Dr. Douglas Koch, M.D.
Contact & Location
402-436-2000
Lincoln, NE 68510
Dr. Koch performs more knee replacement procedures than 81% of orthopedic surgeons in Nebraska, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #11 of 60 ranked knee surgeons in Nebraska.
About Dr. Koch
Practice. Dr. Douglas Koch is a board-certified orthopedic surgeon practicing in Lincoln, Nebraska. The latest annual CMS data records 89 knee replacements, 71 hip replacements, and 14 shoulder replacements, 174 procedures in all. That is #11 in Nebraska for knee replacement.
Trend. Medicare records run from 2013 to 2024, 12 years. Volume rose from 81 procedures a year to 174, up 115%.
National context. Among 6,612 knee replacement surgeons tracked nationally, 89 procedures is above the national average of 45.
Local context. Lincoln has 19 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement | Shoulder Replacement |
|---|---|---|---|
| 2013 | 15 | 66 | 0 |
| 2014 | 37 | 60 | 0 |
| 2015 | 30 | 48 | 0 |
| 2016 | 37 | 77 | 0 |
| 2017 | 48 | 70 | 0 |
| 2018 | 51 | 83 | 0 |
| 2019 | 47 | 76 | 12 |
| 2020 | 53 | 51 | 0 |
| 2021 | 67 | 66 | 0 |
| 2022 | 64 | 84 | 12 |
| 2023 | 62 | 86 | 12 |
| 2024 | 71 | 89 | 14 |
Verified Medicare Cases
How is this estimated?
Medicare Part B fee-for-service claims are one payer stream among several, and the share they represent differs by procedure. In 2024 it was 23% to 28% for knee replacement, 25% to 33% for hip replacement, 29% to 37% for shoulder replacement. Each verified count above is divided by its own procedure's range, and the results are added, to estimate total practice volume across all payers. The verified Medicare count is the definitive, audited figure; this is a range derived from published national volume projections, not a measurement, and an individual practice can sit well outside it: how these ranges are derived, and their sources.
How Dr. Koch Compares
Procedure volume compared to the Nebraska state average.
Volume Trend Analysis
Dr. Koch's Medicare-recorded procedure volume has trended upward over 12 years, increasing 115% from 81 procedures in 2013 to 174 in the most recent data.
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.
Questions to Ask Your Surgeon Before Joint ReplacementA practical checklist of questions covering experience, technique, hospital choice, and recovery expectations to discuss during your surgical consultation.
Home Safety: Creating Your Recovery SanctuaryRoom-by-room modifications, equipment recommendations, and fall-prevention strategies to prepare your home for a safe post-surgical recovery.
Outpatient Joint Replacement: A Medicare GuideHow outpatient joint replacement works under Medicare, including eligibility criteria, cost differences, and what to expect with same-day discharge.
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. Koch
How does Dr. Koch's procedure volume compare to other Nebraska surgeons?
Dr. Koch has performed 174 Medicare-verified joint replacement procedures. This is more than 2x the Nebraska average of 81 procedures per surgeon. Dr. Koch ranks #7 out of 72 orthopedic surgeons in Nebraska.
What types of joint replacement does Dr. Koch perform?
Dr. Koch performs all three major joint replacement procedures: knee replacement (89 cases), hip replacement (71 cases), shoulder replacement (14 cases). This breadth indicates a comprehensive orthopedic joint replacement practice.
How experienced is Dr. Koch with knee replacement surgery?
Dr. Koch ranks #11 in Nebraska for knee replacement with 89 Medicare-verified procedures. This high ranking among 72 state surgeons indicates significant experience with this specific procedure.
Are there other orthopedic surgeons near Dr. Koch in Lincoln?
Yes. There are 19 orthopedic surgeons in Lincoln 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 Nebraska surgeons.
What does the Medicare data for Dr. Koch represent?
The procedure counts shown are based on 2024 Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). Medicare fee-for-service is only one payer stream, and the share of national volume it represents differs by procedure. In 2024 the share was 23% to 28% for knee replacement, 25% to 33% for hip replacement, 29% to 37% for shoulder replacement, which puts Dr. Koch's total volume across all insurers at roughly 570 to 720 procedures against the 174 verified here. Those shares are derived from published national volume projections rather than quoted from a single publication, and they are estimates with real uncertainty. The OrthoProcedures methodology page shows the full derivation, the sources, and the limits at orthoprocedures.com/data-methodology.html.
Has Dr. Koch's procedure volume changed over time?
Yes. Dr. Koch's Medicare-recorded volume has increased from 81 procedures in 2013 to 174 in the most recent data, a 115% increase over 12 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 174 procedures in 2024.
Does Dr. Koch perform more than one type of joint replacement?
Yes. Dr. Koch's Medicare data shows procedures in knee replacement (89 cases), hip replacement (71 cases), shoulder replacement (14 cases). Performing all three major joint replacements places Dr. Koch among the 5% of orthopedic surgeons nationally who cover hip, knee, and shoulder arthroplasty.
Which hospitals is Dr. Koch affiliated with?
According to CMS facility affiliation data, Dr. Koch is affiliated with York General Health Care Services, Lincoln Surgical Hospital, Beatrice Community Hospital & Health Center, Inc, Bryan Medical Center, Saunders Medical Center.
How does Dr. Koch compare to other orthopedic surgeons in Lincoln?
Among the 19 orthopedic surgeons in Lincoln, Dr. Koch ranks #3 by total Medicare procedure volume. Dr. Koch is among the highest-volume surgeons in Lincoln.
What are the quality ratings for hospitals where Dr. Koch practices?
York General Health Care Services (4 out of 5 CMS stars); Lincoln Surgical Hospital (hip/knee complication rate similar to national average); Beatrice Community Hospital & Health Center, Inc (3 out of 5 CMS stars, insufficient case volume for complication rate comparison). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in Lincoln, Nebraska
Dr. Koch's 174 Medicare procedures are above the Lincoln average of 162. The table below compares verified procedure volumes for orthopedic surgeons practicing in Lincoln.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. James Gallentine | 283 | Hip, Knee |
| Dr. Sukchan Lee | 193 | Hip, Knee |
| Dr. David Clare | 148 | Hip, Knee |
| Dr. Benjamin Woodhead | 131 | Knee, Shoulder |
| Dr. Brad Webb | 111 | Hip, Knee |
| Dr. Douglas Tewes | 91 | Knee, 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.