Dr. Nicholas Harding, MD
Contact & Location
Fredericksburg, VA 22401
Dr. Nicholas Harding is a board-certified orthopedic surgeon practicing in Fredericksburg, Virginia. A Medicare provider since 2006, Dr. Harding has performed 45 Medicare-verified knee replacements (#81 in Virginia) and 15 hip replacements, for a combined total of 60 procedures.
In Virginia, Dr. Harding performs below average in knee (45 vs 58 avg), below average in hip (15 vs 47 avg).
Dr. Harding's practice is heavily focused on knee replacement surgery, which accounts for 75% of reported Medicare volume.
Beyond general orthopedic surgery, Dr. Harding holds additional credentials in Sports Medicine, reflecting subspecialty training that may benefit patients with complex joint conditions.
Fredericksburg is home to 7 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. Harding extend back to 2018, covering 6 years of data. Over that period, recorded procedure volume increased from 17 to 60 in the most recent data, a 253% increase. This sustained growth reflects an expanding joint replacement practice.
Among 6,599 knee replacement surgeons tracked nationally, Dr. Harding's 45 verified procedures is near the national average of 45.
Verified Case Volume Trends (2013-Current)
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. Harding Compares
Procedure volume compared to the Virginia state average.
Volume Trend Analysis
Dr. Harding's Medicare-recorded procedure volume has trended upward over 6 years, increasing 253% from 17 procedures in 2018 to 60 in the most recent data.
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.
Questions to Ask Your Surgeon Before Joint ReplacementA practical checklist of questions covering experience, technique, hospital choice, and recovery expectations to discuss during your surgical consultation.
Rehabilitation Roadmap: Your Complete Recovery GuideA structured physical therapy progression from the first post-op exercises through full strength and mobility restoration over 3 to 6 months.
Outpatient Joint Replacement: A Medicare GuideHow outpatient joint replacement works under Medicare, including eligibility criteria, cost differences, and what to expect with same-day discharge.
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. Harding
How does Dr. Harding's procedure volume compare to other Virginia surgeons?
Dr. Harding has performed 60 Medicare-verified joint replacement procedures. The Virginia average is 82 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Harding ranks #102 out of 229 orthopedic surgeons in Virginia.
What types of joint replacement does Dr. Harding perform?
Dr. Harding's Medicare data shows procedures in knee replacement (45 cases) and hip replacement (15 cases).
Are there other orthopedic surgeons near Dr. Harding in Fredericksburg?
Yes. There are 7 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 Virginia surgeons.
What does the Medicare data for Dr. Harding 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. Harding's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 60 procedures shown here.
Has Dr. Harding's procedure volume changed over time?
Yes. Dr. Harding's Medicare-recorded volume has increased from 17 procedures in 2018 to 60 in the most recent data, a 253% increase over 6 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 72 procedures in 2023.
Does Dr. Harding perform more than one type of joint replacement?
Yes. Dr. Harding's Medicare data shows procedures in knee replacement (45 cases), hip replacement (15 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Harding affiliated with?
According to CMS facility affiliation data, Dr. Harding is affiliated with Spotsylvania Regional Medical Center, Mary Washington Hospital, Inc.
How does Dr. Harding compare to other orthopedic surgeons in Fredericksburg?
Among the 7 orthopedic surgeons in Fredericksburg, Dr. Harding ranks #5 by total Medicare procedure volume. The highest-volume surgeon in Fredericksburg has 237 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Harding practices?
Spotsylvania Regional Medical Center (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Mary Washington Hospital, Inc (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 Fredericksburg, Virginia
Dr. Harding's 60 Medicare procedures are below the Fredericksburg average of 90. The table below compares verified procedure volumes for orthopedic surgeons practicing in Fredericksburg.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Brian McDermott | 237 | Hip, Knee |
| Dr. David Zijerdi | 89 | Hip, Knee |
| Dr. Elvis Xhaferi | 88 | Hip, Knee |
| Dr. Kenneth Accousti | 81 | Shoulder |
| Dr. Erik Krushinski | 55 | Knee, Shoulder |
| Dr. Timothy Neary | 19 | Knee |
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.