Total Orthopedics & Sports Medicine

What Total Orthopedics & Sports Medicine does

Total Orthopedics & Sports Medicine is a private, physician-led multi-location orthopedic practice founded by Dr. Charles Ruotolo, operating across Long Island, New York City, and New Jersey. The practice delivers the full spectrum of musculoskeletal care, from conservative treatment (medications, injections, physical therapy, orthotics, and interventional pain management) through advanced surgical procedures including robotic-assisted hip and knee replacement, minimally invasive and endoscopic spine surgery, FDA-approved motion-preserving artificial disc replacement, arthroscopic joint surgery, and image-guided injections. It serves patients with hand and wrist, foot and ankle, arm and elbow, hip and knee, and spine and back conditions, including athletes and seniors with sports-related and degenerative injuries. Provider infrastructure includes at least 14 named surgeons and specialists, with advanced work concentrated in a dedicated Spine & Pain Center and a Total Ortho Express walk-in urgent care site at Massapequa. The practice additionally serves as a spine consulting provider for elite sports organizations including USA Kickboxing, the Miami Heat, Sony Open Tennis, and the Dominican Republic Olympic Teams.

The business operates on a fee-for-service professional services model, with revenue derived from insurance billing, patient co-pays, and self-pay across consultations, diagnostic imaging, non-surgical treatments, and surgical procedures. Go-to-market is direct-to-consumer across the NY/NJ metro, combining 16+ physical clinic locations, a centralized phone scheduling line, walk-in urgent care, patient referral programs, and a digital presence (website, Instagram, YouTube, Facebook, LinkedIn, and email newsletter). Patient-facing infrastructure includes a FollowMyHealth patient portal, online medical records request via Healthmark Group, online bill payment via PayMyDoctor, and a medical imaging upload platform. The practice is privately held with no disclosed venture capital, private equity, or parent company; it is expanding its geographic footprint with a new Babylon, NY location opening July 7, 2025.

Name

Total Orthopedics & Sports Medicine

Legal name

Total Orthopedics & Sports Medicine

Website

https://totalorthosportsmed.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

11–50 employees

Short description

Total Orthopedics & Sports Medicine is a private, multi-location orthopedic and sports medicine practice across Long Island, NYC, and New Jersey, offering conservative care, minimally invasive and robotic-assisted surgery, and spine care to patients with musculoskeletal and sports-related conditions.

Ownership category

akta.pro rank

Product category

Orthopedic & Sports Medicine Services

NAICS

Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Sports Medicine (HLAKALAB), Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Spine (Orthopedic Spine) (HLAKALAE), Pain Management (Spine & Musculoskeletal) (HLAKALAM)

Keywords

• Orthopedic surgery services
• Sports medicine treatment
• Spine care services
• Joint replacement surgery
• Pain management services

Headquarters

HQ city

Hempstead

HQ country

United States

HQ region

North America

Offices16 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Medical Services Revenue: Fee-for-service healthcare delivery model providing orthopedic consultations, diagnostic imaging, non-surgical treatments, and surgical procedures to patients with musculoskeletal conditions and sports injuries.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Total Orthopedics & Sports Medicine is a multi-location orthopedic practice delivering comprehensive musculoskeletal care across Long Island, New York City, and New Jersey. Services span conservative treatment, interventional pain management, minimally invasive surgery, robotic-assisted joint replacement, motion-preserving disc replacement, and walk-in orthopedic urgent care. The practice treats the full spectrum of orthopedic subspecialties (hand/wrist, foot/ankle, arm/elbow, hip/knee, spine) for individual patients and provides spine consulting to professional sports organizations.

