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Dr. Joel Andrew Virkler, DO, Surgeon

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Specializes in: Sports Medicine and Orthopedics/Orthopedic Surgery

A.T. Still University, Kirksville College of Osteopathic Medicine

Professional interests include: total joint replacement, sports health, shoulder replacement, and more.

1411 South Creasy Lane Suite 120
Lafayette, IN 47905

(765) 447-4165

Dr. Joel Andrew Virkler, DO, Surgeon is a sports medicine doctor in Rensselaer, IN specializing in sports medicine and orthopedics/orthopedic surgery. He graduated from A.T. Still University, Kirksville College of Osteopathic Medicine. Dr. Joel Andrew Virkler, DO, Surgeon is affiliated with OrthoIndy, Franciscan Health System, Unity Healthcare, ORTHOPAEDICS-INDIANAPOLIS INC and Unity Surgical Center.

Office Locations

Franciscan Health System

1104 East Grace Street
Rensselaer, IN 47978

(219) 866-5141

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Franciscan Health System

1411 South Creasy Lane Suite 120
Lafayette, IN 47905

(765) 447-4165

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2548 Cumberland Avenue Suite 100
West Lafayette, IN 47906

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Some issues Dr. Joel Andrew Virkler, DO, Surgeon can help you with:

Hip Replacement

Hip replacement is a surgical procedure to replace parts of the hip joint that are damaged by disease or injury. It is most often done to treat arthritis, a common condition that causes stiffness and pain in the joints. Surgery is used only after other, less invasive treatments have failed to work.

The type of hip replacement patients receive is based on their age and the extent of damage to their hip. The hip joint has two parts: the femoral head, or hip ball, and the acetabulum, or hip socket. The hip ball is located on the upper end of the femur (thigh bone), and the hip socket is part of the pelvis. Depending on whether one or both parts require replacement, patients may need one of the following procedures:

Partial hip replacement, which is generally recommended in the case of hip fractures or other hip injuries. If a patient is having a partial hip replacement, only the hip ball will be replaced.
Total hip replacement, which is often used to treat the hip joint when it has become damaged due to arthritis. Both the hip socket and hip ball are replaced.
Hip resurfacing, which is usually performed for younger patients. A hip resurfacing procedure reshapes the hip ball and only replaces its surface. This preserves more bone and makes future surgeries easier. If a patient is having a partial hip resurfacing, only the hip ball is resurfaced and replaced. If a patient is having a total hip resurfacing, the hip socket will be replaced as well.

During hip replacement surgery, an incision is made along the side of the hip. The surgeon may access the joint directly through this incision, or by using small tools and a lighted tube called an arthroscope to see and treat the joint. The diseased tissue is removed, and the bones are smoothed out and fitted with metal ends. The metal pieces may be cemented in place, or they may have a porous structure that encourages bone to grow into them and hold them securely. A smooth plastic cushion is placed between the two bones to replace the cartilage and allow the joint to move freely.

Hip replacement surgery takes one to two hours, and afterwards patients may stay in the hospital for several days. When patients go home, they will have to use a cane, walker, or crutches at first. Patients will likely have physical therapy to improve their ability to move with their new hip. After the first few weeks, light exercise such as bike riding or swimming will help them heal, but certain actions, such as climbing stairs or bending over at the waist, may be difficult at first. It will take several weeks before they can drive or return to work. Full recovery may take six to 12 months.

Noteworthy Medicare Patient Procedures Performed by Dr. Joel Andrew Virkler, DO, Surgeon in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

computer-assisted orthopedic surgery

pelvis X-ray

spine X-ray

total hip replacement

X-rays

By Affordability:

spine imaging

In 2023, among providers in related specialties within Indiana, Dr. Joel Andrew Virkler, DO, Surgeon performed more computer-assisted orthopedic surgery (CAOS), pelvis X-ray, spine X-ray, total hip replacement, and X-rays procedures for Medicare patients than 95% of them and he also had a list price for spine imaging that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

joint reconstruction

In 2023, Dr. Joel Andrew Virkler, DO, Surgeon performed more joint reconstruction procedures for Medicare patients than 90% of providers in related specialties within Indiana.

