Thomas Elliot Niemeier, MD

10 locations · Optim Orthopedics LLC · Tattnall Hospital Company LLC · Effingham Rehab Services, LLC

Hospitals listed: Candler Hospital · St Joseph'S Hospital - Savannah. That is not proof they admit you there this week.

Licence A153607 · Cancelled

Licence status: Cancelled · since 2018 · Medical University of South Carolina College of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

• Candler HospitalSavannah, GAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Saint Josephs Candler Health System, which runs 2 hospitalsPatients rate it 3 of 5 · 69% would definitely recommend it
  Overall rating: 2 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.55 (1.19 to 1.92), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 2.5 (1.72 to 3.28) · 3,049 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.442, Oct 2024 – Sep 2025
• St Joseph'S Hospital - SavannahSavannah, GAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Saint Josephs Candler Health System, which runs 2 hospitalsPatients rate it 3 of 5 · 75% would definitely recommend it
  Overall rating: 2 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 2.17 (1.85 to 2.49), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 4.77 (4.03 to 5.51) · 3,990 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.521, Oct 2024 – Sep 2025

$208,487

Medicare paid this office $208,487 for 533 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Procedures Medicare counted

Who their Medicare patients are

533 Original Medicare patients in 2024. Average age 72 · Under 65 8% · 85 and older 5% · Women 53% · Also on Medicaid 5% · Health risk score 0.94. At or below the middle of the specialty; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 75% · Diabetes 27% · Coronary heart disease 26% · Chronic kidney disease 19% · Depression 19% · Atrial fibrillation 18% · COPD 15% · Cancer 14% · Heart failure 10% · Stroke 6% · Dementia 4%.

The office billed $1,590,362, Medicare allowed $271,155 and paid $208,487; for 1,595 services of 82 kinds; $50 of it was for drugs given in the office and $208,436 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

$1,352 in 2024

Medicaid paid $1,352 for 30 billed services this clinician did in 2024, up to 15 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

$5,591

Pharmacies billed $5,591 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 45% of their Part D prescriptions (294 of 657) in 2024. Above the middle of the specialty; the typical orthopedic surgery clinician is at 31%.

655 generic and fewer than 11 brand-name prescriptions · $5,591 in drug cost · 13 antibiotic prescriptions to 13 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Year by year

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

$1,077 in 2025

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

8 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

• Implementation of fall screening and assessment programs
• Implementation of medication management practice improvements
• Improved the patient portal
• Lets patients read their visit notes
• Tobacco use
• Uses standard treatment protocols

NPI

1568805141

Licence

CA A153607, GA 83160, SC 82336California A153607: Cancelled

Trained

University of South Carolina School of Medicine, 2013

Group

Optim Orthopedics LLC · Tattnall Hospital Company LLC · Effingham Rehab Services, LLC

Gender

Male