St. Peter’s Orthopedics: Provides a Full Spectrum of Comprehensive Bone and Joint Care

Open since May 2025, the practice takes an integrated approach to ensure patients and providers have streamlined access to medical records. This connectivity through the St. Peter’s Health Partners EMR makes care more seamless and communication easier.

“Our goal is simple: to give patients access to the latest orthopedic innovations as we provide quality and efficient care centered around each patient’s needs,” said Imran Akhtar, DO, who founded the practice with Hamza Murtaza, MD.

Accessibility
St. Peter’s Orthopedics in Latham has expanded from its two founders to a staff of six physicians and two advanced practice providers. Each doctor brings his own sub-specialty to the practice.

“That expansion is due to demand, but we also wanted to  make sure we offer every sub specialty,” said Dr. Akhtar, DO. “Now we can provide comprehensive musculoskeletal care from the spine, shoulders, and hands, to hips, knees, foot and ankles.”

The orthopedic practice is a part of St. Peter’s Health Partners Medical Associates, which is a division of St. Peter’s Health Partners. The medical group includes more than 1,100 physicians and advanced practitioners in more than 130 locations around the Capital Region.

St. Peter’s Health Partners is the region’s largest and most comprehensive, notfor- profit network of high-quality, advanced medical care, primary care, rehabilitation, and senior services. It is a member of Trinity Health, one of the nation’s largest Catholic health systems, operating 92 hospitals in 25 states.

Making It Easy for Patients
Additionally, St. Peter’s Orthopedics offers an orthopedic walk-in clinic Mondays through Fridays from 8 a.m. to 4 p.m. at the Latham location.

“The clinic has been a huge draw where patients don’t have to schedule a visit or wait too long to see an orthopedic surgeon,” said Dr. Akhtar. “They can walk in, and we will see them.”

From the opening of the practice, it was important to build the services around the needs of the patients.

“From the beginning, we wanted to do things differently,” added Dr. Akhtar.

“We wanted to make sure patients never feel rushed.”

It was also important to offer a wide scope of services.

“We offer a one-stop shop where services are as accessible and convenient for people in their busy lives as we can make it,” added Kyle Angelicola Richardson, MD, whose orthopedic specialty is the upper extremity and wrist.

Team of Experts
The orthopedic team brings together exceptional expertise and experience to deliver the best possible outcomes. All surgeons are fellowship trained, bringing cutting-edge orthopedics to the practice’s patient-centered model. The  specialists cover a wide range of care – from roboticassisted surgery to personalized ankle and foot care.

Dr. Akhtar, who is board certified, specializes in joint replacement and reconstruction. He completed his residency in orthopedic surgery at the Oklahoma State University – Center for Health Sciences in Tulsa. After finishing his residency, he spent an additional year completing an American Association of Hip and Knee Surgeons Fellowship in Hip and Knee replacement at Desert Orthopedic Center in Las Vegas, Nevada. Dr. Akhtar specializes in minimally invasive hip replacement, which reduces the size of surgical scars and expedites postoperative recovery. He performs direct anterior hip replacements and has an interest in partial knee arthroplasty and robotic assisted knee replacement. “My approach to medicine is rooted in empathy and respect. I treat every patient as I would want my own family to be treated. Listening is at the heart of my practice,” Dr. Akhtar said. “By truly hearing my patients’ concerns, we can build a personalized and effective care plan that supports their recovery and long-term well-being.”

Dr. Murtaza brings his expertise in hip and knee surgery to the orthopedic team. He received his medical degree from SUNY Upstate Medical University in Syracuse. He completed a residency in orthopedics at Albany Medical Center, followed by a fellowship in adult reconstruction at NYU Langone Hospital in New York City.

He specializes in both primary and complex hip and knee replacements, and is adept at hip surgery, especially the direct anterior approach to optimize patient recovery. He also specializes in total and partial knee replacement, revision hip and knee surgeries, and general trauma injuries.

“There is no greater feeling than to see a patient come in, and over time, make the transition from a wheelchair to a walker to a cane, and then walking independently,” said Dr. Murtaza. “It has to be one of the more gratifying things to experience in all honesty. That’s the foundation of patient care.”

