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Dr. Thomas Nienke, DO

Saint Petersburg, FL

Accepting patients

Affiliated with a Castle Connolly Top Hospital

    Who is Dr. Nienke, Orthopedic Spine Surgeon in Saint Petersburg, FL?

    Dr. Thomas Nienke, DO is an Orthopedic Spine Surgeon, who primarily practices in Saint Petersburg, FL. Dr. Nienke is fluent in English and French, and is currently seeing new patients. Dr. Nienke’s practice accepts Medicare, UnitedHealthcare and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Nienke’s office at (727) 528-6100.

    What languages does Dr. Nienke speak?

    Dr. Nienke and their clinical team can communicate with patients in the following languages:

    • English

    • French

    What conditions does Dr. Nienke treat?

    As an Orthopedic Spine Surgeon, Dr. Nienke diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. Nienke. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Pinched Nerve in Lower Back
    • Pinched Nerve in Neck
    • Back Pain
    • Peripheral Nerve Disorder
    • Neck Injuries and Disorder
    • Lumbar Radiculopathy
    • Lower Back Nerve Compression
    • Compressed Nerve in Lower Back
    • Cervical Radiculopathy
    • Neck Nerve Compression
    • Compressed Nerve in Neck

    ICD-10 Codes:

    • M5416: Radiculopathy, lumbar region
    • M5412: Radiculopathy, cervical region

    Also known as:

    • Lower Back Spinal Stenosis
    • Lower Back and Tailbone Spinal Stenosis
    • Spinal Stenosis
    • Narrowing of Lower Back Spinal Canal
    • Lumbar Spinal Canal Narrowing
    • Lumbar Stenosis
    • Lumbosacral Spinal Stenosis
    • Nerve Compression in Lumbosacral Spine

    ICD-10 Codes:

    • M48061: Spinal stenosis, lumbar region without neurogenic claudication
    • M4807: Spinal stenosis, lumbosacral region

    Also known as:

    • Sacroiliac Joint Inflammation
    • Back Pain
    • SI Joint Inflammation
    • Sacroiliac Dysfunction
    • Inflamed SI Joint

    ICD-10 Codes:

    • M461: Sacroiliitis, not elsewhere classified

    Also known as:

    • Lower Back Spondylosis
    • Spine Injuries and Disorder
    • Lumbar Spondylosis
    • Lower Back Arthritis
    • Degenerative Lumbar Spine Disease

    ICD-10 Codes:

    • M47816: Spondylosis without myelopathy or radiculopathy, lumbar region

    Also known as:

    • Low Back Pain
    • Back Pain
    • Lumbago
    • Lower Back Ache
    • Backache

    ICD-10 Codes:

    • M5450: Low back pain, unspecified

    Also known as:

    • Other Orthopedic Aftercare
    • General orthopedic recovery
    • Musculoskeletal post-op care
    • Bone and joint follow-up

    ICD-10 Codes:

    • Z4789: Encounter for other orthopedic aftercare

    Also known as:

    • Lower Back Disc Disorder with Nerve Pain
    • Peripheral Nerve Disorder
    • Spine Injuries and Disorder
    • Herniated Disc in Lower Back with Radiculopathy
    • Slipped Disc in Lower Back causing Nerve Pain
    • Lumbar Radiculopathy

    ICD-10 Codes:

    • M5116: Intervertebral disc disorders with radiculopathy, lumbar region

    Also known as:

    • Pain in Right Knee
    • Knee Injuries and Disorder
    • Pain
    • Right Knee Ache
    • Right Knee Discomfort
    • Sore Right Knee

    ICD-10 Codes:

    • M25561: Pain in right knee

    What procedures does Dr. Nienke perform?

    As an Orthopedic Spine Surgeon, Dr. Nienke performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. Nienke. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Lumbar or Sacral Epidural Injection with Imaging
    • Lumbar Transforaminal Epidural Injection
    • Epidural Steroid Injection
    • Facet Joint Injection (Lower Back/Sacrum)
    • Caudal Epidural Injection
    • Spinal Nerve Block
    • Pain Management Injection
    • TFESI (Lumbar)
    • Nerve Root Block (Lumbar)
    • Lower Back Nerve Injection with Imaging
    • Cervical Epidural Injection
    • Thoracic Epidural Injection
    • Pain Relief Spinal Injection
    • Lumbar Facet Joint Injection
    • Sacral Facet Joint Injection
    • Paravertebral Facet Injection
    • Lower Back Pain Injection (Guided)

