#231 Hip
#404 Knee

Dr. James Grimes, MD

Orthopedic Surgery
28 procedures 1 hospital Saint Augustine, FL
Latest available Medicare data — updated April 2026
Hip replacement recovery kit Essentials every patient wishes they bought first
National Comparison by Procedure
Hip 17 vs 36 avg (4,526 surgeons)
Knee 11 vs 45 avg (6,720 surgeons)

Dr. James Grimes is a board-certified orthopedic surgeon practicing in Saint Augustine, Florida. A Medicare provider since 2006, Dr. Grimes has performed 17 Medicare-verified hip replacements (#231 in Florida) and 11 knee replacements, for a combined total of 28 procedures.

In Florida, Dr. Grimes performs below average in hip (17 vs 39 avg), below average in knee (11 vs 49 avg).

Dr. Grimes's reported Medicare volume is split between hip replacements (17 cases) and knee replacements (11 cases).

Dr. Grimes is the only orthopedic surgeon in Saint Augustine represented in the current Medicare dataset, serving as the primary local option for patients considering joint replacement surgery in the area.

Dr. Grimes's Medicare data spans 10 years, beginning in 2013. Volume peaked at 209 procedures in 2016 before settling at 28 in the most recent data. Changes in Medicare reporting, payer mix shifts, or practice focus adjustments can all influence year-to-year volume.

Dr. Grimes's 17 hip replacement procedures is below the national average of 36 among 4,526 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.

Verified Medicare Cases

Hip Replacement
17 verified cases
#231 in Florida
Knee Replacement
11 verified cases
#404 in Florida
Estimated total: 80 – 80 procedures (all insurers)
Based on Medicare FFS representing 33–37% of national joint replacement volume
How is this estimated?

Medicare Part B fee-for-service claims represent approximately 33–37% of all joint replacements performed nationally (source: CMS data, AJRR). This range estimates the surgeon's total practice volume across all payers. The verified Medicare count above is the definitive, audited figure.

How Dr. Grimes Compares

Procedure volume compared to the Florida state average.

Hip Below Avg
17 Avg: 39
Knee Below Avg
11 Avg: 49
Dr. Grimes Florida Average

Contact & Location

Phone: 904-814-8365
1301 Plantation Island Dr S Ste 106a
Saint Augustine, FL 32080
NPI: 1689644833
Credentials: MD
Active Medicare provider (NPI verified)
20 years of practice experience
Licensed MD
Licensed surgical specialist
Board-certified orthopedic surgeon
Sports medicine specialist
Contact information available
Find Practice on Google Maps

Volume Trend Analysis

Dr. Grimes's recorded volume peaked at 209 procedures in 2016 and stood at 28 in the most recent data. Year-to-year variation can reflect changes in payer mix, practice scope, or Medicare billing patterns.

Years of Data 10
2023 Volume 28
Peak Volume 209 (2016)
Trend Declining

Hospital Affiliations & Quality

H
Hca Florida Putnam Hospital
★☆☆☆☆
Palatka, FL
Similar to national avg

Quality ratings and complication rates are hospital-level metrics from CMS Hospital Compare and do not reflect individual surgeon performance. Star ratings updated quarterly. Complication data covers a rolling 3-year period.

Hip Replacement Recovery Overview

Recovery timelines vary by patient, but here is a general overview of what to expect after hip replacement surgery:

Week 1-2 Walking with assistive device (walker or cane). Gentle range-of-motion exercises begin. Most patients can manage basic self-care.
Week 3-6 Transition to walking independently. Resume driving short distances. Physical therapy focuses on strength and balance.
Week 7-12 Return to most daily activities and light exercise. Stair climbing improves. Many patients return to desk work.
Month 4-6 Full recovery for most patients. Resume recreational activities, golf, swimming, and low-impact exercise.

Individual recovery varies based on overall health, age, and adherence to physical therapy. View full hip replacement recovery guide and product recommendations

Frequently Asked Questions About Dr. Grimes

How does Dr. Grimes's procedure volume compare to other Florida surgeons?

Dr. Grimes has performed 28 Medicare-verified joint replacement procedures. The Florida average is 72 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Grimes ranks #367 out of 509 orthopedic surgeons in Florida.

What types of joint replacement does Dr. Grimes perform?

Dr. Grimes's Medicare data shows procedures in hip replacement (17 cases) and knee replacement (11 cases).

Where is Dr. Grimes's practice located?

Dr. Grimes practices in Saint Augustine, Florida. The office is located at 1301 Plantation Island Dr S Ste 106a, Saint Augustine, FL 32080. Patients in the surrounding area can consult Dr. Grimes for joint replacement evaluation.

What does the Medicare data for Dr. Grimes represent?

The procedure counts shown are based on the most recent Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). This captures approximately 33–37% of all joint replacements performed nationally. Dr. Grimes's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 28 procedures shown here.

Has Dr. Grimes's procedure volume changed over time?

Dr. Grimes's Medicare-recorded volume peaked at 209 procedures in 2016 and was 28 in the most recent data. Volume fluctuations can reflect changes in payer mix, practice focus, or Medicare reporting rather than a change in overall surgical activity.

Does Dr. Grimes perform more than one type of joint replacement?

Yes. Dr. Grimes's Medicare data shows procedures in hip replacement (17 cases), knee replacement (11 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Grimes affiliated with?

According to CMS facility affiliation data, Dr. Grimes is affiliated with Hca Florida Putnam Hospital.

What are the quality ratings for hospitals where Dr. Grimes practices?

Hca Florida Putnam Hospital (1 out of 5 CMS stars, hip/knee complication rate similar to national average). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.

Patient Reviews & Ratings

OrthoProcedures.com focuses on verified Medicare procedure data. For patient reviews, ratings, and appointment scheduling, visit these trusted platforms:

These links lead to third-party websites. OrthoProcedures.com is not affiliated with these platforms and cannot verify the accuracy of reviews.

Cite This Data

APA: OrthoProcedures. (2026). Dr. James Grimes, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/fl/dr-james-grimes-saint-augustine.html

Link: https://orthoprocedures.com/surgeons/fl/dr-james-grimes-saint-augustine.html

Data source: CMS Medicare Part B Provider Utilization & Payment Data. Full methodology | Open Data API

Important: Rankings are based solely on Medicare procedure volume and do not reflect quality of care, patient outcomes, or procedures covered by private insurance. This data represents approximately one-third to 40% of all joint replacement procedures nationwide. Always consult with healthcare providers to make informed decisions about your care.