Dr. Angelicola-Richardson, who is boardcertified, focuses on issues of the upper extremity and wrist. He is a graduate of SUNY Upstate Medical University in Syracuse. He completed his orthopedic surgery residency at Albany Medical Center, where he gained extensive experience in trauma and reconstructive procedures. He further honed his skills through a prestigious fellowship in hand and upper extremity surgery at New York-Presbyterian/Columbia University Irving Medical Center in New York City, one of the nation’s leading programs in this specialty. He spent time at St. Peter’s during his residency, so he knew of the highquality, compassionate care offered by the clinicians at St. Peter’s.

“It is an outstanding organization,” Dr. Angelicola Richardson said, “but, most importantly, the quality of care and the commitment to the community align with my responsibilities to my patients.” Before joining St. Peter’s Orthopedics, Dr. Angelicola-Richardson served patients at Rome Health in Rome, New York, where he was known for his compassionate care and meticulous surgical outcomes.

Kevin McCracken, MD, who is boardcertified, leads the spine care team. He has worked two decades as a spine surgeon, first at his own practice in New Jersey and then in Florida.

“St. Peter’s has everything I was looking for: the mission statement of providing for the community, plus working with a group of people covering every specialty,” he said. “We can treat the whole gamut; every aspect of care.”

In addition to his extensive surgical and academic training, McCracken has broad experience in the treatment of
adult and adolescent patients with spine disorders. McCracken firmly believes in his mission to care for each individual patient and their total well-being, taking pride in providing compassionate, understanding, and supportive care.

Over the past 25 years, he has completed more than 10,000 spine procedures ranging from  minimally invasive procedures to complex reconstructive surgery for scoliosis and spinal deformity. He also has served as a spine trauma surgeon at a Level 1 Trauma Center for over 10 years.

Adel Mahjoub, MD, manages the foot and ankle care team. He earned his medical degree from the University of Pittsburgh School of Medicine in 2019. He went on to complete a five-year orthopedic surgery residency at Cooper University Hospital in Camden, New Jersey, where he developed a strong interest in foot and ankle pathology. He then pursued advanced fellowship training in foot and ankle surgery at Harvard Massachusetts General Hospital in Boston, Massachusetts, completing his fellowship in 2024.

Dr. Mahjoub’s clinical expertise spans the full spectrum of foot and ankle care. He has specialized training in minimally invasive techniques, ankle arthroscopy, ankle fusion, total ankle replacement, flatfoot reconstruction, and bunion correction. He also treats a wide range of tendon and soft tissue conditions, including disorders of the Achilles and peroneal tendons.

“I focus on the care of sports injuries and arthritis, with an emphasis on minimally invasive techniques,” Dr. Mahjoub said. “It is deeply rewarding to apply my hands on skills to restore function, relieve pain, and support patients as they return to their daily lives.”

Board-certified Peter Shaughnessy, MD, leads the hand and wrist specialty program. He graduated valedictorian from the University at Buffalo School of Medicine and Biomedical Sciences and went on to complete his residency in orthopedic surgery at Dartmouth- Hitchcock Medical Center in New Hampshire. Dr. Shaughnessy then completed a fellowship in Hand and Upper Extremity Surgery at NYU Langone Health in New York City which included microvascular training.

Dr. Shaughnessy’s professional interests include complex upper extremity trauma, arthritic conditions of the hand and wrist, peripheral nerve surgery, and arthroscopy. He is board-certified and has more than 10 years of experience. “I wanted to join an employee owned orthopedic group,” Dr. Shaughnessy said, “and St. Peter’s is solidly behind us. The surgeons here can treat every orthopedic need. Our goal is to be a onestop shop for our patients. We’re excited for the future of orthopedics here and want everyone to know about it.”

Seamless Care
A huge component of delivering seamless patient care is communication, both verbally and electronically. The EMR at St. Peter’s Health Partners Medical Associates facilitates the in-house sharing of information.

The orthopedic team works closely with primary care providers and hospitals throughout the Capital Region to coordinate patient care.

“We use the same network the hospital uses, the same system  the primary care network uses -so we have seamless communication,” Dr. Murtaza said. “If the primary care doctor has questions, they can text me or send me a message on the same EMR. That goes a long way toward coordinating care. It avoids unnecessary tests and delays in patient care.”

Additionally, patients can access their medical records through Trinity Health’s MyChart application which is part of the EMR. This allows patients to make appointments, get test results, and communicate with their provider. The app can be accessed via the St. Peter’s website www.sphp.com/mychart.

