Dollars for Docs: Talk With Your Doctor

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

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 2016. The disclosure of these payments is required under the Physician Payment 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 to 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: <a href='https://propub.li/participate-d4d'>propub.li/participate-d4d</a>

Preparing for Your Conversation

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

  • Many healthcare 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/168823
  • Some doctors are happy to discuss this information with you. Others might not be. The best approach is to ask questions and to <strong>not</strong> 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/168823
If you spot an error, please let us know at [email protected]

ANDREW PACHNER

Listed Specialty: Allopathic & Osteopathic Physicians|Psychiatry & Neurology|Neurology
1 MEDICAL CENTER DR, DHMC - DEPT OF NEUROLOGY, LEBANON, NH, 03756-1000

Payments: At a Glance

198

payments

$202,635

payment total

5

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
19 $61,470
Consulting
12 $58,762
Travel and Lodging
71 $43,760
Nonaccredited Training
10 $35,000
Food and Beverage
79 $3,377
Education
7 $266

Drugs & Devices

Totals listed below account for all payments from August 2013 to December 2016 that mention this product. 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
GILENYA

drug

$54,854
PLEGRIDY

drug

$42,638
AVONEX

drug

$38,620
OTHER

drug

$18,679
AUBAGIO

drug

$9,902
ALEMTUZUMAB

drug

$5,065
TECFIDERA

drug

$3,783
TYSABRI

drug

$70
† 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

When How Much Related To What For From Third Party Payee
Mar 17, 2014 $8,550

AVONEX Promotional Speaking/Other Biogen Idec Inc.
Apr 16, 2014 $8,550

AVONEX Promotional Speaking/Other Biogen Idec Inc.
Nov 11, 2016 $7,502

AUBAGIO Consulting GENZYME CORPORATION
Dec 8, 2014 $6,650

PLEGRIDY Promotional Speaking/Other Biogen Idec Inc.
Apr 13, 2015 $5,700

No Listed Product Consulting Biogen, Inc.
Aug 1, 2016 $5,700

No Listed Product Consulting Biogen, Inc.
Oct 24, 2015 $5,560

GILENYA Consulting NOVARTIS PHARMACEUTICALS CORPORATION
May 17, 2014 $5,280

GILENYA Consulting Novartis Pharmaceuticals Corporation
May 22, 2014 $5,000

GILENYA Nonaccredited Training Novartis Pharmaceuticals Corporation
Nov 18, 2014 $5,000

GILENYA Nonaccredited Training Novartis Pharmaceuticals Corporation
May 22, 2014 $5,000

GILENYA Nonaccredited Training Novartis Pharmaceuticals Corporation
Feb 28, 2014 $5,000

GILENYA Nonaccredited Training Novartis Pharmaceuticals Corporation
Feb 4, 2014 $4,750

AVONEX Promotional Speaking/Other Biogen Idec Inc.
Nov 17, 2014 $4,750

PLEGRIDY Promotional Speaking/Other Biogen Idec Inc.
Nov 17, 2014 $4,750

PLEGRIDY Promotional Speaking/Other Biogen Idec Inc.
Oct 24, 2013 $4,644

No Listed Product Travel and Lodging GENZYME CORPORATION
Jul 1, 2014 $4,600

GILENYA Consulting Novartis Pharmaceuticals Corporation
Jun 20, 2014 $4,600

GILENYA Consulting Novartis Pharmaceuticals Corporation
May 22, 2014 $4,447

GILENYA Travel and Lodging Novartis Pharmaceuticals Corporation
Oct 14, 2013 $4,410

ALEMTUZUMAB Consulting GENZYME CORPORATION
Jan 3, 2014 $4,400

PLEGRIDY Consulting Biogen Idec 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/168823

Note: We have made some effort to normalize the data and eliminate duplicates, but 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].