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Dr. Tristan Andrew Altbuch, MD

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Specializes in: Sports Medicine and Orthopedics/Orthopedic Surgery

Florida State University College of Medicine

Professional interests include: arm fracture, hip revision, dislocation, and more.

146 Sw Orthopaedic Court
Lake City, FL 32024

(386) 755-9215

Dr. Tristan Andrew Altbuch, MD is a sports medicine doctor in Lake City, FL specializing in sports medicine and orthopedics/orthopedic surgery. He graduated from Florida State University College of Medicine. Dr. Tristan Andrew Altbuch, MD is affiliated with HCA Florida Healthcare, The Orthopaedic Institute and HCA Florida North Florida Hospital.

Office Locations

146 Sw Orthopaedic Court
Lake City, FL 32024

(386) 755-9215

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4500 West Newberry Road
Gainesville, FL 32607

(352) 336-6000

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Some issues Dr. Tristan Andrew Altbuch, MD can help you with:

Debridement (Removal of Unhealthy Tissue)

Debridement is a procedure that removes damaged skin to help the body heal a chronic wound, acute injury, or burn. Several layers of skin surrounding a chronic wound can include foreign debris, dead (necrotic) tissue, infected tissue, and calloused (hyperkeratotic) skin. If left untreated, these damaged skin layers can spread infection to other parts of the body and may aggravate the wound and delay its healing.

Debriding (removing) this damaged and diseased skin encourages the growth of healthy new tissue, impeding infection by triggering the body's natural cycle of tissue renewal. For this reason, debridement functions both as a wound treatment and as a preventative measure against more complex consequences of infected skin, such as sepsis and amputation. In some circumstances, debridement provides additional aesthetic benefits such as decreased scarring. Debridement also permits doctors to retrieve tissue samples for testing, such as to determine whether patients need antibiotic treatment.

Wounds that frequently require debridement include:

Nonhealing diabetic ulcers
Chronic wounds
Severe burns
Contaminated wounds

Debridement can be performed either surgically or nonsurgically; some methods are less invasive than others. Doctors select the appropriate debridement technique by considering the location, cause, and size of a patient's wound and may also weigh the patient's overall wellbeing, age, and risk of infection.

Surgical debridement is performed by cutting away dead, infected, and hyperkeratotic skin with a surgical scalpel. For deep wounds that tear away the skin and go into the muscle, skin from another region of a patient's body may be grafted onto the wound, which may then be periodically assessed and rebandaged until fully healed.

Non-surgical debridement is achieved with water or a dissolvent gel. Water softens the damaged skin and affected tissue, allowing doctors to remove it with wet-to-dry dressing. When wet tissue dries, it adheres to the dry dressing or bandage and comes off when the dressing is pulled away. In contrast, dissolvent gel deconstructs tissue, which can be cleaned off of the wound. Nonsurgical debridement is less invasive than surgical techniques; however, it can entail repeat treatments, slowing wound recovery.

While the prospect of stripping away skin may seem jarring, debridement can be critical to the treatment and healing of wounds which cannot not heal independently.

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.

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.

Noteworthy Medicare Patient Procedures Performed by Dr. Tristan Andrew Altbuch, MD in 2024

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

Top 10%

By Volume:

joint surgery

total knee replacement

In 2024, Dr. Tristan Andrew Altbuch, MD performed more joint surgery, and total knee replacement procedures for Medicare patients than 90% of providers in related specialties within Florida.

Top 25%

By Volume:

joint aspiration

joint injections

lower extremity surgery

minimally invasive surgery

reconstructive surgery

In 2012, Dr. Tristan Andrew Altbuch, MD performed more joint aspiration, joint injections, lower extremity surgery, minimally invasive surgery, and reconstructive surgery procedures for Medicare patients than 75% of providers in related specialties within Florida.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2012 were minimally invasive procedures, joint surgery and upper extremity surgery.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

joint surgery	11
minimally invasive procedures	11
upper extremity surgery	11

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2013 were X-rays, aspiration, injections and musculoskeletal imaging.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	91
decompression surgery	15
doctor visit	231
hip imaging	36
hospital care	54
injections	91
inpatient care	54
joint surgery	45
lower extremity surgery	18
minimally invasive procedures	27
musculoskeletal imaging	62
pelvic imaging	38
reconstructive surgery	18
upper extremity surgery	27
X-rays	100

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	93
Female	161

**Ethnicity**
Non-Hispanic White	224
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	109
From 75 to 84	88
85 and over	33
Less than 65	24

