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Dr. Nicholas R. Harding, MD

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Specializes in: Sports Medicine and Orthopedics/Orthopedic Surgery

Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine (1991)

Professional interests include: musculoskeletal problems

608 Garrisonville Road Suite 102
Stafford, VA 22554

(540) 659-4555

Dr. Nicholas R. Harding, MD is a sports medicine doctor in Fredericksburg, VA specializing in sports medicine and orthopedics/orthopedic surgery. He graduated from Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine in 1991 and has 35 years of experience. Dr. Nicholas R. Harding, MD is affiliated with Mary Washington Healthcare, Spotsylvania Regional Medical Center (SRMC), HCA Virginia and CENTRAL VIRGINIA ORTHOPAEDICS AND SPORTS MEDICINE.

Office Locations

Mary Washington Healthcare

501 Park Hill Drive
Fredericksburg, VA 22401

(540) 372-6737

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Mary Washington Healthcare

608 Garrisonville Road Suite 102
Stafford, VA 22554

(540) 659-4555

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Some issues Dr. Nicholas R. Harding, MD can help you with:

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Noteworthy Medicare Patient Procedures Performed by Dr. Nicholas R. Harding, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

computer-assisted orthopedic surgery

computer assisted surgery

pelvis X-ray

spine imaging

spine X-ray

In 2023, Dr. Nicholas R. Harding, MD had a list price for computer-assisted orthopedic surgery (CAOS), computer assisted surgery (CAS), pelvis X-ray, spine imaging, and spine X-ray that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Virginia. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

hip arthroplasty

hip reconstruction

hip replacement

total hip replacement

In 2023, Dr. Nicholas R. Harding, MD had a list price for hip arthroplasty, hip reconstruction, hip replacement, and total hip replacement that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Virginia. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

computer-assisted orthopedic surgery

joint aspiration

joint injections

By Affordability:

total joint replacement

total knee replacement

X-rays

In 2012, among providers in related specialties within Virginia, Dr. Nicholas R. Harding, MD performed more computer-assisted orthopedic surgery (CAOS), joint aspiration, and joint injections procedures for Medicare patients than 75% of them and he also had a list price for hip surgery, joint X-ray, knee replacement, knee X-ray, total joint replacement, total knee replacement, and X-rays that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2012 were hospital care, inpatient care, aspiration and injections.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	21
doctor visit	159
hospital care	35
injections	21
inpatient care	35

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2013 were X-rays, aspiration, injections and hospital care.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	39
doctor visit	222
fracture surgery	16
hospital care	35
injections	39
inpatient care	35
lower extremity surgery	16
musculoskeletal imaging	23
pelvic imaging	24
X-rays	47

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	63
Female	94

**Ethnicity**
Non-Hispanic White	121
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	59
From 75 to 84	37
85 and over	27
Less than 65	34

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2013

Hypertension	75
High Cholesterol	54
Stroke	9
Ischemic Heart Disease	36
Depression	29
Chronic Kidney Disease	27
Asthma	11
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	17
Diabetes	32
Dementia	25
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2014 were X-rays, musculoskeletal imaging, aspiration and injections.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	38
doctor visit	267
hip imaging	14
hospital care	22
injections	38
inpatient care	22
musculoskeletal imaging	55
pelvic imaging	24
X-rays	79

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	68
Female	99

**Ethnicity**
Non-Hispanic White	142
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	57
85 and over	16
Less than 65	30

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2014

Hypertension	75
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	39
Depression	28
Chronic Kidney Disease	26
Asthma	7
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	17
Chronic Obstructive Pulmonary Disease	16
Diabetes	32
Dementia	11
Cancer	8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2015 were aspiration, injections, X-rays and hospital care.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	68
doctor visit	303
hip imaging	18
hospital care	42
injections	68
inpatient care	42
musculoskeletal imaging	29
pelvic imaging	25
X-rays	54

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	152
Female	224

**Ethnicity**
Non-Hispanic White	302
Black	52
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	168
From 75 to 84	104
85 and over	64
Less than 65	40

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2015

Hypertension	74
High Cholesterol	63
Stroke	9
Ischemic Heart Disease	37
Depression	27
Chronic Kidney Disease	28
Asthma	19
Osteoperosis	10
Atrial Fibrilation	15
Heart Failure	19
Chronic Obstructive Pulmonary Disease	18
Diabetes	31
Dementia	20
Cancer	7