    CPT Codes:

    • 62323: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)
    • 64483: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level
    • 62321: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)
    • 64493: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level

    Also known as:

    • Sacroiliac Joint Injection
    • Lumbar or Sacral Epidural Injection (Guided)
    • Guided Facet Joint Injection (Neck/Upper Back)
    • SI joint injection
    • Sacroiliac steroid injection
    • Image-guided SI joint injection
    • Sacroiliac joint block
    • Transforaminal Epidural Injection
    • Spinal Nerve Block
    • Lower Back Pain Injection with Guidance
    • Paravertebral Facet Joint Injection
    • Cervical Facet Injection
    • Thoracic Facet Injection
    • Zygapophyseal Joint Injection

    CPT Codes:

    • 27096: Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed
    • 64484: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
    • 64490: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level

    Also known as:

    • Spinal Cord Stimulator Insertion
    • Spinal Neurostimulator Placement
    • SCS Implantation
    • Back Pain Stimulator Surgery

    CPT Codes:

    • 63685: Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver

    Also known as:

    • Lumbar or Sacral Facet Joint Injection
    • Facet joint block
    • Zygapophyseal joint injection
    • Lower back facet injection
    • Sacral facet injection

    CPT Codes:

    • 64494: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)

    Also known as:

    • Laminectomy for Spinal Cord Stimulator Implantation
    • Spinal Cord Stimulator Placement
    • Epidural Neurostimulator Surgery
    • Pain Stimulator Implantation

    CPT Codes:

    • 63655: Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural

    Also known as:

    • Lumbar Spinal Decompression with Fusion
    • Spinal Decompression for Lumbar Fusion (Additional Segment)
    • Laminectomy with Fusion
    • Facetectomy with Spinal Fusion
    • Foraminotomy with Interbody Arthrodesis
    • Laminectomy (Additional Segment)
    • Facetectomy (Additional Segment)
    • Foraminotomy (Additional Segment)
    • Lumbar Spinal Decompression

    CPT Codes:

    • 63052: Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; single vertebral segment (List separately in addition to code for primary procedure)
    • 63053: Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; each additional vertebral segment (List separately in addition to code for primary procedure)

    Also known as:

    • Carpal Tunnel Release Surgery
    • Median Nerve Neuroplasty
    • Carpal Tunnel Decompression
    • Median Nerve Transposition

    CPT Codes:

    • 64721: Neuroplasty and/or transposition; median nerve at carpal tunnel

    Also known as:

    • Spinal Pain Stimulator Device Revision or Removal
    • Spinal neurostimulator removal
    • Spinal cord stimulator revision
    • Implanted pain device removal

    CPT Codes:

    • 63688: Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array

    Also known as:

    • Facet Joint Injection (Neck/Upper Back)
    • Cervical Facet Injection
    • Thoracic Facet Injection
    • Zygapophyseal Joint Injection
    • Spinal Joint Injection

    CPT Codes:

    • 64491: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)

    Also known as:

    • Facet Joint Nerve Ablation (Lumbar/Sacral)
    • Lumbar Facet Joint Denervation
    • Sacral Facet Nerve Block
    • Radiofrequency Ablation for Back Pain

    CPT Codes:

    • 64635: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint

    Also known as:

    • Lumbar Disc Herniation Surgery
    • Lumbar Laminotomy
    • Herniated Disc Decompression (Lower Back)
    • Microdiscectomy (Lumbar)

    CPT Codes:

    • 63030: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar

    Also known as:

    • Spinal Cord Stimulator Implant
    • Epidural neurostimulator placement
    • Percutaneous spinal stimulator
    • SCS implant

    CPT Codes:

    • 63650: Percutaneous implantation of neurostimulator electrode array, epidural

    Also known as:

    • Computer-Assisted Spinal Surgery Guidance
    • Spinal Navigation Surgery
    • Stereotactic Spinal Procedure
    • Image-Guided Spine Surgery

    CPT Codes:

    • 61783: Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)

    Also known as:

    • Joint or Bursa Injection/Fluid Removal
    • Arthrocentesis
    • Major Joint Aspiration
    • Bursa Injection
    • Joint Fluid Removal

    CPT Codes:

