Knee
Dr. Richard Buch, M.D.
Dr. Richard Buch is a board-certified orthopedic surgeon practicing in Carrollton, Texas. Dr. Buch has performed 20 Medicare-verified knee replacements, ranking #349 in Texas.
In Texas, Dr. Buch performs below average in knee (20 vs 41 avg).
Dr. Buch's Medicare data shows a focused knee replacement practice with 20 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.
Carrollton is home to 3 orthopedic surgeons in the current Medicare dataset. Patients in the Carrollton area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Dr. Buch's Medicare data spans 9 years, beginning in 2013. Volume peaked at 29 procedures in 2021 before settling at 20 in the most recent data. Changes in Medicare reporting, payer mix shifts, or practice focus adjustments can all influence year-to-year volume.
Dr. Buch's 20 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. Buch Compares
Procedure volume compared to the Texas state average.
Contact & Location
Carrollton, TX 75010
Verified Case Volume Trends (2013-Current)
Volume Trend Analysis
Dr. Buch's recorded volume peaked at 29 procedures in 2021 and stood at 20 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.
Prehabilitation: Preparing Your Body for SurgeryEvidence-based exercises and lifestyle adjustments that can improve surgical outcomes and speed recovery when started weeks before your procedure.
Home Safety: Creating Your Recovery SanctuaryRoom-by-room modifications, equipment recommendations, and fall-prevention strategies to prepare your home for a safe post-surgical recovery.
Medicare Bundled Payment Programs for Joint ReplacementHow bundled payment models affect your joint replacement costs and care coordination, and what it means for hospital and surgeon selection.
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. Buch
How does Dr. Buch's procedure volume compare to other Texas surgeons?
Dr. Buch has performed 20 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. Buch ranks #434 out of 573 orthopedic surgeons in Texas.
What types of joint replacement does Dr. Buch perform?
Dr. Buch's reported Medicare volume is focused on knee replacement, with 20 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
Are there other orthopedic surgeons near Dr. Buch in Carrollton?
Yes. There are 3 orthopedic surgeons in Carrollton 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. Buch 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. Buch's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 20 procedures shown here.
Has Dr. Buch's procedure volume changed over time?
Dr. Buch's Medicare-recorded volume peaked at 29 procedures in 2021 and was 20 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. Buch affiliated with?
According to CMS facility affiliation data, Dr. Buch is affiliated with Carrollton Regional Medical Center.
How does Dr. Buch compare to other orthopedic surgeons in Carrollton?
Among the 3 orthopedic surgeons in Carrollton, Dr. Buch ranks #3 by total Medicare procedure volume. Dr. Buch is among the highest-volume surgeons in Carrollton.
What are the quality ratings for hospitals where Dr. Buch practices?
Carrollton 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 Carrollton, Texas
Dr. Buch's 20 Medicare procedures are below the Carrollton average of 47. The table below compares verified procedure volumes for orthopedic surgeons practicing in Carrollton.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Brian Fuller | 72 | Hip, Knee |
| Dr. Mitchell Fagelman | 50 | Shoulder |
Patient Reviews & Ratings
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