Dr. Paul Grutter, MD

Orthopedic Surgery
33 procedures 1 hospital Gallatin, TN
Latest available Medicare data — updated April 2026
Growing Volume

Contact & Location

Phone: 615-278-1673
Practice phone listed in the NPI registry
270 E Main St Ste 300
Gallatin, TN 37066
NPI: 1396715645
Credentials: MD
Active Medicare provider (NPI verified)
20 years of practice experience
Licensed MD
Licensed surgical specialist
Board-certified orthopedic surgeon
Sports medicine specialist
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 15 vs 36 avg (4,532 surgeons)
Knee 18 vs 45 avg (6,599 surgeons)

Dr. Paul Grutter is a board-certified orthopedic surgeon practicing in Gallatin, Tennessee. A Medicare provider since 2006, Dr. Grutter has performed 18 Medicare-verified knee replacements (#140 in Tennessee) and 15 hip replacements, for a combined total of 33 procedures.

In Tennessee, Dr. Grutter performs below average in knee (18 vs 46 avg), below average in hip (15 vs 36 avg).

Dr. Grutter's reported Medicare volume is split between knee replacements (18 cases) and hip replacements (15 cases).

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. Grutter extend back to 2018, covering 6 years of data. Over that period, recorded procedure volume increased from 15 to 33 in the most recent data, a 120% increase. This sustained growth reflects an expanding joint replacement practice.

Dr. Grutter's 18 knee replacement procedures is below the national average of 45 among 6,599 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.

Verified Medicare Cases

Knee Replacement
18 verified cases
#140 in Tennessee
Hip Replacement
15 verified cases
#95 in Tennessee
Estimated total: 90 – 100 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. Grutter Compares

Procedure volume compared to the Tennessee state average.

Hip Below Avg
15 Avg: 36
Knee Below Avg
18 Avg: 46
Dr. Grutter Tennessee Average

Volume Trend Analysis

Dr. Grutter's Medicare-recorded procedure volume has trended upward over 6 years, increasing 120% from 15 procedures in 2018 to 33 in the most recent data.

Years of Data 6
2024 Volume 33
Peak Volume 33 (2019)
Trend Growing

Hospital Affiliations & Quality

H
Tristar Hendersonville Medical Center
4/5
Hendersonville, TN
Similar to national avg

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. Grutter

How does Dr. Grutter's procedure volume compare to other Tennessee surgeons?

Dr. Grutter 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. Grutter ranks #143 out of 219 orthopedic surgeons in Tennessee.

What types of joint replacement does Dr. Grutter perform?

Dr. Grutter's Medicare data shows procedures in knee replacement (18 cases) and hip replacement (15 cases).

Are there other orthopedic surgeons near Dr. Grutter 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. Grutter 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. Grutter's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 33 procedures shown here.

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

Yes. Dr. Grutter's Medicare-recorded volume has increased from 15 procedures in 2018 to 33 in the most recent data, a 120% increase over 6 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 33 procedures in 2019.

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

Yes. Dr. Grutter's Medicare data shows procedures in knee replacement (18 cases), hip replacement (15 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Grutter affiliated with?

According to CMS facility affiliation data, Dr. Grutter is affiliated with Tristar Hendersonville Medical Center.

How does Dr. Grutter compare to other orthopedic surgeons in Gallatin?

Among the 4 orthopedic surgeons in Gallatin, Dr. Grutter ranks #4 by total Medicare procedure volume. The highest-volume surgeon in Gallatin has 102 verified Medicare procedures.

What are the quality ratings for hospitals where Dr. Grutter 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. Grutter's 33 Medicare procedures are below the Gallatin average of 63. The table below compares verified procedure volumes for orthopedic surgeons practicing in Gallatin.

SurgeonProceduresSpecialties
Dr. Stephen Rose 102 Hip, Knee, Shoulder
Dr. Brian Koch 60 Knee, Shoulder
Dr. Thomas Gautsch 56 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.

Cite This Data

APA: OrthoProcedures. (2026). Dr. Paul Grutter, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tn/dr-paul-grutter-gallatin.html

Link: https://orthoprocedures.com/surgeons/tn/dr-paul-grutter-gallatin.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.