PREMIER BONE AND JOINT CENTERS is a Medicare-certified ambulatory surgery center located in LARAMIE, WY, offering same-day outpatient surgical procedures. Google rating: 4.8 out of 5 from 705 reviews.

PREMIER BONE AND JOINT CENTERS

laramie, WYMedicare Certified

Location & Directions

Address

1909 VISTA DRIVE

LARAMIE, WY

Service Area

This provider serves patients in LARAMIE and surrounding areas in WY.

Contact this surgery center for service area details

Note on Service Area

This ambulatory surgery center serves patients in the surrounding area. Contact this surgery center directly to confirm service availability in your specific location.

Procedures Performed

Common outpatient procedures performed at this ambulatory surgery center, based on reported specialties.

Knee ArthroscopyA camera and small instruments are inserted through incisions the size of a buttonhole to repair cartilage, trim a torn meniscus, or remove loose fragments. Because the joint is not opened fully, recovery is far faster than traditional open knee surgery.Shoulder ArthroscopyUses a small camera and instruments through tiny incisions to repair the shoulder joint โ€” commonly for impingement, labral tears, or damaged cartilage. Most patients go home the same day and begin physical therapy within the first week.ACL ReconstructionRebuilds the torn anterior cruciate ligament using a graft, since a fully torn ACL does not heal on its own. The surgery itself is outpatient, but returning to cutting and pivoting sports typically takes nine to twelve months of structured rehabilitation.Rotator Cuff RepairReattaches torn tendons in the shoulder to the bone. Pain relief often comes well before strength does โ€” a sling is typical for several weeks and full recovery commonly takes four to six months, with physical therapy doing much of the work.Carpal Tunnel ReleaseCuts the ligament pressing on the median nerve at the wrist to relieve numbness, tingling, and night pain in the hand. The procedure takes about 15 minutes under local anesthesia. Night symptoms often improve immediately; grip strength returns over several weeks.Joint ReplacementDamaged joint surfaces are replaced with implants, most commonly at the knee or hip. Once exclusively a hospital procedure, selected healthy patients now have this done at surgery centers and go home the same day with a structured recovery plan.
HysteroscopyA slim camera passed through the cervix examines the inside of the uterus, and can remove polyps or fibroids in the same visit. No abdominal incision is involved. Cramping for a day or two afterward is normal.LaparoscopyA camera and instruments are inserted through small abdominal incisions, allowing diagnosis and treatment without a large open incision. Used for endometriosis, ovarian cysts, and pelvic pain, with recovery measured in days rather than weeks.D&C (Dilation and Curettage)The cervix is dilated and the uterine lining removed, for heavy bleeding, after a miscarriage, or to obtain tissue for diagnosis. The procedure takes 10 to 15 minutes and most people return to normal activity within a day or two.Tubal LigationThe fallopian tubes are sealed, cut, or removed to provide permanent contraception. It should be considered irreversible โ€” reversal is not reliably successful, so it is intended for people certain they do not want future pregnancy.Endometrial AblationThe uterine lining is destroyed to reduce or stop heavy menstrual bleeding, offering an alternative to hysterectomy. It is not a contraceptive, and it is only appropriate for those who have completed childbearing.Ovarian Cyst RemovalA persistent, enlarging, or painful ovarian cyst is removed, usually laparoscopically. Surgeons generally aim to remove the cyst while preserving the ovary itself, particularly for patients who may want future pregnancy.
Epidural Steroid InjectionsSteroid medication is injected near irritated spinal nerve roots to calm inflammation causing sciatica or arm pain. Often used to make physical therapy tolerable rather than as a standalone cure. There are limits on how frequently they can be repeated.Nerve Block InjectionsAnesthetic, sometimes with steroid, is injected around a specific nerve to interrupt pain signals. Used both to treat pain and to identify its source, since relief from a precisely placed block points to the nerve responsible.Radiofrequency AblationHeat generated by radio waves disables the small nerves carrying pain signals from an arthritic spinal joint. Relief commonly lasts six months to two years. Because the nerves regenerate over time, the procedure can be repeated.Spinal Cord StimulationA device delivers mild electrical pulses to the spinal cord to interrupt chronic pain signals before they reach the brain. A temporary trial period is done first, so you can judge the benefit before committing to a permanent implant.Joint InjectionsSteroid or lubricating medication is injected directly into an arthritic or inflamed joint. Image guidance is often used to confirm placement. Relief typically lasts weeks to months and can make physical therapy more productive.Trigger Point InjectionsA local anesthetic is injected into a taut, tender knot of muscle to break the spasm-and-pain cycle. The appointment takes minutes and you can usually return to normal activity the same day.
ColonoscopyA flexible camera examines the full length of the colon to screen for cancer and remove polyps before they become cancerous. Done under sedation, it typically takes 30 to 60 minutes. The bowel prep the day before is the part most patients find hardest.Upper Endoscopy (EGD)A thin camera passed through the mouth examines the esophagus, stomach, and the first part of the small intestine. Used to investigate persistent heartburn, difficulty swallowing, unexplained bleeding, or abdominal pain. Usually takes 15 to 30 minutes under sedation.Flexible SigmoidoscopyExamines the lower portion of the colon only, rather than its full length. Preparation is lighter than a full colonoscopy and sedation is sometimes unnecessary, but it cannot detect problems higher in the colon.Capsule EndoscopyYou swallow a vitamin-sized camera that photographs the small intestine as it passes through โ€” a region that standard scopes cannot easily reach. There is no sedation and no recovery. The capsule passes naturally, and images are reviewed after the fact.ERCPCombines endoscopy and X-ray imaging to diagnose and treat blockages in the bile and pancreatic ducts, most often gallstones stuck in a duct. Unlike a routine endoscopy, it carries a meaningful risk of pancreatitis afterward, so it is used when treatment is likely rather than for screening alone.Hemorrhoid TreatmentShrinks or removes swollen veins in the rectum and anus using rubber band ligation, injection, or surgical removal depending on severity. Banding is quick and typically requires no anesthesia; surgical removal is more effective for advanced cases but recovery is noticeably more uncomfortable.

