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/144147
  • 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/144147
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.


JAMES MACDONALD

Listed Specialty: Adult Reconstructive Orthopaedic Surgery
2000 MEDICAL PKWY, SUITE 101, ANNAPOLIS, MD, 21401-3742

2018 Payments: At a Glance

18

payments

$17,215

payment total

3

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
3 $11,105
Consulting
1 $4,025
Travel and Lodging
3 $1,279
Food and Beverage
11 $806

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
JOURNEY II XR

device

$15,471
JOURNEY II CR

device

$10,237
NAVIO SURGICAL SYSTEM

device

$6,217
JII UNICONDYLAR KNEE SYSTEM

device

$6,125
JOURNEY II BCS

device

$4,773
LEGION REVISION

device

$3,388
LEGION

device

$3,320
JOURNEY UNI

device

$161
LENS SURGICAL IMAGING SYSTEM

device

$127
SPIDER/2

device

$127
EXTREMITIES INSTRUMENTS

device

$74
RALLY BONE CEMENT & ACCESSORIES

device

$68
REDAPT REVISION HIP SYSTEM

device

$60
ANTHOLOGY

device

$32
Payments with no listed product

N/A

$26
GENERAL PAIN MANAGEMENT

device

$18
VERASENSE

device

$11
† 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.

Payment Details

All payments are displayed, the largest appearing on top.

When How Much Related To What For From Third Party Payee
Jun 25, 2018 $6,125 JII UNICONDYLAR KNEE SYSTEM NAVIO SURGICAL SYSTEM JOURNEY II CR JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Dec 6, 2018 $4,025 JOURNEY II CR JOURNEY II XR Consulting SMITH & NEPHEW, INC.
Aug 30, 2018 $3,320 LEGION LEGION REVISION JOURNEY II BCS JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Jun 25, 2018 $1,660 JOURNEY II XR Promotional Speaking/Other SMITH & NEPHEW, INC.
Nov 16, 2018 $647 JOURNEY II BCS Travel and Lodging SMITH & NEPHEW, INC.
Nov 16, 2018 $323 JOURNEY II BCS Travel and Lodging SMITH & NEPHEW, INC.
Nov 16, 2018 $309 JOURNEY II XR Travel and Lodging SMITH & NEPHEW, INC.
Nov 17, 2018 $154 JOURNEY II BCS Food and Beverage SMITH & NEPHEW, INC.
Nov 16, 2018 $150 JOURNEY II BCS Food and Beverage SMITH & NEPHEW, INC.
Jul 25, 2018 $127 SPIDER/2 LENS SURGICAL IMAGING SYSTEM Food and Beverage SMITH & NEPHEW, INC.
Dec 4, 2018 $87 JOURNEY UNI JOURNEY II BCS JOURNEY II CR Food and Beverage SMITH & NEPHEW, INC.
May 3, 2018 $74 EXTREMITIES INSTRUMENTS JOURNEY UNI Food and Beverage SMITH & NEPHEW, INC.
Nov 2, 2018 $68 LEGION REVISION RALLY BONE CEMENT & ACCESSORIES Food and Beverage SMITH & NEPHEW, INC.
May 10, 2018 $60 REDAPT REVISION HIP SYSTEM NAVIO SURGICAL SYSTEM JOURNEY II BCS Food and Beverage SMITH & NEPHEW, INC.
May 11, 2018 $32 ANTHOLOGY NAVIO SURGICAL SYSTEM JOURNEY II BCS JOURNEY II XR Food and Beverage SMITH & NEPHEW, INC.
Nov 17, 2018 $26 No Listed Product Food and Beverage SMITH & NEPHEW, INC.
Mar 1, 2018 $18 GENERAL PAIN MANAGEMENT Food and Beverage BOSTON SCIENTIFIC CORPORATION
Oct 22, 2018 $11 VERASENSE Food and Beverage ORTHOSENSOR INC.

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.