Timothy Niacaris, MD
Hand Surgery · Arlington, TXNPI 1700033743
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Microaire Surgical Instruments LLC accounts for 84.7% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2019 at $53,320 and has fallen 92.6% since, to $3,971 in 2025. 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 162 payments — averaging $990.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Microaire Surgical Instruments LLC$136K
- Flower Orthopedics Coporation$17K
- Acumed LLC$2K
- Exsomed Corporation$1K
- Axogen$919
- Kerecis Limited$821
- plus $2K from 16 others
Across 4 payments — averaging $19,603 each. An ownership or investment interest held by the physician or an immediate family member.
- Lazurite Inc.$78K
What the payments were for
- Royalty or licence$15,43410%
- Consulting fees$78,41449%
- Speaking & faculty fees$38,37524%
- Travel & lodging$20,79813%
- Food & beverage$7,3735%
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 |
|---|---|---|
| Microaire Surgical Instruments LLC | 73 | $135,786 |
| Flower Orthopedics Coporation | 23 | $17,173 |
| Acumed LLC | 16 | $2,390 |
| Exsomed Corporation | 5 | $1,356 |
| Axogen | 10 | $919 |
| Kerecis Limited | 8 | $821 |
| Integra Lifesciences Corporation | 5 | $475 |
| Stryker | 5 | $411 |
| Lifenet Health | 2 | $195 |
| Smith+Nephew | 3 | $192 |
| Davol Inc. | 1 | $160 |
| Acera Surgical, Inc. | 1 | $129 |
| Alafair Biosciences, Inc. | 1 | $118 |
| Extremity Medical | 1 | $104 |
| Orthofix Medical, Inc. | 1 | $41 |
| Anika Therapeutics, Inc. | 1 | $23 |
| KCI USA, Inc. | 1 | $21 |
| Johnson & Johnson | 1 | $18 |
| Endo Pharmaceuticals Inc. | 1 | $17 |
| Polynovo North America LLC | 1 | $17 |
| Sonex Health, Inc. | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 1 | $14 |
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.
- SMART RELEASE$86,024
- Distal Radius Plate, Standard, Left, 3 Holes$4,928
- Distal Radius Plate, Narrow, Left, 3 Holes$4,928
- Distal Radius Plate, Narrow, Right, 3 Holes$4,928
- Distal Radius Plate, Standard, Right, 3 Holes$4,928
- Variable Angle Locking Peg$4,429
- INnate Implant$3,132
- Kerecis SurgiClose$2,414
- ACUMED$2,314
- ECTR$2,250
- MicroAire$1,500
- InFrame Implant$1,201
- ArrowPhix System$1,201
- ArcPhix System$1,201
- SOFT TISSUE RELEASE$1,147
- Acutrak Headless Compression Screw System$792
- Anatomic Radial Head System$644
- Kerecis GraftGuide$604
- Kerecis Omega3 Marigen$537
- Total Wrist Fusion Plating System$494
How this compares
$160,395 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $278 |
| Diclofenac Sodium | 11 | $204 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 30 | $87 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Arlington
- Steven NiedermeierArlington$152K
- 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.