Dr. Tristan Andrew Altbuch, MD

  • Gainesville, FL
  • Orthopedic surgeon
NPI1114120292PAC ID5496902538
Medicare services, 2024
16,291
Medicare patients, 2024
703
Part D claims, 2024
714
Publications
2
MIPS score, 2024
98
Practice address
4600 Newberry Rd, Gainesville, FL 32607
Practice phone
Call (352) 367-2310
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Orthopaedic Surgery Center - Gainesville

Surgery Center - Medicare-Certified · Gainesville, Florida

See all 11 affiliations

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Dr. Tristan Andrew Altbuch is an orthopedic surgeon in Gainesville, Florida

Dr. Altbuch practices at Orthopaedic Surgery Center - Gainesville in Gainesville, Florida.

Dr. Altbuch's NPI, 1114120292, was assigned on June 7, 2007. Dr. Altbuch graduated from Florida State University College Of Medicine in 2007. Dr. Altbuch holds Florida license 11420.

NPI and contact details
Medicare PAC ID
5496902538
NPI enumeration date
June 7, 2007
NPI status
Active
Practice phone
(352) 367-2310
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Dr. Tristan Andrew Altbuch practices at Orthopaedic Surgery Center - Gainesville in Gainesville, Florida

Dr. Altbuch's primary practice is Orthopaedic Surgery Center - Gainesville, at 4600 Newberry Rd, Gainesville, FL 32607. The practice phone is (352) 367-2310.

  • Orthopaedic Surgery Center - Gainesville
    4600 Newberry Rd, Gainesville, FL 32607Phone(352) 367-2310

Source: Dmand AI Affiliation Data

Dr. Tristan Andrew Altbuch is affiliated with 9 sites of care and 2 medical groups

Dr. Altbuch's primary practice is Orthopaedic Surgery Center - Gainesville in Gainesville, Florida. Dr. Altbuch is also affiliated with HCA Florida North Florida Hospital. The medical group on file is The Orthopaedic Institute. Dmand AI also links Dr. Altbuch to 1 more hospital, 4 home health agencies, 2 group practices and clinics and 1 medical group, each named with a free account.

See all 11 affiliations for Dr. Altbuch

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Tristan Andrew Altbuch's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Altbuch practices, 9 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Orthopaedic Surgery Center - GainesvilleAvailable with a free account
+8 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Tristan Andrew Altbuch is one of 1,248 orthopedic surgeons in Florida

Orthopaedic surgery is Dr. Altbuch's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Altbuch is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery. Dmand AI has Dr. Altbuch's licenses on file in 2 states: Florida and California.

Specialties and state licenses

  • Orthopaedic surgery, FloridaPrimaryLicense 11420 · 2009 to 2026 · taxonomy 207X00000X
  • California licenseSince 2011

Clinical focus

Dmand AI lists arm, wrist, hand fracture and dislocation, arthritis, broken or dislocated ankle/ or foot, bursitis, enthesopathy in arms, hip replacement, joint arthropathy and joint pain among the conditions Dr. Altbuch treats.

Orthopedic surgeons near Dr. Altbuch

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Tristan Andrew Altbuch billed Medicare for 16,291 services in 2024

CMS data shows 16,291 Medicare services from Dr. Altbuch across 24 procedure codes in 2024, for 703 Medicare patients. Medicare paid $298,752 for them.

Medicare services, 202416,291
Medicare patients703
Paid by Medicare$298,752
Procedure codes24

Dr. Altbuch's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Drugs given in the office
2023: 3,2702024: 14,038329%
Office and hospital visits
2023: 9922024: 9247%
Imaging
2023: 9162024: 8715%
Surgery
2023: 4502024: 4582%
Tests and treatments
2023: 4562024: 0100%

Where Dr. Altbuch's Medicare services took place, 2024

  • In an office16,09399%
  • In a facility1981%

Dr. Altbuch compared with the Florida median for orthopedic surgeons, 2024

  • Dr. Altbuch
  • Florida median
Medicare services
16,291vs 1,34512.1 times
Medicare patients
703vs 2902.4 times
Part D claims
659vs 1763.7 times

Medians across 1,164 orthopedic surgeons in Florida with Dmand AI profiles that report each measure.

