Top Orthopedic Surgeons in Washington

Washington Rankings
198 surgeons • 11,714 procedures
Current Medicare Data

Discover Washington's leading orthopedic surgeons ranked by verified Medicare procedure volume. Our comprehensive analysis covers 198 specialists across hip, knee, and shoulder replacement procedures.

Orthopedic surgeon rankings map

Find Surgeons by City in Washington

Top cities by number of orthopedic surgeons

Seattle37 Spokane17 Vancouver14 Bellevue9 Lakewood8 Olympia7 Wenatchee6 Silverdale6 Richland6 Kirkland6 Mount Vernon6 Bellingham6

Washington Rankings

198 surgeons • All procedures

Current Medicare data
Joint replacement recovery essentials 7-piece recovery essentials kit. Prepare before surgery day.
1
State Rank
NPI: 1891864393
Olympia
WA
210
Verified Cases
#1
State
Hip 83
Knee 127
2
State Rank
NPI: 1538215447
Kennewick
WA
194
Verified Cases
#2
State
Hip 35
Knee 159
3
State Rank
NPI: 1730404286
Renton
WA
190
Verified Cases
#3
State
Hip 85
Knee 105
4
State Rank
NPI: 1356370720
Wenatchee
WA
188
Verified Cases
#4
State
Hip 77
Knee 111
5
State Rank
NPI: 1073715546
Silverdale
WA
182
Verified Cases
#5
State
Hip 82
Knee 100
6
State Rank
NPI: 1770783607
Bellevue
WA
181
Verified Cases
#6
State
Hip 88
Knee 93
7
State Rank
NPI: 1174781421
Spokane
WA
175
Verified Cases
#7
State
Hip 97
Knee 78
8
State Rank
NPI: 1952350639
Yakima
WA
174
Verified Cases
#8
State
Hip 104
Knee 70
9
State Rank
NPI: 1447644901
Tacoma
WA
171
Verified Cases
#9
State
Hip 82
Knee 89
10
State Rank
NPI: 1912154022
Bellevue
WA
155
Verified Cases
#10
State
Hip 66
Knee 89
11
State Rank
NPI: 1225078371
Vancouver
WA
146
Verified Cases
#11
State
Hip 66
Knee 80
12
State Rank
NPI: 1235302696
Seattle
WA
142
Verified Cases
#12
State
Hip 65
Knee 77
13
State Rank
NPI: 1659629467
Seattle
WA
140
Verified Cases
#13
State
Hip 77
Knee 63
14
State Rank
NPI: 1730380833
Federal Way
WA
140
Verified Cases
#14
State
Hip 73
Knee 67
15
State Rank
NPI: 1164740403
Richland
WA
139
Verified Cases
#15
State
Hip 31
Knee 108
16
State Rank
NPI: 1063861102
Wenatchee
WA
137
Verified Cases
#16
State
Hip 62
Knee 75
17
State Rank
NPI: 1275552531
Kennewick
WA
135
Verified Cases
#17
State
Hip 41
Knee 94
18
State Rank
NPI: 1568497402
Seattle
WA
125
Verified Cases
#18
State
Hip 46
Knee 79
19
State Rank
NPI: 1306108436
Kirkland
WA
124
Verified Cases
#19
State
Hip 64
Knee 60
20
State Rank
NPI: 1487966842
Gig Harbor
WA
121
Verified Cases
#20
State
Hip 66
Knee 55
21
State Rank
NPI: 1700858651
Vancouver
WA
117
Verified Cases
#21
State
Hip 46
Knee 71
22
State Rank
NPI: 1295734499
Mount Vernon
WA
115
Verified Cases
#22
State
Hip 50
Knee 65
23
State Rank
NPI: 1669486072
Walla Walla
WA
113
Verified Cases
#23
State
Hip 75
Knee 38
24
State Rank
NPI: 1437129947
Walla Walla
WA
113
Verified Cases
#24
State
Hip 72
Knee 41
25
State Rank
NPI: 1699162289
Renton
WA
111
Verified Cases
#25
State
Hip 37
Knee 74
26
State Rank
NPI: 1003876343
Seattle
WA
109
Verified Cases
