#52 Shoulder
#180 Knee

Dr. Lucas Romine, MD

Orthopedic Surgery
36 procedures 2 hospitals Smithfield, 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 21 vs 45 avg (6,720 surgeons)
Shoulder 15 vs 28 avg (2,092 surgeons)

Dr. Lucas Romine is a board-certified orthopedic surgeon practicing in Smithfield, North Carolina. A Medicare provider since 2008, Dr. Romine has performed 21 Medicare-verified knee replacements (#180 in North Carolina) and 15 shoulder replacements, for a combined total of 36 procedures.

In North Carolina, Dr. Romine performs below average in knee (21 vs 44 avg), below average in shoulder (15 vs 26 avg).

Dr. Romine's reported Medicare volume is split between knee replacements (21 cases) and shoulder replacements (15 cases).

Smithfield is home to 2 orthopedic surgeons in the current Medicare dataset. Patients in the Smithfield area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Dr. Romine's Medicare data spans 8 years, beginning in 2016. Volume peaked at 67 procedures in 2019 before settling at 36 in the most recent data. Changes in Medicare reporting, payer mix shifts, or practice focus adjustments can all influence year-to-year volume.

Dr. Romine's 21 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
21 verified cases
#180 in North Carolina
Shoulder Replacement
15 verified cases
#52 in North Carolina
Estimated total: 100 – 110 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. Romine Compares

Procedure volume compared to the North Carolina state average.

Knee Below Avg
21 Avg: 44
Shoulder Below Avg
15 Avg: 26
Dr. Romine North Carolina Average

Contact & Location

Phone: 919-934-1094
540 North St
Smithfield, NC 27577
NPI: 1700046620
Credentials: MD
Active Medicare provider (NPI verified)
18 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. Romine's recorded volume peaked at 67 procedures in 2019 and stood at 36 in the most recent data. Year-to-year variation can reflect changes in payer mix, practice scope, or Medicare billing patterns.

Years of Data 8
2023 Volume 36
Peak Volume 67 (2019)
Trend Declining

Hospital Affiliations & Quality

H
Johnston Health
★★★☆☆
Smithfield, NC
Similar to national avg
H
North Carolina Specialty Hospital
Durham, 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. Romine

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

Dr. Romine has performed 36 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. Romine ranks #186 out of 294 orthopedic surgeons in North Carolina.

What types of joint replacement does Dr. Romine perform?

Dr. Romine's Medicare data shows procedures in knee replacement (21 cases) and shoulder replacement (15 cases).

Are there other orthopedic surgeons near Dr. Romine in Smithfield?

Yes. There are 2 orthopedic surgeons in Smithfield 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. Romine 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. Romine's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 36 procedures shown here.

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

Dr. Romine's Medicare-recorded volume peaked at 67 procedures in 2019 and was 36 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. Romine perform more than one type of joint replacement?

Yes. Dr. Romine's Medicare data shows procedures in knee replacement (21 cases), shoulder replacement (15 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Romine affiliated with?

According to CMS facility affiliation data, Dr. Romine is affiliated with Johnston Health, North Carolina Specialty Hospital.

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

Johnston Health (3 out of 5 CMS stars, hip/knee complication rate similar to national average); North Carolina Specialty Hospital (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 Smithfield, North Carolina

Dr. Romine's 36 Medicare procedures are above the Smithfield average of 31. The table below compares verified procedure volumes for orthopedic surgeons practicing in Smithfield.

SurgeonProceduresSpecialties
Dr. Deren Bagsby 26 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. Lucas Romine, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/nc/dr-lucas-romine-smithfield.html

Link: https://orthoprocedures.com/surgeons/nc/dr-lucas-romine-smithfield.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.