Dr. Josiah Duke, M.D.
Contact & Location
252-757-2663
Greenville, NC 27834
About Dr. Duke
Dr. Josiah Duke is a board-certified orthopedic surgeon practicing in Greenville, North Carolina. A Medicare provider since 2005, Dr. Duke performed 16 Medicare-verified knee replacements (#188 in North Carolina) and 15 hip replacements in the latest annual CMS data, for a combined total of 31 procedures.
In North Carolina, Dr. Duke performs below the state average in knee (16 vs 44), below the state average in hip (15 vs 33).
Dr. Duke's reported Medicare volume is split between knee replacements (16 cases) and hip replacements (15 cases).
Greenville is home to 7 orthopedic surgeons in the current Medicare dataset. Patients in the Greenville area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Dr. Duke's Medicare data spans 12 years, beginning in 2013. Volume peaked at 56 procedures in 2019 before settling at 31 in the most recent data. Changes in Medicare reporting, payer mix shifts, or practice focus adjustments can all influence year-to-year volume.
Dr. Duke'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 Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 16 | 17 |
| 2014 | 16 | 26 |
| 2015 | 27 | 21 |
| 2016 | 19 | 30 |
| 2017 | 23 | 28 |
| 2018 | 22 | 27 |
| 2019 | 24 | 32 |
| 2020 | 16 | 17 |
| 2021 | 22 | 22 |
| 2022 | 14 | 19 |
| 2023 | 14 | 19 |
| 2024 | 15 | 16 |
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. Duke Compares
Procedure volume compared to the North Carolina state average.
Volume Trend Analysis
Dr. Duke's recorded volume peaked at 56 procedures in 2019 and stood at 31 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.
Pain Management After Joint ReplacementA comprehensive guide to managing post-surgical pain through medication, physical therapy, cold therapy, and non-pharmacological strategies.
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. Duke
How does Dr. Duke's procedure volume compare to other North Carolina surgeons?
Dr. Duke 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. Duke ranks #189 out of 293 orthopedic surgeons in North Carolina.
What types of joint replacement does Dr. Duke perform?
Dr. Duke's Medicare data shows procedures in knee replacement (16 cases) and hip replacement (15 cases).
Are there other orthopedic surgeons near Dr. Duke in Greenville?
Yes. There are 7 orthopedic surgeons in Greenville 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. Duke 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. Duke's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 31 procedures shown here.
Has Dr. Duke's procedure volume changed over time?
Dr. Duke's Medicare-recorded volume peaked at 56 procedures in 2019 and was 31 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. Duke perform more than one type of joint replacement?
Yes. Dr. Duke'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. Duke affiliated with?
According to CMS facility affiliation data, Dr. Duke is affiliated with Ecu Health Medical Center, Vidant Edgecombe Hospital, Ecu Health Bertie Hospital, Vidant Roanoke Chowan Hospital, Unc Lenoir Health Care.
How does Dr. Duke compare to other orthopedic surgeons in Greenville?
Among the 7 orthopedic surgeons in Greenville, Dr. Duke ranks #6 by total Medicare procedure volume. The highest-volume surgeon in Greenville has 137 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Duke practices?
Ecu Health Medical Center (2 out of 5 CMS stars, hip/knee complication rate similar to national average); Vidant Edgecombe Hospital (2 out of 5 CMS stars, insufficient case volume for complication rate comparison); Ecu Health Bertie Hospital (5 out of 5 CMS stars). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in Greenville, North Carolina
Dr. Duke's 31 Medicare procedures are below the Greenville average of 50. The table below compares verified procedure volumes for orthopedic surgeons practicing in Greenville.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Christopher Hasty | 137 | Hip, Knee, Shoulder |
| Dr. Anthony Skalak | 52 | Hip, Knee |
| Dr. Philip Perdue | 40 | Knee |
| Dr. Christopher McDowell | 36 | Knee, Shoulder |
| Dr. Jeffrey Garrett | 34 | Hip, Knee |
| Dr. Shawn Yeazell | 22 | Shoulder |
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.