106St Petersburg, FL 33709-2146 · Phone (727) 528-6100 · Fax (727) 528-7895

Other Identifiers 2

OtherHI139YFL · Medicare Ptan

Medicaid008659300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Nienke Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335039098

PECOS Enrollment IDI20130711000100

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Nienke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinellas Medical Associates, PA

Same address

Orthopaedic Surgery

5880 49TH ST N STE N-104
St Petersburg, FL 33709

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1285765040 (727) 528-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

191 services104 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

103 services76 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

71 services25 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

71 services56 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

66 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

58 services52 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

51 services38 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

43 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

42 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

23 services18 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

19 services13 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

17 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100055

Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County

Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100180

Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County

Emergency services Birthing friendly

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100238

Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.29

Improvement Activities

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

16%158 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PINELLAS MEDICAL ASSOCIATES, PA

Orthopaedic Surgery

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

Pinellas County (727) 528-6100

MEGAN KARLOVICH PA-C

Physician Assistant

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

Pinellas County (727) 528-6100

DAPHNE PINKAS MD

Orthopaedic Surgery

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

Pinellas County (727) 528-6100

JUSTIN STODDARD BIDWELL PA-C

Physician Assistant

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

Pinellas County (727) 528-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Nienke's NPI number?

The NPI number for Thomas Nienke is 1194976860. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Thomas Nienke located?

Thomas Nienke practices at 5880 49th St N Ste N-104, St Petersburg, FL 33709. The listed phone number is (727) 528-6100.

What is Thomas Nienke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Thomas Nienke enrolled in Medicare?

Yes. Thomas Nienke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thomas Nienke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Nienke reassigns Medicare benefits to Pinellas Medical Associates, PA (St Petersburg, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Nienke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Nienke accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Thomas Nienke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Nienke affiliated with any hospitals?

According to CMS data, Thomas Nienke is affiliated with Adventhealth North Pinellas, Morton Plant Hospital, Hca Florida St Petersburg Hospital and Hca Florida Northside Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Nienke was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.