Derek Nieber, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Fort Worth, TXNPI 1992184675
Payments from drug & device makers
Across 60 payments — averaging $162.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$6K
- Edwards Lifesciences$2K
- Intuitive Surgical$2K
- Boston Scientific$146
- Atricure, Inc.$124
- Penumbra, Inc.$121
- plus $119 from 1 others
What the payments were for
- Travel & lodging$5,31554%
- Food & beverage$2,72628%
- Education$1,72918%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic | 46 | $5,898 |
| Edwards Lifesciences | 9 | $1,862 |
| Intuitive Surgical | 1 | $1,500 |
| Boston Scientific | 1 | $146 |
| Atricure, Inc. | 1 | $124 |
| Penumbra, Inc. | 1 | $121 |
| Abiomed | 1 | $119 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Avalus$1,622
- Octopus$1,525
- DAVINCI XI$1,500
- Edwards SAPIEN 3 Transcatheter Heart Valve$1,441
- Simulus$1,411
- Mosaic$297
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$124
- SYNERGY ABLATION SYSTEM$124
- Penumbra System$121
- Impella$119
How this compares
$9,770 in reported general payments places this provider in the 55th percentile of 424 thoracic surgery (cardiothoracic vascular surgery) providers in Texas.
See all thoracic surgery (cardiothoracic vascular surgery) providers in Texas →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other thoracic surgery (cardiothoracic vascular surgery) in Fort Worth
- Robert SmithPlano$2.9M
- Michael ReardonHouston$2.7M
- William RyanPlano$2.1M
- Faraz KerendiAustin$1.6M
- Robert HebelerDallas$1.2M
- William BrinkmanPlano$1.2M
- Robert RipleyHouston$817K
- Michael MackPlano$796K
- Katherine HarringtonPlano$723K
- Danny RamzyHouston$620K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.