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2013

Hypertension	75
High Cholesterol	62
Stroke	7
Ischemic Heart Disease	36
Depression	25
Chronic Kidney Disease	28
Asthma	9
Osteoperosis	17
Atrial Fibrilation	13
Heart Failure	20
Chronic Obstructive Pulmonary Disease	14
Diabetes	36
Dementia	11
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2014 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	229
doctor visit	823
fracture surgery	33
hip imaging	149
hospital care	95
injections	229
inpatient care	95
joint surgery	39
lower extremity surgery	49
MRI (magnetic resonance imaging)	42
musculoskeletal imaging	259
open surgery	12
pelvic imaging	138
reconstructive surgery	39
spinal procedures	12
upper extremity surgery	11
X-rays	437

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	164
Female	317

**Ethnicity**
Non-Hispanic White	434
Black	32
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	211
From 75 to 84	167
85 and over	66
Less than 65	37

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2014

Hypertension	75
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	39
Depression	26
Chronic Kidney Disease	23
Asthma	10
Osteoperosis	16
Atrial Fibrilation	13
Heart Failure	20
Chronic Obstructive Pulmonary Disease	18
Diabetes	38
Dementia	13
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2015 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	257
debridement (removal of unhealthy tissue)	12
decompression surgery	11
doctor visit	819
fracture surgery	14
hip imaging	169
hospital care	82
injections	257
inpatient care	82
joint surgery	93
lower extremity surgery	51
minimally invasive procedures	54
MRI (magnetic resonance imaging)	49
musculoskeletal imaging	271
pelvic imaging	134
reconstructive surgery	39
spinal procedures	15
upper extremity surgery	56
X-rays	405

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	370
Female	654

**Ethnicity**
Non-Hispanic White	906
Black	84
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	454
From 75 to 84	328
85 and over	148
Less than 65	94

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2015

Hypertension	75
High Cholesterol	66
Stroke	5
Ischemic Heart Disease	43
Depression	27
Chronic Kidney Disease	28
Asthma	17
Osteoperosis	17
Atrial Fibrilation	13
Heart Failure	22
Chronic Obstructive Pulmonary Disease	21
Diabetes	37
Dementia	16
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2016 were aspiration, injections, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	239
debridement (removal of unhealthy tissue)	17
decompression surgery	18
doctor visit	1024
fracture surgery	23
hip imaging	31
hospital care	74
injections	239
inpatient care	74
joint surgery	113
lower extremity surgery	55
minimally invasive procedures	60
MRI (magnetic resonance imaging)	66
musculoskeletal imaging	162
reconstructive surgery	53
spinal procedures	23
upper extremity surgery	81
X-rays	119

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	210
Female	407

**Ethnicity**
Non-Hispanic White	550
Black	41
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	283
From 75 to 84	191
85 and over	96
Less than 65	47

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2016

Hypertension	75
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	37
Depression	26
Chronic Kidney Disease	32
Asthma	23
Osteoperosis	16
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	20
Diabetes	35
Dementia	17
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2017 were aspiration, injections, joint surgery and X-rays.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	258
debridement (removal of unhealthy tissue)	22
decompression surgery	25
doctor visit	1101
fracture surgery	31
hospital care	63
injections	258
inpatient care	63
joint surgery	152
lower extremity surgery	74
minimally invasive procedures	73
musculoskeletal imaging	119
open surgery	12
pelvic imaging	12
reconstructive surgery	79
upper extremity surgery	97
X-rays	131

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	232
Female	454

**Ethnicity**
Non-Hispanic White	612
Black	49
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	310
From 75 to 84	229
85 and over	95
Less than 65	52

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2017

Hypertension	75
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	34
Depression	28
Chronic Kidney Disease	30
Asthma	9
Osteoperosis	14
Atrial Fibrilation	12
Heart Failure	19
Chronic Obstructive Pulmonary Disease	17
Diabetes	32
Dementia	14
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2018 were aspiration, injections, joint surgery and musculoskeletal imaging.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	214
debridement (removal of unhealthy tissue)	16
decompression surgery	18
doctor visit	1025
fracture surgery	13
hospital care	71
injections	214
inpatient care	71
joint surgery	153
lower extremity surgery	77
minimally invasive procedures	55
musculoskeletal imaging	113
reconstructive surgery	98
upper extremity surgery	89
X-rays	113

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	239
Female	410

**Ethnicity**
Non-Hispanic White	573
Black	51
Hispanic	14
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	288
From 75 to 84	225
85 and over	85
Less than 65	51