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2016 were aspiration, injections, X-rays and hospital care.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	100
doctor visit	360
hospital care	38
injections	100
inpatient care	38
musculoskeletal imaging	30
pelvic imaging	14
spinal procedures	11
X-rays	55

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	75
Female	168

**Ethnicity**
Non-Hispanic White	192
Black	36
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	104
From 75 to 84	62
85 and over	37
Less than 65	40

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2016

Hypertension	74
High Cholesterol	58
Stroke	7
Ischemic Heart Disease	38
Depression	27
Chronic Kidney Disease	32
Asthma	24
Osteoperosis	12
Atrial Fibrilation	15
Heart Failure	20
Chronic Obstructive Pulmonary Disease	19
Diabetes	35
Dementia	19
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2017 were aspiration, injections, X-rays and hospital care.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	98
doctor visit	431
fracture surgery	11
hospital care	36
injections	98
inpatient care	36
lower extremity surgery	11
musculoskeletal imaging	34
pelvic imaging	26
spinal procedures	17
X-rays	77

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	99
Female	173

**Ethnicity**
Non-Hispanic White	208
Black	45
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	72
85 and over	21
Less than 65	52

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2017

Hypertension	71
High Cholesterol	57
Stroke	4
Ischemic Heart Disease	38
Depression	31
Chronic Kidney Disease	33
Asthma	10
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	18
Chronic Obstructive Pulmonary Disease	14
Diabetes	36
Dementia	15
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2018 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	246
doctor visit	838
hospital care	25
injections	246
inpatient care	25
joint surgery	17
lower extremity surgery	17
musculoskeletal imaging	124
pelvic imaging	12
reconstructive surgery	17
spinal procedures	65
X-rays	201

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	208
Female	316

**Ethnicity**
Non-Hispanic White	415
Black	78
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	236
From 75 to 84	154
85 and over	50
Less than 65	84

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2018

Hypertension	75
High Cholesterol	66
Stroke	7
Ischemic Heart Disease	36
Depression	24
Chronic Kidney Disease	33
Asthma	8
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	38
Dementia	10
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2019 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	250
doctor visit	747
hospital care	18
injections	250
inpatient care	18
musculoskeletal imaging	68
spinal procedures	63
X-rays	154

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	171
Female	331

**Ethnicity**
Non-Hispanic White	395
Black	66
Hispanic	19
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	242
From 75 to 84	155
85 and over	50
Less than 65	55

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2019

Hypertension	71
High Cholesterol	63
Stroke	7
Ischemic Heart Disease	32
Depression	25
Chronic Kidney Disease	32
Asthma	9
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	18
Chronic Obstructive Pulmonary Disease	14
Diabetes	32
Dementia	11
Cancer	12

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2020 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	238
computer assisted surgery (CAS)	14
doctor visit	786
injections	238
joint surgery	17
lower extremity surgery	17
musculoskeletal imaging	94
reconstructive surgery	17
spinal procedures	85
X-rays	216

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	192
Female	301

**Ethnicity**
Non-Hispanic White	386
Black	72
Hispanic	0
Asian	0
Other	16
Native American	0

**Age**
From 65 to 74	255
From 75 to 84	128
85 and over	58
Less than 65	52

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2020

Hypertension	71
High Cholesterol	60
Stroke	5
Ischemic Heart Disease	30
Depression	22
Chronic Kidney Disease	29
Asthma	10
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	32
Dementia	10
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2021 were aspiration, injections, X-rays and rehabilitation.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	252
computer assisted surgery (CAS)	22
doctor visit	820
injections	252
joint surgery	24
lower extremity surgery	24
manual therapy	57
musculoskeletal imaging	43
reconstructive surgery	24
rehabilitation	101
spinal procedures	61
X-rays	104

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	227
Female	390

**Ethnicity**
Non-Hispanic White	505
Black	87
Hispanic	13
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	347
From 75 to 84	176
85 and over	48
Less than 65	46

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2021

Hypertension	71
High Cholesterol	65
Stroke	4
Ischemic Heart Disease	30
Depression	19
Chronic Kidney Disease	25
Asthma	9
Osteoperosis	8
Atrial Fibrilation	11
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	27
Dementia	7
Cancer	10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA during 2022 were injections, aspiration, X-rays and spinal procedures.

