Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/
You can print this page and show it to your doctor.

This database was last updated in October 2019 and should only be used as a historical snapshot. Newer data is available at the Centers for Medicare and Medicaid Services Open Payments site.

ProPublica's Dollars for Docs database lets you search for payments to U.S.-based doctors made by pharmaceutical and medical device companies between August 2013 and December 2018. The disclosure of these payments is required under the Physician Payments Sunshine Act, a provision of the 2010 Affordable Care Act.


About This Information

  • The information that appears here comes directly from the federal government. Companies must attest to its accuracy, and doctors have the ability to contest information they believe is in error.
  • This site includes payments for such activities as speaking, consulting, meals, travel and royalties. It does not include payments for clinical research.
  • It is legal for companies to make payments to doctors as long as the payments are not a kickback or inducement to use their products.
  • Some doctors say collaborative relationships, particularly those involving research, are necessary to develop new treatments and cures. But many ethicists have raised questions about the payments, and studies show that they may influence doctors' prescribing decisions.
  • Only you can decide if this matters to you and if so, whether you want to talk with your doctor about it. If you plan to talk with your doctor (or if you already have), please help us by filling out this short survey: propub.li/participate-d4d

Preparing for Your Conversation

If you decide you'd like to talk to your doctor about this, please keep in mind:

  • Many health care professionals in our database have similar names, so you should start by asking your doctor if the person mentioned in this payment record is really him/her.
  • Your doctor may not know he or she is listed as receiving payments, especially if the payments are small. You can direct your doctor to this site (the URL will be printed at the top of the payment record) or directly to the government's site here: https://openpaymentsdata.cms.gov/physician/1394719
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to not be accusatory.

Questions You Might Want to Ask

  • Is this you?
  • What type of work do you do with these companies?
  • Have you prescribed me any drugs that are manufactured by companies you've taken payments from?
  • Are there non-drug alternatives that I may want to consider first?
  • Are there less expensive generic alternatives to the drugs you have prescribed?
  • What devices have you used in my care that are manufactured by companies you've taken payments from?

Dollars for Docs: Talk With Your Doctor

https://projects.propublica.org/docdollars/doctors/pid/1394719
If you spot an error, please let us know at [email protected].

This database was last updated in October 2019 and should only be used as a historical snapshot. Newer data is available at the Centers for Medicare and Medicaid Services Open Payments site.


DAVID NIGEN

Listed Specialty: Orthopaedic Surgery
1611 NW 12TH AVE, MIAMI, FL, 33136-1005

2018 Payments: At a Glance

29

payments

$3,581

payment total

5

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
26 $2,367
Travel and Lodging
3 $1,213

Drugs & Devices in 2018

Totals listed below account for all payments from that mention this product. Beginning in 2016, the government began classifying products as drugs, devices, biologics or medical supplies. Below, you will see drugs (drugs and biologics) and devices (devices and medical supplies). If a payment record mentions more than one product, the entire value will be included in each of those products. When no products are listed, they are not included in the list below.

Product Name Product Type Payments
HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET

device

$1,213
IVY AIR

device

$444
REGENETEN

device

$276
HEALICOIL

device

$270
COBLATION WANDS

device

$245
ANCHOR L

device

$191
REUNION

device

$168
AXSOS

device

$148
FIRSTPASS

device

$136
ULTRATAPE

device

$136
BIORAPTOR KNOTLESS

device

$134
MULTIFIX S

device

$134
Q-FIX

device

$134
ORTHOVISC

device

$123
ACUFEX

device

$121
ACTIS

device

$110
AOX

device

$110
ATTUNE

device

$110
CORAIL

device

$110
GLOBAL

device

$110
† May not add up to dollar total at top of page, since a payment record may not be associated with any product or can be associated with several products.

For ease of printing, only the 20 drugs and devices with the highest payments are displayed. For a complete list, please visit: https://projects.propublica.org/docdollars/doctors/pid/1394719

Payment Details

When How Much Related To What For From Third Party Payee
Feb 13, 2018 $752 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Apr 5, 2018 $451 HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET Travel and Lodging STRYKER CORPORATION
Aug 15, 2018 $150 IVY AIR Food and Beverage STRYKER CORPORATION
Mar 17, 2018 $150 ANCHOR L Food and Beverage STRYKER CORPORATION
Aug 19, 2018 $150 COBLATION WANDS Food and Beverage SMITH & NEPHEW, INC.
Nov 7, 2018 $148 IVY AIR Food and Beverage STRYKER CORPORATION
Mar 19, 2018 $147 IVY AIR Food and Beverage STRYKER CORPORATION
Jun 25, 2018 $140 REUNION Food and Beverage STRYKER CORPORATION
May 5, 2018 $136 FIRSTPASS HEALICOIL ULTRATAPE Food and Beverage SMITH & NEPHEW, INC.
Feb 23, 2018 $134 BIORAPTOR KNOTLESS Q-FIX HEALICOIL MULTIFIX S Food and Beverage SMITH & NEPHEW, INC.
Aug 30, 2018 $129 AXSOS Food and Beverage STRYKER CORPORATION
Dec 5, 2018 $127 REGENETEN Food and Beverage SMITH & NEPHEW, INC.
Oct 4, 2018 $121 ACUFEX Food and Beverage SMITH & NEPHEW, INC.
Mar 14, 2018 $115 ORTHOVISC Food and Beverage DEPUY SYNTHES SALES INC.
Jun 6, 2018 $110 ACTIS AOX CORAIL ATTUNE GLOBAL Food and Beverage DEPUY SYNTHES SALES INC.
Apr 18, 2018 $108 COMPREHENSIVE SHOULDER Food and Beverage ZIMMER BIOMET HOLDINGS, INC.
Jul 25, 2018 $98 GELSYN 3 Food and Beverage BIOVENTUS LLC
May 4, 2018 $96 COBLATION WANDS Food and Beverage SMITH & NEPHEW, INC.
Oct 5, 2018 $75 REGENETEN Food and Beverage SMITH & NEPHEW, INC.
Dec 21, 2018 $74 REGENETEN Food and Beverage SMITH & NEPHEW, INC.

For ease of printing, 20 payments are displayed, the largest appearing on top. For a full list of payments, please visit: https://projects.propublica.org/docdollars/doctors/pid/1394719

Note: We have made some effort to normalize the data and eliminate duplicates, but the data is primarily as it has been reported by the companies to the Centers for Medicare and Medicaid Services. To purchase the normalized data, please visit the ProPublica Data Store. If you spot an error, please let us know at [email protected].

This site includes data published by the Centers for Medicare and Medicaid Services on June 28, 2019.