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2018

Hypertension	75
High Cholesterol	66
Stroke	6
Ischemic Heart Disease	34
Depression	28
Chronic Kidney Disease	35
Asthma	10
Osteoperosis	14
Atrial Fibrilation	14
Heart Failure	21
Chronic Obstructive Pulmonary Disease	18
Diabetes	33
Dementia	14
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2019 were aspiration, injections, joint surgery and musculoskeletal imaging.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	221
debridement (removal of unhealthy tissue)	14
decompression surgery	22
doctor visit	1044
fracture surgery	12
hospital care	59
injections	221
inpatient care	59
joint surgery	154
lower extremity surgery	78
minimally invasive procedures	74
musculoskeletal imaging	111
reconstructive surgery	80
upper extremity surgery	88
X-rays	111

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	267
Female	413

**Ethnicity**
Non-Hispanic White	610
Black	36
Hispanic	18
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	332
From 75 to 84	223
85 and over	76
Less than 65	49

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2019

Hypertension	75
High Cholesterol	69
Stroke	5
Ischemic Heart Disease	39
Depression	30
Chronic Kidney Disease	36
Asthma	10
Osteoperosis	14
Atrial Fibrilation	12
Heart Failure	21
Chronic Obstructive Pulmonary Disease	16
Diabetes	33
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2020 were aspiration, injections, joint surgery and upper extremity surgery.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	220
closed (non-surgical) treatment of fracture	17
debridement (removal of unhealthy tissue)	22
decompression surgery	21
doctor visit	902
fracture surgery	16
hospital care	53
injections	220
inpatient care	53
joint surgery	137
lower extremity surgery	54
minimally invasive procedures	68
musculoskeletal imaging	83
reconstructive surgery	69
upper extremity surgery	99
X-rays	83

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	221
Female	402

**Ethnicity**
Non-Hispanic White	569
Black	28
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	287
From 75 to 84	225
85 and over	70
Less than 65	41

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2020

Hypertension	75
High Cholesterol	73
Stroke	6
Ischemic Heart Disease	40
Depression	30
Chronic Kidney Disease	35
Asthma	7
Osteoperosis	15
Atrial Fibrilation	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	18
Diabetes	33
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2021 were rehabilitation, manual therapy, aspiration and injections.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	279
debridement (removal of unhealthy tissue)	18
decompression surgery	22
doctor visit	889
fracture surgery	14
hospital care	51
injections	279
inpatient care	51
joint surgery	164
lower extremity surgery	95
manual therapy	656
minimally invasive procedures	64
musculoskeletal imaging	96
reconstructive surgery	100
rehabilitation	1381
spinal procedures	15
upper extremity surgery	83
X-rays	111

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	267
Female	460

**Ethnicity**
Non-Hispanic White	660
Black	39
Hispanic	14
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	371
From 75 to 84	249
85 and over	76
Less than 65	31

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2021

Hypertension	74
High Cholesterol	73
Stroke	6
Ischemic Heart Disease	39
Depression	27
Chronic Kidney Disease	34
Asthma	8
Osteoperosis	15
Atrial Fibrilation	13
Heart Failure	17
Chronic Obstructive Pulmonary Disease	15
Diabetes	30
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2022 were rehabilitation, manual therapy, aspiration and injections.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	287
debridement (removal of unhealthy tissue)	23
decompression surgery	25
doctor visit	976
hospital care	31
injections	287
inpatient care	31
joint surgery	189
lower extremity surgery	90
manual therapy	679
minimally invasive procedures	74
musculoskeletal imaging	132
reconstructive surgery	115
rehabilitation	1522
upper extremity surgery	99
X-rays	132

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	267
Female	463

**Ethnicity**
Non-Hispanic White	684
Black	29
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	367
From 75 to 84	274
85 and over	67
Less than 65	22

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	31
Depression	23
Chronic Kidney Disease	26
Asthma	11
Osteoperosis	17
Atrial Fibrilation	16
Heart Failure	13
Chronic Obstructive Pulmonary Disease	15
Diabetes	30
Dementia	6
Cancer	13

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2023 were rehabilitation, aspiration, injections and joint surgery.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	270
debridement (removal of unhealthy tissue)	17
decompression surgery	23
doctor visit	968
hospital care	24
injections	270
inpatient care	24
joint surgery	180
lower extremity surgery	89
manual therapy	162
minimally invasive procedures	63
musculoskeletal imaging	115
reconstructive surgery	117
rehabilitation	294
upper extremity surgery	91
X-rays	115

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	293
Female	460

**Ethnicity**
Non-Hispanic White	695
Black	23
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	381
From 75 to 84	293
85 and over	58
Less than 65	21

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	31
Depression	22
Chronic Kidney Disease	24
Asthma	14
Osteoperosis	17
Atrial Fibrilation	16
Heart Failure	12
Chronic Obstructive Pulmonary Disease	14
Diabetes	28
Dementia	6
Cancer	13

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL during 2024 were aspiration, injections, joint surgery and musculoskeletal imaging.

