Thomas Niesen, MD
Surgery · Chesterfield, MONPI 1700870250
Payments from drug & device makers
Across 58 payments — averaging $26.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endologix LLC$298
- Medtronic$170
- Boston Scientific$129
- Johnson & Johnson$120
- Davol Inc.$103
- W. L. Gore & Associates, Inc.$96
- plus $594 from 16 others
What the payments were for
- Food & beverage$1,509100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Endologix LLC | 4 | $298 |
| Medtronic | 8 | $170 |
| Boston Scientific | 7 | $129 |
| Johnson & Johnson(2 entities) | 5 | $120 |
| Davol Inc. | 5 | $103 |
| W. L. Gore & Associates, Inc. | 4 | $96 |
| Smith+Nephew | 5 | $95 |
| Aroa Biosurgery Incorporated | 2 | $79 |
| Kerecis Limited | 3 | $59 |
| Getinge USA Sales, LLC | 1 | $54 |
| Polynovo North America LLC | 1 | $44 |
| Solventum Corporation | 1 | $42 |
| E.r. Squibb & Sons, L.L.C. | 2 | $33 |
| Acera Surgical, Inc. | 1 | $27 |
| Cook Medical LLC | 1 | $25 |
| Abbott | 2 | $24 |
| Baxter Healthcare | 1 | $22 |
| Tetraphase Pharmaceuticals, Inc. | 1 | $21 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Lemaitre Vascular, Inc. | 1 | $18 |
| Surmodics, Inc. | 1 | $18 |
| Tactile Systems Technology Inc | 1 | $14 |
How this compares
$1,509 in reported general payments places this provider in the 45th percentile of 612 surgery providers in Missouri.
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 |
|---|---|---|
| EliquisApixaban | 24 | $14,972 |
| ClopidogrelClopidogrel Bisulfate | 241 | $2,503 |
| Warfarin Sodium | 29 | $430 |
| Doxycycline Hyclate | 18 | $247 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 63 | $162 |
| Cephalexin | 33 | $153 |
| Tramadol Hcl | 55 | $81 |
Paid to pharmacies, not to this prescriber.
Other surgery in Chesterfield
- Tiffany OsbornSaint Louis$493K
- Jeffrey BlatnikSaint Louis$422K
- Varun PuriSaint Louis$346K
- Victor VidalsKansas City$327K
- James ScottSaint Louis$307K
- Andrew WheelerColumbia$298K
- Omar GuerraSaint Louis$249K
- Michael AwadSaint Louis$248K
- Carl FreemanSaint Louis$233K
- John TannColumbia$216K
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.