Dr. Nicholas Dirig, DO
Dr. Nicholas Dirig is a board-certified orthopedic surgeon practicing in Carson City, Nevada. A Medicare provider since 2011, Dr. Dirig has performed 57 Medicare-verified hip replacements (#6 in Nevada) and 49 knee replacements, for a combined total of 106 procedures.
In Nevada, Dr. Dirig performs above average in hip (57 vs 37 avg), near average in knee (49 vs 43 avg).
Dr. Dirig's reported Medicare volume is split between hip replacements (57 cases) and knee replacements (49 cases).
Carson City is home to 4 orthopedic surgeons in the current Medicare dataset. Patients in the Carson City area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs. Dr. Dirig also maintains hospital privileges in NV and CA, indicating a regional practice that extends beyond Nevada.
Medicare records for Dr. Dirig extend back to 2018, covering 6 years of data. Over that period, recorded procedure volume increased from 83 to 106 in the most recent data, a 28% increase. This sustained growth reflects an expanding joint replacement practice.
Among 4,526 hip replacement surgeons tracked nationally, Dr. Dirig's 57 verified procedures is above the national average of 36.
Verified Medicare Cases
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. Dirig Compares
Procedure volume compared to the Nevada state average.
Contact & Location
Carson City, NV 89705
Verified Case Volume Trends (2013-Current)
Volume Trend Analysis
Dr. Dirig's Medicare-recorded procedure volume has trended upward over 6 years, increasing 28% from 83 procedures in 2018 to 106 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.
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.
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.
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.
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. Dirig
How does Dr. Dirig's procedure volume compare to other Nevada surgeons?
Dr. Dirig has performed 106 Medicare-verified joint replacement procedures. This is significantly above the Nevada average of 66 procedures per surgeon. Dr. Dirig ranks #11 out of 59 orthopedic surgeons in Nevada.
What types of joint replacement does Dr. Dirig perform?
Dr. Dirig's Medicare data shows procedures in hip replacement (57 cases) and knee replacement (49 cases).
How experienced is Dr. Dirig with hip replacement surgery?
Dr. Dirig ranks #6 in Nevada for hip replacement with 57 Medicare-verified procedures. This high ranking among 59 state surgeons indicates significant experience with this specific procedure.
Are there other orthopedic surgeons near Dr. Dirig in Carson City?
Yes. There are 4 orthopedic surgeons in Carson City 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 Nevada surgeons.
What does the Medicare data for Dr. Dirig 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. Dirig's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 106 procedures shown here.
Has Dr. Dirig's procedure volume changed over time?
Yes. Dr. Dirig's Medicare-recorded volume has increased from 83 procedures in 2018 to 106 in the most recent data, a 28% increase over 6 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 128 procedures in 2019.
Does Dr. Dirig perform more than one type of joint replacement?
Yes. Dr. Dirig's Medicare data shows procedures in hip replacement (57 cases), knee replacement (49 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Dirig affiliated with?
According to CMS facility affiliation data, Dr. Dirig is affiliated with Carson Valley Health, Carson Tahoe Regional Medical Center, Northern Nevada Medical Center, Barton Memorial Hospital, Renown Regional Medical Center. Dr. Dirig maintains hospital privileges across state lines, indicating a practice that serves patients in multiple states.
How does Dr. Dirig compare to other orthopedic surgeons in Carson City?
Among the 4 orthopedic surgeons in Carson City, Dr. Dirig ranks #2 by total Medicare procedure volume. Dr. Dirig is among the highest-volume surgeons in Carson City.
What are the quality ratings for hospitals where Dr. Dirig practices?
Carson Valley Health (4 out of 5 CMS stars, insufficient case volume for complication rate comparison); Carson Tahoe Regional Medical Center (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Northern Nevada Medical Center (4 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.
Other Orthopedic Surgeons in Carson City, Nevada
Dr. Dirig's 106 Medicare procedures are above the Carson City average of 82. The table below compares verified procedure volumes for orthopedic surgeons practicing in Carson City.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Michael Edmunds | 120 | Hip, Knee, Shoulder |
| Dr. Kyle Swanson | 53 | Knee, Shoulder |
| Dr. Jeffrey Cummings | 48 | Knee, Shoulder |
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