Dr. Brian Puskas, M.D.
Contact & Location
503-639-6002
Tigard, OR 97224
Dr. Puskas performs more shoulder replacement procedures than 77% of orthopedic surgeons in Oregon, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #7 of 31 ranked shoulder surgeons in Oregon.
About Dr. Puskas
Practice. Dr. Brian Puskas is a board-certified orthopedic surgeon practicing in Tigard, Oregon. The latest annual CMS data records 33 shoulder replacements. That is #7 in Oregon for shoulder replacement. A Medicare provider since 2008.
Trend. Medicare records run from 2018 to 2024, 7 years. Volume rose from 17 procedures a year to 33, up 94%.
National context. Among 2,217 shoulder replacement surgeons tracked nationally, 33 procedures is near the national average of 29.
Local context. Tigard has 5 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.
Verified Case Volume Trends (2013-Current)
| Year | Shoulder Replacement |
|---|---|
| 2013 | 0 |
| 2014 | 0 |
| 2015 | 0 |
| 2016 | 0 |
| 2017 | 0 |
| 2018 | 17 |
| 2019 | 18 |
| 2020 | 13 |
| 2021 | 11 |
| 2022 | 24 |
| 2023 | 28 |
| 2024 | 33 |
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. Puskas Compares
Procedure volume compared to the Oregon state average.
Volume Trend Analysis
Dr. Puskas's Medicare-recorded procedure volume has trended upward over 7 years, increasing 94% from 17 procedures in 2018 to 33 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 Shoulder Replacement
If you are considering shoulder replacement surgery, these evidence-based guides can help you prepare and recover:
A step-by-step walkthrough of your surgical day, from pre-op preparation through anesthesia, the procedure itself, and the first hours of recovery.
Rehabilitation Roadmap: Your Complete Recovery GuideA structured physical therapy progression from the first post-op exercises through full strength and mobility restoration over 3 to 6 months.
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.
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. Puskas
How does Dr. Puskas's procedure volume compare to other Oregon surgeons?
Dr. Puskas has performed 33 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. Puskas ranks #67 out of 101 orthopedic surgeons in Oregon.
What types of joint replacement does Dr. Puskas perform?
Dr. Puskas's reported Medicare volume is focused on shoulder replacement, with 33 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
How experienced is Dr. Puskas with shoulder replacement surgery?
Dr. Puskas ranks #7 in Oregon for shoulder replacement with 33 Medicare-verified procedures. This high ranking among 101 state surgeons indicates significant experience with this specific procedure.
Are there other orthopedic surgeons near Dr. Puskas in Tigard?
Yes. There are 5 orthopedic surgeons in Tigard 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. Puskas 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. Puskas's total volume across all insurers at roughly 90 to 110 procedures against the 33 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. Puskas's procedure volume changed over time?
Yes. Dr. Puskas's Medicare-recorded volume has increased from 17 procedures in 2018 to 33 in the most recent data, a 94% increase over 7 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 33 procedures in 2024.
Which hospitals is Dr. Puskas affiliated with?
According to CMS facility affiliation data, Dr. Puskas is affiliated with Legacy Meridian Park Medical Center, Providence Willamette Falls Medical Center, Legacy Silverton Medical Center, Providence St Vincent Medical Center, Providence Newberg Medical Center.
How does Dr. Puskas compare to other orthopedic surgeons in Tigard?
Among the 5 orthopedic surgeons in Tigard, Dr. Puskas ranks #3 by total Medicare procedure volume. Dr. Puskas is among the highest-volume surgeons in Tigard.
What are the quality ratings for hospitals where Dr. Puskas practices?
Legacy Meridian Park Medical Center (2 out of 5 CMS stars, hip/knee complication rate similar to national average); Providence Willamette Falls Medical Center (4 out of 5 CMS stars, hip/knee complication rate similar to national average); Legacy Silverton Medical Center (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 Tigard, Oregon
Dr. Puskas's 33 Medicare procedures are below the Tigard average of 50. The table below compares verified procedure volumes for orthopedic surgeons practicing in Tigard.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Christopher Nanson | 131 | Hip, Knee |
| Dr. Mark Wagner | 39 | Hip |
| Dr. Timothy Beals | 29 | Hip, Knee |
| Dr. Jonathan Greenleaf | 16 | 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.