#34 Knee
#71 Hip

Dr. Robert Girling, M.D.

Orthopedic Surgery
141 procedures 2 hospitals San Antonio, TX
Latest available Medicare data — updated April 2026
Top 10% Nationally
Knee replacement recovery kit Ice machines, mobility aids, bathroom safety — under $50 essentials
National Comparison by Procedure
Hip 35 vs 36 avg (4,526 surgeons)
Knee 106 vs 45 avg (6,720 surgeons)

Dr. Robert Girling is a board-certified orthopedic surgeon practicing in San Antonio, Texas. Dr. Girling has performed 106 Medicare-verified knee replacements (#34 in Texas) and 35 hip replacements, for a combined total of 141 procedures.

In Texas, Dr. Girling performs well above average in knee (106 vs 41 avg), near average in hip (35 vs 30 avg).

Dr. Girling's practice is heavily focused on knee replacement surgery, which accounts for 75% of reported Medicare volume.

San Antonio is home to 46 orthopedic surgeons in the current Medicare dataset. Patients in the San Antonio area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Medicare records for Dr. Girling extend back to 2018, covering 6 years of data. Over that period, recorded procedure volume increased from 118 to 141 in the most recent data, a 19% increase. This sustained growth reflects an expanding joint replacement practice.

Among 6,720 knee replacement surgeons tracked nationally, Dr. Girling's 106 verified procedures is more than 2x the national average of 45.

Verified Medicare Cases

Knee Replacement
106 verified cases
#34 in Texas
Hip Replacement
35 verified cases
#71 in Texas
Estimated total: 380 – 430 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. Girling Compares

Procedure volume compared to the Texas state average.

Hip Average
35 Avg: 30
Knee Very High
106 Avg: 41
Dr. Girling Texas Average

Contact & Location

21 Spurs Ln Ste 300
San Antonio, TX 78240
NPI: 1356661904
Credentials: M.D.
Active Medicare provider
Find Practice on Google Maps

Volume Trend Analysis

Dr. Girling's Medicare-recorded procedure volume has trended upward over 6 years, increasing 19% from 118 procedures in 2018 to 141 in the most recent data.

Years of Data 6
2023 Volume 141
Peak Volume 141 (2023)
Trend Growing

Hospital Affiliations & Quality

H
Methodist Hospital
★★★☆☆
San Antonio, TX
Similar to national avg
H
Legent Orthopedic + Spine
San Antonio, TX
Similar to national avg

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. Girling

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

Dr. Girling has performed 141 Medicare-verified joint replacement procedures. This is more than 2x the Texas average of 56 procedures per surgeon. Dr. Girling ranks #44 out of 573 orthopedic surgeons in Texas.

What types of joint replacement does Dr. Girling perform?

Dr. Girling's Medicare data shows procedures in knee replacement (106 cases) and hip replacement (35 cases).

Are there other orthopedic surgeons near Dr. Girling in San Antonio?

Yes. There are 46 orthopedic surgeons in San Antonio 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. Girling 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. Girling's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 141 procedures shown here.

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

Yes. Dr. Girling's Medicare-recorded volume has increased from 118 procedures in 2018 to 141 in the most recent data, a 19% increase over 6 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 141 procedures in 2023.

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

Yes. Dr. Girling's Medicare data shows procedures in knee replacement (106 cases), hip replacement (35 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Girling affiliated with?

According to CMS facility affiliation data, Dr. Girling is affiliated with Methodist Hospital, Legent Orthopedic + Spine.

How does Dr. Girling compare to other orthopedic surgeons in San Antonio?

Among the 46 orthopedic surgeons in San Antonio, Dr. Girling ranks #4 by total Medicare procedure volume. The highest-volume surgeon in San Antonio has 350 verified Medicare procedures.

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

Methodist Hospital (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Legent Orthopedic + Spine (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 San Antonio, Texas

Dr. Girling's 141 Medicare procedures are below the San Antonio average of 176. The table below compares verified procedure volumes for orthopedic surgeons practicing in San Antonio.

SurgeonProceduresSpecialties
Dr. Christopher Phelps 350 Hip, Knee, Shoulder
Dr. Bryan Kaiser 221 Hip, Knee
Dr. Richard Ursone 210 Hip, Knee, Shoulder
Dr. Casey Taber 121 Hip, Knee
Dr. Sergio Viroslav 97 Hip, Knee
Dr. Matthew Morrey 93 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. Robert Girling, M.D. -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tx/dr-robert-girling-san-antonio.html

Link: https://orthoprocedures.com/surgeons/tx/dr-robert-girling-san-antonio.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.