Procedure list is based on CMS-reported specialty designations. Contact the facility to confirm specific procedures offered.

Patient Experience Scores

Overall: 97/100 (+4 vs natl avg 93)

Based on 195 surveys ยท 25% response rate

OAS CAHPS scores are linear means (0โ€“100) from Medicare patient surveys. Higher is better. National averages shown for comparison.

Overall RatingPatients who gave the facility a high overall rating
97+4 vs national avg (93)
0โ†‘ natl avg100
Would RecommendPatients who would definitely recommend this facility
97+5 vs national avg (92)
0โ†‘ natl avg100
StaffPatients who rated staff care and professionalism highly
98+2 vs national avg (96)
0โ†‘ natl avg100
CommunicationPatients who felt staff communicated well about their care
96+2 vs national avg (94)
0โ†‘ natl avg100
Source: OAS CAHPS (Outpatient and Ambulatory Surgery CAHPS) Survey, Centers for Medicare & Medicaid Services. Scores are linear means on a 0โ€“100 scale.

Safety Metrics

Hospital Transfer Rate

% of patients transferred to a hospital during or after their procedure (ASC-4). Lower is better.

0.15%

natl avg ~1.0%

Patient Fall Rate

% of patients who experienced a fall resulting in injury. Lower is better.

0.00%

natl avg ~0.1%

Patient Burn Rate

% of patients who experienced a burn during their procedure. Lower is better.

0.00%

natl avg ~0.03%

Wrong Site Surgery Rate

% of cases involving wrong-site, wrong-side, wrong-patient, or wrong-implant surgical events. Lower is better.

0.00%

natl avg ~0.01%

Source: CMS ASC Quality Reporting Program. Data reflects Medicare patient outcomes reported by the facility.

