#427 in Texas
Knee

Dr. James Hurst, MD

Orthopedic Surgery
14 procedures 3 hospitals Nacogdoches, TX
Latest available Medicare data — updated April 2026
Knee replacement recovery kit Ice machines, mobility aids, bathroom safety — under $50 essentials
National Comparison by Procedure
Knee 14 vs 45 avg (6,720 surgeons)

Dr. James Hurst is a board-certified orthopedic surgeon practicing in Nacogdoches, Texas. Dr. Hurst has performed 14 Medicare-verified knee replacements, ranking #427 in Texas.

In Texas, Dr. Hurst performs below average in knee (14 vs 41 avg).

Dr. Hurst's Medicare data shows a focused knee replacement practice with 14 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.

Nacogdoches is home to 2 orthopedic surgeons in the current Medicare dataset. Patients in the Nacogdoches area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Dr. Hurst first appears in the Medicare dataset in 2016. With 2 years of recorded data, the longitudinal trend is still developing.

Dr. Hurst's 14 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

Knee Replacement
14 verified cases
#427 in Texas
Estimated total: 40 – 40 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. Hurst Compares

Procedure volume compared to the Texas state average.

Knee Below Avg
14 Avg: 41
Dr. Hurst Texas Average

Contact & Location

3816 N University Dr
Nacogdoches, TX 75965
NPI: 1477713535
Credentials: MD
Active Medicare provider
Find Practice on Google Maps

Volume Trend Analysis

Dr. Hurst has 2 years of Medicare procedure data beginning in 2016. Additional years of data will provide a clearer picture of volume trends.

Years of Data 2
2023 Volume 14
Peak Volume 23 (2016)
Trend Developing

Hospital Affiliations & Quality

H
Chi St Lukes Health Memorial Lufkin
★★★☆☆
Lufkin, TX
Low case volume
H
Woodland Heights Medical Center
★★★☆☆
Lufkin, TX
Similar to national avg
H
Sabine County Hospital
Hemphill, 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.

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. Hurst

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

Dr. Hurst has performed 14 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. Hurst ranks #497 out of 573 orthopedic surgeons in Texas.

What types of joint replacement does Dr. Hurst perform?

Dr. Hurst's reported Medicare volume is focused on knee replacement, with 14 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.

Are there other orthopedic surgeons near Dr. Hurst in Nacogdoches?

Yes. There are 2 orthopedic surgeons in Nacogdoches 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. Hurst 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. Hurst's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 14 procedures shown here.

Which hospitals is Dr. Hurst affiliated with?

According to CMS facility affiliation data, Dr. Hurst is affiliated with Chi St Lukes Health Memorial Lufkin, Woodland Heights Medical Center, Sabine County Hospital.

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

Chi St Lukes Health Memorial Lufkin (3 out of 5 CMS stars, insufficient case volume for complication rate comparison); Woodland Heights Medical Center (3 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 Nacogdoches, Texas

Dr. Hurst's 14 Medicare procedures are below the Nacogdoches average of 50. The table below compares verified procedure volumes for orthopedic surgeons practicing in Nacogdoches.

SurgeonProceduresSpecialties
Dr. Steven Overturf 85 Hip, Knee

Patient Reviews & Ratings

OrthoProcedures.com focuses on verified Medicare procedure data. For patient reviews, ratings, and appointment scheduling, visit these trusted platforms:

These links lead to third-party websites. OrthoProcedures.com is not affiliated with these platforms and cannot verify the accuracy of reviews.

Cite This Data

APA: OrthoProcedures. (2026). Dr. James Hurst, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tx/dr-james-hurst-nacogdoches.html

Link: https://orthoprocedures.com/surgeons/tx/dr-james-hurst-nacogdoches.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.