#26
State
Hip 30
Knee 79
27
State Rank
NPI: 1558430264
Olympia
WA
109
Verified Cases
#27
State
Knee 109
28
State Rank
NPI: 1720394521
Spokane
WA
107
Verified Cases
#28
State
Hip 58
Knee 49
29
State Rank
NPI: 1508026113
Seattle
WA
106
Verified Cases
#29
State
Hip 61
Knee 45
30
State Rank
NPI: 1649613357
Spokane
WA
102
Verified Cases
#30
State
Hip 52
Knee 50
31
State Rank
NPI: 1841566049
Seattle
WA
101
Verified Cases
#31
State
Hip 25
Knee 64
Shoulder 12
32
State Rank
NPI: 1992947592
Silverdale
WA
98
Verified Cases
#32
State
Hip 31
Knee 67
33
State Rank
NPI: 1881663292
Seattle
WA
96
Verified Cases
#33
State
Hip 38
Knee 58
34
State Rank
NPI: 1275504045
Spokane
WA
93
Verified Cases
#34
State
Hip 28
Knee 40
Shoulder 25
35
State Rank
NPI: 1700855343
Seattle
WA
92
Verified Cases
#35
State
Hip 92
36
State Rank
NPI: 1578592176
Wenatchee
WA
92
Verified Cases
#36
State
Hip 36
Knee 28
Shoulder 28
37
State Rank
NPI: 1063490290
Olympia
WA
88
Verified Cases
#37
State
Hip 35
Knee 53
38
State Rank
NPI: 1801965314
Olympia
WA
86
Verified Cases
#38
State
Hip 72
Knee 14
39
State Rank
NPI: 1386690691
Everett
WA
86
Verified Cases
#39
State
Hip 32
Knee 54
40
State Rank
NPI: 1407825599
Spokane
WA
85
Verified Cases
#40
State
Knee 85
41
State Rank
NPI: 1851352710
Lakewood
WA
84
Verified Cases
#41
State
Hip 43
Knee 41
42
State Rank
NPI: 1487996732
Seattle
WA
84
Verified Cases
#42
State
Hip 41
Knee 43
43
State Rank
NPI: 1285868919
Port Angeles
WA
84
Verified Cases
#43
State
Hip 34
Knee 50
44
State Rank
NPI: 1962407551
Port Angeles
WA
84
Verified Cases
#44
State
Hip 31
Knee 53
45
State Rank
NPI: 1851350680
Seattle
WA
84
Verified Cases
#45
State
Hip 19
Knee 65
46
State Rank
NPI: 1992868954
Vancouver
WA
83
Verified Cases
#46
State
Hip 47
Knee 36
47
State Rank
NPI: 1154392942
Bellevue
WA
83
Verified Cases
#47
State
Hip 45
Knee 38
48
State Rank
NPI: 1326030743
Spokane
WA
83
Verified Cases
#48
State
Hip 43
Knee 40
49
State Rank
NPI: 1356361588
Everett
WA
83
Verified Cases
#49
State
Hip 32
Knee 51
50
State Rank
NPI: 1518933639
Seattle
WA
80
Verified Cases
#50
State
Hip 32
Knee 48
51
State Rank
NPI: 1972572469
Renton
WA
80
Verified Cases
#51
State
Hip 21
Knee 59
52
State Rank
NPI: 1013367374
Seattle
WA
79
Verified Cases
#52
State
Hip 47
Knee 32
53
State Rank
NPI: 1376988477
Issaquah
WA
79
Verified Cases
#53
State
Hip 45
Knee 34
54
State Rank
NPI: 1558334490
Tacoma
WA
79
Verified Cases
#54
State
Hip 40
Knee 39
55
State Rank
NPI: 1376751669
Bellingham
WA
79
Verified Cases
#55
State
Hip 39
Knee 40
56
State Rank
NPI: 1316911449
Walla Walla
WA
78
Verified Cases
#56
State
Hip 27
Knee 51
57
State Rank
NPI: 1770699159
Edmonds
WA
76
Verified Cases
#57
State
Hip 27
Knee 49
58
State Rank
NPI: 1255775219
Lakewood
WA
74
Verified Cases
#58
State
Hip 50
Knee 24
59
State Rank
NPI: 1467868265
Olympia
WA
74
Verified Cases
#59
State
Hip 39
Knee 35
60
State Rank
NPI: 1336180413
Bellevue
WA
74
Verified Cases
#60
State
Hip 21
Knee 53
61
State Rank
