Dr. James Karegeannes, M.D.
Dr. James Karegeannes is a board-certified orthopedic surgeon practicing in Asheville, North Carolina. A Medicare provider since 2006, Dr. Karegeannes has performed 86 Medicare-verified knee replacements (#26 in North Carolina) and 49 hip replacements, for a combined total of 135 procedures.
In North Carolina, Dr. Karegeannes performs above average in knee (86 vs 44 avg), above average in hip (49 vs 33 avg).
Dr. Karegeannes's reported Medicare volume is split between knee replacements (86 cases) and hip replacements (49 cases).
Beyond general orthopedic surgery, Dr. Karegeannes holds additional credentials in Adult Reconstructive Orthopaedic Surgery, reflecting subspecialty training that may benefit patients with complex joint conditions.
Asheville is home to 15 orthopedic surgeons in the current Medicare dataset. Patients in the Asheville area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Dr. Karegeannes's Medicare data spans 11 years, beginning in 2013. Volume peaked at 183 procedures in 2014 before settling at 135 in the most recent data. Changes in Medicare reporting, payer mix shifts, or practice focus adjustments can all influence year-to-year volume.
Among 6,720 knee replacement surgeons tracked nationally, Dr. Karegeannes's 86 verified procedures is above the national average of 45.
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. Karegeannes Compares
Procedure volume compared to the North Carolina state average.
Contact & Location
Asheville, NC 28801
Verified Case Volume Trends (2013-Current)
Volume Trend Analysis
Dr. Karegeannes's recorded volume peaked at 183 procedures in 2014 and stood at 135 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.
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.
Recovery Timeline: Week-by-Week ExpectationsA detailed week-by-week guide covering pain levels, mobility milestones, physical therapy progression, and when to expect a return to daily activities.
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. Karegeannes
How does Dr. Karegeannes's procedure volume compare to other North Carolina surgeons?
Dr. Karegeannes has performed 135 Medicare-verified joint replacement procedures. This is more than 2x the North Carolina average of 63 procedures per surgeon. Dr. Karegeannes ranks #30 out of 294 orthopedic surgeons in North Carolina.
What types of joint replacement does Dr. Karegeannes perform?
Dr. Karegeannes's Medicare data shows procedures in knee replacement (86 cases) and hip replacement (49 cases).
Are there other orthopedic surgeons near Dr. Karegeannes in Asheville?
Yes. There are 15 orthopedic surgeons in Asheville 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. Karegeannes 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. Karegeannes's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 135 procedures shown here.
Has Dr. Karegeannes's procedure volume changed over time?
Dr. Karegeannes's Medicare-recorded volume peaked at 183 procedures in 2014 and was 135 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.
Does Dr. Karegeannes perform more than one type of joint replacement?
Yes. Dr. Karegeannes's Medicare data shows procedures in knee replacement (86 cases), hip replacement (49 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Karegeannes affiliated with?
According to CMS facility affiliation data, Dr. Karegeannes is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Adventhealth Hendersonville, Haywood Regional Medical Center.
How does Dr. Karegeannes compare to other orthopedic surgeons in Asheville?
Among the 15 orthopedic surgeons in Asheville, Dr. Karegeannes ranks #2 by total Medicare procedure volume. Dr. Karegeannes is among the highest-volume surgeons in Asheville.
What are the quality ratings for hospitals where Dr. Karegeannes practices?
Memorial Mission Hospital And Asheville Surgery Ce (4 out of 5 CMS stars, hip/knee complication rate similar to national average); Adventhealth Hendersonville (4 out of 5 CMS stars, insufficient case volume for complication rate comparison); Haywood 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 Asheville, North Carolina
Dr. Karegeannes's 135 Medicare procedures are above the Asheville average of 102. The table below compares verified procedure volumes for orthopedic surgeons practicing in Asheville.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Ted Barnett | 178 | Hip, Knee |
| Dr. Philip Fontenot | 94 | Hip, Knee |
| Dr. Samuel Jarrett | 80 | Hip, Knee |
| Dr. Tally Eddings | 80 | Hip, Knee |
| Dr. Richard Jones | 78 | Knee, Shoulder |
| Dr. Gregory Lavigne | 69 | Hip, Knee |
Patient Reviews & Ratings
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