Knee
Dr. David Starch, MD
Dr. David Starch is a board-certified orthopedic surgeon practicing in New Braunfels, Texas. Dr. Starch has performed 35 Medicare-verified knee replacements, ranking #197 in Texas.
In Texas, Dr. Starch performs near average in knee (35 vs 41 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 11 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 6,720 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.
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. Starch Compares
Procedure volume compared to the Texas state average.
Contact & Location
New Braunfels, TX 78130
Verified Case Volume Trends (2013-Current)
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.
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.
Pain Management After Joint ReplacementA comprehensive guide to managing post-surgical pain through medication, physical therapy, cold therapy, and non-pharmacological strategies.
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. 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 56 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Starch ranks #314 out of 573 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 #4 by total Medicare procedure volume. The highest-volume surgeon in New Braunfels has 125 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 63. The table below compares verified procedure volumes for orthopedic surgeons practicing in New Braunfels.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Creighton Tubb | 125 | Hip, Knee |
| Dr. Michael Vrana | 69 | Hip, Knee |
| Dr. David Templin | 61 | Hip, Knee, Shoulder |
| Dr. Trent Twitero | 26 | Knee |
Patient Reviews & Ratings
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