When you're repairing the left knee of Reds first baseman Joey Votto, who signed a quarter-billion-dollar, 12-year contract this year, would you feel the pressure?

If you're Dr. Tim Kremchek, co-founder of Beacon Orthopaedics & Sports Medicine in Sharonville, the answer is no "” and yes. He's confident in his abilities as a surgeon, but he also knows that there are big expectations from fans and the media.

"There's a lot of pressure, but you kind of get numb to it after a while," Kremchek says. "With all of the media and social media and commentaries, it can be very, very difficult."

Kremchek operated after Votto experienced nagging inflammation after a June 29 slide and was sidelined for about seven weeks.

Votto is just one high-profile player who relies on Kremchek and a dozen other doctors at Beacon to keep them healthy. It's an excellent example of how Kremchek built his practice into a nationally known sports-medicine firm through hard work and smart marketing.

Kremchek came out of University of Cincinnati medical school in 1986 and completed fellowships in Boston and Birmingham, Ala. His father was an orthopedist who passed away shortly after Kremchek graduated. His father was affiliated with Moeller High School, a partnership that Beacon retains today.

At the Alabama Sports Medicine Institute, Kremchek studied under esteemed orthopedist Dr. James Andrews. He returned to Cincinnati as an unknown quantity, and knew he had to get his name out and provide quality care.

Kremchek opened a practice in the Icelands Sports Complex (now Sports Plus) in Evendale. He became team physician for the Cincinnati Silverbacks (soccer) and Cincinnati Cyclones (hockey), who practiced there.

In 1993, he became the doctor for events at what is now US Bank Arena. Many nights, he worked with many performers, including opera superstar Luciano Pavarotti, Mick Jagger, Ozzy Osbourne, Reba McEntire, and Alan Jackson, to name a few.

Few people like to give up so much time, but "I knew this was something I had to do to establish myself in town," Kremchek says.

Then the Reds came calling.

Kremchek became the team physician in 1996, a job he still holds. Through that affiliation, he has built many relationships with sports stars through the years.

"That was my dream job," he says.

Kremchek and independent orthopedists Bob Burger and John Wolf (now retired) formed Beacon that year.

Their idea was to be a one-stop shop for patient visits, diagnostic tests and surgery.

They did some innovative things to market themselves and build Beacon (now with three offices) into one of the largest orthopedic groups in the Tristate.

They built operating rooms with viewing wings so that families could watch surgeries and communicate with the doctors.

They had Friday night hours so that injured high school athletes could come in after a game (since switched to Saturday morning hours).

"When they get hurt on Friday nights, they need to know, with an MRI on Saturday, whether they can play the next week," he says.

That's why Kremchek is in the office virtually every Saturday year-round.

It's that important.