Dr. Alexander Orem, M.D.
Contact & Location
603-650-5133
Lebanon, NH 03756
Dr. Orem performs more hip replacement procedures than 64% of orthopedic surgeons in New Hampshire, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #12 of 34 ranked hip surgeons in New Hampshire.
About Dr. Orem
Practice. Dr. Alexander Orem is a board-certified orthopedic surgeon practicing in Lebanon, New Hampshire. The latest annual CMS data records 46 hip replacements and 30 knee replacements, 76 procedures in all. That is #12 in New Hampshire for hip replacement. A Medicare provider since 2009.
Trend. Medicare records run from 2015 to 2024, 10 years. Volume rose from 13 procedures a year to 76, up 485%.
National context. Among 4,542 hip replacement surgeons tracked nationally, 46 procedures is above the national average of 36.
Local context. Lebanon has 11 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist. Dr. Orem also holds hospital privileges in NH and VT, a practice that extends beyond New Hampshire.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 0 | 0 |
| 2014 | 0 | 0 |
| 2015 | 13 | 0 |
| 2016 | 24 | 19 |
| 2017 | 28 | 23 |
| 2018 | 29 | 40 |
| 2019 | 54 | 37 |
| 2020 | 49 | 40 |
| 2021 | 35 | 37 |
| 2022 | 28 | 34 |
| 2023 | 43 | 41 |
| 2024 | 46 | 30 |
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 25% to 33% for hip replacement, 23% to 28% for knee 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. Orem Compares
Procedure volume compared to the New Hampshire state average.
Volume Trend Analysis
Dr. Orem's Medicare-recorded procedure volume has trended upward over 10 years, increasing 485% from 13 procedures in 2015 to 76 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 Hip Replacement
If you are considering hip replacement surgery, these evidence-based guides can help you prepare and recover:
Understanding the progression from conservative treatments to surgical intervention, and how to determine when hip replacement becomes the right choice.
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.
Hip Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after hip replacement surgery:
Individual recovery varies based on overall health, age, and adherence to physical therapy. View full hip replacement recovery guide and product recommendations
Frequently Asked Questions About Dr. Orem
How does Dr. Orem's procedure volume compare to other New Hampshire surgeons?
Dr. Orem has performed 76 Medicare-verified joint replacement procedures. This is in line with the New Hampshire average of 68 procedures per surgeon. Dr. Orem ranks #24 out of 56 orthopedic surgeons in New Hampshire.
What types of joint replacement does Dr. Orem perform?
Dr. Orem's Medicare data shows procedures in hip replacement (46 cases) and knee replacement (30 cases).
How experienced is Dr. Orem with hip replacement surgery?
Dr. Orem ranks #12 in New Hampshire for hip replacement with 46 Medicare-verified procedures. This high ranking among 56 state surgeons indicates significant experience with this specific procedure.
Are there other orthopedic surgeons near Dr. Orem in Lebanon?
Yes. There are 11 orthopedic surgeons in Lebanon 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 New Hampshire surgeons.
What does the Medicare data for Dr. Orem 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 25% to 33% for hip replacement, 23% to 28% for knee replacement, which puts Dr. Orem's total volume across all insurers at roughly 250 to 310 procedures against the 76 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. Orem's procedure volume changed over time?
Yes. Dr. Orem's Medicare-recorded volume has increased from 13 procedures in 2015 to 76 in the most recent data, a 485% increase over 10 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 91 procedures in 2019.
Does Dr. Orem perform more than one type of joint replacement?
Yes. Dr. Orem's Medicare data shows procedures in hip replacement (46 cases), knee replacement (30 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Orem affiliated with?
According to CMS facility affiliation data, Dr. Orem is affiliated with Mary Hitchcock Memorial Hospital, Gifford Medical Center, Cheshire Medical Center, Central Vermont Medical Center, Valley Regional Hospital. Dr. Orem maintains hospital privileges across state lines, indicating a practice that serves patients in multiple states.
How does Dr. Orem compare to other orthopedic surgeons in Lebanon?
Among the 11 orthopedic surgeons in Lebanon, Dr. Orem ranks #6 by total Medicare procedure volume. The highest-volume surgeon in Lebanon has 189 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Orem practices?
Mary Hitchcock Memorial Hospital (4 out of 5 CMS stars, hip/knee complication rate similar to national average); Gifford Medical Center (4 out of 5 CMS stars, insufficient case volume for complication rate comparison); Cheshire Medical Center (4 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 Lebanon, New Hampshire
Dr. Orem's 76 Medicare procedures are below the Lebanon average of 106. The table below compares verified procedure volumes for orthopedic surgeons practicing in Lebanon.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Garrett Davis | 189 | Hip, Knee |
| Dr. Kevin Dwyer | 131 | Hip, Knee |
| Dr. Wayne Moschetti | 124 | Hip, Knee |
| Dr. John-Erik Bell | 83 | Shoulder |
| Dr. Marcus Coe | 77 | Hip, Knee |
| Dr. Michael Sparks | 62 | Knee |
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.