North Texas Orthopedics & Spine Center

What North Texas Orthopedics & Spine Center does

North Texas Orthopedics & Spine Center is a private, multi-specialty orthopedic medical practice founded in 1990 and headquartered in Grapevine, Texas, serving patients across the Dallas-Fort Worth metroplex. The practice operates two clinic locations — Grapevine and Keller/Alliance in northern Tarrant County — staffed by 12 board-certified, fellowship-trained orthopedic surgeons and pain management physicians, supported by 101-250 total employees including clinical, physical therapy, and administrative staff. Service lines span general orthopedics, joint replacement, orthopedic trauma, sports medicine, spine care, pain management, on-site physical therapy, on-site X-ray, and workers' compensation, with differentiated procedural offerings including the Barricaid discectomy reinforcement implant, the Intracept basivertebral nerve ablation procedure, iovera cryoneurolysis, and spinal cord stimulator implants.

The practice operates a clinical services revenue model billed through insurance, Medicare, and workers' compensation, supplemented by on-site ancillary services such as physical therapy and diagnostic imaging that create internal referral capture. Patient acquisition is driven by physician referrals, community reputation, school and youth sports team-doctor relationships with 11 local institutions, direct website booking, and content marketing across blog, Instagram, YouTube, LinkedIn, and X. The technology stack is conventional healthcare SaaS — Athenahealth for patient portal and billing, Sharecare for medical records, and Ambra Health for imaging — with no proprietary software products.

The practice operates as a constituent of United Musculoskeletal Partners (UMP), a national orthopedic practice platform, and is a participating partner in the Texas Health Orthopedic Surgery Center Heritage joint venture ASC. In 2025-2026, the practice announced three service-line expansions (Intracept, iovera, elevated Barricaid volumes under a Gold Center of Excellence distinction) and a planned 2026 unification with All-Star Orthopaedics, AOA Orthopedic Specialists, Orthopedic Associates, and OrthoTexas into a single combined entity branded OrthoTexas, signaling a platform-consolidation growth path.

Name

North Texas Orthopedics & Spine Center

Legal name

North Texas Orthopedics & Spine Center

Website

https://ntxortho.com

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

101–250 employees

Short description

North Texas Orthopedics & Spine Center is a private multi-specialty orthopedic practice in the Dallas-Fort Worth metroplex, founded 1990, operating two clinics with 12 fellowship-trained physicians delivering general orthopedics, joint replacement, spine care, pain management, sports medicine, and physical therapy to patients across Tarrant County.

Ownership category

akta.pro rank

Product category

Orthopedic and Spine Medical Services

NAICS

Offices of Physicians (6211), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC), Spine (Orthopedic Spine) (HLAKALAE), Orthopedic Trauma (HLAKALAD), Orthopedic & Sports Rehabilitation Centers (HLAFAFAI)

Keywords

• Orthopedic medical services
• Spine surgery
• Joint replacement
• Sports medicine
• Pain management

Headquarters

HQ city

Grapevine

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical Care Revenue: Revenue generated from patient consultations, diagnostic services, surgical procedures, and follow-up care across orthopedic and spine specialties. Billed through insurance, Medicare, and patient payments
2. Physical Therapy Services: On-site physical therapy services providing rehabilitation and recovery treatment
3. Workers Compensation Services: Specialized orthopedic care for work-related injuries billed through workers compensation insurance

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

North Texas Orthopedics & Spine Center is a multi-specialty orthopedic and spine medical practice that diagnoses, treats, and rehabilitates musculoskeletal conditions in adult and youth patients. Services span general orthopedics, joint replacement, spine surgery, orthopedic trauma, sports medicine, pain management, and on-site physical therapy across two Tarrant County locations. The practice delivers advanced minimally invasive procedures (Barricaid, Intracept, iovera) and operates as an in-network provider for insurance, Medicare, and workers' compensation cases.

Product overview

North Texas Orthopedics & Spine Center is a comprehensive orthopedic medical practice offering surgical and non-surgical treatments across multiple body regions. The practice operates two locations (Grapevine and Keller/Alliance) and provides services spanning General Orthopedics, Joint Replacement, Physical Therapy, Orthopedic Trauma, Pain Management, Sports Medicine, and Worker's Compensation. Specialized treatment offerings include the Intracept Procedure for vertebrogenic back pain, the Barricaid discectomy reinforcement implant, and iovera cryoneurolysis for nerve-based pain relief. The practice maintains on-site X-ray capabilities and integrates with external platforms including AthenaHealth for patient portals, Sharecare Health Data Services for medical records, and Ambra Health for medical imaging.

