Dr. Peter Romanick, M.D.

Orthopedic Surgery
154 procedures 5 hospitals Fredericksburg, TX
Growing Volume Top 10% Nationally

Contact & Location

830-997-4043
Phone: 830-997-4043
Practice phone listed in the NPI registry
813 S Milam St
Fredericksburg, TX 78624
Current practice address per the CMS NPPES registry (self-reported to the registry, last updated February 2025). Registry checked August 2026.
NPI: 1205846482
Credentials: M.D.
Active Medicare provider (NPI verified)
20 years of practice experience
Licensed M.D.
Licensed surgical specialist
Board-certified orthopedic surgeon
Contact information available
Find Practice on Google Maps
National Comparison by Procedure
Hip 39 vs 36 national avg (4,542 surgeons)
Knee 93 vs 45 national avg (6,612 surgeons)
Shoulder 22 vs 29 national avg (2,217 surgeons)

Dr. Romanick performs more knee replacement procedures than 91% of orthopedic surgeons in Texas, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #43 of 489 ranked knee surgeons in Texas.

About Dr. Romanick

Dr. Peter Romanick is a board-certified orthopedic surgeon practicing in Fredericksburg, Texas. A Medicare provider since 2006, Dr. Romanick completed 93 knee replacements (#43 in Texas), 39 hip replacements, and 22 shoulder replacements in the latest annual CMS data, totaling 154 Medicare-verified procedures.

In Texas, Dr. Romanick performs well above the state average in knee (93 vs 42), above the state average in hip (39 vs 31), near the state average in shoulder (22 vs 27).

Dr. Romanick performs all three major joint replacement procedures (hip, knee, and shoulder), indicating a broad scope of orthopedic practice. The largest share is knee replacements (93 cases), followed by hip replacements (39) and shoulder replacements (22).

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

Medicare records for Dr. Romanick extend back to 2013, covering 12 years of data. Over that period, recorded procedure volume increased from 74 to 154 in the most recent data, a 108% increase. This sustained growth reflects an expanding joint replacement practice.

Among 6,612 knee replacement surgeons tracked nationally, Dr. Romanick's 93 verified procedures is more than 2x the national average of 45.

Verified Medicare Cases

Knee Replacement
93 verified cases
#43 in Texas
Hip Replacement
39 verified cases
#73 in Texas
Shoulder Replacement
22 verified cases
#62 in Texas
Estimated 2024 total: 510 – 640 procedures (all insurers)
Medicare fee-for-service share of national volume in 2024: 23% to 28% for knee replacement, 25% to 33% for hip replacement, 29% to 37% for shoulder 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, 25% to 33% for hip replacement, 29% to 37% for shoulder 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. Romanick Compares

Procedure volume compared to the Texas state average.

Hip High
39 Avg: 31
Knee Very High
93 Avg: 42
Shoulder Average
22 Avg: 27
Dr. Romanick Texas Average

Volume Trend Analysis

Dr. Romanick's Medicare-recorded procedure volume has trended upward over 12 years, increasing 108% from 74 procedures in 2013 to 154 in the most recent data.

Years of Data 12
2024 Volume 154
Peak Volume 188 (2019)
Trend Growing

Hospital Affiliations & Quality

H
Methodist Hospital Hill Country
4/5
Fredericksburg, TX
Similar to national avg
H
Peterson Regional Medical Center
4/5
Kerrville, TX
Low case volume
H
Lillian M Hudspeth Memorial Hospital
Sonora, TX
H
Heart Of Texas Memorial Hospital
Brady, TX
H
Schleicher County Medical Center
Eldorado, 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. Romanick

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

Dr. Romanick has performed 154 Medicare-verified joint replacement procedures. This is more than 2x the Texas average of 57 procedures per surgeon. Dr. Romanick ranks #35 out of 582 orthopedic surgeons in Texas.

What types of joint replacement does Dr. Romanick perform?

Dr. Romanick performs all three major joint replacement procedures: knee replacement (93 cases), hip replacement (39 cases), shoulder replacement (22 cases). This breadth indicates a comprehensive orthopedic joint replacement practice.

Are there other orthopedic surgeons near Dr. Romanick in Fredericksburg?

Yes. There are 2 orthopedic surgeons in Fredericksburg 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. Romanick 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, 25% to 33% for hip replacement, 29% to 37% for shoulder replacement, which puts Dr. Romanick's total volume across all insurers at roughly 510 to 640 procedures against the 154 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. Romanick's procedure volume changed over time?

Yes. Dr. Romanick's Medicare-recorded volume has increased from 74 procedures in 2013 to 154 in the most recent data, a 108% increase over 12 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 188 procedures in 2019.

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

Yes. Dr. Romanick's Medicare data shows procedures in knee replacement (93 cases), hip replacement (39 cases), shoulder replacement (22 cases). Performing all three major joint replacements places Dr. Romanick among the 5% of orthopedic surgeons nationally who cover hip, knee, and shoulder arthroplasty.

Which hospitals is Dr. Romanick affiliated with?

According to CMS facility affiliation data, Dr. Romanick is affiliated with Methodist Hospital Hill Country, Peterson Regional Medical Center, Lillian M Hudspeth Memorial Hospital, Heart Of Texas Memorial Hospital, Schleicher County Medical Center.

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

Methodist Hospital Hill Country (4 out of 5 CMS stars, hip/knee complication rate similar to national average); Peterson Regional Medical Center (4 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.

Other Orthopedic Surgeons in Fredericksburg, Texas

Dr. Romanick's 154 Medicare procedures are above the Fredericksburg average of 124. The table below compares verified procedure volumes for orthopedic surgeons practicing in Fredericksburg.

SurgeonProceduresSpecialties
Dr. Clint Beicker 94 Hip, Knee, Shoulder

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. Peter Romanick, M.D. -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tx/dr-peter-romanick-fredericksburg.html

Link: https://orthoprocedures.com/surgeons/tx/dr-peter-romanick-fredericksburg.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.