Dr. David Ivance, M.D.
Contact & Location
507-451-1120
Owatonna, MN 55060
About Dr. Ivance
Practice. Dr. David Ivance is a board-certified orthopedic surgeon practicing in Owatonna, Minnesota. The latest annual CMS data records 11 knee replacements. That is #144 in Minnesota for knee replacement. A Medicare provider since 2006.
Trend. Medicare records run from 2013 to 2024, 11 years. Volume peaked at 34 in 2023 and stands at 11 now. Reporting changes and payer mix can both move that number.
National context. Among 6,612 knee replacement surgeons tracked nationally, 11 procedures is below the national average of 45. Medicare covers part of all joint replacements, so true volume is likely higher.
Local context. Owatonna has 2 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 0 | 23 |
| 2014 | 0 | 14 |
| 2015 | 0 | 11 |
| 2016 | 0 | 14 |
| 2017 | 0 | 0 |
| 2018 | 0 | 21 |
| 2019 | 0 | 27 |
| 2020 | 0 | 21 |
| 2021 | 0 | 23 |
| 2022 | 0 | 28 |
| 2023 | 11 | 23 |
| 2024 | 0 | 11 |
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. 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. Ivance Compares
Procedure volume compared to the Minnesota state average.
Volume Trend Analysis
Dr. Ivance's recorded volume peaked at 34 procedures in 2023 and stood at 11 in the most recent data. Year-to-year variation can reflect changes in payer mix, practice scope, or Medicare billing patterns.
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.
What to Expect on the Day of SurgeryA step-by-step walkthrough of your surgical day, from pre-op preparation through anesthesia, the procedure itself, and the first hours of recovery.
Pain Management After Joint ReplacementA comprehensive guide to managing post-surgical pain through medication, physical therapy, cold therapy, and non-pharmacological strategies.
Medicare Coverage for Joint ReplacementWhat Medicare Part A and Part B cover for joint replacement surgery, including hospital stays, surgeon fees, anesthesia, and physical therapy.
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. Ivance
How does Dr. Ivance's procedure volume compare to other Minnesota surgeons?
Dr. Ivance has performed 11 Medicare-verified joint replacement procedures. The Minnesota average is 43 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Ivance ranks #186 out of 187 orthopedic surgeons in Minnesota.
What types of joint replacement does Dr. Ivance perform?
Dr. Ivance's reported Medicare volume is focused on knee replacement, with 11 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
Are there other orthopedic surgeons near Dr. Ivance in Owatonna?
Yes. There are 2 orthopedic surgeons in Owatonna 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 Minnesota surgeons.
What does the Medicare data for Dr. Ivance 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, which puts Dr. Ivance's total volume across all insurers at roughly 40 to 50 procedures against the 11 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. Ivance's procedure volume changed over time?
Dr. Ivance's Medicare-recorded volume peaked at 34 procedures in 2023 and was 11 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.
Which hospitals is Dr. Ivance affiliated with?
According to CMS facility affiliation data, Dr. Ivance is affiliated with Owatonna Hospital, Mayo Clinic Health System-Waseca, Allina Health Faribault Medical Center, Mayo Clinic Health System - Mankato.
What are the quality ratings for hospitals where Dr. Ivance practices?
Owatonna Hospital (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Allina Health Faribault Medical Center (insufficient case volume for complication rate comparison). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in Owatonna, Minnesota
Dr. Ivance's 11 Medicare procedures are below the Owatonna average of 23. The table below compares verified procedure volumes for orthopedic surgeons practicing in Owatonna.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Scott Perkinson | 34 | 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.