Top 25%

By Volume:

joint X-ray

lower extremity surgery

major joint aspiration

major joint injection

By Affordability:

knee X-ray

In 2012, among providers in related specialties within Indiana, Dr. Joel Andrew Virkler, DO, Surgeon performed more joint X-ray, lower extremity surgery, major joint aspiration, and major joint injection procedures for Medicare patients than 75% of them and he also had a list price for knee X-ray that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2014 were reconstructive surgery, joint surgery and lower extremity surgery.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

doctor visit	11
joint surgery	21
lower extremity surgery	21
reconstructive surgery	21

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	23
Female	35

**Age**
From 65 to 74	30
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2014

Hypertension	75
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	0
Depression	19
Chronic Kidney Disease	22
Asthma	21
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	33
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2015 were X-rays, reconstructive surgery, joint surgery and lower extremity surgery.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	23
doctor visit	170
hip imaging	13
hospital care	24
injections	23
inpatient care	24
joint surgery	33
lower extremity surgery	33
musculoskeletal imaging	32
pelvic imaging	15
reconstructive surgery	33
X-rays	47

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	174
Female	316

**Ethnicity**
Non-Hispanic White	422
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	214
From 75 to 84	132
85 and over	56
Less than 65	88

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2015

Hypertension	75
High Cholesterol	52
Stroke	6
Ischemic Heart Disease	27
Depression	33
Chronic Kidney Disease	24
Asthma	13
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	32
Dementia	11
Cancer	10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2016 were aspiration, injections, hospital care and inpatient care.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	95
doctor visit	511
hospital care	52
injections	95
inpatient care	52
joint surgery	14
lower extremity surgery	14
musculoskeletal imaging	14
reconstructive surgery	14
X-rays	14

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	128
Female	228

**Ethnicity**
Non-Hispanic White	343
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	118
From 75 to 84	98
85 and over	68
Less than 65	72

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2016

Hypertension	75
High Cholesterol	54
Stroke	7
Ischemic Heart Disease	35
Depression	32
Chronic Kidney Disease	36
Asthma	26
Osteoperosis	14
Atrial Fibrilation	12
Heart Failure	26
Chronic Obstructive Pulmonary Disease	23
Diabetes	33
Dementia	20
Cancer	8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2017 were injections, aspiration, hospital care and inpatient care.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	140
doctor visit	577
hospital care	33
injections	179
inpatient care	33
joint surgery	12
minimally invasive procedures	12
musculoskeletal imaging	13
upper extremity surgery	12
X-rays	13

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	134
Female	236

**Ethnicity**
Non-Hispanic White	357
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	104
85 and over	50
Less than 65	60

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2017

Hypertension	69
High Cholesterol	50
Stroke	4
Ischemic Heart Disease	33
Depression	30
Chronic Kidney Disease	28
Asthma	8
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	19
Chronic Obstructive Pulmonary Disease	24
Diabetes	31
Dementia	17
Cancer	9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2018 were injections, aspiration, reconstructive surgery and joint surgery.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	175
computer assisted surgery (CAS)	30
doctor visit	715
hospital care	34
injections	242
inpatient care	34
joint surgery	55
lower extremity surgery	55
musculoskeletal imaging	35
reconstructive surgery	55
X-rays	35

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	165
Female	274

**Ethnicity**
Non-Hispanic White	417
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	179
From 75 to 84	133
85 and over	64
Less than 65	63