NPI: 1770508509
Bellingham
WA
73
Verified Cases
#61
State
Hip 39
Knee 34
62
State Rank
NPI: 1417987090
Silverdale
WA
72
Verified Cases
#62
State
Hip 30
Knee 42
63
State Rank
NPI: 1124230479
Spokane
WA
70
Verified Cases
#63
State
Hip 44
Knee 26
64
State Rank
NPI: 1194907337
Mount Vernon
WA
70
Verified Cases
#64
State
Hip 42
Knee 28
65
State Rank
NPI: 1366797037
Richland
WA
70
Verified Cases
#65
State
Hip 36
Knee 34
66
State Rank
NPI: 1134501463
Kirkland
WA
70
Verified Cases
#66
State
Hip 34
Knee 36
67
State Rank
NPI: 1386663482
Wenatchee
WA
69
Verified Cases
#67
State
Knee 35
Shoulder 34
68
State Rank
NPI: 1467462861
Edmonds
WA
68
Verified Cases
#68
State
Hip 38
Knee 30
69
State Rank
NPI: 1780078790
Pullman
WA
68
Verified Cases
#69
State
Hip 25
Knee 43
70
State Rank
NPI: 1720278344
Renton
WA
68
Verified Cases
#70
State
Hip 22
Knee 46
71
State Rank
NPI: 1043239437
Federal Way
WA
68
Verified Cases
#71
State
Hip 18
Knee 32
Shoulder 18
72
State Rank
NPI: 1073878088
Mount Vernon
WA
67
Verified Cases
#72
State
Hip 27
Knee 40
73
State Rank
NPI: 1932169729
Issaquah
WA
67
Verified Cases
#73
State
Knee 18
Shoulder 49
74
State Rank
NPI: 1013951805
Puyallup
WA
66
Verified Cases
#74
State
Hip 24
Knee 42
75
State Rank
NPI: 1295822930
Seattle
WA
66
Verified Cases
#75
State
Shoulder 66
76
State Rank
NPI: 1760914840
Mount Vernon
WA
65
Verified Cases
#76
State
Hip 36
Knee 29
77
State Rank
NPI: 1144299314
Seattle
WA
65
Verified Cases
#77
State
Knee 65
78
State Rank
NPI: 1356329114
Spokane
WA
64
Verified Cases
#78
State
Knee 40
Shoulder 24
79
State Rank
NPI: 1407934896
Richland
WA
64
Verified Cases
#79
State
Shoulder 64
80
State Rank
NPI: 1588867394
Silverdale
WA
64
Verified Cases
#80
State
Shoulder 64
81
State Rank
NPI: 1427376607
Bellevue
WA
62
Verified Cases
#81
State
Hip 30
Knee 32
82
State Rank
NPI: 1164841136
Spokane Valley
WA
61
Verified Cases
#82
State
Hip 34
Knee 27
83
State Rank
NPI: 1164534350
Centralia
WA
59
Verified Cases
#83
State
Hip 15
Knee 44
84
State Rank
NPI: 1760428478
Vancouver
WA
59
Verified Cases
#84
State
Knee 59
85
State Rank
NPI: 1982800215
Seattle
WA
58
Verified Cases
#85
State
Hip 24
Knee 34
86
State Rank
NPI: 1225003213
Longview
WA
57
Verified Cases
#86
State
Hip 42
Knee 15
87
State Rank
NPI: 1699930792
Seattle
WA
57
Verified Cases
#87
State
Shoulder 57
88
State Rank
NPI: 1487860946
Kennewick
WA
56
Verified Cases
#88
State
Hip 15
Knee 41
89
State Rank
NPI: 1356705669
Lakewood
WA
54
Verified Cases
#89
State
Shoulder 54
90
State Rank
NPI: 1437392479
Seattle
WA
54
Verified Cases
#90
State
Shoulder 54
91
State Rank
NPI: 1831141902
Olympia
WA
54
Verified Cases
#91
State
Shoulder 54
92
State Rank
NPI: 1679989396
Seattle
WA
53
Verified Cases
#92
State
Hip 26
Knee 27
93
State Rank
NPI: 1285644195
Pullman
WA
53
Verified Cases
#93
State
Knee 38
Shoulder 15
94
State Rank
NPI: 1114921707
Lakewood
WA
53
Verified Cases
#94
State
Shoulder 53
95
State Rank
NPI: 1093812778
Spokane
WA
51
Verified Cases
