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Dr. Richard G. Buch, MD

Accepting New Patients

(58 Ratings)

Specializes in: Orthopedics/Orthopedic Surgery

University of Illinois College of Medicine (1982)

Professional interests include: knee revision, replacement arthroplasty (joint replacement), hip surgery, and more.

4333 N. Josey Lane Plaza II, Suite 100B
Carrollton, TX 75010

(469) 833-3526

Dr. Richard G. Buch, MD is an orthopedist in Carrollton, TX specializing in orthopedics/orthopedic surgery. He graduated from University of Illinois College of Medicine in 1982 and has 44 years of experience. Dr. Richard G. Buch, MD is affiliated with Dallas Medical Center, RICHARD G BUCH MD PA and Nanoknee Institute.

Office Locations

4333 N. Josey Lane Plaza II, Suite 100B
Carrollton, TX 75010

open_in_new

Some issues Dr. Richard G. Buch, MD can help you with:

Joint Injections

A joint is any area of the body where two bones connect. Due to injury or disease, the space between the two bones can sometimes become swollen and inflamed, which leads to pain and a loss of mobility. Injection and aspiration are two tools that physicians use to treat joint pain locally without needing to perform surgery.

Both injection and aspiration are techniques that involve inserting a needle connected to a syringe directly into the joint. Aspiration involves the removal of excess fluid, and injection is the placement of medication directly into the joint space via the needle. Both procedures may be performed at the same time. In both cases a local anesthetic may be used, the skin will be cleaned and disinfected, and then the needle will be inserted. In some cases, especially if the injection or aspiration is in a large and deep joint such as the hip or spine, ultrasound may be used to guide the needle to the exact location desired.

In some cases, irritation to the joint can cause fluid to build up so significantly that the joint hurts and can no longer move well. Aspiration removes some of the excess fluid and relieves the pressure. In addition, aspiration can be used to provide a sample of joint fluid if it needs to be examined microscopically for the presence of white blood cells, bacteria, or crystal formations.

Certain injuries and diseases that affect joints are inflammatory in nature, such as rheumatoid arthritis, tendonitis or gout. These diseases may be helped by the local injection of anti-inflammatory medications directly into the affected joint. In this case, corticosteroids such as methylprednisone are usually used. Relief from the pain may be felt right away and may last for weeks or even months.

In some cases, such as with osteoarthritis, the cartilage buffer between the two bones wears down and pain comes from bones rubbing against each other. In this case, injection of a lubricating agent such as hyaluronic acid may be beneficial. It provides a slippery cushion between the bones to relieve pain that can last for months.

Replacement Arthroplasty (Joint Replacement)

Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.

Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.

After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.

In The News

“Yesterday, the Texas Medical Board released an "agreed order" signed on April 11 by Dr. Richard Buch, the brilliant but nutty orthopedic surgeon who has a reputation for going off on nurses and...”—"The Doctor is Way Out", Dallas Observer, April 2008

“"Dallas Has a Real-Life Dr. Gregory House in Dr. Richard Buch," by Glenna Whitley, April 10 Dr. Personality I'm 29 years old, working as a chef and bartender, loving life and experiencing all the...”—"Dr. Personality|Heart and Sole", Dallas Observer, April 2008

Noteworthy Medicare Patient Procedures Performed by Dr. Richard G. Buch, MD in 2023

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

Top 25%

By Volume:

complex wound repair

In 2012, Dr. Richard G. Buch, MD performed more complex wound repair procedures for Medicare patients than 75% of providers in related specialties within Texas.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2012 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	441
doctor visit	591
hip imaging	166
injections	441
joint surgery	63
lower extremity surgery	49
musculoskeletal imaging	451
plastic surgery procedures	28
reconstructive surgery	91
revision surgery	22
upper extremity surgery	14
wound repair (e.g. stitches)	28
X-rays	487