Surgery and Rehabilitation
The surgical team uses the latest technologies and techniques to treat patients effectively. That means robotic assisted techniques for joint replacements, minimally invasive procedures, and advanced diagnostics.

Not every orthopedic condition requires surgery. St. Peter’s Orthopedics follows a specific protocol for every patient: evaluation, therapy first, surgery when needed, and recovery and support. Non surgical options include joint disease treatment, physical therapy and rehabilitation, interventional pain management, bone health, platelet-rich plasma, shockwave, and electromyography.

St. Peter’s Orthopedics works with Sunnyview Rehabilitation, which has 12 outpatient clinics throughout Albany, Saratoga, Schenectady, and Renssalaer counties, and is a member of St. Peter’s Health Partners.

Care at Sunnyview differs from most other physical therapy offices in at least two ways – a therapist will work with a patient one-on-one and, if needed, will treat a patient in their home.

“Every area of orthopedics relies on physical therapy. They truly work hand in hand. I tell my patients that therapy is often underutilized,” Dr. Murtaza said. “With consistency, physical therapy can ease many problems and help people improve without medication or surgery.” When surgery is the only remaining option, the surgeons at St. Peter’s Orthopedics are eager to help patients recover and get back to living their lives. “I love a practice where you are able to deliver care and see results pretty much right away,” said Dr. Akhtar. “After a fracture, you can set their broken bone and help them get moving again. You feel a little sense of accomplishment that you contributed to that healing.”

The physicians at St. Peter’s Orthopedics also meet regularly, to collaborate and share their expertise to maximize patient experience and outcomes.

“For those patients who have complicated and multiple issues, it’s very important that we communicate between staff and physicians,” said Dr. Angelicola-Richardson. “We maintain an open line of communication and that helps patients feel welcome and heard.”

St. Peter’s Orthopedics is located at 1182 Troy Schenectady Road, Suite 100, Latham. You may reach them at (518) 269-4690. Regular office hours are Monday through Friday, 8 a.m. to 4:30 p.m., and walk-in clinic hours are Monday through Friday, 8 a.m. to 4 p.m.

Health Care Cuts and the Impact on Communities

By: Kathryn Ruscitto,
Advisor

I will not debate the politics behind the recent health care cuts, but I will share my concerns about their impacts.

The loss of Medicaid access for children and families, reductions in subsidies for those buying insurance on the public exchange, and cuts to programs that support families will be dramatic.

Rural communities, in particular, may see hospitals and outreach clinics close, with providers consolidating into larger hubs. Larger health systems, already strained by COVID and workforce challenges, may also struggle to survive.

Communities must begin planning for these impacts. Providers and planners are starting to analyze consequences and explore alternatives. In the North Country, a coalition of physicians and nonprofits has already published a white paper outlining local concerns. At the state level, groups like HANYS and HCA have issued urgent calls to action.

While some rollbacks may emerge in future negotiations, most of these cuts are likely to remain. The result: more uninsured individuals, delayed care, reduced access, and community program closures.

A small bright spot is the creative thinking now emerging. Some foundations are reassessing grantmaking and considering increased support. But no philanthropy can fully offset the scale of these cuts.

Has your practice considered the impact— and the opportunities to collaborate on solutions? 

National Resources
American Hospital Association (AHA) – Advocates for hospital viability and national policy solutions. https://www.aha.org/

• Alliance for Health Policy – Provides nonpartisan analysis on health coverage issues. https://www.allhealthpolicy.org/

• Brookings Center for Health Policy – Develops research based recommendations on health reform. https://www.brookings.edu/centers/center-on-health-policy/

New York State Resources
• Health Care for All New York (HCFANY) – Grassroots coalition advocating for affordable, quality care. https://hcfany.org/

• Medicaid Matters New York – Statewide group defending Medicaid and raising awareness about cuts. https://medicaidmattersny.org/

• Healthcare Association of New York State (HANYS) – Represents hospitals and health systems in Albany and beyond. https://www.hanys.org/

Kathryn Ruscitto, Advisor, can be reached at linkedin.com/in/kathrynruscitto or at krusct@gmail.com

The Corporate Practice of Medicine

By: Marc Beckman and Benjamin Goldberg

Benjamin Goldberg

Marc Beckman

Almost two years ago, New York enacted PHL Article 45-A, which took effect on August 31, 2023. One of the intents behind this law was flagging large business consolidation in the healthcare field, potentially allowing New York’s Department of Health to regulate the increased transaction prices, reduced competition, or narrowed access to healthcare for residents of the state. Please see our previous article for more information on PHL 45-A here. Importantly, New York’s statute includes Managed Services Organizations (“MSOs”), even though they do not provide healthcare services themselves, as part of any healthcare-related transaction subject to review.

