Dr. Adam Almaguer, MD

Orthopedic Surgery
31 procedures 1 hospital Cary, NC

Contact & Location

919-467-4992
Phone: 919-467-4992
Practice phone listed in the NPI registry
1120 Se Cary Pkwy Ste 100
Cary, NC 27518
NPI: 1265895676
Credentials: MD
Active Medicare provider (NPI verified)
10 years of practice experience
Licensed MD
Licensed surgical specialist
Board-certified orthopedic surgeon
Contact information available
Find Practice on Google Maps
National Comparison by Procedure
Hip 15 vs 36 national avg (4,532 surgeons)
Knee 16 vs 45 national avg (6,599 surgeons)

About Dr. Almaguer

Dr. Adam Almaguer is a board-certified orthopedic surgeon practicing in Cary, North Carolina. A Medicare provider since 2016, Dr. Almaguer performed 16 Medicare-verified knee replacements (#187 in North Carolina) and 15 hip replacements in the latest annual CMS data, for a combined total of 31 procedures.

In North Carolina, Dr. Almaguer performs below the state average in knee (16 vs 44), below the state average in hip (15 vs 33).

Dr. Almaguer's reported Medicare volume is split between knee replacements (16 cases) and hip replacements (15 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 2 years of recorded data, the longitudinal trend is still developing.

Dr. Almaguer's 16 knee replacement procedures is below the national average of 45 among 6,599 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.

Verified Medicare Cases

Knee Replacement
16 verified cases
#187 in North Carolina
Hip Replacement
15 verified cases
#136 in North Carolina
Estimated total: 80 – 90 procedures (all insurers)
Based on Medicare FFS representing 33–37% of national joint replacement volume
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.

Hip Below Avg
15 Avg: 33
Knee Below Avg
16 Avg: 44
Dr. Almaguer North Carolina Average

Volume Trend Analysis

Dr. Almaguer has 2 years of Medicare procedure data beginning in 2023. Additional years of data will provide a clearer picture of volume trends.

Years of Data 2
2024 Volume 31
Peak Volume 43 (2023)
Trend Developing

Hospital Affiliations & Quality

H
Rex Hospital
5/5
Raleigh, NC
Similar to national avg

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:

Knee Replacement Recovery Overview

Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:

Week 1-2 Walking with assistive device. Knee bending exercises begin immediately. Ice therapy and elevation for swelling control.
Week 3-6 Increased range of motion (target 90 degrees). Walking longer distances. Physical therapy intensifies with strengthening exercises.
Week 7-12 Most patients walk without assistive devices. Resume driving and desk work. Continue PT for strength and flexibility.
Month 4-6 Near-full recovery. Resume most recreational activities. Some swelling and stiffness may persist but continues improving.

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 31 Medicare-verified joint replacement procedures. The North Carolina average is 61 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Almaguer ranks #188 out of 293 orthopedic surgeons in North Carolina.

What types of joint replacement does Dr. Almaguer perform?

Dr. Almaguer's Medicare data shows procedures in knee replacement (16 cases) and hip replacement (15 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 31 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 (16 cases), hip replacement (15 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 #6 by total Medicare procedure volume. The highest-volume surgeon in Cary has 67 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 31 Medicare procedures are below the Cary average of 47. The table below compares verified procedure volumes for orthopedic surgeons practicing in Cary.

SurgeonProceduresSpecialties
Dr. Stephen Struble 67 Hip, Knee
Dr. Demetri Economedes 66 Hip, Knee
Dr. William Andersen 58 Knee
Dr. Arvind Narayanan 55 Hip, Knee
Dr. Raymond Carroll 32 Shoulder
Dr. Edouard Armour 17 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.

Cite This Data

APA: OrthoProcedures. (2026). Dr. Adam Almaguer, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/nc/dr-adam-almaguer-cary.html

Link: https://orthoprocedures.com/surgeons/nc/dr-adam-almaguer-cary.html

Data source: CMS Medicare Part B Provider Utilization & Payment Data. Full methodology | Open Data API

Important: Rankings are based solely on Medicare procedure volume and do not reflect quality of care, patient outcomes, or procedures covered by private insurance. This data represents approximately one-third to 40% of all joint replacement procedures nationwide. Always consult with healthcare providers to make informed decisions about your care.