#191 in North Carolina
Knee

Dr. Brian Pienkos, MD

Orthopedic Surgery
19 procedures 1 hospital Rutherfordton, NC
Latest available Medicare data — updated April 2026
Knee replacement recovery kit Ice machines, mobility aids, bathroom safety — under $50 essentials
National Comparison by Procedure
Knee 19 vs 45 avg (6,720 surgeons)

Dr. Brian Pienkos is a board-certified orthopedic surgeon practicing in Rutherfordton, North Carolina. A Medicare provider since 2007, Dr. Pienkos has performed 19 Medicare-verified knee replacements, ranking #191 in North Carolina.

In North Carolina, Dr. Pienkos performs below average in knee (19 vs 44 avg).

Dr. Pienkos's Medicare data shows a focused knee replacement practice with 19 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.

Beyond general orthopedic surgery, Dr. Pienkos holds additional credentials in General Practice, reflecting subspecialty training that may benefit patients with complex joint conditions.

Rutherfordton is home to 3 orthopedic surgeons in the current Medicare dataset. Patients in the Rutherfordton area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Dr. Pienkos first appears in the Medicare dataset in 2022. With 2 years of recorded data, the longitudinal trend is still developing.

Dr. Pienkos's 19 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

Knee Replacement
19 verified cases
#191 in North Carolina
Estimated total: 50 – 60 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. Pienkos Compares

Procedure volume compared to the North Carolina state average.

Knee Below Avg
19 Avg: 44
Dr. Pienkos North Carolina Average

Contact & Location

Phone: 828-287-9260
139 Doctor Henry Norris Dr
Rutherfordton, NC 28139
NPI: 1376759811
Credentials: MD
Active Medicare provider (NPI verified)
19 years of practice experience
Licensed MD
Licensed surgical specialist
Board-certified orthopedic surgeon
Contact information available
Find Practice on Google Maps

Volume Trend Analysis

Dr. Pienkos has 2 years of Medicare procedure data beginning in 2022. Additional years of data will provide a clearer picture of volume trends.

Years of Data 2
2023 Volume 19
Peak Volume 19 (2023)
Trend Developing

Hospital Affiliations & Quality

H
Rutherford Regional Medical Center
★★★☆☆
Rutherfordton, 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.

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. Pienkos

How does Dr. Pienkos's procedure volume compare to other North Carolina surgeons?

Dr. Pienkos has performed 19 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. Pienkos ranks #240 out of 294 orthopedic surgeons in North Carolina.

What types of joint replacement does Dr. Pienkos perform?

Dr. Pienkos's reported Medicare volume is focused on knee replacement, with 19 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.

Are there other orthopedic surgeons near Dr. Pienkos in Rutherfordton?

Yes. There are 3 orthopedic surgeons in Rutherfordton 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. Pienkos 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. Pienkos's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 19 procedures shown here.

Which hospitals is Dr. Pienkos affiliated with?

According to CMS facility affiliation data, Dr. Pienkos is affiliated with Rutherford Regional Medical Center.

How does Dr. Pienkos compare to other orthopedic surgeons in Rutherfordton?

Among the 3 orthopedic surgeons in Rutherfordton, Dr. Pienkos ranks #3 by total Medicare procedure volume. Dr. Pienkos is among the highest-volume surgeons in Rutherfordton.

What are the quality ratings for hospitals where Dr. Pienkos practices?

Rutherford Regional 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.

Other Orthopedic Surgeons in Rutherfordton, North Carolina

Dr. Pienkos's 19 Medicare procedures are below the Rutherfordton average of 46. The table below compares verified procedure volumes for orthopedic surgeons practicing in Rutherfordton.

SurgeonProceduresSpecialties
Dr. Michael Roberts 68 Hip, Knee
Dr. Charles Bond 50 Hip, Knee

Patient Reviews & Ratings

OrthoProcedures.com focuses on verified Medicare procedure data. For patient reviews, ratings, and appointment scheduling, visit these trusted platforms:

These links lead to third-party websites. OrthoProcedures.com is not affiliated with these platforms and cannot verify the accuracy of reviews.

Cite This Data

APA: OrthoProcedures. (2026). Dr. Brian Pienkos, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/nc/dr-brian-pienkos-rutherfordton.html

Link: https://orthoprocedures.com/surgeons/nc/dr-brian-pienkos-rutherfordton.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.