What The Centers for Advanced Orthopaedics does

The Centers for Advanced Orthopaedics (Parkway Division) is a private, multi-specialty orthopaedic medical practice headquartered in Hagerstown, Maryland, founded in 1996 by Dr. Ralph Salvagno and Dr. Tom Altizer. It operates as a division within The Centers for Advanced Orthopaedics (CAO) network, a federated group of more than 38 orthopaedic offices spanning Maryland, Washington D.C., Northern Virginia, and Pennsylvania. The Parkway Division provides total joint replacement (hip, knee, shoulder), hand and upper extremity surgery, hip and knee services, sports medicine, and orthopaedic surgery of the spine, supported by on-site diagnostic and therapeutic services (digital X-ray, ultrasound-guided injections, viscosupplementation, durable medical equipment) and an integrated rehabilitation program (physical therapy and occupational therapy).

The practice's clinical platform combines on-site procedural capabilities with affiliated surgical facilities — Meritus Medical Center, Hagerstown Surgery Center, Cumberland Valley Surgery Center, and Monocacy Surgery Center — to deliver the continuum of care from diagnosis through post-operative rehabilitation. Provider credentials form the core of its offering: board-certified orthopaedic surgeons with fellowship training at institutions such as the Mayo Clinic, Uniformed Services University, and Temple University, supported by physician assistants and a nine-therapist PT/OT team. Digital infrastructure is conventional healthcare IT: EMA patient portal, Odoro appointment scheduling, Doxy.me telemedicine for virtual visits, and Google Analytics for web analytics. There is no disclosed AI/ML capability, proprietary model, or research output; the technology stack is functional rather than differentiated.

Commercially, the practice operates a fee-for-service revenue model billed through third-party payors (with good-faith-estimate disclosures for uninsured patients across MD, VA, and DC). Patients are acquired through a direct-to-consumer motion — self-referral, primary-care referral, online appointment booking, and a website (hipknee.com) that serves as the primary marketing surface — with geographic coverage extending across Western Maryland, Southern Pennsylvania, and the Eastern Panhandle of West Virginia. The underlying economics are driven by surgical case volume, PT/OT visit counts, and ancillary services such as imaging and DME.

Name

The Centers for Advanced Orthopaedics

Legal name

The Centers for Advanced Orthopaedics

Website

https://hipknee.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

11–50 employees

Short description

The Centers for Advanced Orthopaedics (Parkway Division) is a private, multi-specialty orthopaedic practice in Hagerstown, MD, founded in 1996 as part of a 38+ office CAO network across MD, DC, VA, and PA. It delivers total joint replacement, hand and upper extremity surgery, sports medicine, spine surgery, physical therapy, and occupational therapy to patients of all ages on a fee-for-service basis.

Ownership category

akta.pro rank

Product category

Orthopedic Medical Practice

NAICS

Offices of Physicians (62111)

SIC

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

akta.pro primary industry

Orthopedic Surgery (Operative Orthopedics) (HLAKALAC)

akta.pro secondary industries

General Orthopedics (HLAKALAA), Spine (Orthopedic Spine) (HLAKALAE), Orthopedic & Sports Rehabilitation Centers (HLAFAFAI)

Keywords

• Orthopedic surgery services
• Sports medicine care
• Joint replacement surgery
• Musculoskeletal rehabilitation
• Hand and upper extremity surgery

Headquarters

HQ city

Hagerstown

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Services Revenue: Fee-for-service healthcare revenue generated from orthopedic consultations, diagnostic imaging, surgical procedures, physical therapy, and occupational therapy services. Revenue collected through insurance billing and patient payments.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

The Centers for Advanced Orthopaedics - Parkway Division provides comprehensive multi-specialty orthopedic medical care across five surgical specialties: total joint replacement (hip, knee, shoulder), hand and upper extremity surgery, hip and knee services, sports medicine, and orthopaedic spine surgery. The practice supports these surgical services with on-site diagnostic and therapeutic capabilities (digital X-ray, ultrasound-guided injections, viscosupplementation, durable medical equipment) and integrated rehabilitation services (physical therapy and occupational therapy), delivering a full continuum of care from diagnosis through post-operative recovery.

Product overview

The Centers for Advanced Orthopaedics is a comprehensive orthopaedic practice offering a multi-specialty, integrated approach to musculoskeletal care. The practice operates through distinct service modules: surgical specialties (Total Joint Replacement, Hand & Upper Extremity Surgery, Hip & Knee Services, Sports Medicine, and Orthopaedic Surgery of the Spine) supported by on-site diagnostic and therapeutic services (Digital X-Ray, Ultrasound-guided Injections, Viscosupplementation, and Durable Medical Equipment), plus rehabilitation services (Physical Therapy and Occupational Therapy). The practice leverages digital platforms for patient engagement including EMA patient portal, Odoro scheduling, Doxy.me telemedicine, and online bill payment. Together, these offerings provide a seamless continuum of care from diagnosis through surgical treatment to post-operative rehabilitation.

