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Dr. Paul W. Grutter, MD

Accepting New Patients

(1 Rating)

Specializes in: Sports Medicine and Orthopedics/Orthopedic Surgery

University of Missouri-Columbia School of Medicine

Professional interests include: hip problems, musculoskeletal problems, shoulder problems, and more.

1035 S Hartmann Drive
Lebanon, TN 37090

(615) 321-0200

Dr. Paul W. Grutter, MD is a sports medicine doctor in Lebanon, TN specializing in sports medicine and orthopedics/orthopedic surgery. He graduated from University of Missouri-Columbia School of Medicine. Dr. Paul W. Grutter, MD is affiliated with TriStar Health, Highpoint Health with Ascension Saint Thomas, TriStar Hendersonville Medical Center and Tennessee Orthopaedic Alliance.

Office Locations

1035 S Hartmann Drive
Lebanon, TN 37090

(615) 321-0200

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Tennessee Orthopaedic Alliance

270 East Main Street Suite 300
Gallatin, TN 37066

(615) 675-2000

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501 Saundersville Road
Hendersonville, TN 37075

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Some issues Dr. Paul W. Grutter, MD can help you with:

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

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

"https://toa.com/news/dr-paul-w-grutter-and-a-patients-perspective-on-knee-replacement-surgery", Tennessee Orthopaedic Alliance

"https://toa.com/news/dr-paul-w-grutter-and-a-patients-perspective-on-hip-replacement-surgery", Tennessee Orthopaedic Alliance

"https://toa.com/news/dr-paul-grutter--live-your-best-life-", Tennessee Orthopaedic Alliance

Noteworthy Medicare Patient Procedures Performed by Dr. Paul W. Grutter, MD in 2023

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

Top 25%

By Affordability:

In 2012, Dr. Paul W. Grutter, MD had a list price for ankle MRI, elbow MRI, hip MRI, joint MRI, knee MRI, lower extremity MRI, MRI (magnetic resonance imaging), shoulder MRI, upper extremity MRI, and wrist MRI that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Tennessee. 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

2012 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2012 were X-rays, musculoskeletal imaging, hip imaging and hospital care.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	28
doctor visit	381
hip imaging	64
hospital care	44
injections	28
inpatient care	44
musculoskeletal imaging	199
spinal procedures	11
X-rays	210

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2013 were X-rays, musculoskeletal imaging, hip imaging and aspiration.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	51
decompression surgery	15
doctor visit	438
hip imaging	61
hospital care	25
injections	51
inpatient care	25
joint surgery	28
minimally invasive procedures	28
musculoskeletal imaging	147
pelvic imaging	41
spinal procedures	18
upper extremity surgery	28
X-rays	206

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	79
Female	161

**Ethnicity**
Non-Hispanic White	224
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	51
85 and over	33
Less than 65	55

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2013

Hypertension	73
High Cholesterol	53
Stroke	5
Ischemic Heart Disease	40
Depression	32
Chronic Kidney Disease	33
Asthma	11
Osteoperosis	13
Atrial Fibrilation	9
Heart Failure	20
Chronic Obstructive Pulmonary Disease	17
Diabetes	32
Dementia	17
Cancer	10

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2014 were X-rays, musculoskeletal imaging, hip imaging and aspiration.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	40
doctor visit	400
hip imaging	45
injections	40
musculoskeletal imaging	133
pelvic imaging	24
X-rays	157

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	78
Female	153

**Ethnicity**
Non-Hispanic White	216
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	104
From 75 to 84	45
85 and over	23
Less than 65	59

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2014

Hypertension	68
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	35
Depression	27
Chronic Kidney Disease	26
Asthma	17
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	13
Chronic Obstructive Pulmonary Disease	24
Diabetes	27
Dementia	12
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2015 were X-rays, musculoskeletal imaging, hip imaging and aspiration.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	47
doctor visit	384
hip imaging	55
hospital care	15
injections	47
inpatient care	15
musculoskeletal imaging	77
pelvic imaging	13
X-rays	90

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	142
Female	304

**Ethnicity**
Non-Hispanic White	404
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	212
From 75 to 84	86
85 and over	54
Less than 65	94

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2015

Hypertension	73
High Cholesterol	54
Stroke	6
Ischemic Heart Disease	38
Depression	37
Chronic Kidney Disease	30
Asthma	19
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	18
Chronic Obstructive Pulmonary Disease	19
Diabetes	27
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2016 were X-rays, aspiration, injections and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	75
doctor visit	576
hospital care	35
injections	75
inpatient care	35
joint surgery	13
lower extremity surgery	13
minimally invasive procedures	13
musculoskeletal imaging	68
spinal procedures	23
X-rays	91

