Dr. Adam Almaguer, MD
Dr. Adam Almaguer is a board-certified orthopedic surgeon practicing in Cary, North Carolina. A Medicare provider since 2016, Dr. Almaguer has performed 30 Medicare-verified knee replacements (#130 in North Carolina) and 13 hip replacements, for a combined total of 43 procedures.
In North Carolina, Dr. Almaguer performs below average in knee (30 vs 44 avg), below average in hip (13 vs 33 avg).
Dr. Almaguer's reported Medicare volume is split between knee replacements (30 cases) and hip replacements (13 cases).
Beyond general orthopedic surgery, Dr. Almaguer holds additional credentials in Adult Reconstructive Orthopaedic Surgery, reflecting subspecialty training that may benefit patients with complex joint conditions.
Cary is home to 7 orthopedic surgeons in the current Medicare dataset. Patients in the Cary area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Dr. Almaguer first appears in the Medicare dataset in 2023. With 1 year of recorded data, the longitudinal trend is still developing.
Dr. Almaguer's 30 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. Almaguer Compares
Procedure volume compared to the North Carolina state average.
Contact & Location
Cary, NC 27518
Verified Case Volume Trends (2013-Current)
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.
Rehabilitation Roadmap: Your Complete Recovery GuideA structured physical therapy progression from the first post-op exercises through full strength and mobility restoration over 3 to 6 months.
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. Almaguer
How does Dr. Almaguer's procedure volume compare to other North Carolina surgeons?
Dr. Almaguer has performed 43 Medicare-verified joint replacement procedures. The North Carolina average is 63 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Almaguer ranks #163 out of 294 orthopedic surgeons in North Carolina.
What types of joint replacement does Dr. Almaguer perform?
Dr. Almaguer's Medicare data shows procedures in knee replacement (30 cases) and hip replacement (13 cases).
Are there other orthopedic surgeons near Dr. Almaguer in Cary?
Yes. There are 7 orthopedic surgeons in Cary 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 North Carolina surgeons.
What does the Medicare data for Dr. Almaguer 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. Almaguer's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 43 procedures shown here.
Does Dr. Almaguer perform more than one type of joint replacement?
Yes. Dr. Almaguer's Medicare data shows procedures in knee replacement (30 cases), hip replacement (13 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Almaguer affiliated with?
According to CMS facility affiliation data, Dr. Almaguer is affiliated with Rex Hospital.
How does Dr. Almaguer compare to other orthopedic surgeons in Cary?
Among the 7 orthopedic surgeons in Cary, Dr. Almaguer ranks #4 by total Medicare procedure volume. The highest-volume surgeon in Cary has 56 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Almaguer practices?
Rex Hospital (5 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 Cary, North Carolina
Dr. Almaguer's 43 Medicare procedures are above the Cary average of 40. The table below compares verified procedure volumes for orthopedic surgeons practicing in Cary.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Demetri Economedes | 56 | Hip, Knee |
| Dr. Stephen Struble | 55 | Hip, Knee |
| Dr. William Andersen | 53 | Knee |
| Dr. Arvind Narayanan | 37 | Hip, Knee |
| Dr. Raymond Carroll | 27 | Shoulder |
| Dr. Edouard Armour | 12 | Knee |
Patient Reviews & Ratings
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