    • 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance

    Also known as:

    • Spinal Cage Insertion for Fusion
    • Lumbar Spinal Fusion (Combined Technique)
    • Interbody Device Implantation
    • Spinal Fusion with Cage
    • Synthetic Disc Space Device
    • Posterior lumbar interbody fusion (PLIF)
    • Spine fusion surgery lower back
    • Lumbar arthrodesis

    CPT Codes:

    • 22853: Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)
    • 22633: Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar;

    Also known as:

    • Total Hip Replacement
    • Hip Replacement
    • Hip arthroplasty
    • Artificial hip surgery
    • Hip joint replacement
    • Femoral head replacement

    CPT Codes:

    • 27130: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft

    Also known as:

    • Minimally Invasive Sacroiliac Joint Fusion
    • SI Joint Fusion (MIS)
    • Percutaneous Sacroiliac Arthrodesis
    • Image-Guided SI Joint Fusion
    • Sacroiliac Joint Stabilization

    CPT Codes:

    • 27279: Arthrodesis, Sacroiliac Joint, Percutaneous Or Minimally Invasive (Indirect Visualization), With Image Guidance, Includes Obtaining Bone Graft When Performed, And Placement Of Transfixation Device

    Also known as:

    • Total Knee Replacement
    • Knee Replacement
    • Total Knee Arthroplasty
    • Knee Joint Replacement
    • Full Knee Replacement
    • TKA Surgery

    CPT Codes:

    • 27447: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)

    Also known as:

    • Spine Allograft Placement
    • Spinal Bone Graft
    • Osteopromotive Material Spine
    • Donor Bone Graft Spine
    • Spine Fusion Material

    CPT Codes:

    • 20930: Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)

    Does Dr. Nienke accept my insurance?

    Dr. Nienke accepts most major insurance plans. Important: Please call our office at (727) 528-6100 before your appointment to verify that your specific plan and network are accepted.

    What insurance plans does Dr. Nienke accept in Saint Petersburg, FL?

    Dr. Nienke in Saint Petersburg, FL accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.

    Top Insurances

    • Centene

    • CVS Health (formerly Aetna)

    • Elevance Health Inc. (formerly Anthem)

    • Florida Blue / Guidewell

    • Humana

    • Medicare

    • MedImpact

    • Oscar Health Insurance Co

    • State of Tennessee

    • UnitedHealthcare

    View All Insurances

    Where is Dr. Nienke's office located?

    Dr. Thomas Nienke's Primary Practice

    5880 49th St N Ste 104

    Saint Petersburg, FL 33709

    (727) 528-6100

    Get Directions

    What is Dr. Nienke's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.

    Dr. Nienke's National Provider Identifier (NPI) number is 1194976860.

    What common questions do patients ask about Dr. Nienke?

    Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Nienke

    What is Dr. Thomas Nienke's specialty?

    Dr. Nienke is a Orthopedic Spine Surgeon near Saint Petersburg, FL. Orthopaedic surgeons specializing in the spine, recognized by several state medical boards as a fellowship subspecialty of orthopaedic surgery, focus on the evaluation and treatment for both nonoperative and operative of a wide range of primary spinal disorders. These include trauma, degenerative conditions, deformities, tumors, and reconstructive issues related to the spine. Contact Dr. Nienke to book an appointment today.

    Is this Dr. Thomas Nienke affiliated with a ranked Castle Connolly Top Hospital?

    Yes, Dr. Nienke is affiliated with St. Joseph's Hospital - Tampa, Orlando Health Bayfront Hospital, AdventHealth Tampa which are a Castle Connolly Top Hospitals. Castle Connolly Top Hospitals are healthcare institutions recognized for their excellence in specific medical procedures and overall patient care. They are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals

    Where can I learn more about Orthopedic Spine Surgeon?

    Explore Orthopedic Spine Surgeon with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.

    Is Thomas Nienke accepting new patients in Saint Petersburg, FL?

    Yes, Dr. Thomas Nienke is accepting new patients at this time.

    Does Dr. Thomas Nienke offer online booking?

    Please contact Dr. Nienke's office at (727) 528-6100 for information about online booking, telehealth, or to schedule an appointment.

    How can I make an appointment with Thomas Nienke?

    Please contact Dr. Nienke's office at (727) 528-6100 for information regarding telehealth appointment availability or for scheduling assistance.

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