#274 in Texas
Knee

Dr. Trent Twitero, M.D.

Orthopedic Surgery
26 procedures 5 hospitals New Braunfels, 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 26 vs 45 avg (6,720 surgeons)

Dr. Trent Twitero is a board-certified orthopedic surgeon practicing in New Braunfels, Texas. Dr. Twitero has performed 26 Medicare-verified knee replacements, ranking #274 in Texas.

In Texas, Dr. Twitero performs below average in knee (26 vs 41 avg).

Dr. Twitero's Medicare data shows a focused knee replacement practice with 26 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. Twitero's Medicare data spans 11 years, beginning in 2013. Volume peaked at 45 procedures in 2022 before settling at 26 in the most recent data. Changes in Medicare reporting, payer mix shifts, or practice focus adjustments can all influence year-to-year volume.

Dr. Twitero's 26 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
26 verified cases
#274 in Texas
Estimated total: 70 – 80 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. Twitero Compares

Procedure volume compared to the Texas state average.

Knee Below Avg
26 Avg: 41
Dr. Twitero Texas Average

Contact & Location

960 Gruene Rd Ste 101
New Braunfels, TX 78130
NPI: 1275692568
Credentials: M.D.
Active Medicare provider
Find Practice on Google Maps

Volume Trend Analysis

Dr. Twitero's recorded volume peaked at 45 procedures in 2022 and stood at 26 in the most recent data. Year-to-year variation can reflect changes in payer mix, practice scope, or Medicare billing patterns.

Years of Data 11
2023 Volume 26
Peak Volume 45 (2022)
Trend Declining

Hospital Affiliations & Quality

H
Guadalupe Regional Medical Center
★★☆☆☆
Seguin, TX
Similar to national avg
H
Cuero Regional Hospital
Cuero, TX
H
Memorial Hospital
Gonzales, TX
Low case volume
H
Christus Santa Rosa Hospital-San Marcos
★★★★☆
San Marcos, TX
Low case volume
H
Otto Kaiser Memorial Hospital
Kenedy, 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. Twitero

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

Dr. Twitero has performed 26 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. Twitero ranks #375 out of 573 orthopedic surgeons in Texas.

What types of joint replacement does Dr. Twitero perform?

Dr. Twitero's reported Medicare volume is focused on knee replacement, with 26 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.

Are there other orthopedic surgeons near Dr. Twitero 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. Twitero 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. Twitero's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 26 procedures shown here.

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

Dr. Twitero's Medicare-recorded volume peaked at 45 procedures in 2022 and was 26 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. Twitero affiliated with?

According to CMS facility affiliation data, Dr. Twitero is affiliated with Guadalupe Regional Medical Center, Cuero Regional Hospital, Memorial Hospital, Christus Santa Rosa Hospital-San Marcos, Otto Kaiser Memorial Hospital.

How does Dr. Twitero compare to other orthopedic surgeons in New Braunfels?

Among the 5 orthopedic surgeons in New Braunfels, Dr. Twitero ranks #5 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. Twitero practices?

Guadalupe Regional Medical Center (2 out of 5 CMS stars, hip/knee complication rate similar to national average); Memorial Hospital (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 New Braunfels, Texas

Dr. Twitero's 26 Medicare procedures are below the New Braunfels average of 63. The table below compares verified procedure volumes for orthopedic surgeons practicing in New Braunfels.

SurgeonProceduresSpecialties
Dr. Creighton Tubb 125 Hip, Knee
Dr. Michael Vrana 69 Hip, Knee
Dr. David Templin 61 Hip, Knee, Shoulder
Dr. David Starch 35 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. Trent Twitero, M.D. -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tx/dr-trent-twitero-new-braunfels.html

Link: https://orthoprocedures.com/surgeons/tx/dr-trent-twitero-new-braunfels.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.