Dr. Adam Cien, D.O.
Contact & Location
574-247-9441
South Bend, IN 46635
Mishawaka, IN 46544
Plymouth, IN 46563
Elkhart, IN 46514
Dr. Cien performs more knee replacement procedures than 92% of orthopedic surgeons in Indiana, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #14 of 188 ranked knee surgeons in Indiana.
About Dr. Cien
Practice. Dr. Adam Cien is a board-certified orthopedic surgeon practicing in South Bend, Indiana. The latest annual CMS data records 83 knee replacements and 57 hip replacements, 140 procedures in all. That is #14 in Indiana for knee replacement. A Medicare provider since 2012.
Trend. Medicare records run from 2018 to 2024, 7 years. Volume rose from 11 procedures a year to 140, up 1173%.
National context. Among 6,612 knee replacement surgeons tracked nationally, 83 procedures is above the national average of 45.
Local context. South Bend has 14 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist. Dr. Cien also holds hospital privileges in IN and MI, a practice that extends beyond Indiana.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 0 | 0 |
| 2014 | 0 | 0 |
| 2015 | 0 | 0 |
| 2016 | 0 | 0 |
| 2017 | 0 | 0 |
| 2018 | 0 | 11 |
| 2019 | 34 | 47 |
| 2020 | 49 | 57 |
| 2021 | 49 | 68 |
| 2022 | 48 | 71 |
| 2023 | 49 | 75 |
| 2024 | 57 | 83 |
Verified Medicare Cases
How is this estimated?
Medicare Part B fee-for-service claims are one payer stream among several, and the share they represent differs by procedure. In 2024 it was 23% to 28% for knee replacement, 25% to 33% for hip replacement. Each verified count above is divided by its own procedure's range, and the results are added, to estimate total practice volume across all payers. The verified Medicare count is the definitive, audited figure; this is a range derived from published national volume projections, not a measurement, and an individual practice can sit well outside it: how these ranges are derived, and their sources.
How Dr. Cien Compares
Procedure volume compared to the Indiana state average.
Volume Trend Analysis
Dr. Cien's Medicare-recorded procedure volume has trended upward over 7 years, increasing 1173% from 11 procedures in 2018 to 140 in the most recent data.
Hospital Affiliations & Quality
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.
Patient Resources: Preparing for Knee Replacement
If you are considering knee replacement surgery, these evidence-based guides can help you prepare and recover:
An overview of current surgical approaches including robotic-assisted and minimally invasive techniques, implant options, and expected outcomes.
Prehabilitation: Preparing Your Body for SurgeryEvidence-based exercises and lifestyle adjustments that can improve surgical outcomes and speed recovery when started weeks before your procedure.
Home Safety: Creating Your Recovery SanctuaryRoom-by-room modifications, equipment recommendations, and fall-prevention strategies to prepare your home for a safe post-surgical recovery.
Medicare Bundled Payment Programs for Joint ReplacementHow bundled payment models affect your joint replacement costs and care coordination, and what it means for hospital and surgeon selection.
Knee Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:
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. Cien
How does Dr. Cien's procedure volume compare to other Indiana surgeons?
Dr. Cien has performed 140 Medicare-verified joint replacement procedures. This is more than 2x the Indiana average of 60 procedures per surgeon. Dr. Cien ranks #16 out of 224 orthopedic surgeons in Indiana.
What types of joint replacement does Dr. Cien perform?
Dr. Cien's Medicare data shows procedures in knee replacement (83 cases) and hip replacement (57 cases).
How experienced is Dr. Cien with knee replacement surgery?
Dr. Cien ranks #14 in Indiana for knee replacement with 83 Medicare-verified procedures. This high ranking among 224 state surgeons indicates significant experience with this specific procedure.
Are there other orthopedic surgeons near Dr. Cien in South Bend?
Yes. There are 14 orthopedic surgeons in South Bend 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 Indiana surgeons.
What does the Medicare data for Dr. Cien represent?
The procedure counts shown are based on 2024 Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). Medicare fee-for-service is only one payer stream, and the share of national volume it represents differs by procedure. In 2024 the share was 23% to 28% for knee replacement, 25% to 33% for hip replacement, which puts Dr. Cien's total volume across all insurers at roughly 470 to 590 procedures against the 140 verified here. Those shares are derived from published national volume projections rather than quoted from a single publication, and they are estimates with real uncertainty. The OrthoProcedures methodology page shows the full derivation, the sources, and the limits at orthoprocedures.com/data-methodology.html.
Has Dr. Cien's procedure volume changed over time?
Yes. Dr. Cien's Medicare-recorded volume has increased from 11 procedures in 2018 to 140 in the most recent data, a 1173% increase over 7 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 140 procedures in 2024.
Does Dr. Cien perform more than one type of joint replacement?
Yes. Dr. Cien's Medicare data shows procedures in knee replacement (83 cases), hip replacement (57 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Cien affiliated with?
According to CMS facility affiliation data, Dr. Cien is affiliated with Unity Physicians Hospital, Saint Joseph Regional Medical Center, Saint Joseph Regional Medical Center - Plymouth, Corewell Health Lakeland Hospitals St Joseph Hospi, Franciscan Health Michigan City. Dr. Cien maintains hospital privileges across state lines, indicating a practice that serves patients in multiple states.
How does Dr. Cien compare to other orthopedic surgeons in South Bend?
Among the 14 orthopedic surgeons in South Bend, Dr. Cien ranks #2 by total Medicare procedure volume. Dr. Cien is among the highest-volume surgeons in South Bend.
What are the quality ratings for hospitals where Dr. Cien practices?
Unity Physicians Hospital (hip/knee complication rate similar to national average); Saint Joseph Regional Medical Center (2 out of 5 CMS stars, hip/knee complication rate similar to national average); Saint Joseph Regional Medical Center - Plymouth (3 out of 5 CMS stars). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in South Bend, Indiana
Dr. Cien's 140 Medicare procedures are above the South Bend average of 109. The table below compares verified procedure volumes for orthopedic surgeons practicing in South Bend.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Jeffrey Yergler | 269 | Hip, Knee |
| Dr. Henry Kim | 86 | Hip, Knee |
| Dr. Brian Ratigan | 84 | Knee, Shoulder |
| Dr. Gregg Ebersole | 76 | Hip, Knee |
| Dr. Joseph Statz | 54 | Hip, Knee |
| Dr. James Sieradzki | 51 | Hip, Knee |
Patient Resources & Verification
Research reviews, verify credentials, and check official quality data through these trusted sources:
Medicare Care Compare and NPI Registry are official U.S. government sources. Google reviews reflect user-submitted feedback. OrthoProcedures.com does not verify the accuracy of third-party review content.