Dr. Nicholas Vance, MD
Contact & Location
731-661-9825
Jackson, TN 38305
Richmond, VA 23226
Jackson, TN 38301
Dr. Vance performs more knee replacement procedures than 28% of orthopedic surgeons in Tennessee, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #125 of 176 ranked knee surgeons in Tennessee.
About Dr. Vance
Dr. Nicholas Vance is a board-certified orthopedic surgeon practicing in Jackson, Tennessee. A Medicare provider since 2011, Dr. Vance performed 22 Medicare-verified knee replacements (#125 in Tennessee) and 11 hip replacements in the latest annual CMS data, for a combined total of 33 procedures.
In Tennessee, Dr. Vance performs below the state average in knee (22 vs 46), below the state average in hip (11 vs 36).
Dr. Vance's reported Medicare volume is split between knee replacements (22 cases) and hip replacements (11 cases).
Jackson is home to 14 orthopedic surgeons in the current Medicare dataset. Patients in the Jackson area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Medicare records for Dr. Vance extend back to 2019, covering 3 years of data. Over that period, recorded procedure volume increased from 11 to 33 in the most recent data, a 200% increase. This sustained growth reflects an expanding joint replacement practice.
Dr. Vance's 22 knee replacement procedures is below the national average of 45 among 6,612 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 0 | 0 |
| 2014 | 0 | 0 |
| 2015 | 0 | 0 |
| 2016 | 0 | 0 |
| 2017 | 0 | 0 |
| 2018 | 0 | 0 |
| 2019 | 0 | 11 |
| 2020 | 0 | 0 |
| 2021 | 0 | 0 |
| 2022 | 0 | 0 |
| 2023 | 0 | 13 |
| 2024 | 11 | 22 |
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 23% to 28% for knee replacement, 25% to 33% for hip 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. Vance Compares
Procedure volume compared to the Tennessee state average.
Volume Trend Analysis
Dr. Vance's Medicare-recorded procedure volume has trended upward over 3 years, increasing 200% from 11 procedures in 2019 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 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. Vance
How does Dr. Vance's procedure volume compare to other Tennessee surgeons?
Dr. Vance has performed 33 Medicare-verified joint replacement procedures. The Tennessee average is 65 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Vance ranks #144 out of 219 orthopedic surgeons in Tennessee.
What types of joint replacement does Dr. Vance perform?
Dr. Vance's Medicare data shows procedures in knee replacement (22 cases) and hip replacement (11 cases).
Are there other orthopedic surgeons near Dr. Vance in Jackson?
Yes. There are 14 orthopedic surgeons in Jackson 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. Vance 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 23% to 28% for knee replacement, 25% to 33% for hip replacement, which puts Dr. Vance's total volume across all insurers at roughly 110 to 140 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. Vance's procedure volume changed over time?
Yes. Dr. Vance's Medicare-recorded volume has increased from 11 procedures in 2019 to 33 in the most recent data, a 200% increase over 3 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 33 procedures in 2024.
Does Dr. Vance perform more than one type of joint replacement?
Yes. Dr. Vance's Medicare data shows procedures in knee replacement (22 cases), hip replacement (11 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Vance affiliated with?
According to CMS facility affiliation data, Dr. Vance is affiliated with West Tennessee Healthcare Volunteer Hospital, Jackson-Madison County General Hospital, Baptist Memorial Hospital - Carroll County, Henderson County Community Hospital.
How does Dr. Vance compare to other orthopedic surgeons in Jackson?
Among the 14 orthopedic surgeons in Jackson, Dr. Vance ranks #9 by total Medicare procedure volume. The highest-volume surgeon in Jackson has 78 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Vance practices?
West Tennessee Healthcare Volunteer Hospital (2 out of 5 CMS stars); Jackson-Madison County General Hospital (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 Jackson, Tennessee
Dr. Vance's 33 Medicare procedures are below the Jackson average of 54. The table below compares verified procedure volumes for orthopedic surgeons practicing in Jackson.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. David Sickle | 78 | Hip, Knee |
| Dr. Kelly Pucek | 71 | Hip, Knee |
| Dr. L Johnson | 55 | Hip, Knee |
| Dr. Adam Smith | 53 | Shoulder |
| Dr. Jason Hutchison | 50 | Hip, Knee |
| Dr. Keith Nord | 41 | 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.