Dr. Altbuch's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Altbuch

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Altbuch and other orthopedic surgeons in Florida.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Tristan Andrew Altbuch treated 703 Medicare patients in 2024, average age 75

CMS counts 703 Medicare patients who saw Dr. Altbuch in 2024. The largest group is 65 to 74, with 349 patients. 75% of them have arthritis, and 75% have high blood pressure. 3% are also on Medicaid. Their average risk score is 0.98, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Altbuch's median patient age at 69, with 55% women.

Medicare patients, 2024703
Average age75
Average risk score0.98
Also on Medicaid3%

Dr. Altbuch's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Altbuch's Medicare patients by sex, 2024

  • Women43261%
  • Men27139%

Chronic conditions among Dr. Altbuch's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Ischemic heart disease31%
  5. Diabetes29%
  6. Anxiety25%
  7. Chronic kidney disease22%
  8. Mood disorders22%

Share of Medicare patients with each condition. A patient can have several.

Dr. Altbuch's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women55%
  • Men44%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Tristan Andrew Altbuch wrote 714 Medicare Part D claims in 2024

In 2024, Dr. Altbuch wrote 714 Medicare Part D claims for 312 patients. 99% of them were for generic drugs. CMS names the drug for 659 of them, across 14 drugs with 11 or more claims each, at $6,706 in total drug cost. In 2023, CMS named 523 claims across 11 drugs.

Part D claims, 2024714
Drugs named by CMS14
Total drug cost$6,706
Part D patients312

Dr. Altbuch's Part D claims by kind of drug, 2024

  • Generic704 claims99%
  • Brand-name and other10 claims1%

Dr. Altbuch's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Altbuch's Part D claims, 2024

  • Opioids50%356 of 714 claims
  • Antibiotics17%120 of 714 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 5232024: 65926%

Drugs named by CMS: 14 in 2024, 11 in 2023.

See all prescribing by Dr. Altbuch

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Tristan Andrew Altbuch scored 98 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 98 out of 100 for Dr. Altbuch for performance year 2024, reported as part of a group. CMS counts 119 procedures of upper limb (arm) arthroscopy (minimally invasive joint repair) by Dr. Altbuch, more than 97% of the clinicians it reports for that procedure.

Dr. Altbuch's MIPS scores, performance year 2024

  • 98of 100Final score
  • 98of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Altbuch ranks in Medicare procedure volume

Upper limb (arm) arthroscopy (minimally invasive joint repair)
97th percentile119 procedures
Knee replacement
90th percentile83 procedures
Hip replacement
70th percentile24 procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)
83rd percentile12 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Tristan Andrew Altbuch has 2 publications on record

Dmand AI links 2 papers to Dr. Altbuch, published from 2013 to 2020. Dr. Altbuch's most frequent co-authors are Mark Ayzenberg, MD, Kevin William Farmer, MD and Richard D. Ferkel, MD.

Papers2
Years published2013 to 2020

Dr. Altbuch's most frequent co-authors

Recent publications by Dr. Altbuch

See all 2 publications and co-authors

See who Dr. Altbuch researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Altbuch works with, so you can find a warm path to the right orthopedic surgeons.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Tristan Andrew Altbuch received $9,427 in industry payments from 2016 to 2025

CMS Open Payments shows 73 general payments to Dr. Altbuch from 18 drug and device companies from 2016 to 2025. Education make up the largest share, 56% of the total. CGG Medical Inc paid the most, $4,356.

General payments to Dr. Altbuch by program year, 2016 to 2025

General payments to Dr. Altbuch by kind, 2016 to 2025

$9.4Kin total
  • Education$5,29856%
  • Food and beverage$3,04232%
  • Travel and lodging$1,08712%

Companies that paid Dr. Altbuch the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Altbuch

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Tristan Andrew Altbuch graduated from Florida State University College Of Medicine

Dr. Altbuch graduated from Florida State University College Of Medicine in 2007.