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2018

Hypertension	73
High Cholesterol	59
Stroke	4
Ischemic Heart Disease	34
Depression	29
Chronic Kidney Disease	29
Asthma	8
Osteoperosis	12
Atrial Fibrilation	15
Heart Failure	23
Chronic Obstructive Pulmonary Disease	22
Diabetes	31
Dementia	15
Cancer	11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2019 were injections, aspiration, X-rays and lower extremity surgery.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	179
computer assisted surgery (CAS)	38
doctor visit	748
hospital care	30
injections	257
inpatient care	30
joint surgery	68
lower extremity surgery	68
minimally invasive procedures	12
musculoskeletal imaging	64
pelvic imaging	18
reconstructive surgery	56
spinal procedures	16
X-rays	98

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	182
Female	288

**Ethnicity**
Non-Hispanic White	449
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	219
From 75 to 84	149
85 and over	53
Less than 65	49

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2019

Hypertension	72
High Cholesterol	57
Stroke	4
Ischemic Heart Disease	37
Depression	32
Chronic Kidney Disease	30
Asthma	8
Osteoperosis	13
Atrial Fibrilation	11
Heart Failure	20
Chronic Obstructive Pulmonary Disease	19
Diabetes	27
Dementia	13
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2020 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	204
computer assisted surgery (CAS)	29
doctor visit	633
hospital care	19
injections	251
inpatient care	19
joint surgery	51
lower extremity surgery	51
musculoskeletal imaging	52
reconstructive surgery	51
spinal procedures	14
X-rays	66

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	147
Female	260

**Ethnicity**
Non-Hispanic White	389
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	192
From 75 to 84	125
85 and over	61
Less than 65	29

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2020

Hypertension	72
High Cholesterol	60
Stroke	4
Ischemic Heart Disease	32
Depression	28
Chronic Kidney Disease	29
Asthma	7
Osteoperosis	12
Atrial Fibrilation	13
Heart Failure	21
Chronic Obstructive Pulmonary Disease	14
Diabetes	27
Dementia	15
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2021 were injections, aspiration, X-rays and reconstructive surgery.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	200
computer assisted surgery (CAS)	58
doctor visit	639
hospital care	18
injections	286
inpatient care	18
joint surgery	80
lower extremity surgery	80
musculoskeletal imaging	79
pelvic imaging	23
reconstructive surgery	80
spinal procedures	15
X-rays	117

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	141
Female	251

**Ethnicity**
Non-Hispanic White	378
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	180
From 75 to 84	131
85 and over	51
Less than 65	30

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2021

Hypertension	74
High Cholesterol	62
Stroke	3
Ischemic Heart Disease	32
Depression	27
Chronic Kidney Disease	30
Asthma	7
Osteoperosis	12
Atrial Fibrilation	10
Heart Failure	19
Chronic Obstructive Pulmonary Disease	16
Diabetes	30
Dementia	13
Cancer	14

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN during 2022 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

aspiration	244
computer assisted surgery (CAS)	49
doctor visit	616
injections	244
joint surgery	82
lower extremity surgery	82
musculoskeletal imaging	100
pelvic imaging	22
reconstructive surgery	82
spinal procedures	22
X-rays	144

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	137
Female	237

**Ethnicity**
Non-Hispanic White	352
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	208
From 75 to 84	120
85 and over	32
Less than 65	14

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2022

Hypertension	75
High Cholesterol	74
Stroke	7
Ischemic Heart Disease	29
Depression	24
Chronic Kidney Disease	22
Asthma	9
Osteoperosis	17
Atrial Fibrilation	16
Heart Failure	18
Chronic Obstructive Pulmonary Disease	16
Diabetes	28
Dementia	7
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2014 - 2022

Volume of procedures performed by Dr. Joel Andrew Virkler, DO, Surgeon for Medicare patients.