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

aspiration	713
computer assisted surgery (CAS)	39
doctor visit	1755
hospital care	36
injections	753
inpatient care	36
joint surgery	52
lower extremity surgery	52
musculoskeletal imaging	42
pelvic imaging	59
reconstructive surgery	52
rehabilitation	46
spinal procedures	95
X-rays	196

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	380
Female	636

**Ethnicity**
Non-Hispanic White	848
Black	105
Hispanic	28
Asian	13
Other	22
Native American	0

**Age**
From 65 to 74	515
From 75 to 84	360
85 and over	90
Less than 65	51

Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	26
Depression	17
Chronic Kidney Disease	16
Asthma	12
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	11
Chronic Obstructive Pulmonary Disease	13
Diabetes	27
Dementia	5
Cancer	14

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Nicholas R. Harding, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nicholas R. Harding, MD treated as a sports medicine doctor in Fredericksburg, VA were injections, aspiration, X-rays and rehabilitation.

aspiration	187
computer assisted surgery (CAS)	25
doctor visit	608
fracture surgery	13
hip imaging	16
hospital care	31
injections	191
inpatient care	31
joint surgery	27
lower extremity surgery	22
manual therapy	57
musculoskeletal imaging	54
pelvic imaging	26
reconstructive surgery	27
rehabilitation	73
spinal procedures	56
X-rays	118

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Nicholas R. Harding, MD.

**Gender**
Male	148
Female	248

**Ethnicity**
Black / African American	49
Asian / Pacific Islander	1
Non-Hispanic White	319
Native American / Alaskan Native	0
Hispanic	6
Other	3

**Age**
75 to 84	118
85 and over	41
Less than 65	44
65 to 74	192

Average of Total of Conditions of Medicare patients treated by Dr. Nicholas R. Harding, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Nicholas R. Harding, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	66
High Cholesterol	56
Stroke	5
Ischemic Heart Disease	31
Depression	22
Chronic Kidney Disease	25
Asthma	10
Osteoporosis	7
Heart Failure	15
Chronic Obstructive Pulmonary Disease	13
Diabetes	29
Atrial Fibrillation	11
Dementia	12
Cancer	9

Education & Training

Dr. Nicholas R. Harding, MD graduated from Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine in 1991. He completed residency at Kingsbrook Jewish Medical Center. He has a state license in New York.

Medical School: Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine (1991)

Residency: Kingsbrook Jewish Medical Center

Licensed In: New York

Affiliations & Hospitals

Dr. Nicholas R. Harding, MD is associated with these hospitals and organizations:

Mary Washington Healthcare

Spotsylvania Regional Medical Center (SRMC)

HCA Virginia

CENTRAL VIRGINIA ORTHOPAEDICS AND SPORTS MEDICINE

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General Payments

These charts describe general payments received by Dr. Nicholas R. Harding, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Arthrex, Inc.	$2,397 ALL ARTHREX PRODUCT LINES $1,536	ARTHREX PRODUCT LINE ARTHROPLASTY $861
Stryker Corporation	$1,548 Mako $1,436	Reunion $39	TRAUMA and EXTREMITIES $38	Disposables - Other $22	KNEES $12
Supreme Orthopedic Systems, LLC	$590 ARTHREX PRODUCT LINE ARTHROPLASTY $382	$208
Pacira Pharmaceuticals Incorporated	$168 Zilretta $106	Exparel $62
BIOVENTUS LLC	$147 Durolane $106	Ultrasound Bone Healing $25	Supartz $17
Other	$1,747 Zilretta $189	FORTEO $112	DJO Surgical Empowr Knee System $70	Neuro-Chronic Pain $54	SURGICAL PAIN INCISIONAL PRODUCTS $54	Other $1,269

**Types of Payments**
Education	$2,995
Food and Beverage	$2,552
Travel and Lodging	$1,040
Consulting Fee	$11

Biography

Dr. Nicholas Harding is an orthopedics/orthopedic surgery and sports medicine specialist. In his practice, Dr. Harding focuses on musculoskeletal problems. He obtained his medical school training at Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine and performed his residency at Kingsbrook Jewish Medical Center. He is professionally affiliated with Mary Washington Healthcare and Spotsylvania Regional Medical Center (SRMC).