#2 Hip
#4 Knee

Dr. Nathaniel Nelms, M.D.

Orthopedic Surgery
112 procedures 1 hospital South Burlington, VT
Latest available Medicare data — updated April 2026
Rising Star
Hip replacement recovery kit Essentials every patient wishes they bought first
National Comparison by Procedure
Hip 59 vs 36 avg (4,526 surgeons)
Knee 53 vs 45 avg (6,720 surgeons)

Dr. Nathaniel Nelms is a board-certified orthopedic surgeon practicing in South Burlington, Vermont. Dr. Nelms has performed 59 Medicare-verified hip replacements (#2 in Vermont) and 53 knee replacements, for a combined total of 112 procedures.

In Vermont, Dr. Nelms performs above average in hip (59 vs 36 avg), above average in knee (53 vs 42 avg).

Dr. Nelms's reported Medicare volume is split between hip replacements (59 cases) and knee replacements (53 cases).

South Burlington is home to 3 orthopedic surgeons in the current Medicare dataset. Patients in the South Burlington area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Medicare records for Dr. Nelms extend back to 2013, covering 11 years of data. Over that period, recorded procedure volume increased from 56 to 112 in the most recent data, a 100% increase. This sustained growth reflects an expanding joint replacement practice.

Among 4,526 hip replacement surgeons tracked nationally, Dr. Nelms's 59 verified procedures is above the national average of 36.

Verified Medicare Cases

Hip Replacement
59 verified cases
#2 in Vermont
Knee Replacement
53 verified cases
#4 in Vermont
Estimated total: 300 – 340 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. Nelms Compares

Procedure volume compared to the Vermont state average.

Hip High
59 Avg: 36
Knee High
53 Avg: 42
Dr. Nelms Vermont Average

Contact & Location

192 Tilley Dr
South Burlington, VT 05403
NPI: 1881743664
Credentials: M.D.
Active Medicare provider
Find Practice on Google Maps

Volume Trend Analysis

Dr. Nelms's Medicare-recorded procedure volume has trended upward over 11 years, increasing 100% from 56 procedures in 2013 to 112 in the most recent data.

Years of Data 11
2023 Volume 112
Peak Volume 115 (2019)
Trend Growing

Hospital Affiliations & Quality

H
University Of Vermont Medical Center
★★★☆☆
Burlington, VT
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.

Hip Replacement Recovery Overview

Recovery timelines vary by patient, but here is a general overview of what to expect after hip replacement surgery:

Week 1-2 Walking with assistive device (walker or cane). Gentle range-of-motion exercises begin. Most patients can manage basic self-care.
Week 3-6 Transition to walking independently. Resume driving short distances. Physical therapy focuses on strength and balance.
Week 7-12 Return to most daily activities and light exercise. Stair climbing improves. Many patients return to desk work.
Month 4-6 Full recovery for most patients. Resume recreational activities, golf, swimming, and low-impact exercise.

Individual recovery varies based on overall health, age, and adherence to physical therapy. View full hip replacement recovery guide and product recommendations

Frequently Asked Questions About Dr. Nelms

How does Dr. Nelms's procedure volume compare to other Vermont surgeons?

Dr. Nelms has performed 112 Medicare-verified joint replacement procedures. This is significantly above the Vermont average of 67 procedures per surgeon. Dr. Nelms ranks #3 out of 17 orthopedic surgeons in Vermont.

What types of joint replacement does Dr. Nelms perform?

Dr. Nelms's Medicare data shows procedures in hip replacement (59 cases) and knee replacement (53 cases).

How experienced is Dr. Nelms with hip replacement surgery?

Dr. Nelms ranks #2 in Vermont for hip replacement with 59 Medicare-verified procedures. This high ranking among 17 state surgeons indicates significant experience with this specific procedure.

Are there other orthopedic surgeons near Dr. Nelms in South Burlington?

Yes. There are 3 orthopedic surgeons in South Burlington 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 Vermont surgeons.

What does the Medicare data for Dr. Nelms 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. Nelms's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 112 procedures shown here.

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

Yes. Dr. Nelms's Medicare-recorded volume has increased from 56 procedures in 2013 to 112 in the most recent data, a 100% increase over 11 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 115 procedures in 2019.

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

Yes. Dr. Nelms's Medicare data shows procedures in hip replacement (59 cases), knee replacement (53 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Nelms affiliated with?

According to CMS facility affiliation data, Dr. Nelms is affiliated with University Of Vermont Medical Center.

How does Dr. Nelms compare to other orthopedic surgeons in South Burlington?

Among the 3 orthopedic surgeons in South Burlington, Dr. Nelms ranks #1 by total Medicare procedure volume. Dr. Nelms has the highest verified Medicare volume in the city.

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

University Of Vermont Medical Center (3 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 South Burlington, Vermont

Dr. Nelms's 112 Medicare procedures are above the South Burlington average of 92. The table below compares verified procedure volumes for orthopedic surgeons practicing in South Burlington.

SurgeonProceduresSpecialties
Dr. Michael Blankstein 82 Hip, Knee
Dr. Mark Haimes 82 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. Nathaniel Nelms, M.D. -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/vt/dr-nathaniel-nelms-south-burlington.html

Link: https://orthoprocedures.com/surgeons/vt/dr-nathaniel-nelms-south-burlington.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.