Dr. Khaled Instrum, M.D.
Contact & Location
603-356-7061
North Conway, NH 03860
Holyoke, MA 01040
Dr. Instrum performs more knee replacement procedures than 7% of orthopedic surgeons in New Hampshire, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #38 of 41 ranked knee surgeons in New Hampshire.
About Dr. Instrum
Practice. Dr. Khaled Instrum is a board-certified orthopedic surgeon practicing in North Conway, New Hampshire. The latest annual CMS data records 14 knee replacements. That is #38 in New Hampshire for knee replacement. A Medicare provider since 2006.
Trend. Medicare records run from 2013 to 2024, 9 years. Volume peaked at 30 in 2023 and stands at 14 now. Reporting changes and payer mix can both move that number.
National context. Among 6,612 knee replacement surgeons tracked nationally, 14 procedures is below the national average of 45. Medicare covers part of all joint replacements, so true volume is likely higher.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 0 | 15 |
| 2014 | 0 | 16 |
| 2015 | 0 | 0 |
| 2016 | 0 | 18 |
| 2017 | 0 | 18 |
| 2018 | 0 | 15 |
| 2019 | 0 | 14 |
| 2020 | 0 | 0 |
| 2021 | 0 | 0 |
| 2022 | 0 | 12 |
| 2023 | 16 | 14 |
| 2024 | 0 | 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. 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. Instrum Compares
Procedure volume compared to the New Hampshire state average.
Volume Trend Analysis
Dr. Instrum's recorded volume peaked at 30 procedures in 2023 and stood at 14 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.
What to Expect on the Day of SurgeryA step-by-step walkthrough of your surgical day, from pre-op preparation through anesthesia, the procedure itself, and the first hours of recovery.
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.
Medicare Coverage for Joint ReplacementWhat Medicare Part A and Part B cover for joint replacement surgery, including hospital stays, surgeon fees, anesthesia, and physical therapy.
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. Instrum
How does Dr. Instrum's procedure volume compare to other New Hampshire surgeons?
Dr. Instrum has performed 14 Medicare-verified joint replacement procedures. The New Hampshire average is 68 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Instrum ranks #52 out of 56 orthopedic surgeons in New Hampshire.
What types of joint replacement does Dr. Instrum perform?
Dr. Instrum's reported Medicare volume is focused on knee replacement, with 14 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
Where is Dr. Instrum's practice located?
Dr. Instrum practices in North Conway, New Hampshire. The office is located at 3073 White Mountain Hwy, North Conway, NH 03860. Patients in the surrounding area can consult Dr. Instrum for joint replacement evaluation.
What does the Medicare data for Dr. Instrum 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, which puts Dr. Instrum's total volume across all insurers at roughly 50 to 60 procedures against the 14 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. Instrum's procedure volume changed over time?
Dr. Instrum's Medicare-recorded volume peaked at 30 procedures in 2023 and was 14 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.
Which hospitals is Dr. Instrum affiliated with?
According to CMS facility affiliation data, Dr. Instrum is affiliated with Berkshire Medical Center Inc, Fairview Hospital, North Adams Regional Hospital. Dr. Instrum maintains hospital privileges across state lines, indicating a practice that serves patients in multiple states.
What are the quality ratings for hospitals where Dr. Instrum practices?
Berkshire Medical Center Inc (4 out of 5 CMS stars, hip/knee complication rate similar to national average); Fairview Hospital (3 out of 5 CMS stars, 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.
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.