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Top 10 Growing Private Orthopedic Practices in the USA
- Madison Loomis
- Apr 21
- 3 min read
Despite consolidation pressures and increasing interest from private equity, many orthopedic groups across the United States are not just surviving—they’re thriving. These private practices are proving that with the right leadership, patient-first care models, and strategic growth, independence is not only possible but profitable.
At Advanced Scope LLC, we partner with practices nationwide to solve provider staffing challenges, and we’ve kept a close eye on the groups making waves in this space. Here's a look at 10 private orthopedic practices that are growing fast in 2025—and what they're doing right.
With over 100 specialists and ongoing expansion across the mid-Atlantic, OrthoVirginia has managed to scale while maintaining its physician-owned structure. Their tech-forward patient portal and emphasis on outpatient surgery are helping them stay competitive.
Panorama has been rapidly expanding their surgery center footprint while building robust in-house physical therapy and sports medicine programs. Their model emphasizes continuity of care—and it's working.
Operating independently from the hospital brand, this group has leveraged the Houston market to grow aggressively while maintaining full ownership and operational control.
Formed from over 130 independent physicians, this supergroup continues to grow while preserving local autonomy. Their hybrid model is attracting smaller practices looking for the benefits of scale without giving up independence.
Though now spanning multiple states, Rothman remains independent and fiercely focused on academic integration, innovation, and scale. Their partnerships with health systems (not acquisitions) are a key part of their growth model.
Affiliated with Rush University Medical Center but operating independently, this group continues to rank among the best for outcomes. Their academic roots and private-practice freedom make them a top destination for both patients and providers.
This group is known for its strong physician leadership and high-volume ASC model. They’re expanding aggressively through thoughtful acquisitions and strategic provider partnerships.
Houston-based and rapidly scaling, this group’s integrated approach includes pain management, spine surgery, and regenerative medicine. Their growth is being fueled by strong payer relationships and data-backed outcomes.
With a strong outpatient focus and deep local partnerships, TCO has built an impressive footprint while staying nimble. Their sports medicine division has helped solidify their brand.
A rising star in the Pacific Northwest, this group has invested in AI-assisted imaging and robotic surgery to drive results. Their private, physician-owned model continues to attract top talent.
What These Groups Have in Common:
ASC Growth: All ten groups are expanding their ambulatory surgery center capabilities.
Data-Driven Decisions: They track patient outcomes and use that data to drive strategy.
Staffing Strategy: They're investing in long-term provider relationships instead of cycling through temp contracts or relying solely on external referrals.
Independence First: None of these practices have sold out to private equity or health systems—demonstrating that there's still power in private ownership.
Why It Matters
For orthopedic practices looking to grow, these groups offer roadmaps worth studying. Whether you’re exploring your first ASC or hiring your next provider, the key is making strategic, patient-first choices that scale.
Need help finding providers who fit your growth model?
[Connect with Advanced Scope] — we help independent practices like yours build high-performing teams without the overhead of traditional staffing models.
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