William Pientka
Hand Surgery · Fort Worth, TXNPI 1275899734
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (52.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Acumed LLC at 58.7% of the total. Reporting peaked in 2024 at $42,473 and has fallen 74.7% since, to $10,763 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 200 payments — averaging $566.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$67K
- Microaire Surgical Instruments LLC$28K
- Trimed, Inc.$15K
- Pylant Medical$1K
- Stryker$503
- Arthrex$398
- plus $856 from 9 others
Across 6 payments — averaging $9164.08 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.
- Axogen$55K
What the payments were for
- Consulting fees$32,96129%
- Speaking & faculty fees$59,59653%
- Travel & lodging$10,3109%
- Food & beverage$9,2578%
- Education$1,1741%
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 |
|---|---|---|
| Acumed LLC | 107 | $66,551 |
| Microaire Surgical Instruments LLC | 22 | $28,320 |
| Trimed, Inc. | 35 | $15,224 |
| Pylant Medical | 7 | $1,445 |
| Stryker | 4 | $503 |
| Arthrex | 10 | $398 |
| Axogen | 4 | $377 |
| Medartis Inc. | 4 | $173 |
| Acera Surgical, Inc. | 1 | $122 |
| Endo Pharmaceuticals Inc. | 1 | $59 |
| CPM Medical Consultants, LLC | 1 | $49 |
| Johnson & Johnson | 1 | $24 |
| Osteomed LLC | 1 | $20 |
| KCI USA, Inc. | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $12 |
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.
- ACUMED$116,460
- SMART RELEASE$21,420
- OsteoMed$18,279
- InFrame Implant$15,507
- INnate Implant$15,012
- Tools - WFS$11,416
- ArcPhix System$3,992
- MicroAire$3,000
- ECTR$1,500
- Hand Fracture System$1,295
- Acu-Loc Wrist Plating System$964
- Midshaft Forearm Plating System$816
- Elbow Plating System$518
- Anatomic Radial Head System$518
- Acu-Loc/Acu-Loc 2 Wrist Plating System$446
- Acutrak/Acutrak 2 Screws - Micro, Mini, Std, Fusion$446
- VARIAX$415
- Acutrak Headless Compression Screw System$299
- Midshaft Forearm Plates$181
- Wrist Fusion Plates$181
How this compares
$113,297 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 |
|---|---|---|
| Gabapentin | 42 | $799 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 37 | $226 |
| Naproxen | 44 | $191 |
| Oxycodone Hcl | 21 | $92 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Fort Worth
- Christopher BatesFort Worth$11K
- Bryan ReyesFort Worth$9K
- Hannah KimFort Worth$8K
- David RingAustin$536K
- Kourosh JafarniaHouston$278K
- Brendan MackayLubbock$274K
- John FaillaceWoodway$212K
- Daniel KoehlerDallas$208K
- Timothy NiacarisArlington$160K
- Steven NiedermeierArlington$152K
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.