Differentiator

Problem solved

Functional benefit

Products and services

• Total Joint Replacement Surgical procedures including mini total hip replacement, total hip replacement (anterior approach), total hip resurfacing, total knee replacement (mini incision), reverse total shoulder replacement, and total shoulder replacement, providing long-term relief from arthritis, injury, and overuse conditions.
• Hip & Knee Services Non-surgical and surgical treatment of hip and knee problems including arthritis, sports injuries, fall-related and work-related injuries, with minimally invasive joint replacement procedures and post-operative rehabilitation.
• Hand & Upper Extremity Surgery Specialized surgical care for hand, wrist, and elbow conditions including trauma, occupational injuries, arthritis, carpal tunnel syndrome, cubital tunnel syndrome, cysts, congenital problems, tendon repair, and tennis elbow.
• Sports Medicine Prevention, diagnosis, treatment, and rehabilitation of sports injuries for weekend warriors, high school competitors, and professional athletes, with both surgical and non-surgical approaches including arthroscopy and ACL reconstruction.
• Orthopaedic Surgery of the Spine Surgical and non-surgical spine treatment for neck and back pain, traumatic and degenerative spinal conditions. Procedures include minimally invasive spine surgery, endoscopic surgery, kyphoplasty, robotic spine surgery, laminectomy, microdiscectomy, and various fusion techniques.
• Ultrasound-guided Injections Using ultrasound guidance to administer medications directly to painful joints, muscles, tendons, and ligaments, improving precision, safety, and effectiveness of injection procedures.
• Viscosupplementation Hyaluronic acid injection therapy for knee arthritis patients who have not responded to conservative treatment, administered weekly for 3-4 weeks to restore joint cushioning and lubrication.
• Digital X-Ray High-tech digital X-ray diagnostic imaging providing larger, clearer, color-enhanced images with up to 90% less radiation exposure than traditional film X-rays.
• Durable Medical Equipment (DME) On-site inventory of braces, crutches, walkers, orthotics, splints, and post-surgical equipment available for patient convenience.
• Physical Therapy Comprehensive orthopaedic rehabilitation for patients of all ages including post-operative rehabilitation for rotator cuff repairs, labral repairs, ACL reconstruction, patellar alignment, hand injuries, tendon/nerve repairs, and total joint replacement recovery.
• Occupational Therapy Orthopaedic rehabilitation for conditions, injuries, and surgeries including work-related injuries; provided by a Certified Lymphedema Therapist treating lymphedema in upper and lower extremities.
• Telemedicine Services Virtual patient consultations delivered via the Doxy.me telemedicine platform enabling remote healthcare delivery for orthopedic conditions.

Named customers4 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

Integration5 records

Feature4 records

Partnerships

One partnership is on record.

• The Centers for Advanced Orthopaedics (CAO) NetworkcoreStrategic or Co-development PartnerThe Parkway Division has joined The Centers for Advanced Orthopaedics (CAO) network to serve patients better. As a member of CAO, the practice shares best practices and collaborates with over 38 other orthopaedic offices across Maryland, Washington D.C., and Northern Virginia to bring a higher standard of excellence in patient care.

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Hospital for Special Surgery (HSS): Nationally prominent orthopedic specialty hospital and care network; broader incumbent with overlapping orthopedic subspecialty services and research-driven brand.
• Midwest Orthopaedics at Rush: Large academic-affiliated orthopedic specialty practice with broad subspecialty coverage; comparable in clinical depth, anchored to a major hospital system.

Direct peers

• Twin Cities Orthopedics: Large multi-specialty private orthopedic group offering joint replacement, sports medicine, spine, hand, and PT; comparable physician-owned orthopedic model.
• Resurgens Orthopaedics: Multi-office, multi-subspecialty orthopedic practice group in the Southeast; comparable private-practice orthopedic model with imaging, PT, and surgical services.
• Rothman Orthopaedic Institute: Large physician-owned orthopedic group with multiple locations across the Mid-Atlantic and beyond; directly comparable subspecialty model, ASC affiliations, and PT integration.
• OrthoVirginia: Large multi-specialty orthopedic group serving Virginia and the Mid-Atlantic with subspecialty ortho care, PT, and on-site imaging — directly comparable in geography and service model to the Parkway Division.
• OrthoCarolina: Independent, physician-owned orthopedic practice network offering the same multi-specialty musculoskeletal service line (joint replacement, sports medicine, spine, hand) as CAO Parkway.
• The CORE Institute: Specialty orthopedic and musculoskeletal practice operating across multiple states; comparable in scale, subspecialty mix, and integrated PT/surgical delivery.

Regional players

• Texas Orthopedics: Multi-physician orthopedic specialty group in Texas offering similar subspecialty ortho services, on-site imaging, and PT; comparable service model but different geography.

Others

• Meritus Health (Meritus Medical Center): Regional hospital system and surgical partner of Parkway Division; comparable in regional healthcare delivery but as a hospital network rather than independent orthopedic specialty practice.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/pages/Center-for-Joint-Surgery-and-Sports-Medicine/168748656654996
• Xx.com/hipkneeCJS

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 The Centers for Advanced Orthopaedics