Knee
Dr. Robert Royalty, MD
Dr. Robert Royalty is a board-certified orthopedic surgeon practicing in Prestonsburg, Kentucky. A Medicare provider since 2008, Dr. Royalty has performed 26 Medicare-verified knee replacements, ranking #64 in Kentucky.
In Kentucky, Dr. Royalty performs below average in knee (26 vs 44 avg).
Dr. Royalty's Medicare data shows a focused knee replacement practice with 26 verified procedures. Surgeons who concentrate on a single procedure type often develop deep procedural expertise, though total practice volume may include additional procedures not captured in Medicare fee-for-service data.
Dr. Royalty is the only orthopedic surgeon in Prestonsburg represented in the current Medicare dataset, serving as the primary local option for patients considering joint replacement surgery in the area.
Medicare records for Dr. Royalty extend back to 2015, covering 9 years of data. Over that period, recorded procedure volume increased from 16 to 26 in the most recent data, a 63% increase. This sustained growth reflects an expanding joint replacement practice.
Dr. Royalty's 26 knee replacement procedures is below the national average of 45 among 6,720 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.
Verified Medicare Cases
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. Royalty Compares
Procedure volume compared to the Kentucky state average.
Contact & Location
Prestonsburg, KY 41653
Verified Case Volume Trends (2013-Current)
Volume Trend Analysis
Dr. Royalty's Medicare-recorded procedure volume has trended upward over 9 years, increasing 63% from 16 procedures in 2015 to 26 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.
Questions to Ask Your Surgeon Before Joint ReplacementA practical checklist of questions covering experience, technique, hospital choice, and recovery expectations to discuss during your surgical consultation.
Recovery Timeline: Week-by-Week ExpectationsA detailed week-by-week guide covering pain levels, mobility milestones, physical therapy progression, and when to expect a return to daily activities.
Outpatient Joint Replacement: A Medicare GuideHow outpatient joint replacement works under Medicare, including eligibility criteria, cost differences, and what to expect with same-day discharge.
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. Royalty
How does Dr. Royalty's procedure volume compare to other Kentucky surgeons?
Dr. Royalty has performed 26 Medicare-verified joint replacement procedures. The Kentucky average is 61 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Royalty ranks #96 out of 128 orthopedic surgeons in Kentucky.
What types of joint replacement does Dr. Royalty perform?
Dr. Royalty's reported Medicare volume is focused on knee replacement, with 26 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
Where is Dr. Royalty's practice located?
Dr. Royalty practices in Prestonsburg, Kentucky. The office is located at 5000 Ky Route 321, Prestonsburg, KY 41653. Patients in the surrounding area can consult Dr. Royalty for joint replacement evaluation.
What does the Medicare data for Dr. Royalty 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. Royalty's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 26 procedures shown here.
Has Dr. Royalty's procedure volume changed over time?
Yes. Dr. Royalty's Medicare-recorded volume has increased from 16 procedures in 2015 to 26 in the most recent data, a 63% increase over 9 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 35 procedures in 2019.
Which hospitals is Dr. Royalty affiliated with?
According to CMS facility affiliation data, Dr. Royalty is affiliated with Highlands Arh Regional Medical Center, King'S Daughters' Medical Center.
What are the quality ratings for hospitals where Dr. Royalty practices?
Highlands Arh Regional Medical Center (2 out of 5 CMS stars, insufficient case volume for complication rate comparison); King'S Daughters' Medical Center (3 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
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