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	83
Female	248

**Ethnicity**
Non-Hispanic White	301
Black	19
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	158
From 75 to 84	74
85 and over	35
Less than 65	64

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2016

Hypertension	73
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	40
Depression	27
Chronic Kidney Disease	35
Asthma	24
Osteoperosis	8
Atrial Fibrilation	10
Heart Failure	18
Chronic Obstructive Pulmonary Disease	17
Diabetes	29
Dementia	11
Cancer	7

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2017 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	71
doctor visit	435
hospital care	14
injections	71
inpatient care	14
musculoskeletal imaging	45
spinal procedures	14
X-rays	59

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	80
Female	185

**Ethnicity**
Non-Hispanic White	237
Black	15
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	130
From 75 to 84	54
85 and over	25
Less than 65	56

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2017

Hypertension	71
High Cholesterol	47
Stroke	0
Ischemic Heart Disease	39
Depression	29
Chronic Kidney Disease	33
Asthma	17
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	17
Chronic Obstructive Pulmonary Disease	20
Diabetes	29
Dementia	11
Cancer	7

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2018 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	80
decompression surgery	12
doctor visit	549
hospital care	11
injections	80
inpatient care	11
joint surgery	27
lower extremity surgery	15
minimally invasive procedures	12
musculoskeletal imaging	60
reconstructive surgery	15
spinal procedures	17
upper extremity surgery	12
X-rays	77

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	102
Female	184

**Ethnicity**
Non-Hispanic White	262
Black	12
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	143
From 75 to 84	75
85 and over	23
Less than 65	45

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2018

Hypertension	71
High Cholesterol	57
Stroke	4
Ischemic Heart Disease	40
Depression	27
Chronic Kidney Disease	36
Asthma	9
Osteoperosis	7
Atrial Fibrilation	7
Heart Failure	19
Chronic Obstructive Pulmonary Disease	11
Diabetes	31
Dementia	8
Cancer	8

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2019 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	88
decompression surgery	11
doctor visit	705
hospital care	17
injections	88
inpatient care	17
joint surgery	55
lower extremity surgery	33
minimally invasive procedures	22
musculoskeletal imaging	101
reconstructive surgery	33
spinal procedures	15
upper extremity surgery	22
X-rays	116

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	150
Female	221

**Ethnicity**
Non-Hispanic White	340
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	197
From 75 to 84	91
85 and over	30
Less than 65	53

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2019

Hypertension	70
High Cholesterol	60
Stroke	4
Ischemic Heart Disease	41
Depression	27
Chronic Kidney Disease	35
Asthma	7
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	32
Dementia	7
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2020 were musculoskeletal imaging, X-rays, aspiration and injections.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	92
doctor visit	616
hip imaging	25
hospital care	11
injections	92
inpatient care	11
MRI (magnetic resonance imaging)	41
musculoskeletal imaging	123
spinal procedures	19
X-rays	101

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	130
Female	212

**Ethnicity**
Non-Hispanic White	313
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	178
From 75 to 84	91
85 and over	38
Less than 65	35

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2020

Hypertension	67
High Cholesterol	57
Stroke	5
Ischemic Heart Disease	41
Depression	23
Chronic Kidney Disease	35
Asthma	8
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	20
Chronic Obstructive Pulmonary Disease	14
Diabetes	32
Dementia	11
Cancer	13

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2021 were musculoskeletal imaging, X-rays, aspiration and injections.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	124
decompression surgery	15
doctor visit	701
hip imaging	26
injections	124
joint surgery	77
lower extremity surgery	32
minimally invasive procedures	45
MRI (magnetic resonance imaging)	61
musculoskeletal imaging	169
pelvic imaging	12
reconstructive surgery	32
spinal procedures	26
tendon surgery	15
upper extremity surgery	45
X-rays	146

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	140
Female	237

**Ethnicity**
Non-Hispanic White	335
Black	21
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	204
From 75 to 84	113
85 and over	26
Less than 65	34

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2021

Hypertension	74
High Cholesterol	60
Stroke	5
Ischemic Heart Disease	41
Depression	27
Chronic Kidney Disease	35
Asthma	6
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	29
Dementia	7
Cancer	13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN during 2022 were musculoskeletal imaging, aspiration, injections and X-rays.

