Contact & Location
503-659-1769
Clackamas, OR 97015
About Dr. Kean
Practice. Dr. Bret Kean is a board-certified orthopedic surgeon practicing in Milwaukie, Oregon. The latest annual CMS data records 11 shoulder replacements. That is #31 in Oregon for shoulder replacement. A Medicare provider since 2007.
Trend. Dr. Kean first appears in the Medicare data in 2021. With 2 years on record, the trend is still short.
National context. Among 2,217 shoulder replacement surgeons tracked nationally, 11 procedures is below the national average of 29. Medicare covers part of all joint replacements, so true volume is likely higher.
Local context. Milwaukie has 3 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.
Verified Case Volume
Verified Medicare data is available for 2 years: 12 procedures in 2021 and 11 procedures in the most recent reporting year. A multi-year trend chart is shown once at least 3 years of data are available.
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 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. 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.
Where is Dr. Kean's practice located?
Dr. Kean's current practice address is in Clackamas, OR. That address is the current practice address in Dr. Kean's own CMS NPPES registry entry, which providers maintain themselves. The Medicare claims data used for the rankings on this page was billed from Milwaukie, Oregon.
What does the Medicare data for Dr. Kean 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 29% to 37% for shoulder replacement, which puts Dr. Kean's total volume across all insurers at roughly 30 to 40 procedures against the 11 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.
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.