Product overview

Total Orthopedics & Sports Medicine is a multi-location orthopedic practice serving communities across Long Island, New York City, and New Jersey. The practice operates as a unified service portfolio organized around orthopedic subspecialties, anchored by the Total Ortho Express urgent care service and the Spine & Pain Center. The core offerings include specialty treatment services for Hand & Wrist, Foot & Ankle, Arm & Elbow, and Hip & Knee conditions, complemented by a comprehensive Spine & Pain Center offering minimally invasive spine surgery, endoscopic procedures, artificial disc replacement, herniated disc treatment, sciatica treatment, and scoliosis treatment. Surgical services utilize advanced technologies including robotic-assisted surgery for joint replacement and FDA-approved artificial disc implants. The practice provides the full continuum of care from conservative treatments (medications, injections, physical therapy, orthotics) through surgical interventions, supported by patient resources including surgical instructions and a patient portal.

Differentiator

Problem solved

Functional benefit

Products and services

• Total Ortho Express Walk-in orthopedic urgent care accepting same-day emergencies and walk-ins for immediate orthopedic treatment.
• Spine & Pain Center Comprehensive spine and pain care service including minimally invasive surgery, endoscopic procedures, disc replacement, spinal fusion, and interventional pain management.
• Pain Management Center Interventional pain management services including image-guided injections, nerve blocks, radiofrequency ablation, spinal cord stimulators, and non-opioid pain control approaches.
• Minimally Invasive Spine Surgery Advanced endoscopic and muscle-sparing surgical techniques for spine conditions including discectomy, decompression, and disc replacement, performed through small incisions to reduce tissue disruption and accelerate recovery.
• Endoscopic Spine Procedure Endoscopic decompression to remove disc fragments or bone spurs precisely through a tiny incision, minimizing trauma and accelerating recovery.
• Artificial Disc Replacement Motion-preserving disc replacement surgery using FDA-approved implants to replace damaged discs in cervical or lumbar spine, maintaining natural spinal movement as an alternative to spinal fusion.
• Herniated Disc Treatment Comprehensive herniated disc treatment including non-surgical management (medications, injections, regenerative medicine) and minimally invasive surgical options (microdiscectomy, endoscopic discectomy, laminotomy, disc replacement).
• Sciatica Treatment Specialized sciatica treatment addressing nerve compression through epidural injections, medications, bracing, and surgical options including microdiscectomy, laminectomy, and spinal fusion.
• Scoliosis Treatment Adult scoliosis treatment including bracing, medications, injections, spinal fusion surgery, and decompression surgery performed by fellowship-trained scoliosis specialists.
• Hip & Knee Treatment Comprehensive hip and knee care including arthroscopic procedures (ACL/MCL/PCL reconstruction, meniscectomy), joint replacement (total and partial), microfracture surgery, and robotic-assisted surgery.
• Robotic-Assisted Joint Replacement Surgery Robotic-assisted surgical system for enhanced precision in hip and knee replacement, ensuring accurate implant placement, improved alignment, and smoother recovery.
• Arm & Elbow Treatment Treatment for arm and elbow conditions including fractures, arthritis, bursitis, tendonitis (tennis elbow, golfer's elbow), biceps tears, and nerve compression syndromes (cubital tunnel, radial tunnel).
• Foot & Ankle Treatment Comprehensive foot and ankle care including treatment for sprains, fractures, tendon tears, arthritis, bunions, plantar fasciitis, nerve issues, with options for cortisone and PRP injections, orthotics, bracing, and surgery including ankle replacement.
• Hand & Wrist Treatment Treatment for hand and wrist conditions including carpal tunnel syndrome, trigger finger, tendonitis, wrist fractures, finger dislocations, Dupuytren's disease, DeQuervain's syndrome, and tendon injuries using minimally invasive techniques.

Named customers4 records

Segments7 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature5 records

Partnerships

Four partnerships are on record, tiered core.