Differentiator

Problem solved

Functional benefit

Products and services

• General Orthopedics Comprehensive diagnostic evaluation, treatment planning, and ongoing management of bone, joint, muscle, and connective tissue conditions for adult and youth patients.
• Joint Replacement Surgical replacement of damaged hip, knee, and other joints with artificial components to relieve pain and restore mobility for patients with severe joint deterioration.
• Physical Therapy On-site rehabilitation including therapeutic exercises, manual therapy, and recovery programs for musculoskeletal injuries and post-surgical recovery.
• Orthopedic Trauma Emergency and surgical treatment for acute musculoskeletal injuries including fractures, dislocations, and severe soft-tissue damage from accidents or injuries.
• Pain Management Specialized chronic pain management including interventional procedures, medication management, and alternative therapies for musculoskeletal pain.
• Sports Medicine Diagnosis, treatment, performance optimization, and prevention strategies for sports-related musculoskeletal conditions in athletes from youth to professional level.
• Workers' Compensation Orthopedic evaluation, treatment, documentation, and return-to-work coordination for employees with work-related injuries, billed through workers' compensation insurance.
• Spine Care Specialized treatment for spine conditions including back pain, neck pain, herniated discs, and spinal disorders using surgical and non-surgical approaches.
• On-Site X-Ray Diagnostic X-ray imaging performed on-site for rapid evaluation of bone and joint conditions without requiring external imaging center visits.
• Intracept Procedure Minimally invasive outpatient procedure using radiofrequency ablation to disable the basivertebral nerve for treatment of vertebrogenic chronic low back pain; FDA-cleared with benefits lasting over five years.
• Barricaid Procedure Surgical implant procedure using a titanium bone anchor and polymer plug to seal larger openings in the disc wall for patients at higher risk of discectomy failure, helping prevent reherniation and reducing repeat-surgery risk.
• iovera Cryoneurolysis FDA-cleared treatment using controlled cold technology to temporarily block pain signals from specific peripheral nerves, providing immediate pain relief lasting up to 90 days without medication or surgery.
• Spinal Cord Stimulator Implant Implantable device that delivers low-level electrical impulses to the spinal cord to interrupt pain signals for chronic neuropathic pain conditions.

Named customers11 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature4 records

Partnerships

Two partnerships are on record, tiered core.

• Texas Health Orthopedic Surgery Center HeritagecoreStrategic or Co-development Partner · 14 January 2025Joint venture ambulatory surgery center (ASC) between SCA Health, physicians from the practice, and Texas Health Resources. First in the country to receive spine surgery certification, providing advanced outpatient spine surgical capabilities.
• United Musculoskeletal PartnerscoreStrategic or Co-development PartnerNorth Texas Orthopedics & Spine Center operates as a practice within the United Musculoskeletal Partners (UMP) network, a consolidated platform of orthopedic practices across the United States providing shared resources, best practices, and operational support.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Houston Methodist Orthopedics & Sports Medicine: Large Texas-based health system orthopedic service line based in Houston. Operates a multi-subspecialty orthopedic group with sports medicine, joint replacement, and spine offerings at a similar scale to NTOSC's regional footprint but in a different Texas metro.
• Medical City Orthopedics (HCA): HCA Healthcare-owned hospital network operating orthopedic service lines across the DFW metroplex. Competes for the same employer-sponsored and workers' compensation referrals through its hospital-employed orthopedic surgeons in the same geography.
• Texas Health Physicians Group Orthopedics: Physician group arm of Texas Health Resources operating orthopedic practices across North Texas, including the JV ASC partner with NTOSC. Competes for general orthopedics and joint replacement referrals throughout the same Tarrant County geography.
• UT Southwestern Department of Orthopaedic Surgery: Academic medical center in Dallas offering comprehensive orthopedic subspecialty care including spine, sports medicine, and joint reconstruction. Competes for complex referrals in the same DFW market while also serving as a training pipeline and research competitor.
• Baylor Scott & White Orthopedic Associates: Largest not-for-profit health system in Texas, operating orthopedic specialty physician practices across the DFW metroplex. Broader portfolio of services, but overlapping orthopedic surgery, sports medicine, and joint replacement offerings compete for the same patient population.

Direct peers

• All-Star Orthopaedics: DFW-based multi-specialty orthopedic group named as a planned unification partner with North Texas Orthopedics & Spine Center in the 2026 OrthoTexas combination. Same DFW market, similar specialty mix (sports medicine, joint replacement, spine), and directly comparable physician scale.
• OrthoTexas: Dallas-area orthopedic group listed as part of the same planned 2026 unification. Functions as a direct peer in scale, specialty breadth, and DFW market positioning, and is set to become the post-merger brand identity of North Texas Orthopedics & Spine Center.
• AOA Orthopedic Specialists: DFW-area multi-physician orthopedic practice also named as a planned unification partner in the 2026 OrthoTexas merger. Offers sports medicine, joint replacement, and spine services to the same Tarrant County patient base, making it a directly comparable peer pre-merger.
• Orthopedic Associates (DFW): Dallas-Fort Worth orthopedic group also announced as part of the 2026 OrthoTexas unification. Operates with a similar multi-specialty orthopedic model and physician scale in the same metroplex, serving as a direct comparable for North Texas Orthopedics.
• Texas Back Institute: Plano-based specialty spine practice and a leading independent spine group nationally. Highly comparable to NTOSC's spine specialty, including advanced minimally invasive techniques, complex revision surgery, and a surgeon-training reputation in the DFW market.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights8 records

Customer concentration

• Xx.com/NTxOrthoSpine
• YouTubeyoutube.com/channel/UClSCWezoAEDrOaVmWMxnvbg
• LinkedInlinkedin.com/company/north-texas-orthopedics
• Instagraminstagram.com/northtexasorthopedicsspine
• Facebookfacebook.com/northtexasorthopedics

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 North Texas Orthopedics & Spine Center