Dr. Gregory Gramstad, M.D.
Contact & Location
360-254-6161
Vancouver, WA 98664
Dr. Gramstad performs more shoulder replacement procedures than 66% of orthopedic surgeons in Washington, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #19 of 56 ranked shoulder surgeons in Washington.
About Dr. Gramstad
Practice. Dr. Gregory Gramstad is a board-certified orthopedic surgeon practicing in Vancouver, Washington. The latest annual CMS data records 29 shoulder replacements. That is #19 in Washington for shoulder replacement. A Medicare provider since 2006.
Trend. Medicare records run from 2013 to 2024, 12 years. Volume rose from 15 procedures a year to 29, up 93%.
National context. Among 2,217 shoulder replacement surgeons tracked nationally, 29 procedures is near the national average of 29.
Local context. Vancouver has 14 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist. Dr. Gramstad also holds hospital privileges in WA and OR, a practice that extends beyond Washington.
Verified Case Volume Trends (2013-Current)
| Year | Shoulder Replacement |
|---|---|
| 2013 | 15 |
| 2014 | 33 |
| 2015 | 26 |
| 2016 | 43 |
| 2017 | 35 |
| 2018 | 43 |
| 2019 | 39 |
| 2020 | 33 |
| 2021 | 23 |
| 2022 | 32 |
| 2023 | 37 |
| 2024 | 29 |
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 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. Gramstad Compares
Procedure volume compared to the Washington state average.
Volume Trend Analysis
Dr. Gramstad's Medicare-recorded procedure volume has trended upward over 12 years, increasing 93% from 15 procedures in 2013 to 29 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 Shoulder Replacement
If you are considering shoulder replacement surgery, these evidence-based guides can help you prepare and recover:
Evidence-based exercises and lifestyle adjustments that can improve surgical outcomes and speed recovery when started weeks before your procedure.
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.
Medicare Bundled Payment Programs for Joint ReplacementHow bundled payment models affect your joint replacement costs and care coordination, and what it means for hospital and surgeon selection.
Shoulder Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after shoulder replacement surgery:
Individual recovery varies based on overall health, age, and adherence to physical therapy. View full shoulder replacement recovery guide and product recommendations
Frequently Asked Questions About Dr. Gramstad
How does Dr. Gramstad's procedure volume compare to other Washington surgeons?
Dr. Gramstad has performed 29 Medicare-verified joint replacement procedures. The Washington average is 59 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Gramstad ranks #139 out of 198 orthopedic surgeons in Washington.
What types of joint replacement does Dr. Gramstad perform?
Dr. Gramstad's reported Medicare volume is focused on shoulder replacement, with 29 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
How experienced is Dr. Gramstad with shoulder replacement surgery?
Dr. Gramstad ranks #19 in Washington for shoulder replacement with 29 Medicare-verified procedures. This high ranking among 198 state surgeons indicates significant experience with this specific procedure.
Are there other orthopedic surgeons near Dr. Gramstad in Vancouver?
Yes. There are 14 orthopedic surgeons in Vancouver 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. Gramstad 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 29% to 37% for shoulder replacement, which puts Dr. Gramstad's total volume across all insurers at roughly 80 to 100 procedures against the 29 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. Gramstad's procedure volume changed over time?
Yes. Dr. Gramstad's Medicare-recorded volume has increased from 15 procedures in 2013 to 29 in the most recent data, a 93% increase over 12 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 43 procedures in 2016.
Which hospitals is Dr. Gramstad affiliated with?
According to CMS facility affiliation data, Dr. Gramstad is affiliated with Legacy Salmon Creek Medical Center, St Anthony Hospital, Wallowa Memorial Hospital, Peacehealth Southwest Medical Cente, Legacy Good Samaritan Medical Center. Dr. Gramstad maintains hospital privileges across state lines, indicating a practice that serves patients in multiple states.
How does Dr. Gramstad compare to other orthopedic surgeons in Vancouver?
Among the 14 orthopedic surgeons in Vancouver, Dr. Gramstad ranks #8 by total Medicare procedure volume. The highest-volume surgeon in Vancouver has 146 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Gramstad practices?
Legacy Salmon Creek Medical Center (4 out of 5 CMS stars, hip/knee complication rate similar to national average); St Anthony Hospital (3 out of 5 CMS stars, insufficient case volume for complication rate comparison); Wallowa 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 Vancouver, Washington
Dr. Gramstad's 29 Medicare procedures are below the Vancouver average of 73. The table below compares verified procedure volumes for orthopedic surgeons practicing in Vancouver.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Stephen Southerland | 146 | Hip, Knee |
| Dr. Todd Borus | 117 | Hip, Knee |
| Dr. Michael Fraser | 83 | Hip, Knee |
| Dr. Donald Roberts | 59 | Knee |
| Dr. Michael Kahan | 43 | Hip, Knee |
| Dr. Evan Ellis | 33 | 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.