Dr. Bret Kean, MD
Contact & Location
Milwaukie, OR 97222
Dr. Bret Kean is a board-certified orthopedic surgeon practicing in Milwaukie, Oregon. Dr. Kean has performed 11 Medicare-verified shoulder replacements, ranking #31 in Oregon.
In Oregon, Dr. Kean performs below average in shoulder (11 vs 31 avg).
Dr. Kean's Medicare data shows a focused shoulder replacement practice with 11 verified procedures. Surgeons who concentrate on a single procedure type often develop deep procedural expertise, though total practice volume may include additional procedures not captured in Medicare fee-for-service data.
Milwaukie is home to 3 orthopedic surgeons in the current Medicare dataset. Patients in the Milwaukie area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Dr. Kean first appears in the Medicare dataset in 2021. With 2 years of recorded data, the longitudinal trend is still developing.
Dr. Kean's 11 shoulder replacement procedures is below the national average of 29 among 2,213 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.
Verified Case Volume Trends (2013-Current)
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. Kean Compares
Procedure volume compared to the Oregon state average.
Volume Trend Analysis
Dr. Kean has 2 years of Medicare procedure data beginning in 2021. Additional years of data will provide a clearer picture of volume trends.
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 Shoulder Replacement
If you are considering shoulder replacement surgery, these evidence-based guides can help you prepare and recover:
Evidence-based exercises and lifestyle adjustments that can improve surgical outcomes and speed recovery when started weeks before your procedure.
Pain Management After Joint ReplacementA comprehensive guide to managing post-surgical pain through medication, physical therapy, cold therapy, and non-pharmacological strategies.
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.
Shoulder Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after shoulder replacement surgery:
Individual recovery varies based on overall health, age, and adherence to physical therapy. View full shoulder replacement recovery guide and product recommendations
Frequently Asked Questions About Dr. Kean
How does Dr. Kean's procedure volume compare to other Oregon surgeons?
Dr. Kean has performed 11 Medicare-verified joint replacement procedures. The Oregon average is 63 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Kean ranks #101 out of 101 orthopedic surgeons in Oregon.
What types of joint replacement does Dr. Kean perform?
Dr. Kean's reported Medicare volume is focused on shoulder replacement, with 11 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
Are there other orthopedic surgeons near Dr. Kean in Milwaukie?
Yes. There are 3 orthopedic surgeons in Milwaukie 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 Oregon surgeons.
What does the Medicare data for Dr. Kean 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. Kean's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 11 procedures shown here.
Which hospitals is Dr. Kean affiliated with?
According to CMS facility affiliation data, Dr. Kean is affiliated with Providence Milwaukie Hospital, Legacy Mount Hood Medical Center.
How does Dr. Kean compare to other orthopedic surgeons in Milwaukie?
Among the 3 orthopedic surgeons in Milwaukie, Dr. Kean ranks #3 by total Medicare procedure volume. Dr. Kean is among the highest-volume surgeons in Milwaukie.
What are the quality ratings for hospitals where Dr. Kean practices?
Providence Milwaukie Hospital (3 out of 5 CMS stars, insufficient case volume for complication rate comparison); Legacy Mount Hood Medical Center (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 Milwaukie, Oregon
Dr. Kean's 11 Medicare procedures are below the Milwaukie average of 13. The table below compares verified procedure volumes for orthopedic surgeons practicing in Milwaukie.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Paul Ruesch | 17 | Knee |
| Dr. Ansab Khwaja | 12 | 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.