#95
State
Hip 23
Knee 28
96
State Rank
NPI: 1336344944
Bellingham
WA
51
Verified Cases
#96
State
Hip 22
Knee 29
97
State Rank
NPI: 1154439115
Yakima
WA
51
Verified Cases
#97
State
Knee 27
Shoulder 24
98
State Rank
NPI: 1861871741
Seattle
WA
51
Verified Cases
#98
State
Shoulder 51
99
State Rank
NPI: 1053391508
Spokane Valley
WA
49
Verified Cases
#99
State
Hip 33
Knee 16
100
State Rank
NPI: 1700845377
Bellingham
WA
47
Verified Cases
#100
State
Hip 20
Knee 27
101
State Rank
NPI: 1477572931
Puyallup
WA
47
Verified Cases
#101
State
Hip 18
Knee 29
102
State Rank
NPI: 1225327364
Richland
WA
46
Verified Cases
#102
State
Hip 15
Knee 31
103
State Rank
NPI: 1497857098
Seattle
WA
45
Verified Cases
#103
State
Hip 17
Knee 28
104
State Rank
NPI: 1548239106
Seattle
WA
45
Verified Cases
#104
State
Knee 45
105
State Rank
NPI: 1619105004
Richland
WA
44
Verified Cases
#105
State
Hip 44
106
State Rank
NPI: 1326448770
Vancouver
WA
43
Verified Cases
#106
State
Hip 28
Knee 15
107
State Rank
NPI: 1659508299
Mount Vernon
WA
43
Verified Cases
#107
State
Hip 19
Shoulder 24
108
State Rank
NPI: 1215903711
Lakewood
WA
43
Verified Cases
#108
State
Knee 43
109
State Rank
NPI: 1003063165
Seattle
WA
43
Verified Cases
#109
State
Shoulder 43
110
State Rank
NPI: 1184990590
Monroe
WA
42
Verified Cases
#110
State
Hip 22
Knee 20
111
State Rank
NPI: 1184697211
Tacoma
WA
42
Verified Cases
#111
State
Hip 21
Knee 21
112
State Rank
NPI: 1578575734
Spokane
WA
42
Verified Cases
#112
State
Shoulder 42
113
State Rank
NPI: 1922239581
Wenatchee
WA
40
Verified Cases
#113
State
Knee 40
114
State Rank
NPI: 1205125945
Kennewick
WA
40
Verified Cases
#114
State
Shoulder 40
115
State Rank
NPI: 1952333916
Silverdale
WA
40
Verified Cases
#115
State
Shoulder 40
116
State Rank
NPI: 1194791343
Spokane
WA
39
Verified Cases
#116
State
Hip 18
Knee 21
117
State Rank
NPI: 1871562595
Kirkland
WA
39
Verified Cases
#117
State
Hip 13
Knee 26
118
State Rank
NPI: 1467626374
Seattle
WA
39
Verified Cases
#118
State
Shoulder 39
119
State Rank
NPI: 1285646265
Spokane
WA
38
Verified Cases
#119
State
Knee 22
Shoulder 16
120
State Rank
NPI: 1326238445
Seattle
WA
37
Verified Cases
#120
State
Shoulder 37
121
State Rank
NPI: 1134137748
Puyallup
WA
36
Verified Cases
#121
State
Hip 14
Knee 22
122
State Rank
NPI: 1356509475
Kirkland
WA
36
Verified Cases
#122
State
Knee 36
123
State Rank
NPI: 1013012608
Seattle
WA
35
Verified Cases
#123
State
Hip 23
Knee 12
124
State Rank
NPI: 1972562528
Bellevue
WA
34
Verified Cases
#124
State
Knee 22
Shoulder 12
125
State Rank
NPI: 1285996942
Walla Walla
WA
34
Verified Cases
#125
State
Knee 12
Shoulder 22
126
State Rank
NPI: 1265421382
Seattle
WA
33
Verified Cases
#126
State
Hip 33
127
State Rank
NPI: 1003882515
Lakewood
WA
33
Verified Cases
#127
State
Hip 13
Knee 20
128
State Rank
NPI: 1366559163
Vancouver
WA
33
Verified Cases
#128
State
Knee 33
129
State Rank
NPI: 1376612002
Olympia
WA
32
Verified Cases
#129
State
Hip 12
Knee 20
130
State Rank