Affiliated Surgeons

Surgeons affiliated with this facility based on NPPES NPI registry data.

+ 14 more affiliated surgeons on record

Surgeon affiliations are sourced from CMS NPPES data and may not reflect current practice arrangements. Contact the facility to confirm.

Google Reviews

4.8
705 reviews
Gerald Uranker

Gerald Uranker

Today marked 6 months of surgery, aftercare, physical therapy and closure on a full shoulder replacement. I want to express how happy I am With Dr McKenna and the team here at Premier during my repair. I have been working with Gem City and now Premier for roughly 23 years, I have been through a lot of ups and downs with my repairs and with all teams there we pulled through smiling and comfortable. As always, Thanks! Jerry Uranker

Verified Google review
Brian Bell

Brian Bell

I know you see close to 5 stars on here, but actually talk to residents of Laramie, and they are actually very split on Premier. Some like them, A LOT hate them. I had most of 2025 and at least the beginning of 2026 ruined by them. I need surgery to right the damage they caused. I was arguably even scammed for pointless appointments for months. Realize that the google reviews may not reflect this town's actual perception of Premier. Talk to your friends before you commit to coming here. I beg everyone to turn away. My experience seeking treatment here was a nightmare. It left me requiring surgery after being misdiagnosed and making my knee injury far worse, and even after I kept coming back seeking treatment, I was brought in over and over for months for pointless appointments, where usually nothing happened, and I'd be given some excuse why I'd have to wait longer to get diagnosed and treated. The worst example was when I was told I'd be out of a brace after a month, but at a month, my "follow-up appointment" was just them telling me to come back later for an MRI (couldn't you have called me before to tell me I'd need one??). This left me in a brace longer, which was the main reason I now need surgery. I had appointments where I was told I'd be evaluated, just to be told I couldn't be evaluated without a 3rd MRI of the same area (REALLY???). Other examples showed me a distinct lack of communication among staff (eg, nurses saying I needed to be evaluated for something I was just evaluated for). None of my negative experiences were a one-off, but a continued pattern.

Verified Google review
Terry Day

Terry Day

The Doctors and staff are all very friendly, good at their jobs and thorough. They get me in and out quickly and always have a smile for me as well as time to answer my questions. They come to Rock Springs, but when needed, I have been able to schedule in Laramie for an appointment. Would absolutely recommend them to anyone needing to be seen.

Verified Google review
Bruce Adams

Bruce Adams

Dr. Bienz and Team are great! I have always had my orthopedic concerns addressed with clarity and with a plan. I am greatly impressed by the volume of information which Dr. Bienz has stockpiled in brain. He truly is a compassionate and caring person who loves what he was trained to do. Bruce R. Adams, D.D.S.

Verified Google review
fancie spear

fancie spear

I recently had a bad experience with one of the dr there at permier so I was skeptical and nervous to return for my leg injury. Dr. Fournia and all his staff were absolutely amazing! They not only cared and helped with my leg injury, but helped out where the other dr failed me. Great folks!! Thank you all so much, and keep up the great work.

Verified Google review

Reviews from Google Places for PREMIER BONE AND JOINT CENTERS. These are real experiences shared by patients.

Contact

Years in Operation

31 years

Est. 1995

Ownership

For-Profit

Operating Rooms

5

Specialties

Orthopaedic SurgeryObstetrics & GynecologyInterventional Pain MedicineGastroenterology
Medicare Certified

Verify quality data on the official CMS source:

View on Medicare.gov

Questions to Ask

  • โ€ขDoes my insurance cover this procedure here?
  • โ€ขWhat is the surgeon's experience with this procedure?
  • โ€ขWhat is the facility's hospital transfer rate?
  • โ€ขWhat anesthesia options are available?
  • โ€ขWhat is the recovery process and follow-up care?
  • โ€ขAre there pre-op requirements (labs, fasting, etc.)?