New York is not the only state to take steps, even if small ones, toward reinvigorating the Corporate Practice of Medicine (“CPOM”) doctrine, and the common law, statutes, regulations, and ideas that had previously undergirded it. In 2025 alone, 12 states, from California to Indiana to South Carolina, have introduced at least one bill each, intending, in some way, to revive CPOM doctrine and update it for the current century. As an example, one of the bills introduced in Connecticut is titled “An Act Prohibiting A Private Equity Firm From Acquiring, Owning Or Controlling A Health Care Provider’s Practice Or Health Care Facility And Requiring The Disclosure Of A Change In Ownership Of Such A Practice Or Facility.”

There are two obvious routes by which legislatures can strengthen statutory opposition to such corporate control of medical practices: 1) focus on the MSOmedical practice nexus by which previous CPOM doctrines have been circumvented, and 2) provide more tools for anti trust enforcement on the state level in order to give regulators the power to halt the industry consolidation. Taking New York’s PHL 45-A as an example, that law, in essence, provided some anti-trust regulatory power to the New York State Department of Health as it focused on the consumer harms of reduced competition. The other route, focusing on MSOs and their control of medical practices, is seen in proposed legislation in North Carolina and Vermont.

The North Carolina bill would prohibit common stakeholders between medical practices and MSOs. The bill also expressly reserves the right to make medical decisions for physicians under contract with an employer or working as independent contractors. Furthermore, the bill sets out that after receiving a complaint, the onus will be on the organization in question to prove, by explanations of the business structure and affirmations, that the physicians are in control of the medical decisions. And recently, on June 9, 2025, Oregon signed into law “An Act Relating to the Practice of Health Care,” which is taking aim at the MSO-practice model by prohibiting MSOs from having the ultimate authority over things like hiring physicians, setting work schedules and compensation, setting policies for billing and collection, and negotiating contracts with third-party payors. Another interesting aspect of the Oregon bill is that it takes direct aim at restrictive covenants. Restrictive covenants are a typical way for the MSO-medical practice model to control the ability of physicians to break away from their current employer, and as such, are a powerful tool in the arsenal of private equity and other nontraditional business organizations that have moved in the healthcare industry seeking profits.

Finally, physicians are also beginning to push back. In Am. Acad. of Emergency Med.Physician Grp., Inc. v. Envision Healthcare Corp., No. 22-CV-00421-CRB, 2022 WL 2037950 (N.D. Cal. May 27, 2022) and Hosp. Internists of Austin, P.A. v. Quantum Plus, LLC, No. 1:18-CV-466-RP, 2019 WL 1922051 (W.D. Tex. Jan. 23, 2019), physicians have sued business organizations affiliated with Kohlberg Kravis Roberts (KKR) and Blackstone, winning the case in Texas and forcing a strategic withdrawal from the KKR group from the entire California market rather than lose the case and face continued scrutiny.

While the last decade or more has seen the increasing financialization of the healthcare field, with private equity groups and even Amazon angling for a portion of the approximately four trillion dollars that flows through the US healthcare industry, there appears to be more and more signs that states and physicians are taking steps, even if halting and uneven, to return power and force to CPOM doctrines by updating statutes and increasing regulatory power in order to combat the means of control used by those non medical organization that have bought their way into the healthcare field and exerted control over physicians. While it is still too early to tell how this will shake out on a national scale for the healthcare industry, private equity, and other large corporate interests, it will be important to keep an eye on the developments in this arena over the next several years. It should also be noted that these recent developments, the new bills, and the strengthening of the CPOM doctrine do not easily break down along the partisan lines in the United States. With widespread polling showing sustained dissatisfaction with the healthcare industry in its current form, this could be a rare bipartisan focus for the future. 

If you have questions pertaining to the aforementioned changes, please contact Marc S. Beckman (mbeckman@lippes.com), Benjamin W. Goldberg (bgoldberg@lippes.com) or another one of our qualified Health Care Practice Team members at Lippes Mathias.

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