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

aspiration	275
debridement (removal of unhealthy tissue)	12
decompression surgery	20
doctor visit	909
hospital care	15
injections	275
inpatient care	15
joint surgery	183
lower extremity surgery	104
minimally invasive procedures	64
musculoskeletal imaging	150
reconstructive surgery	119
upper extremity surgery	79
X-rays	150

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Male	271
Female	432

**Ethnicity**
Non-Hispanic White	651
Black	22
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	349
From 75 to 84	295
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD in 2024

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	31
Depression	20
Chronic Kidney Disease	22
Asthma	14
Osteoperosis	17
Atrial Fibrilation	17
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	29
Dementia	6
Cancer	16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Tristan Andrew Altbuch, MD for Medicare patients.

The highest averages for the top procedures that Dr. Tristan Andrew Altbuch, MD treated as a sports medicine doctor in Lake City, FL were rehabilitation, manual therapy, aspiration and injections.

aspiration	236
closed (non-surgical) treatment of fracture	17
debridement (removal of unhealthy tissue)	17
decompression surgery	20
doctor visit	892
fracture surgery	19
hip imaging	96
hospital care	56
injections	236
inpatient care	56
joint surgery	124
lower extremity surgery	69
manual therapy	499
minimally invasive procedures	57
MRI (magnetic resonance imaging)	52
musculoskeletal imaging	139
open surgery	12
pelvic imaging	80
reconstructive surgery	77
rehabilitation	1065
spinal procedures	16
upper extremity surgery	70
X-rays	167

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Tristan Andrew Altbuch, MD.

**Gender**
Female	387
Male	222

**Ethnicity**
Black / African American	34
Asian / Pacific Islander	0
Non-Hispanic White	551
Native American / Alaskan Native	0
Hispanic	4
Other	4

**Age**
75 to 84	214
85 and over	66
Less than 65	36
65 to 74	287

Average of Total of Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD From 2012 - 2024

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

Hypertension	69
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	33
Depression	24
Chronic Kidney Disease	27
Asthma	10
Osteoporosis	14
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	30
Atrial Fibrillation	12
Dementia	10
Cancer	10

Education & Training

Dr. Tristan Andrew Altbuch, MD graduated from Florida State University College of Medicine. He completed residency at Florida State University Affiliated Hospitals. He is certified by the Board Certification: Orthopaedic Surgery and has a state license in Florida.

Medical School: Florida State University College of Medicine

Residency: Florida State University Affiliated Hospitals

Board Certification: Board Certification: Orthopaedic Surgery

Licensed In: Florida

Affiliations & Hospitals

Dr. Tristan Andrew Altbuch, MD is associated with these hospitals and organizations:

HCA Florida Healthcare

The Orthopaedic Institute

HCA Florida North Florida Hospital

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General Payments

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

**Payments by Company**
CGG Medical Inc	$4,337 $4,337
Stryker Corporation	$1,969 Mako $941	MAKOplasty $719	HOFFMANN $100	ALPHAVENT $50	COBRA $45	Other $114
Arthrex, Inc.	$1,570 $1,570
Team 1 Orthopaedics Inc	$650 ARTHREX PRODUCT LINE KNEE & HIP ARTHROSCOPY $650
DePuy Synthes Sales Inc.	$323 TFN ADVANCED $89	Shoulder/SMJT $87	MONOVISC $54	ORTHOVISC $49	NA $27	Other $17
Other	$895 SPRINT PNS System $317	Equinoxe $163	Zynrelef $81	HemiCAP Shoulder $42	WaveWriter Alpha Prime 16 $39	Other $253

**Types of Payments**
Education	$5,948
Food and Beverage	$2,709
Travel and Lodging	$1,087

Biography

Dr. Tristan Altbuch's specialties are orthopedics/orthopedic surgery and sports medicine. Dr. Altbuch's clinical interests include knee problems, femur (thigh bone) fracture, and humerus (upper arm) fracture. He is a graduate of Florida State University College of Medicine. He trained at a hospital affiliated with Florida State University and a hospital affiliated with the University of Florida Health Science Center for residency. His professional affiliations include The Orthopaedic Institute and HCA Florida Healthcare.

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Dr. Tristan Andrew Altbuch, MD

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Average Medicare Procedure Volume From 2012 - 2024

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Average of Total of Conditions of Medicare patients treated by Dr. Tristan Andrew Altbuch, MD From 2012 - 2024

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