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

aspiration	147
doctor visit	778
hip imaging	42
injections	147
joint surgery	15
lower extremity surgery	15
MRI (magnetic resonance imaging)	77
musculoskeletal imaging	184
pelvic imaging	13
reconstructive surgery	15
spinal procedures	24
X-rays	144

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	146
Female	261

**Ethnicity**
Non-Hispanic White	367
Black	22
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	230
From 75 to 84	116
85 and over	31
Less than 65	30

Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD in 2022

Hypertension	73
High Cholesterol	73
Stroke	5
Ischemic Heart Disease	30
Depression	20
Chronic Kidney Disease	22
Asthma	8
Osteoperosis	15
Atrial Fibrilation	12
Heart Failure	9
Chronic Obstructive Pulmonary Disease	15
Diabetes	29
Dementia	4
Cancer	15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Paul W. Grutter, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul W. Grutter, MD treated as a sports medicine doctor in Lebanon, TN were X-rays, musculoskeletal imaging, aspiration and injections.

aspiration	76
decompression surgery	13
doctor visit	542
hip imaging	45
hospital care	21
injections	76
inpatient care	21
joint surgery	35
lower extremity surgery	21
minimally invasive procedures	24
MRI (magnetic resonance imaging)	59
musculoskeletal imaging	118
pelvic imaging	20
reconstructive surgery	23
spinal procedures	18
tendon surgery	15
upper extremity surgery	26
X-rays	127

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Paul W. Grutter, MD.

**Gender**
Male	102
Female	196

**Ethnicity**
Black / African American	9
Asian / Pacific Islander	0
Non-Hispanic White	272
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	72
85 and over	28
Less than 65	47
65 to 74	150

Average of Total of Conditions of Medicare patients treated by Dr. Paul W. Grutter, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Paul W. Grutter, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	64
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	35
Depression	25
Chronic Kidney Disease	29
Asthma	11
Osteoporosis	8
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	27
Atrial Fibrillation	9
Dementia	9
Cancer	9

Education & Training

Dr. Paul W. Grutter, MD graduated from University of Missouri-Columbia School of Medicine. He completed residency at Detroit Medical Center/Wayne State University. He is certified by the both Orthopaedic surgery and Orthopaedic Sports Medicine and is fellowship - trained in Shoulder and Elbow surgery and has a state license in Tennessee.

Medical School: University of Missouri-Columbia School of Medicine

Residency: Detroit Medical Center/Wayne State University (2004)

Board Certification: both Orthopaedic surgery and Orthopaedic Sports Medicine and is fellowship - trained in Shoulder and Elbow surgery

Licensed In: Tennessee

Affiliations & Hospitals

Dr. Paul W. Grutter, MD is associated with these hospitals and organizations:

TriStar Health

Highpoint Health with Ascension Saint Thomas

TriStar Hendersonville Medical Center

Tennessee Orthopaedic Alliance

Ratings & Reviews

Dr. Paul W. Grutter, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Paul W. Grutter, MD from all over the web to help you find the right in Lebanon, TN.

Overall Rating

(1 Rating)

Leave a Review

Reviews Left On DocSpot

Overall Rating: 5.0 2022-02-22

Dr. Grutter replaced my right knee and 1 week later I had FULL movement in it!  Pain was VERY minimal, I walked better and with less pain on day 1 IN the hospital than I had in over a year!
I am making an appointment today to have my left shoulder replaced next month.  Best Ortho Dr. EVER!!!

General Payments

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

**Payments by Company**
Stryker Corporation	$739 Reunion $273	None $167	performance solutions $135	BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION $74	ARTHROSCOPY $35	Other $56
DePuy Synthes Sales Inc.	$702 Hip $457	ATTUNE $120	TRI-LOCK $117	Knee $8
Biomet Orthopedics, LLC	$404 ORTHO - KNEES $404
Medtronic USA, Inc.	$312 AQUAMANTYS $298	PlasmaBlade $13
Smith+Nephew, Inc.	$284 TRIGEN InterTAN $149	Regeneten $135
Other	$572 Recon Knees $143	Sidus Stem Free Shoulder $69	EUFLEXXA $63	ELIQUIS $36	Advanced Energy Hemostatic Device $24	Other $238

**Types of Payments**
Food and Beverage	$2,451
Travel and Lodging	$372
Education	$186
Gift	$3

Biography

Dr. Paul Grutter is an orthopedics/orthopedic surgery and sports medicine specialist in Gallatin, TN, Lebanon, TN, and Hendersonville, TN. His areas of clinical interest consist of knee problems, replacement arthroplasty (joint replacement), and musculoskeletal problems. He is professionally affiliated with Tennessee Orthopaedic Alliance, TriStar Hendersonville Medical Center, and Highpoint Health with Ascension Saint Thomas. Highpoint Health with Ascension Saint Thomas reports that Dr. Grutter is accepting new patients at his office in Gallatin, TN. He attended the University of Missouri-Columbia School of Medicine and subsequently trained at Detroit Medical Center/Wayne State University for residency. He has received the following distinctions: Military Service and Commendations; NATO Medal for service in relation to ISAF Operation; and Air Force Outstanding Unit Award and was a member of the Honor Flight - USAF Officer Training School.