#54 Shoulder
#94 Knee

Dr. Louis Almekinders, MD

Orthopedic Surgery
55 procedures Durham, NC
Latest available Medicare data — updated April 2026
Rising Star
Knee replacement recovery kit Ice machines, mobility aids, bathroom safety — under $50 essentials
National Comparison by Procedure
Knee 41 vs 45 avg (6,720 surgeons)
Shoulder 14 vs 28 avg (2,092 surgeons)

Dr. Louis Almekinders is a board-certified orthopedic surgeon practicing in Durham, North Carolina. A Medicare provider since 2006, Dr. Almekinders has performed 41 Medicare-verified knee replacements (#94 in North Carolina) and 14 shoulder replacements, for a combined total of 55 procedures.

In North Carolina, Dr. Almekinders performs near average in knee (41 vs 44 avg), below average in shoulder (14 vs 26 avg).

Dr. Almekinders's practice is heavily focused on knee replacement surgery, which accounts for 75% of reported Medicare volume.

Durham is home to 19 orthopedic surgeons in the current Medicare dataset. Patients in the Durham area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Medicare records for Dr. Almekinders extend back to 2015, covering 9 years of data. Over that period, recorded procedure volume increased from 13 to 55 in the most recent data, a 323% increase. This sustained growth reflects an expanding joint replacement practice.

Among 6,720 knee replacement surgeons tracked nationally, Dr. Almekinders's 41 verified procedures is near the national average of 45.

Verified Medicare Cases

Knee Replacement
41 verified cases
#94 in North Carolina
Shoulder Replacement
14 verified cases
#54 in North Carolina
Estimated total: 150 – 170 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. Almekinders Compares

Procedure volume compared to the North Carolina state average.

Knee Average
41 Avg: 44
Shoulder Below Avg
14 Avg: 26
Dr. Almekinders North Carolina Average

Contact & Location

Phone: 919-471-9622
3609 Sw Durham Dr
Durham, NC 27707
NPI: 1184723959
Credentials: MD
Active Medicare provider (NPI verified)
20 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. Almekinders's Medicare-recorded procedure volume has trended upward over 9 years, increasing 323% from 13 procedures in 2015 to 55 in the most recent data.

Years of Data 9
2023 Volume 55
Peak Volume 55 (2023)
Trend Growing

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. Almekinders

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

Dr. Almekinders has performed 55 Medicare-verified joint replacement procedures. This is in line with the North Carolina average of 63 procedures per surgeon. Dr. Almekinders ranks #128 out of 294 orthopedic surgeons in North Carolina.

What types of joint replacement does Dr. Almekinders perform?

Dr. Almekinders's Medicare data shows procedures in knee replacement (41 cases) and shoulder replacement (14 cases).

Are there other orthopedic surgeons near Dr. Almekinders in Durham?

Yes. There are 19 orthopedic surgeons in Durham 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. Almekinders 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. Almekinders's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 55 procedures shown here.

Has Dr. Almekinders's procedure volume changed over time?

Yes. Dr. Almekinders's Medicare-recorded volume has increased from 13 procedures in 2015 to 55 in the most recent data, a 323% increase over 9 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 55 procedures in 2023.

Does Dr. Almekinders perform more than one type of joint replacement?

Yes. Dr. Almekinders's Medicare data shows procedures in knee replacement (41 cases), shoulder replacement (14 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

How does Dr. Almekinders compare to other orthopedic surgeons in Durham?

Among the 19 orthopedic surgeons in Durham, Dr. Almekinders ranks #8 by total Medicare procedure volume. The highest-volume surgeon in Durham has 146 verified Medicare procedures.

Other Orthopedic Surgeons in Durham, North Carolina

Dr. Almekinders's 55 Medicare procedures are below the Durham average of 94. The table below compares verified procedure volumes for orthopedic surgeons practicing in Durham.

SurgeonProceduresSpecialties
Dr. Michael Bolognesi 146 Hip, Knee
Dr. Samuel Wellman 124 Hip, Knee
Dr. Richard Rutherford 113 Hip, Knee
Dr. Adam Brekke 79 Hip, Knee
Dr. Michael Merz 74 Hip, Knee
Dr. Christopher Klifto 66 Shoulder

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. Louis Almekinders, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/nc/dr-louis-almekinders-durham.html

Link: https://orthoprocedures.com/surgeons/nc/dr-louis-almekinders-durham.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.