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About OC

OrthoCarolina is one of the nation’s leading independent academic orthopedics practices serving the Southeast since 1922. OrthoCarolina provides compassionate and comprehensive musculoskeletal care including operative and non-operative care, diagnostic imaging, and rehabilitative therapy. Widely known for musculoskeletal research and training, OrthoCarolina physicians have specialized expertise in foot and ankle, hip and knee, shoulder and elbow, spine, sports medicine, hand, pediatric orthopedics, and physical medicine and rehabilitation. Over 300 OrthoCarolina providers see more than one million patient visits across North and South Carolina each year. We are proud to be both physician-owned and physician-led.

Our Mission

To provide quality care and create a healthier community

Our Values

Quality, Service, Community, and Teamwork

Our Credo

OrthoCarolina is a world-class organization of professionals from the community, serving the community, in order to advance our community.

We commit to improving the lives of all we serve, by providing premier patient care and compassionate, personalized service.

Through innovation, education, and research, we are dedicated to helping you achieve your best you.

Our Team Promise

Our team is our greatest asset and the foundation of our success; we share a common passion for making lives better.

We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty, and mutual respect; ensuring our voice is heard.

Our positive environment supports individual growth and a sense of belonging.

Leadership Team

Leo Spector, MD, MBA

Leo Spector, MD, MBA

Chief Executive Officer
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A board-certified fellowship-trained Orthopedic spine surgeon, Dr. Spector has enjoyed a 17-year tenure with OrthoCarolina, holding multiple leadership positions including Chief Quality Officer, member of the Executive Committee, chairman of the Quality/Value Committee and co-fellowship director at the OrthoCarolina Spine Center.

In 2020, Dr. Spector earned his MBA from Duke University Fuqua School of Business and was previously selected to participate in the American Orthopedic Association Leadership Program, conducted in collaboration with the University of Chicago Booth School of Business. Dr. Spector currently serves as a Board Member of the Lumbar Spine Research Society and previously held the position of President of the North Carolina Spine Society.

Dr. Spector will continue to practice while active as the OrthoCarolina CEO.


Paul Neagle

Paul Neagle, MBA, MHA, PA-C, FACHE

Chief Operating Officer

Paul Neagle has many years of experience as a healthcare executive in a variety of settings including hospital groups and retail healthcare. He is a practicing physician assistant since 2001 and in the past, has experience as an athletic trainer and paramedic. Paul is focused on the overall operations for the group and is passionate about improving patient access to care. 

Paul received his undergraduate degree from James Madison University and his physician assistant degree from Wake Forest University School of Medicine. He received his master’s degree in Healthcare Administration and Business Administration from the University of Maryland Global Campus. He is a Fellow of the American College of Healthcare Executives.


Robert McBride, Jr. M.D.

Robert McBride, Jr. MD

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Dr. Robert McBride attended West Virginia School of Medicine and graduated in June, 1980. Completed his Orthopedic Residency at, now known as, Atrium Health Medical Center in June, 1985. He has been Board certified in Orthopedic Surgery since 1987 and separately Board certified in Sports Medicine since 2007. Had served as President of OrthoCarolina for 15 of the last 17 years (since January, 2006).

Dr. McBride has served as an ad hoc member (appointed by the Governor) of the State Health Coordinating Council since 2014. He a member of the American Academy of Orthopedic Surgeons since 1985 and is also member of the American Academy of Hip and Knee surgeons, the American Orthopedic Society for Sports Medicine, Southern Orthopedic Association, Eastern Orthopaedic Association and North Carolina Medical Society among others.

He is a member of the Atrium Health Metro Quality Assessment and Improvement Committee and the Atrium University representative to the Atrium Musculoskeletal Institute.

He has been practicing orthopedics (concentrating on Hip and Knee Reconstruction and Sports Medicine) since 1985. Dr McBride has proudly served as the Julius L. Chambers High School (formerly Vance High School) Team Physician since it’s inception in 1997.


Brent Shear

Brent Shear

Chief Financial Officer

Brent Shear has served as the Chief Financial Officer of OrthoCarolina since 2006. Before this role, he held senior executive positions in both private and public companies across various sectors, including healthcare (hospital and medical group), retail, and manufacturing from 1986 to 2006. He obtained his degree in Business Administration from Olivet Nazarene University.



Virginia Casey, MD

Chief Medical Officer
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Brian Krenzel, MD

Chief Quality Officer
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Yates Dunaway, MD

Chief Clinical Officer
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Alden Milam, MD

Chief Medical Informatics Officer
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