NPI: 1043473598
Poulsbo
WA
32
Verified Cases
#130
State
Knee 32
131
State Rank
NPI: 1710166467
Issaquah
WA
32
Verified Cases
#131
State
Knee 32
132
State Rank
NPI: 1417911165
Kirkland
WA
32
Verified Cases
#132
State
Shoulder 32
133
State Rank
NPI: 1073073508
Seattle
WA
30
Verified Cases
#133
State
Hip 19
Knee 11
134
State Rank
NPI: 1831148600
Seattle
WA
30
Verified Cases
#134
State
Hip 16
Knee 14
135
State Rank
NPI: 1265401533
Aberdeen
WA
30
Verified Cases
#135
State
Hip 15
Knee 15
136
State Rank
NPI: 1790704856
Bellingham
WA
29
Verified Cases
#136
State
Hip 12
Knee 17
137
State Rank
NPI: 1043433774
Vancouver
WA
29
Verified Cases
#137
State
Knee 29
138
State Rank
NPI: 1861604217
Walla Walla
WA
29
Verified Cases
#138
State
Knee 13
Shoulder 16
139
State Rank
NPI: 1598700346
Vancouver
WA
29
Verified Cases
#139
State
Shoulder 29
140
State Rank
NPI: 1164649067
Vancouver
WA
28
Verified Cases
#140
State
Knee 28
141
State Rank
NPI: 1902872500
Yakima
WA
28
Verified Cases
#141
State
Knee 28
142
State Rank
NPI: 1457466658
Vancouver
WA
28
Verified Cases
#142
State
Shoulder 28
143
State Rank
NPI: 1083682694
Spokane
WA
26
Verified Cases
#143
State
Hip 13
Knee 13
144
State Rank
NPI: 1528450863
Federal Way
WA
26
Verified Cases
#144
State
Hip 12
Knee 14
145
State Rank
NPI: 1194024448
Mount Vernon
WA
26
Verified Cases
#145
State
Knee 26
146
State Rank
NPI: 1225169279
Longview
WA
26
Verified Cases
#146
State
Knee 26
147
State Rank
NPI: 1194771998
Edmonds
WA
26
Verified Cases
#147
State
Shoulder 26
148
State Rank
NPI: 1952374290
Silverdale
WA
25
Verified Cases
#148
State
Shoulder 25
149
State Rank
NPI: 1821263807
Lakewood
WA
24
Verified Cases
#149
State
Shoulder 24
150
State Rank
NPI: 1639554330
Spokane Valley
WA
23
Verified Cases
#150
State
Knee 23
151
State Rank
NPI: 1659505279
Vancouver
WA
23
Verified Cases
#151
State
Knee 23
152
State Rank
NPI: 1104845668
Puyallup
WA
23
Verified Cases
#152
State
Shoulder 23
153
State Rank
NPI: 1023193836
Seattle
WA
22
Verified Cases
#153
State
Shoulder 22
154
State Rank
NPI: 1477813418
Seattle
WA
21
Verified Cases
#154
State
Shoulder 21
155
State Rank
NPI: 1306908033
Everett
WA
20
Verified Cases
#155
State
Hip 20
156
State Rank
NPI: 1669797403
Kirkland
WA
20
Verified Cases
#156
State
Hip 20
157
State Rank
NPI: 1386083681
Auburn
WA
20
Verified Cases
#157
State
Shoulder 20
158
State Rank
NPI: 1154380186
Seattle
WA
19
Verified Cases
#158
State
Knee 19
159
State Rank
NPI: 1487625430
Bellevue
WA
19
Verified Cases
#159
State
Knee 19
160
State Rank
NPI: 1497902340
Spokane
WA
19
Verified Cases
#160
State
Knee 19
161
State Rank
NPI: 1710245071
Marysville
WA
19
Verified Cases
#161
State
Shoulder 19
162
State Rank
NPI: 1740208719
Vancouver
WA
19
Verified Cases
#162
State
Shoulder 19
163
State Rank
NPI: 1467710186
Prosser
WA
17
Verified Cases
#163
State
Hip 17
164
State Rank
NPI: 1346444916
Yakima
WA
17
Verified Cases
#164
State
Knee 17
165
State Rank
NPI: 1972506657
Burien
WA
17