• USA KickboxingcoreStrategic or Co-development PartnerDr. Georgiy Brusovanik serves as official spine consultant to USA Kickboxing, providing spine health expertise and motion-preserving disc replacement services for elite kickboxing athletes.
• Miami HeatcoreStrategic or Co-development PartnerDr. Georgiy Brusovanik serves as spine consultant for the Miami Heat professional basketball organization, providing motion-preserving cervical and lumbar disc replacement expertise.
• Sony Open TenniscoreStrategic or Co-development PartnerDr. Georgiy Brusovanik serves as spine consultant for the Sony Open Tennis tournament, providing expertise in motion-preserving spine surgery for professional tennis athletes.
• Dominican Republic Olympic TeamscoreStrategic or Co-development PartnerDr. Georgiy Brusovanik serves as spine consultant for Dominican Republic Olympic teams, providing cervical and lumbar disc replacement services for elite Olympic athletes.

Scale indicators1 record

Recent moves7 records

Expansion highlights5 records

Direct peers

• Hospital for Special Surgery (HSS): HSS is the preeminent orthopedic and sports medicine specialty hospital in New York, directly competing with Total Orthopedics for high-acuity joint replacement, spine, and sports medicine patients in the same NY metro market. Both organizations focus on fellowship-trained orthopedic surgeons and pro-athlete referrals.
• Rothman Orthopaedic Institute: Rothman is a large, multi-subspecialty orthopedic group practice in the Northeast U.S. (NY, NJ, PA, FL) with a comparable model of fellowship-trained surgeons, multiple office locations, walk-in access, and advanced surgical technology — competing head-to-head in the NJ market and adjacent geographies.
• Summit Health / CityMD Orthopedics: Summit Health operates multi-specialty and orthopedic walk-in/urgent access points across NY and NJ, overlapping with Total Ortho Express's walk-in model and competing for non-emergent musculoskeletal patients in the same regional market.
• OrthoNY: OrthoNY is an independent, multi-location orthopedic group practice serving the Capital Region and Upstate New York with a similar model of subspecialty surgeons and on-site services; comparable in structure to Total Orthopedics though operating in a different NY geography.

Broad incumbents

• NewYork-Presbyterian Orthopedics: NewYork-Presbyterian operates large orthopedic and spine surgery programs in Manhattan and Brooklyn through affiliated academic departments, overlapping with Total Orthopedics across joint replacement, spine, and sports medicine services in the NYC metro area.
• NYU Langone Orthopedic Surgery: NYU Langone operates a large academic orthopedic and sports medicine program across Manhattan and Brooklyn, offering overlapping joint replacement, spine, and sports medicine services as part of a broader hospital system — a direct competitor for in-network referrals and surgeon recruiting in NYC.
• Cleveland Clinic Orthopedic Surgery: Cleveland Clinic runs a nationally recognized orthopedic and sports medicine institute that draws high-acuity joint replacement and spine referrals nationwide; it is a comparable specialty orthopedic brand and a competitive reference point for clinical reputation and case mix.
• Mount Sinai Orthopedics: Mount Sinai's orthopedic surgery and sports medicine divisions serve Manhattan and surrounding boroughs with full-spectrum joint, spine, and sports care, competing for both patients and fellowship-trained surgeons in the same NYC market.
• Northwell Health Orthopedics: Northwell Health runs multi-specialty orthopedic services across Long Island, Manhattan, Queens, and other NY/NJ locations, directly overlapping Total Orthopedics' footprint and competing for the same patient base in spine, sports medicine, and joint replacement.

Regional players

• Atlantic Health System Orthopedics: Atlantic Health System operates orthopedic and sports medicine programs across northern New Jersey (Morristown, Overlook, Chilton, Newton), overlapping with Total Orthopedics' NJ footprint and competing for joint replacement and sports medicine patients in the same regional market.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@Totalorthosportsmed
• Facebookfacebook.com/TotalOrthopedics
• LinkedInlinkedin.com/company/totalorthosportsmed
• Instagraminstagram.com/totalorthosportsmed/?igsh=M2F6a3I1NjMweHo1
• Xx.com/totalorthomed

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Total Orthopedics & Sports Medicine