Dr. David Starch, MD

Orthopedic Surgery
35 procedures 3 hospitals New Braunfels, TX
Latest available Medicare data — updated April 2026

Contact & Location

Phone: 830-625-3481
Practice phone listed in the NPI registry
705 Landa
New Braunfels, TX 78130
NPI: 1184680209
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
Knee 35 vs 45 avg (6,599 surgeons)

Dr. David Starch is a board-certified orthopedic surgeon practicing in New Braunfels, Texas. A Medicare provider since 2006, Dr. Starch has performed 35 Medicare-verified knee replacements, ranking #206 in Texas.

In Texas, Dr. Starch performs near average in knee (35 vs 42 avg).

Dr. Starch's Medicare data shows a focused knee replacement practice with 35 verified procedures. Surgeons who concentrate on a single procedure type often develop deep procedural expertise, though total practice volume may include additional procedures not captured in Medicare fee-for-service data.

New Braunfels is home to 5 orthopedic surgeons in the current Medicare dataset. Patients in the New Braunfels area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Dr. Starch's Medicare data spans 12 years, beginning in 2013. Volume peaked at 57 procedures in 2022 before settling at 35 in the most recent data. Changes in Medicare reporting, payer mix shifts, or practice focus adjustments can all influence year-to-year volume.

Dr. Starch's 35 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
35 verified cases
#206 in Texas
Estimated total: 90 – 110 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. Starch Compares

Procedure volume compared to the Texas state average.

Knee Average
35 Avg: 42
Dr. Starch Texas Average

Volume Trend Analysis

Dr. Starch's recorded volume peaked at 57 procedures in 2022 and stood at 35 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 35
Peak Volume 57 (2022)
Trend Declining

Hospital Affiliations & Quality

H
Christus Santa Rosa Hospital-San Marcos
4/5
San Marcos, TX
Low case volume
H
Guadalupe Regional Medical Center
2/5
Seguin, TX
Similar to national avg
H
Children'S Hospital Of San Antonio
San Antonio, 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. Starch

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

Dr. Starch has performed 35 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. Starch ranks #331 out of 582 orthopedic surgeons in Texas.

What types of joint replacement does Dr. Starch perform?

Dr. Starch's reported Medicare volume is focused on knee replacement, with 35 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.

Are there other orthopedic surgeons near Dr. Starch in New Braunfels?

Yes. There are 5 orthopedic surgeons in New Braunfels 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 Texas surgeons.

What does the Medicare data for Dr. Starch 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. Starch's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 35 procedures shown here.

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

Dr. Starch's Medicare-recorded volume peaked at 57 procedures in 2022 and was 35 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. Starch affiliated with?

According to CMS facility affiliation data, Dr. Starch is affiliated with Christus Santa Rosa Hospital-San Marcos, Guadalupe Regional Medical Center, Children'S Hospital Of San Antonio.

How does Dr. Starch compare to other orthopedic surgeons in New Braunfels?

Among the 5 orthopedic surgeons in New Braunfels, Dr. Starch ranks #5 by total Medicare procedure volume. The highest-volume surgeon in New Braunfels has 130 verified Medicare procedures.

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

Christus Santa Rosa Hospital-San Marcos (4 out of 5 CMS stars, insufficient case volume for complication rate comparison); Guadalupe Regional Medical Center (2 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 New Braunfels, Texas

Dr. Starch's 35 Medicare procedures are below the New Braunfels average of 74. The table below compares verified procedure volumes for orthopedic surgeons practicing in New Braunfels.

SurgeonProceduresSpecialties
Dr. Creighton Tubb 130 Hip, Knee
Dr. David Templin 73 Hip, Knee, Shoulder
Dr. Trent Twitero 71 Hip, Knee, Shoulder
Dr. Michael Vrana 63 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.

Cite This Data

APA: OrthoProcedures. (2026). Dr. David Starch, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tx/dr-david-starch-new-braunfels.html

Link: https://orthoprocedures.com/surgeons/tx/dr-david-starch-new-braunfels.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.