Dr. David Kieras, M.D.
Contact & Location
253-838-2400
Federal Way, WA 98003
Dr. Kieras performs more knee replacement procedures than 46% of orthopedic surgeons in Washington, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #78 of 146 ranked knee surgeons in Washington.
About Dr. Kieras
Practice. Dr. David Kieras is an orthopedic surgeon practicing in Federal Way, Washington. The latest annual CMS data records 32 knee replacements, 18 hip replacements, and 18 shoulder replacements, 68 procedures in all. That is #78 in Washington for knee replacement.
Trend. Medicare records run from 2013 to 2024, 12 years. Volume rose from 26 procedures a year to 68, up 162%.
National context. Among 6,612 knee replacement surgeons tracked nationally, 32 procedures is below the national average of 45. Medicare covers part of all joint replacements, so true volume is likely higher.
Local context. Federal Way has 4 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement | Shoulder Replacement |
|---|---|---|---|
| 2013 | 0 | 26 | 0 |
| 2014 | 14 | 36 | 0 |
| 2015 | 11 | 36 | 13 |
| 2016 | 15 | 26 | 13 |
| 2017 | 16 | 33 | 15 |
| 2018 | 0 | 31 | 0 |
| 2019 | 11 | 24 | 20 |
| 2020 | 0 | 22 | 15 |
| 2021 | 0 | 21 | 16 |
| 2022 | 0 | 18 | 14 |
| 2023 | 13 | 33 | 18 |
| 2024 | 18 | 32 | 18 |
Verified Medicare Cases
How is this estimated?
Medicare Part B fee-for-service claims are one payer stream among several, and the share they represent differs by procedure. In 2024 it was 23% to 28% for knee replacement, 25% to 33% for hip replacement, 29% to 37% for shoulder replacement. Each verified count above is divided by its own procedure's range, and the results are added, to estimate total practice volume across all payers. The verified Medicare count is the definitive, audited figure; this is a range derived from published national volume projections, not a measurement, and an individual practice can sit well outside it: how these ranges are derived, and their sources.
How Dr. Kieras Compares
Procedure volume compared to the Washington state average.
Volume Trend Analysis
Dr. Kieras's Medicare-recorded procedure volume has trended upward over 12 years, increasing 162% from 26 procedures in 2013 to 68 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.
Home Safety: Creating Your Recovery SanctuaryRoom-by-room modifications, equipment recommendations, and fall-prevention strategies to prepare your home for a safe post-surgical recovery.
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. Kieras
How does Dr. Kieras's procedure volume compare to other Washington surgeons?
Dr. Kieras has performed 68 Medicare-verified joint replacement procedures. This is in line with the Washington average of 59 procedures per surgeon. Dr. Kieras ranks #71 out of 198 orthopedic surgeons in Washington.
What types of joint replacement does Dr. Kieras perform?
Dr. Kieras performs all three major joint replacement procedures: knee replacement (32 cases), hip replacement (18 cases), shoulder replacement (18 cases). This breadth indicates a comprehensive orthopedic joint replacement practice.
Are there other orthopedic surgeons near Dr. Kieras in Federal Way?
Yes. There are 4 orthopedic surgeons in Federal Way 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 Washington surgeons.
What does the Medicare data for Dr. Kieras represent?
The procedure counts shown are based on 2024 Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). Medicare fee-for-service is only one payer stream, and the share of national volume it represents differs by procedure. In 2024 the share was 23% to 28% for knee replacement, 25% to 33% for hip replacement, 29% to 37% for shoulder replacement, which puts Dr. Kieras's total volume across all insurers at roughly 220 to 270 procedures against the 68 verified here. Those shares are derived from published national volume projections rather than quoted from a single publication, and they are estimates with real uncertainty. The OrthoProcedures methodology page shows the full derivation, the sources, and the limits at orthoprocedures.com/data-methodology.html.
Has Dr. Kieras's procedure volume changed over time?
Yes. Dr. Kieras's Medicare-recorded volume has increased from 26 procedures in 2013 to 68 in the most recent data, a 162% increase over 12 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 68 procedures in 2024.
Does Dr. Kieras perform more than one type of joint replacement?
Yes. Dr. Kieras's Medicare data shows procedures in knee replacement (32 cases), hip replacement (18 cases), shoulder replacement (18 cases). Performing all three major joint replacements places Dr. Kieras among the 5% of orthopedic surgeons nationally who cover hip, knee, and shoulder arthroplasty.
Which hospitals is Dr. Kieras affiliated with?
According to CMS facility affiliation data, Dr. Kieras is affiliated with Virginia Mason Medical Center, St Francis Community Hospital.
How does Dr. Kieras compare to other orthopedic surgeons in Federal Way?
Among the 4 orthopedic surgeons in Federal Way, Dr. Kieras ranks #2 by total Medicare procedure volume. Dr. Kieras is among the highest-volume surgeons in Federal Way.
What are the quality ratings for hospitals where Dr. Kieras practices?
Virginia Mason Medical Center (5 out of 5 CMS stars, hip/knee complication rate similar to national average); St Francis Community Hospital (3 out of 5 CMS stars, 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 Federal Way, Washington
Dr. Kieras's 68 Medicare procedures are above the Federal Way average of 62. The table below compares verified procedure volumes for orthopedic surgeons practicing in Federal Way.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Joshua Johnston | 140 | Hip, Knee |
| Dr. Harrison Lakehomer | 26 | Hip, Knee |
| Dr. Praveen Kanneganti | 13 | 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.