Verified Cases
#165
State
Knee 17
166
State Rank
NPI: 1578887139
Seattle
WA
17
Verified Cases
#166
State
Shoulder 17
167
State Rank
NPI: 1831488550
Renton
WA
17
Verified Cases
#167
State
Shoulder 17
168
State Rank
NPI: 1285058545
Yakima
WA
16
Verified Cases
#168
State
Knee 16
169
State Rank
NPI: 1043771397
Spokane
WA
16
Verified Cases
#169
State
Shoulder 16
170
State Rank
NPI: 1316471816
Wenatchee
WA
16
Verified Cases
#170
State
Shoulder 16
171
State Rank
NPI: 1598842619
Seattle
WA
16
Verified Cases
#171
State
Shoulder 16
172
State Rank
NPI: 1396748125
Moses Lake
WA
16
Verified Cases
#172
State
Shoulder 16
173
State Rank
NPI: 1669816906
Arlington
WA
15
Verified Cases
#173
State
Hip 15
174
State Rank
NPI: 1407877830
Bellingham
WA
15
Verified Cases
#174
State
Knee 15
175
State Rank
NPI: 1982903142
Bellevue
WA
15
Verified Cases
#175
State
Knee 15
176
State Rank
NPI: 1124124755
Everett
WA
14
Verified Cases
#176
State
Knee 14
177
State Rank
NPI: 1447423934
Richland
WA
14
Verified Cases
#177
State
Knee 14
178
State Rank
NPI: 1710098660
Enumclaw
WA
14
Verified Cases
#178
State
Knee 14
179
State Rank
NPI: 1285131482
Bellevue
WA
14
Verified Cases
#179
State
Shoulder 14
180
State Rank
NPI: 1376988642
Vancouver
WA
14
Verified Cases
#180
State
Shoulder 14
181
State Rank
NPI: 1659752483
Puyallup
WA
14
Verified Cases
#181
State
Shoulder 14
182
State Rank
NPI: 1972915627
Lakewood
WA
14
Verified Cases
#182
State
Shoulder 14
183
State Rank
NPI: 1538138268
Puyallup
WA
13
Verified Cases
#183
State
Hip 13
184
State Rank
NPI: 1124382668
Federal Way
WA
13
Verified Cases
#184
State
Knee 13
185
State Rank
NPI: 1235333188
Colville
WA
13
Verified Cases
#185
State
Knee 13
186
State Rank
NPI: 1407834641
Auburn
WA
13
Verified Cases
#186
State
Knee 13
187
State Rank
NPI: 1639146285
Spokane
WA
13
Verified Cases
#187
State
Knee 13
188
State Rank
NPI: 1043707029
Seattle
WA
13
Verified Cases
#188
State
Shoulder 13
189
State Rank
NPI: 1053845420
Seattle
WA
13
Verified Cases
#189
State
Shoulder 13
190
State Rank
NPI: 1710270541
Tacoma
WA
13
Verified Cases
#190
State
Shoulder 13
191
State Rank
NPI: 1205887056
Spokane Valley
WA
12
Verified Cases
#191
State
Hip 12
192
State Rank
NPI: 1295810026
Issaquah
WA
12
Verified Cases
#192
State
Knee 12
193
State Rank
NPI: 1780768291
Seattle
WA
12
Verified Cases
#193
State
Knee 12
194
State Rank
NPI: 1225085368
Vancouver
WA
11
Verified Cases
#194
State
Knee 11
195
State Rank
NPI: 1306817358
Seattle
WA
11
Verified Cases
#195
State
Knee 11
196
State Rank
NPI: 1508865429
Edmonds
WA
11
Verified Cases
#196
State
Knee 11
197
State Rank
NPI: 1033263256
Monroe
WA
11
Verified Cases
#197
State
Shoulder 11
198
State Rank
NPI: 1346695988
Spokane
WA
11
Verified Cases
#198
State
Shoulder 11

Showing 50 of 198

Important Disclaimer

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 33–37% of all procedures performed. Always consult with healthcare providers to make informed decisions about your care.