Dr. Richard Little, MD

Orthopedic Surgery
98 procedures 4 hospitals Spearfish, SD
Latest available Medicare data — updated April 2026
Growing Volume

Contact & Location

Phone: 605-644-4460
Practice phone listed in the NPI registry
2479 E Colorado Blvd
Spearfish, SD 57783
NPI: 1609849579
Credentials: MD
Active Medicare provider (NPI verified)
20 years of practice experience
Licensed MD
Licensed surgical specialist
Board-certified orthopedic surgeon
Contact information available
Find Practice on Google Maps
Knee replacement recovery kit Ice machines, mobility aids, bathroom safety, all under $50
National Comparison by Procedure
Hip 23 vs 36 avg (4,532 surgeons)
Knee 75 vs 45 avg (6,599 surgeons)

Dr. Richard Little is a board-certified orthopedic surgeon practicing in Spearfish, South Dakota. A Medicare provider since 2006, Dr. Little has performed 75 Medicare-verified knee replacements (#6 in South Dakota) and 23 hip replacements, for a combined total of 98 procedures.

In South Dakota, Dr. Little performs above average in knee (75 vs 42 avg), below average in hip (23 vs 36 avg).

Dr. Little's practice is heavily focused on knee replacement surgery, which accounts for 77% of reported Medicare volume.

Spearfish is home to 2 orthopedic surgeons in the current Medicare dataset. Patients in the Spearfish area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs. Dr. Little also maintains hospital privileges in SD and ND, indicating a regional practice that extends beyond South Dakota.

Medicare records for Dr. Little extend back to 2013, covering 12 years of data. Over that period, recorded procedure volume increased from 76 to 98 in the most recent data, a 29% increase. This sustained growth reflects an expanding joint replacement practice.

Among 6,599 knee replacement surgeons tracked nationally, Dr. Little's 75 verified procedures is above the national average of 45.

Verified Medicare Cases

Knee Replacement
75 verified cases
#6 in South Dakota
Hip Replacement
23 verified cases
#19 in South Dakota
Estimated total: 260 – 300 procedures (all insurers)
Based on Medicare FFS representing 33–37% of national joint replacement volume
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. Little Compares

Procedure volume compared to the South Dakota state average.

Hip Below Avg
23 Avg: 36
Knee High
75 Avg: 42
Dr. Little South Dakota Average

Volume Trend Analysis

Dr. Little's Medicare-recorded procedure volume has trended upward over 12 years, increasing 29% from 76 procedures in 2013 to 98 in the most recent data.

Years of Data 12
2024 Volume 98
Peak Volume 102 (2023)
Trend Growing

Hospital Affiliations & Quality

H
Monument Health Spearfish Hospital
Spearfish, SD
Low case volume
H
Monument Health Lead-Deadwood Hospital
Deadwood, SD
H
Southwest Healthcare Services
Bowman, ND
H
Monument Health Sturgis Hospital
Sturgis, SD

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:

Knee Replacement Recovery Overview

Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:

Week 1-2 Walking with assistive device. Knee bending exercises begin immediately. Ice therapy and elevation for swelling control.
Week 3-6 Increased range of motion (target 90 degrees). Walking longer distances. Physical therapy intensifies with strengthening exercises.
Week 7-12 Most patients walk without assistive devices. Resume driving and desk work. Continue PT for strength and flexibility.
Month 4-6 Near-full recovery. Resume most recreational activities. Some swelling and stiffness may persist but continues improving.

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. Little

How does Dr. Little's procedure volume compare to other South Dakota surgeons?

Dr. Little has performed 98 Medicare-verified joint replacement procedures. This is in line with the South Dakota average of 70 procedures per surgeon. Dr. Little ranks #10 out of 52 orthopedic surgeons in South Dakota.

What types of joint replacement does Dr. Little perform?

Dr. Little's Medicare data shows procedures in knee replacement (75 cases) and hip replacement (23 cases).

How experienced is Dr. Little with knee replacement surgery?

Dr. Little ranks #6 in South Dakota for knee replacement with 75 Medicare-verified procedures. This high ranking among 52 state surgeons indicates significant experience with this specific procedure.

Are there other orthopedic surgeons near Dr. Little in Spearfish?

Yes. There are 2 orthopedic surgeons in Spearfish 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 South Dakota surgeons.

What does the Medicare data for Dr. Little 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. Little's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 98 procedures shown here.

Has Dr. Little's procedure volume changed over time?

Yes. Dr. Little's Medicare-recorded volume has increased from 76 procedures in 2013 to 98 in the most recent data, a 29% increase over 12 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 102 procedures in 2023.

Does Dr. Little perform more than one type of joint replacement?

Yes. Dr. Little's Medicare data shows procedures in knee replacement (75 cases), hip replacement (23 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Little affiliated with?

According to CMS facility affiliation data, Dr. Little is affiliated with Monument Health Spearfish Hospital, Monument Health Lead-Deadwood Hospital, Southwest Healthcare Services, Monument Health Sturgis Hospital. Dr. Little maintains hospital privileges across state lines, indicating a practice that serves patients in multiple states.

What are the quality ratings for hospitals where Dr. Little practices?

Monument Health Spearfish Hospital (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 Spearfish, South Dakota

Dr. Little's 98 Medicare procedures are above the Spearfish average of 83. The table below compares verified procedure volumes for orthopedic surgeons practicing in Spearfish.

SurgeonProceduresSpecialties
Dr. Ray Jensen 68 Hip, Knee, Shoulder

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.

Cite This Data

APA: OrthoProcedures. (2026). Dr. Richard Little, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/sd/dr-richard-little-spearfish.html

Link: https://orthoprocedures.com/surgeons/sd/dr-richard-little-spearfish.html

Data source: CMS Medicare Part B Provider Utilization & Payment Data. Full methodology | Open Data API

Important: Rankings are based solely on Medicare procedure volume and do not reflect quality of care, patient outcomes, or procedures covered by private insurance. This data represents approximately one-third to 40% of all joint replacement procedures nationwide. Always consult with healthcare providers to make informed decisions about your care.