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2013 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	333
doctor visit	454
hip imaging	110
injections	333
joint surgery	38
lower extremity surgery	27
musculoskeletal imaging	373
pelvic imaging	13
plastic surgery procedures	26
reconstructive surgery	64
revision surgery	12
upper extremity surgery	11
wound repair (e.g. stitches)	26
X-rays	402

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	132
Female	217

**Ethnicity**
Non-Hispanic White	250
Black	62
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	157
From 75 to 84	91
85 and over	23
Less than 65	78

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2013

Hypertension	75
High Cholesterol	63
Stroke	7
Ischemic Heart Disease	42
Depression	32
Chronic Kidney Disease	31
Asthma	11
Osteoperosis	12
Atrial Fibrilation	14
Heart Failure	24
Chronic Obstructive Pulmonary Disease	17
Diabetes	40
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2014 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	279
doctor visit	287
hip imaging	79
injections	279
joint surgery	33
lower extremity surgery	33
musculoskeletal imaging	259
plastic surgery procedures	22
reconstructive surgery	55
revision surgery	17
wound repair (e.g. stitches)	22
X-rays	259

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	117
Female	165

**Ethnicity**
Non-Hispanic White	201
Black	48
Hispanic	22
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	128
From 75 to 84	66
85 and over	18
Less than 65	70

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2014

Hypertension	75
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	45
Depression	37
Chronic Kidney Disease	32
Asthma	10
Osteoperosis	14
Atrial Fibrilation	13
Heart Failure	23
Chronic Obstructive Pulmonary Disease	16
Diabetes	41
Dementia	12
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2015 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	245
doctor visit	394
hip imaging	119
implant removal	14
injections	245
joint surgery	45
lower extremity surgery	45
musculoskeletal imaging	407
plastic surgery procedures	27
reconstructive surgery	58
revision surgery	13
wound repair (e.g. stitches)	27
X-rays	425

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	234
Female	320

**Ethnicity**
Non-Hispanic White	402
Black	94
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	272
From 75 to 84	146
85 and over	24
Less than 65	112

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2015

Hypertension	75
High Cholesterol	67
Stroke	8
Ischemic Heart Disease	39
Depression	31
Chronic Kidney Disease	35
Asthma	17
Osteoperosis	12
Atrial Fibrilation	10
Heart Failure	22
Chronic Obstructive Pulmonary Disease	18
Diabetes	42
Dementia	9
Cancer	12

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2016 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	181
doctor visit	443
injections	181
joint surgery	36
lower extremity surgery	36
musculoskeletal imaging	294
plastic surgery procedures	33
reconstructive surgery	69
revision surgery	14
wound repair (e.g. stitches)	33
X-rays	309

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	118
Female	151

**Ethnicity**
Non-Hispanic White	200
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	128
From 75 to 84	68
85 and over	12
Less than 65	61

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2016

Hypertension	75
High Cholesterol	64
Stroke	6
Ischemic Heart Disease	35
Depression	34
Chronic Kidney Disease	42
Asthma	23
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	25
Chronic Obstructive Pulmonary Disease	20
Diabetes	44
Dementia	12
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2017 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	203
doctor visit	384
injections	203
joint surgery	26
lower extremity surgery	26
musculoskeletal imaging	245
plastic surgery procedures	21
reconstructive surgery	47
revision surgery	11
vascular procedures	12
wound repair (e.g. stitches)	21
X-rays	245

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	97
Female	156

**Ethnicity**
Non-Hispanic White	192
Black	35
Hispanic	14
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	132
From 75 to 84	58
85 and over	13
Less than 65	50

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2017

Hypertension	75
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	37
Depression	36
Chronic Kidney Disease	44
Asthma	15
Osteoperosis	11
Atrial Fibrilation	12
Heart Failure	23
Chronic Obstructive Pulmonary Disease	17
Diabetes	36
Dementia	15
Cancer	9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2018 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	165
doctor visit	403
injections	165
joint surgery	13
lower extremity surgery	13
musculoskeletal imaging	233
plastic surgery procedures	34
reconstructive surgery	47
revision surgery	13
wound repair (e.g. stitches)	34
X-rays	233

