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About The Practice

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Twin Palm Orthopedics offers the most advanced treatment options and an individualized care approach for your orthopedic needs while ensuring the best possible outcome. Located in Ocala, Florida, the practice offers both surgical and nonsurgical care. The practice was founded in 2008 by orthopedic surgeons Derek Farr, DO, and Nirav Gupta, DO. The team at Twin Palm Orthopedics carefully assesses each patient using thorough physical exams and the latest imaging tests, including digital radiographs and magnetic resonance imaging when necessary. The development of a clear treatment plan is then established.

The team often recommends non-operative treatments where appropriate including options like regenerative therapy, physical therapy, bracing, injection therapy, electrical stimulation and joint injections. When nonoperative modalities are no longer effective they provide the latest advances in orthopedic surgical care.

Patients turn to the Twin Palm Orthopedics team for sports injuries, overuse injuries, trauma surgery, and long-term conditions like degenerative arthritis. The team treats specific, common complications like anterior cruciate ligament (ACL) tears, carpal tunnel syndrome, hand injuries, meniscus tears, and rotator cuff injuries just to name a few.

Combining the latest strategies with cutting-edge technology, Twin Palm Orthopedics offers minimally invasive surgeries like ligament reconstruction, knee arthroscopy, and shoulder arthroscopy. These surgeries minimize potential complications and expedite patient recovery time.

More complex surgeries, like joint replacements have also been perfected by the Twin Palm Orthopedics team. Often these complex surgeries are performed outpatient where the patients only spend a few hours in the hospital. Rapid recovery and improved outcomes are at the forefront of the goals at Twin Palm Orthopedics. Whether it is an anatomic or reverse total shoulder, shoulder resurfacing, total elbow replacement, total hip, or total knee the team will utilize advanced techniques to get you feeling better soon. The practice offers Mako® robotic surgery for our hip and knee patients to improve precision and enhance surgical outcomes.

For help with any orthopedic issue, please call Twin Palm Orthopedics to schedule an appointment or book a visit online today.



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At Twin Palm Orthopedics, we offer the most advanced treatment options available for your orthopedic needs, while providing a personalized plan to ensure the best possible outcome.


Most Major Insurance Plans Accepted

Twin Palm Orthopedics accepts most major insurance plans. Here is a list of some of the major insurance plans we accept. If you do not see your insurance plan listed, please call our office to confirm.

Anthem Blue Cross Blue Shield
Blue Cross Blue Shield
Colonial Life
First Health
Freedom Health
Optum Health
Palmetto GBA

COVID-19 Protocols

The team at Twin Palm Orthopedics follows all health and safety protocols outlined by the CDC to ensure your health and safety during your visit.  

Choose Your Provider

Can an ACL Tear Heal on Its Own?
Can an ACL Tear Heal on Its Own?

Tears or stress injuries of the anterior cruciate ligament (ACL) in the knee are common sports injuries. Do you need treatment, or can an ACL tear heal on its own? Read on to learn more. 


Words from our patients

  • Google

    "If you need a compassionate, understanding, friendly, and professional surgeon and staff, please go to Twin Palm Orthopedics."

    Lavelle H.
  • Google

    "I found the facility very clean nothing to complain about they're just a great place to go to if you have any issues"

    Kitty K.
  • Google

    "Everyone is so nice and accommodating! The Doctor's explain everything to you in detail and they truly care about their patients."

    Samantha K.
  • Google

    "Everyone is so polite and helpful. They treat e everyone with much respect. The doctors are wonderful"

    Deborah F.
  • Google

    "As far as my shoulder, all seems to be progressing on schedule. I would recommend Dr Farr and his associates very highly !!!!!!"

    KEN M.
  • Google

    "Love, love Dr. Gupta!!!!! He's the Only doctor that really helped me with my hand pain!"

    Laura R.


Twin Palm Orthopedics
2640 SW 32nd Place
Ocala, FL 34471
Phone: 352-290-4983
Fax: 352-369-0299

Office Hours

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