Steven Niedermeier, MD
Hand Surgery · Arlington, TXNPI 1447647599
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (34.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Arthrex at 38.2% of the total. Among hand surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 358 payments — averaging $423.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$58K
- Sonex Health, Inc.$43K
- Acumed LLC$17K
- Pylant Medical$13K
- Checkpoint Surgical, Inc$10K
- Stryker$5K
- plus $7K from 15 others
Across 2 payments — averaging $8600.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Sonex Health, Inc.$17K
What the payments were for
- Consulting fees$52,30334%
- Speaking & faculty fees$43,49629%
- Grants$6,2504%
- Travel & lodging$17,81612%
- Food & beverage$15,05810%
- Education$16,80011%
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 |
|---|---|---|
| Arthrex | 113 | $57,887 |
| Sonex Health, Inc. | 75 | $42,821 |
| Acumed LLC | 31 | $16,762 |
| Pylant Medical | 55 | $12,696 |
| Checkpoint Surgical, Inc | 20 | $9,608 |
| Stryker | 26 | $5,134 |
| Peerless Surgical Inc. | 3 | $2,442 |
| Medartis Inc. | 4 | $2,365 |
| Johnson & Johnson | 7 | $566 |
| Axogen | 4 | $398 |
| Exsomed Corporation | 1 | $165 |
| Smith+Nephew | 2 | $156 |
| Zimmer Biomet | 3 | $138 |
| Endo Pharmaceuticals Inc. | 2 | $135 |
| Bioventus LLC | 4 | $129 |
| Integra Lifesciences Corporation | 1 | $128 |
| Smoky Mountain Surgical LLC | 1 | $69 |
| Trice Medical, Inc. | 3 | $52 |
| Orthofix Medical, Inc. | 1 | $32 |
| Endo USA, Inc. | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $17 |
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.
- Sx-One Microknife$41,906
- ACUMED$25,101
- Checkpoint Stimulators$9,208
- INnate Implant$8,270
- InFrame Implant$8,105
- OsteoMed$4,354
- VARIAX$3,738
- APTUS$2,335
- EVOLVE$1,600
- LATITUDE EV$1,600
- GAMMA$367
- VA-LCP$332
- AVANCE NERVE GRAFT$281
- T2 ALPHA$173
- PANGEA$166
- ArrowPhix System$165
- ArcPhix System$165
- Acu-Loc Wrist Plating System$145
- Acutrak Headless Compression Screw System$145
- Acu-Loc Wrist Spanning System$145
How this compares
$151,722 in reported general payments places this provider in the 95th percentile of 170 hand 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 81 | $398 |
| Ibuprofen | 65 | $329 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $290 |
| Methylprednisolone | 29 | $221 |
| Duloxetine Hcl | 15 | $157 |
| Meloxicam | 69 | $127 |
| Celecoxib | 16 | $118 |
| Tramadol Hcl | 31 | $98 |
| Pregabalin | 12 | $76 |
| IbuIbuprofen | 18 | $73 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Arlington
- Timothy NiacarisArlington$160K
- Cameron AtkinsonArlington$103K
- John JiulianoArlington$10K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- William PientkaFort Worth$113K
- Ann GoldenDallas$107K
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.