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	110
Female	140

**Ethnicity**
Non-Hispanic White	187
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	112
From 75 to 84	68
85 and over	14
Less than 65	56

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2018

Hypertension	75
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	38
Depression	35
Chronic Kidney Disease	39
Asthma	12
Osteoperosis	13
Atrial Fibrilation	13
Heart Failure	24
Chronic Obstructive Pulmonary Disease	19
Diabetes	41
Dementia	13
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2019 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	196
doctor visit	458
injections	196
joint surgery	33
lower extremity surgery	33
musculoskeletal imaging	182
plastic surgery procedures	23
reconstructive surgery	56
revision surgery	13
wound repair (e.g. stitches)	23
X-rays	182

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	109
Female	162

**Ethnicity**
Non-Hispanic White	189
Black	46
Hispanic	20
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	141
From 75 to 84	67
85 and over	15
Less than 65	48

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2019

Hypertension	75
High Cholesterol	66
Stroke	4
Ischemic Heart Disease	41
Depression	37
Chronic Kidney Disease	42
Asthma	12
Osteoperosis	11
Atrial Fibrilation	12
Heart Failure	27
Chronic Obstructive Pulmonary Disease	21
Diabetes	40
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2020 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	186
doctor visit	420
injections	186
joint surgery	28
lower extremity surgery	28
musculoskeletal imaging	121
plastic surgery procedures	27
reconstructive surgery	55
revision surgery	11
wound repair (e.g. stitches)	27
X-rays	121

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	101
Female	145

**Ethnicity**
Non-Hispanic White	183
Black	39
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	122
From 75 to 84	52
85 and over	23
Less than 65	49

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2020

Hypertension	75
High Cholesterol	69
Stroke	7
Ischemic Heart Disease	39
Depression	38
Chronic Kidney Disease	44
Asthma	10
Osteoperosis	14
Atrial Fibrilation	13
Heart Failure	28
Chronic Obstructive Pulmonary Disease	16
Diabetes	41
Dementia	19
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2021 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	174
doctor visit	361
injections	174
joint surgery	54
lower extremity surgery	54
musculoskeletal imaging	122
plastic surgery procedures	27
reconstructive surgery	81
revision surgery	25
wound repair (e.g. stitches)	27
X-rays	122

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	90
Female	137

**Ethnicity**
Non-Hispanic White	167
Black	38
Hispanic	11
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	123
From 75 to 84	57
85 and over	18
Less than 65	29

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2021

Hypertension	74
High Cholesterol	65
Stroke	6
Ischemic Heart Disease	39
Depression	28
Chronic Kidney Disease	36
Asthma	13
Osteoperosis	13
Atrial Fibrilation	10
Heart Failure	23
Chronic Obstructive Pulmonary Disease	15
Diabetes	36
Dementia	13
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX during 2022 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

aspiration	152
doctor visit	361
injections	152
joint surgery	14
lower extremity surgery	14
musculoskeletal imaging	165
plastic surgery procedures	41
reconstructive surgery	55
revision surgery	14
wound repair (e.g. stitches)	41
X-rays	165

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	93
Female	133

**Ethnicity**
Non-Hispanic White	175
Black	36
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	129
From 75 to 84	55
85 and over	19
Less than 65	23

Conditions of Medicare patients treated by Dr. Richard G. Buch, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	30
Depression	31
Chronic Kidney Disease	29
Asthma	20
Osteoperosis	19
Atrial Fibrilation	17
Heart Failure	20
Chronic Obstructive Pulmonary Disease	19
Diabetes	36
Dementia	8
Cancer	18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Richard G. Buch, MD for Medicare patients.

