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/141487
  • 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/141487
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.

MICHAEL NACOL

Listed Specialty: Internal Medicine
3201 S AUSTIN AVE, 130, GEORGETOWN, TX, 78626-7537

2018 Payments: At a Glance

207

payments

$3,150

payment total

26

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 205 $3,137
Education
 2 $13

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†
JARDIANCE

drug

 $347
FARXIGA

drug

 $342
SYMBICORT

drug

 $250
EMGALITY

drug

 $199
VRAYLAR

drug

 $195
REPATHA

drug

 $193
Payments with no listed product

N/A

 $189
OZEMPIC

drug

 $183
JANUVIA

drug

 $172
BASAGLAR

drug

 $154
TRESIBA

drug

 $147
TRULICITY

drug

 $138
VICTOZA

drug

 $128
PROLIA

drug

 $122
TRADJENTA

drug

 $116
NUCALA

drug

 $114
STEGLATRO

drug

 $111
ANORO

drug

 $107
JANUMET

drug

 $97
V-GO

device

 $87
† 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/141487

Payment Details

When How Much Related To What For From Third Party Payee
Dec 20, 2018 $195 EMGALITY Food and Beverage LILLY USA, LLC
Jan 17, 2018 $141 FARXIGA SYMBICORT Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Mar 1, 2018 $141 VRAYLAR Food and Beverage ALLERGAN INC.
Jul 26, 2018 $125 OZEMPIC Food and Beverage NOVO NORDISK INC
Dec 20, 2018 $89 No Listed Product Food and Beverage LILLY USA, LLC
Dec 13, 2018 $25 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Jul 23, 2018 $24 No Listed Product Food and Beverage NOVO NORDISK INC
Nov 13, 2018 $24 FREESTYLE LIBRE BLOOD GLUCOSE FLASH MONITORING SYSTEM Food and Beverage ABBOTT LABORATORIES
Sep 27, 2018 $24 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
Oct 25, 2018 $24 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Jun 6, 2018 $24 ADVAIR FLOVENT BREO Food and Beverage GLAXOSMITHKLINE, LLC.
Jan 24, 2018 $23 FARXIGA Food and Beverage ASTRAZENECA PHARMACEUTICALS LP
Apr 23, 2018 $22 TYMLOS Food and Beverage RADIUS HEALTH, INC.
Feb 26, 2018 $22 VICTOZA TRESIBA Food and Beverage NOVO NORDISK INC
Oct 25, 2018 $21 TOUJEO Food and Beverage SANOFI-AVENTIS U.S. LLC
May 21, 2018 $21 PROLIA REPATHA Food and Beverage AMGEN INC.
Mar 2, 2018 $21 JARDIANCE Food and Beverage BOEHRINGER INGELHEIM PHARMACEUTICALS, INC.
Jun 26, 2018 $21 NUCALA Food and Beverage GLAXOSMITHKLINE, LLC.
May 17, 2018 $21 VICTOZA TRESIBA Food and Beverage NOVO NORDISK INC
Sep 13, 2018 $20 NATPARA Food and Beverage SHIRE NORTH AMERICAN GROUP 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/141487

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.