The highest averages for the top procedures that Dr. Joel Andrew Virkler, DO, Surgeon treated as a sports medicine doctor in Rensselaer, IN were injections, aspiration, X-rays and lower extremity surgery.

aspiration	157
computer assisted surgery (CAS)	40
doctor visit	513
hip imaging	13
hospital care	30
injections	197
inpatient care	30
joint surgery	46
lower extremity surgery	50
minimally invasive procedures	12
musculoskeletal imaging	48
pelvic imaging	19
reconstructive surgery	49
spinal procedures	16
upper extremity surgery	12
X-rays	66

Average Medicare Patient Data From 2014 - 2022

Information about Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon.

**Gender**
Male	136
Female	236

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	345
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	110
85 and over	48
Less than 65	45
65 to 74	166

Average of Total of Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon From 2014 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Joel Andrew Virkler, DO, Surgeon treated were hypertension, high cholesterol, diabetes and depression.

Hypertension	73
High Cholesterol	58
Stroke	4
Ischemic Heart Disease	28
Depression	28
Chronic Kidney Disease	27
Asthma	11
Osteoporosis	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	16
Diabetes	30
Atrial Fibrillation	11
Dementia	12
Cancer	9

Education & Training

Dr. Joel Andrew Virkler, DO, Surgeon graduated from A.T. Still University, Kirksville College of Osteopathic Medicine. He completed residency at Michigan State University (MSU) Affiliated Hospitals. He is certified by the Board Certification: American Osteopathic Association - Orthopedic Surgery and has a state license in Indiana.

Medical School: A.T. Still University, Kirksville College of Osteopathic Medicine

Residency: Michigan State University (MSU) Affiliated Hospitals

Board Certification: Board Certification: American Osteopathic Association - Orthopedic Surgery

Licensed In: Indiana

Affiliations & Hospitals

Dr. Joel Andrew Virkler, DO, Surgeon is associated with these hospitals and organizations:

OrthoIndy

Franciscan Health System

Unity Healthcare

ORTHOPAEDICS-INDIANAPOLIS INC

Unity Surgical Center

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Joel Andrew Virkler, DO, Surgeon. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Stryker Corporation	$7,119 Mako $3,168	KNEES $2,155	ACCOLADE $906	TRAUMA & EXTREMITIES $511	MAKOplasty $150	Other $230
Arthrex, Inc.	$3,533 ALL ARTHREX PRODUCT LINES $3,533
Zimmer Biomet Holdings, Inc.	$2,827 Taperloc $1,617	HIPS $643	KNEES $325	Persona $140	SURGICAL $49	Other $53
MEDACTA USA	$2,736 Hip $2,736
Biomet Orthopedics, LLC	$2,594 ORTHO - HIPS $1,615	ORTHO - KNEES $900	ORTHO - GENERAL $49	Extremities $30
Other	$6,058 INnate Implant $1,750	Exparel $1,132	Ortho-Knee $858	SET - TRAUMA $852	Orthopedics $380	Other $1,086

**Types of Payments**
Travel and Lodging	$12,848
Food and Beverage	$5,481
Education	$3,788
Consulting Fee	$1,750
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$1,000

Biography

Dr. Joel Virkler is a medical specialist in orthopedics/orthopedic surgery and sports medicine. Clinical interests for Dr. Virkler include hip replacement, knee problems, and knee replacement. Dr. Virkler attended medical school at A.T. Still University, Kirksville College of Osteopathic Medicine. His medical residency was performed at Botsford Hospital and a hospital affiliated with Michigan State University (MSU). His professional affiliations include Unity Healthcare, OrthoIndy, and Franciscan Health System. His practice in Lafayette, IN is open to new patients as reported by Franciscan Health.

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Dr. Joel Andrew Virkler, DO, Surgeon

Office Locations

Some issues Dr. Joel Andrew Virkler, DO, Surgeon can help you with:

Noteworthy Medicare Patient Procedures Performed by Dr. Joel Andrew Virkler, DO, Surgeon in 2023

By Volume:

By Affordability:

By Volume:

By Volume:

By Affordability:

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2014 - 2022

Average Medicare Patient Data From 2014 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Joel Andrew Virkler, DO, Surgeon From 2014 - 2022

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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