  1. Medical schoolFlorida State University College Of Medicine
  2. Board certified in orthopaedic surgeryAmerican Board of Orthopaedic Surgery

Source: Dmand AI Professional Profile Data

Dr. Tristan Andrew Altbuch accepts plans from 15 insurance carriers

Dr. Altbuch is in network with 15 carriers, including Aetna, United Healthcare and Elevance. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • United Healthcare
  • Elevance
  • HCSC
  • Humana
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan
  • +7 more carriersWith a free account

Plan types Dr. Altbuch accepts, by number of carriers

  1. PPO10
  2. HMO8
  3. Medicare7
  4. EPO4
  5. POS3

Source: Dmand AI Insurance Network Data

Sources for Dr. Tristan Andrew Altbuch's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Tristan Andrew Altbuch

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Tristan Andrew Altbuch's NPI number?

Dr. Tristan Andrew Altbuch's NPI number is 1114120292. It was assigned on June 7, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Tristan Andrew Altbuch?

Dr. Tristan Andrew Altbuch is an orthopedic surgeon in Gainesville, Florida. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Tristan Andrew Altbuch practice?

Dr. Altbuch practices at 4600 Newberry Rd, Gainesville, FL 32607. Dr. Altbuch's primary practice is Orthopaedic Surgery Center - Gainesville in Gainesville, Florida. Dmand AI also links Dr. Altbuch to 1 hospital, 4 home health agencies, 2 group practices and clinics and 1 medical group.

What is Dr. Tristan Andrew Altbuch's office phone number?

The practice phone on file for Dr. Altbuch is (352) 367-2310.

What is Dr. Tristan Andrew Altbuch's medical license number?

Dr. Altbuch holds Florida license 11420, one of the licenses on file in 2 states.

Which states has Dr. Tristan Andrew Altbuch been licensed in?

Dmand AI has state licenses on file for Dr. Altbuch in Florida (2009 to 2026) and California (since 2011).

Which hospitals is Dr. Tristan Andrew Altbuch affiliated with?

Dr. Altbuch is affiliated with HCA Florida North Florida Hospital. Dmand AI links Dr. Altbuch to 1 more hospital.

What medical group is Dr. Tristan Andrew Altbuch part of?

Dr. Altbuch is linked to The Orthopaedic Institute. Dmand AI links Dr. Altbuch to 1 more medical group.

Does Dr. Tristan Andrew Altbuch accept Medicare?

Yes. CMS data shows Dr. Altbuch billed Medicare for 16,291 services in 2024.

What is Dr. Tristan Andrew Altbuch's MIPS score?

Dr. Altbuch's MIPS final score for performance year 2024 is 98 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Tristan Andrew Altbuch see?

CMS counts 703 Medicare patients who saw Dr. Altbuch in 2024, with an average age of 75.

Is Dr. Tristan Andrew Altbuch board certified?

Yes. Dr. Altbuch is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery.

What services does Dr. Tristan Andrew Altbuch bill to Medicare?

In 2024, Dr. Altbuch's most billed Medicare services were injected or infused drug (J1010), injected or infused drug (J3304) and injected or infused drug (J7329).

Where did Dr. Tristan Andrew Altbuch go to medical school?

Dr. Altbuch graduated from Florida State University College Of Medicine in 2007.

What drugs does Dr. Tristan Andrew Altbuch prescribe most?

In 2024 Medicare Part D data, Dr. Altbuch's most prescribed drugs by claims were Tramadol HCl, Oxycodone HCl and Amoxicillin.

Has Dr. Tristan Andrew Altbuch received payments from drug or device companies?

CMS Open Payments shows $9,427 in general payments to Dr. Altbuch from 18 companies from 2016 to 2025. The largest total came from CGG Medical Inc.

How long has Dr. Tristan Andrew Altbuch been practicing?

Dr. Altbuch graduated from medical school in 2007, 19 years ago.

Does Dr. Tristan Andrew Altbuch do research?

Dmand AI links 2 publications to Dr. Altbuch, published from 2013 to 2020.

Who does Dr. Tristan Andrew Altbuch publish with?

Dr. Altbuch's most frequent co-authors are Mark Ayzenberg, MD (1 shared paper), Kevin William Farmer, MD (1 shared paper) and Richard D. Ferkel, MD (1 shared paper).

What insurance does Dr. Tristan Andrew Altbuch accept?

Dr. Altbuch is in network with 15 carriers, including Aetna, United Healthcare and Elevance. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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