Dr. Clayton Nuelle, M.D.
Contact & Location
573-882-2663
Columbia, MO 65212
New Braunfels, TX 78130
San Antonio, TX 78258
San Antonio, TX 78216
About Dr. Nuelle
Practice. Dr. Clayton Nuelle is a board-certified orthopedic surgeon practicing in Columbia, Missouri. The latest annual CMS data records 11 knee replacements. That is #166 in Missouri for knee replacement. A Medicare provider since 2009.
Trend. Dr. Nuelle first appears in the Medicare data in 2020. With 2 years on record, the trend is still short.
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. Columbia has 18 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.
Verified Case Volume
Verified Medicare data is available for 2 years: 20 procedures in 2020 and 11 procedures in the most recent reporting year. A multi-year trend chart is shown once at least 3 years of data are available.
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. Nuelle Compares
Procedure volume compared to the Missouri state average.
Volume Trend Analysis
Dr. Nuelle has 2 years of Medicare procedure data beginning in 2020. Additional years of data will provide a clearer picture of volume trends.
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. Nuelle
How does Dr. Nuelle's procedure volume compare to other Missouri surgeons?
Dr. Nuelle has performed 11 Medicare-verified joint replacement procedures. The Missouri average is 59 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Nuelle ranks #202 out of 204 orthopedic surgeons in Missouri.
What types of joint replacement does Dr. Nuelle perform?
Dr. Nuelle'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. Nuelle in Columbia?
Yes. There are 18 orthopedic surgeons in Columbia 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 Missouri surgeons.
What does the Medicare data for Dr. Nuelle 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. Nuelle'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.
Which hospitals is Dr. Nuelle affiliated with?
According to CMS facility affiliation data, Dr. Nuelle is affiliated with University Of Missouri Health Care.
How does Dr. Nuelle compare to other orthopedic surgeons in Columbia?
Among the 18 orthopedic surgeons in Columbia, Dr. Nuelle ranks #18 by total Medicare procedure volume. The highest-volume surgeon in Columbia has 209 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Nuelle practices?
University Of Missouri Health Care (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.
Other Orthopedic Surgeons in Columbia, Missouri
Dr. Nuelle's 11 Medicare procedures are below the Columbia average of 120. The table below compares verified procedure volumes for orthopedic surgeons practicing in Columbia.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Samuel Thompson | 209 | Hip, Knee |
| Dr. Alexander Wendling | 140 | Hip, Knee |
| Dr. Alan Anz | 138 | Hip, Knee |
| Dr. Kurt Bormann | 137 | Shoulder |
| Dr. Thomas Aleto | 125 | Hip, Knee |
| Dr. James Keeney | 77 | 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.