#16 Shoulder
#53 Knee
#197 Hip

Dr. James Guerra, MD

Orthopedic Surgery
174 procedures 3 hospitals Naples, FL
Latest available Medicare data — updated April 2026
Rising Star Top 10% Nationally
Knee replacement recovery kit Ice machines, mobility aids, bathroom safety — under $50 essentials
National Comparison by Procedure
Hip 21 vs 36 avg (4,526 surgeons)
Knee 89 vs 45 avg (6,720 surgeons)
Shoulder 64 vs 28 avg (2,092 surgeons)

Dr. James Guerra is a board-certified orthopedic surgeon practicing in Naples, Florida. A Medicare provider since 2006, Dr. Guerra has completed 89 knee replacements (#53 in Florida), 64 shoulder replacements, and 21 hip replacements, totaling 174 Medicare-verified procedures.

In Florida, Dr. Guerra performs above average in knee (89 vs 49 avg), above average in shoulder (64 vs 34 avg), below average in hip (21 vs 39 avg).

Dr. Guerra performs all three major joint replacement procedures — hip, knee, and shoulder — indicating a broad scope of orthopedic practice. The largest share is knee replacements (89 cases), followed by shoulder replacements (64) and hip replacements (21).

Naples is home to 15 orthopedic surgeons in the current Medicare dataset. Patients in the Naples area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Medicare records for Dr. Guerra extend back to 2013, covering 11 years of data. Over that period, recorded procedure volume increased from 127 to 174 in the most recent data, a 37% increase. This sustained growth reflects an expanding joint replacement practice.

Among 6,720 knee replacement surgeons tracked nationally, Dr. Guerra's 89 verified procedures is above the national average of 45.

Verified Medicare Cases

Knee Replacement
89 verified cases
#53 in Florida
Shoulder Replacement
64 verified cases
#16 in Florida
Hip Replacement
21 verified cases
#197 in Florida
Estimated total: 470 – 530 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. Guerra Compares

Procedure volume compared to the Florida state average.

Hip Below Avg
21 Avg: 39
Knee High
89 Avg: 49
Shoulder High
64 Avg: 34
Dr. Guerra Florida Average

Contact & Location

Phone: 239-593-3500
1706 Medical Blvd
Naples, FL 34110
NPI: 1437114592
Credentials: MD
Active Medicare provider (NPI verified)
20 years of practice experience
Licensed MD
Licensed surgical specialist
Board-certified orthopedic surgeon
Contact information available
Find Practice on Google Maps

Volume Trend Analysis

Dr. Guerra's Medicare-recorded procedure volume has trended upward over 11 years, increasing 37% from 127 procedures in 2013 to 174 in the most recent data.

Years of Data 11
2023 Volume 174
Peak Volume 189 (2019)
Trend Growing

Hospital Affiliations & Quality

H
Physicians Regional Medical Center - Pine Ridge
★☆☆☆☆
Naples, FL
Similar to national avg
H
Naples Community Hospital
★★★☆☆
Naples, FL
Similar to national avg
H
Lee Memorial Hospital
★★★★☆
Fort Myers, 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.

Knee Replacement Recovery Overview

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

Week 1-2 Walking with assistive device. Knee bending exercises begin immediately. Ice therapy and elevation for swelling control.
Week 3-6 Increased range of motion (target 90 degrees). Walking longer distances. Physical therapy intensifies with strengthening exercises.
Week 7-12 Most patients walk without assistive devices. Resume driving and desk work. Continue PT for strength and flexibility.
Month 4-6 Near-full recovery. Resume most recreational activities. Some swelling and stiffness may persist but continues improving.

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

Frequently Asked Questions About Dr. Guerra

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

Dr. Guerra has performed 174 Medicare-verified joint replacement procedures. This is more than 2x the Florida average of 72 procedures per surgeon. Dr. Guerra ranks #40 out of 509 orthopedic surgeons in Florida.

What types of joint replacement does Dr. Guerra perform?

Dr. Guerra performs all three major joint replacement procedures: knee replacement (89 cases), shoulder replacement (64 cases), hip replacement (21 cases). This breadth indicates a comprehensive orthopedic joint replacement practice.

Are there other orthopedic surgeons near Dr. Guerra in Naples?

Yes. There are 15 orthopedic surgeons in Naples in the current Medicare dataset. Patients can compare procedure volumes and specializations to choose the surgeon who best fits their needs. Use the state page to view all Florida surgeons.

What does the Medicare data for Dr. Guerra 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. Guerra's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 174 procedures shown here.

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

Yes. Dr. Guerra's Medicare-recorded volume has increased from 127 procedures in 2013 to 174 in the most recent data, a 37% increase over 11 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 189 procedures in 2019.

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

Yes. Dr. Guerra's Medicare data shows procedures in knee replacement (89 cases), shoulder replacement (64 cases), hip replacement (21 cases). Performing all three major joint replacements places Dr. Guerra among the 5% of orthopedic surgeons nationally who cover hip, knee, and shoulder arthroplasty.

Which hospitals is Dr. Guerra affiliated with?

According to CMS facility affiliation data, Dr. Guerra is affiliated with Physicians Regional Medical Center - Pine Ridge, Naples Community Hospital, Lee Memorial Hospital.

How does Dr. Guerra compare to other orthopedic surgeons in Naples?

Among the 15 orthopedic surgeons in Naples, Dr. Guerra ranks #4 by total Medicare procedure volume. The highest-volume surgeon in Naples has 341 verified Medicare procedures.

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

Physicians Regional Medical Center - Pine Ridge (1 out of 5 CMS stars, hip/knee complication rate similar to national average); Naples Community Hospital (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Lee Memorial Hospital (4 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.

Other Orthopedic Surgeons in Naples, Florida

Dr. Guerra's 174 Medicare procedures are below the Naples average of 230. The table below compares verified procedure volumes for orthopedic surgeons practicing in Naples.

SurgeonProceduresSpecialties
Dr. Henry Biggs 341 Hip, Knee
Dr. Howard Kapp 325 Hip, Knee
Dr. Jon Dounchis 308 Hip, Knee, Shoulder
Dr. Robert Zehr 161 Hip, Knee
Dr. Leon Mead 156 Hip, Knee
Dr. Steven Goldberg 147 Shoulder

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 Guerra, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/fl/dr-james-guerra-naples.html

Link: https://orthoprocedures.com/surgeons/fl/dr-james-guerra-naples.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.