The highest averages for the top procedures that Dr. Richard G. Buch, MD treated as an orthopedist in Carrollton, TX were X-rays, musculoskeletal imaging, aspiration and injections.

aspiration	232
doctor visit	414
hip imaging	118
implant removal	14
injections	232
joint surgery	34
lower extremity surgery	32
musculoskeletal imaging	259
pelvic imaging	13
plastic surgery procedures	28
reconstructive surgery	61
revision surgery	15
upper extremity surgery	12
vascular procedures	12
wound repair (e.g. stitches)	28
X-rays	268

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Richard G. Buch, MD.

**Gender**
Male	109
Female	156

**Ethnicity**
Black / African American	43
Asian / Pacific Islander	0
Non-Hispanic White	195
Native American / Alaskan Native	0
Hispanic	6
Other	0

**Age**
75 to 84	66
85 and over	16
Less than 65	52
65 to 74	131

Average of Total of Conditions of Medicare patients treated by Dr. Richard G. Buch, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Richard G. Buch, MD treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	68
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	35
Depression	30
Chronic Kidney Disease	34
Asthma	13
Osteoporosis	11
Heart Failure	21
Chronic Obstructive Pulmonary Disease	16
Diabetes	36
Atrial Fibrillation	11
Dementia	11
Cancer	10

Education & Training

Dr. Richard G. Buch, MD graduated from University of Illinois College of Medicine in 1982. He completed residency at Indiana University Affiliated Hospitals. He is certified by the American Board of Orthopaedic Surgery and has a state license in Texas.

Medical School: University of Illinois College of Medicine (1982)

Residency: Indiana University Affiliated Hospitals

Board Certification: American Board of Orthopaedic Surgery (1990)

Licensed In: Texas

Affiliations & Hospitals

Dr. Richard G. Buch, MD is associated with these hospitals and organizations:

Dallas Medical Center

RICHARD G BUCH MD PA

Nanoknee Institute

Ratings & Reviews

Dr. Richard G. Buch, MD has an exceptional overall rating with an average of 4.82 out of 5 stars based on 58 ratings. We collect ratings and reviews of Dr. Richard G. Buch, MD from all over the web to help you find the right in Carrollton, TX.

4.82

Overall Rating

(58 Ratings)

Leave a Review

Reviews Left On DocSpot

Overall Rating: 5.0 2019-04-01

I have been seeing Dr. Buch for over 3 years now.  He is the only physician to accept my complex case.  He was able to fix my knee when no one else would.  He goes above and beyond.  Highly recommended.

General Payments

These charts describe general payments received by Dr. Richard G. Buch, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
ConforMIS, Inc.	$19,686 iTOTAL $14,175	ALL $4,116	iTotal CR, iTotal PS, iUni, Hip System $759	itotal CR $313	Hip $220	Other $102
Corin USA	$18,635 $18,635
LinkBio Corp	$8,313 $8,313
Biomet Orthopedics, LLC	$1,354 ORTHO - KNEES $1,056	Ortho-Knees $299
ENCORE MEDICAL, LP	$876 Joint Implants $763	DJO Surgical Turon Modular Shoulder System $113
Other	$2,179 Hip $806	KNEES $459	I-FACTOR PEPTIDE ENHANCED BONE GRAFT $141	SMR Shoulder System, Physica Knee, Minima Hip, Master SL, H-Max $121	Rally Bone Cement & Accessories $82	Other $571

**Types of Payments**
Consulting Fee	$22,500
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$14,175
Travel and Lodging	$9,624
Food and Beverage	$4,684
Education	$60

Biography

Dr. Richard Buch's medical specialty is orthopedics/orthopedic surgery. His average patient rating is 5.0 stars (out of 5). Clinical interests for Dr. Buch include outpatient care, carpal tunnel syndrome, and minimally invasive knee replacement. After attending the University of Illinois College of Medicine for medical school, Dr. Buch completed his residency training at a hospital affiliated with Indiana University. Dr. Buch has received the distinction of Best Doctor, D Magazine. He is affiliated with Dallas Medical Center. His practice in Carrollton, TX is open to new patients as reported by Doctor.com.