Dr. Brian Koch, MD
Contact & Location
Gallatin, TN 37066
Dr. Brian Koch is a board-certified orthopedic surgeon practicing in Gallatin, Tennessee. A Medicare provider since 2005, Dr. Koch has performed 46 Medicare-verified knee replacements (#66 in Tennessee) and 14 shoulder replacements, for a combined total of 60 procedures.
In Tennessee, Dr. Koch performs near average in knee (46 vs 46 avg), below average in shoulder (14 vs 32 avg).
Dr. Koch's practice is heavily focused on knee replacement surgery, which accounts for 77% of reported Medicare volume.
Gallatin is home to 4 orthopedic surgeons in the current Medicare dataset. Patients in the Gallatin area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Medicare records for Dr. Koch extend back to 2013, covering 12 years of data. Over that period, recorded procedure volume increased from 17 to 60 in the most recent data, a 253% increase. This sustained growth reflects an expanding joint replacement practice.
Among 6,599 knee replacement surgeons tracked nationally, Dr. Koch's 46 verified procedures is near the national average of 45.
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. Koch Compares
Procedure volume compared to the Tennessee state average.
Volume Trend Analysis
Dr. Koch's Medicare-recorded procedure volume has trended upward over 12 years, increasing 253% from 17 procedures in 2013 to 60 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 Knee Replacement
If you are considering knee replacement surgery, these evidence-based guides can help you prepare and recover:
An overview of current surgical approaches including robotic-assisted and minimally invasive techniques, implant options, and expected outcomes.
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.
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.
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.
Knee Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:
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. Koch
How does Dr. Koch's procedure volume compare to other Tennessee surgeons?
Dr. Koch has performed 60 Medicare-verified joint replacement procedures. This is in line with the Tennessee average of 65 procedures per surgeon. Dr. Koch ranks #92 out of 219 orthopedic surgeons in Tennessee.
What types of joint replacement does Dr. Koch perform?
Dr. Koch's Medicare data shows procedures in knee replacement (46 cases) and shoulder replacement (14 cases).
Are there other orthopedic surgeons near Dr. Koch in Gallatin?
Yes. There are 4 orthopedic surgeons in Gallatin 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 Tennessee surgeons.
What does the Medicare data for Dr. Koch 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. Koch's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 60 procedures shown here.
Has Dr. Koch's procedure volume changed over time?
Yes. Dr. Koch's Medicare-recorded volume has increased from 17 procedures in 2013 to 60 in the most recent data, a 253% increase over 12 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 78 procedures in 2023.
Does Dr. Koch perform more than one type of joint replacement?
Yes. Dr. Koch's Medicare data shows procedures in knee replacement (46 cases), shoulder replacement (14 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Koch affiliated with?
According to CMS facility affiliation data, Dr. Koch is affiliated with Tristar Hendersonville Medical Center.
How does Dr. Koch compare to other orthopedic surgeons in Gallatin?
Among the 4 orthopedic surgeons in Gallatin, Dr. Koch ranks #2 by total Medicare procedure volume. Dr. Koch is among the highest-volume surgeons in Gallatin.
What are the quality ratings for hospitals where Dr. Koch practices?
Tristar Hendersonville 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 Gallatin, Tennessee
Dr. Koch's 60 Medicare procedures are below the Gallatin average of 63. The table below compares verified procedure volumes for orthopedic surgeons practicing in Gallatin.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Stephen Rose | 102 | Hip, Knee, Shoulder |
| Dr. Thomas Gautsch | 56 | Knee |
| Dr. Paul Grutter | 33 | Hip, 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.