Dr. Brian Smith, M.D.

Orthopedic Surgery

18 procedures3 hospitalsGalveston, TXUpdated May 2026

Contact & Location

409-772-2222
Phone: 409-772-2222
Practice phone listed in the NPI registry
301 University Blvd.
Galveston, TX 77555
Current practice address per the CMS NPPES registry (self-reported to the registry, last updated August 2025). Registry checked August 2026.
NPI: 1659464642
Credentials: M.D.
Active Medicare provider (NPI verified)
20 years of practice experience
Licensed M.D.
Licensed surgical specialist
Board-certified orthopedic surgeon
Sports medicine specialist
Contact information available
Find Practice on Google Maps
National Comparison by Procedure
Knee 18 vs 45 national avg 0.4x
avg

Compared with 6,612 knee surgeons in the 2024 Medicare dataset.

Dr. Smith performs more knee replacement procedures than 22% of orthopedic surgeons in Texas, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #381 of 489 ranked knee surgeons in Texas.

About Dr. Smith

Practice. Dr. Brian Smith is a board-certified orthopedic surgeon practicing in Galveston, Texas. The latest annual CMS data records 18 knee replacements. That is #381 in Texas for knee replacement. A Medicare provider since 2006.

Trend. Medicare records run from 2013 to 2024, 12 years. Volume peaked at 41 in 2013 and stands at 18 now. Reporting changes and payer mix can both move that number.

National context. Among 6,612 knee replacement surgeons tracked nationally, 18 procedures is below the national average of 45. Medicare covers part of all joint replacements, so true volume is likely higher.

Verified Medicare Cases

Knee Replacement
18 verified cases
#381 in Texas
Estimated 2024 total: 60 – 80 procedures (all insurers)
Medicare fee-for-service share of national volume in 2024: 23% to 28% for knee replacement
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. 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. Smith Compares

Procedure volume compared to the Texas state average.

Knee Below Avg
18 Avg: 42
Dr. Smith Texas Average

Volume Trend Analysis

Dr. Smith's recorded volume peaked at 41 procedures in 2013 and stood at 18 in the most recent data. Year-to-year variation can reflect changes in payer mix, practice scope, or Medicare billing patterns.

Years of Data 12
2024 Volume 18
Peak Volume 41 (2013)
Trend Declining

Hospital Affiliations & Quality

H
University Of Texas Medical Branch
3/5
Galveston, TX
Low case volume
H
Houston Methodist Clear Lake Hospital
5/5
Nassau Bay, TX
Low case volume
H
University Of Texas M D Anderson Cancer Center
Houston, TX

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. Smith

How does Dr. Smith's procedure volume compare to other Texas surgeons?

Dr. Smith has performed 18 Medicare-verified joint replacement procedures. The Texas average is 57 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Smith ranks #470 out of 582 orthopedic surgeons in Texas.

What types of joint replacement does Dr. Smith perform?

Dr. Smith's reported Medicare volume is focused on knee replacement, with 18 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.

Where is Dr. Smith's practice located?

Dr. Smith practices in Galveston, Texas. The office is located at 301 University Blvd., Galveston, TX 77555. Patients in the surrounding area can consult Dr. Smith for joint replacement evaluation.

What does the Medicare data for Dr. Smith 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, which puts Dr. Smith's total volume across all insurers at roughly 60 to 80 procedures against the 18 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. Smith's procedure volume changed over time?

Dr. Smith's Medicare-recorded volume peaked at 41 procedures in 2013 and was 18 in the most recent data. Volume fluctuations can reflect changes in payer mix, practice focus, or Medicare reporting rather than a change in overall surgical activity.

Which hospitals is Dr. Smith affiliated with?

According to CMS facility affiliation data, Dr. Smith is affiliated with University Of Texas Medical Branch, Houston Methodist Clear Lake Hospital, University Of Texas M D Anderson Cancer Center.

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

University Of Texas Medical Branch (3 out of 5 CMS stars, insufficient case volume for complication rate comparison); Houston Methodist Clear Lake Hospital (5 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.

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. Brian Smith, M.D. -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tx/dr-brian-smith-galveston.html

Link: https://orthoprocedures.com/surgeons/tx/dr-brian-smith-galveston.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.