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/18550
  • 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/18550
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.


NIRMAL TEJWANI

Listed Specialty: Orthopaedic Surgery
303 2ND AVE, SUITE 21, NEW YORK, NY, 10003-2739

2018 Payments: At a Glance

118

payments

$113,562

payment total

2

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
30 $100K
Travel and Lodging
38 $10,467
Food and Beverage
50 $2,920

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
T2

device

$39,677
AFFIXUS

device

$38,506
AXSOS

device

$36,421
GAMMA

device

$27,220
ALPS ELBOW

device

$21,213
ALPS PROX TIB PLATES

device

$21,213
G7

device

$16,241
JUGGERKNOT

device

$16,241
OXFORD

device

$16,241
VARIAX

device

$9,959
HOFFMANN

device

$9,690
ACTIVE PLATING

device

$9,500
REUNION

device

$6,975
TRAUMA PRODUCT PORTFOLIO

device

$2,964
Payments with no listed product

N/A

$1,804
HIP PRODUCT PORTFOLIO

device

$1,502
DVR ANATOMIC PLATES/SCREWS/PEGS

device

$600
NCB INSTRUMENTS/PLATES/SCREWS

device

$500
PELVIS II

device

$132
ADAPT

device

$107
† 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/18550

Payment Details

When How Much Related To What For From Third Party Payee
Jun 14, 2018 $14,625 AXSOS T2 GAMMA Consulting STRYKER CORPORATION
Oct 25, 2018 $9,675 AXSOS GAMMA VARIAX T2 HOFFMANN Consulting STRYKER CORPORATION
Apr 19, 2018 $6,525 REUNION Consulting STRYKER CORPORATION
Aug 31, 2018 $6,375 G7 JUGGERKNOT AFFIXUS OXFORD Consulting ZIMMER BIOMET HOLDINGS, INC.
Apr 19, 2018 $5,400 AXSOS Consulting STRYKER CORPORATION
Apr 4, 2018 $5,125 ALPS PROX TIB PLATES ALPS ELBOW AFFIXUS Consulting ZIMMER BIOMET HOLDINGS, INC.
Nov 27, 2018 $5,000 ALPS ELBOW AFFIXUS ALPS PROX TIB PLATES Consulting ZIMMER BIOMET HOLDINGS, INC.
Apr 5, 2018 $4,050 AXSOS Consulting STRYKER CORPORATION
Nov 27, 2018 $4,000 AFFIXUS ALPS PROX TIB PLATES ALPS ELBOW Consulting ZIMMER BIOMET HOLDINGS, INC.
Jun 13, 2018 $3,875 ACTIVE PLATING Consulting ZIMMER BIOMET HOLDINGS, INC.
Sep 27, 2018 $3,825 T2 Consulting STRYKER CORPORATION
Mar 8, 2018 $3,825 T2 Consulting STRYKER CORPORATION
Aug 31, 2018 $3,500 OXFORD G7 AFFIXUS JUGGERKNOT Consulting ZIMMER BIOMET HOLDINGS, INC.
Jun 13, 2018 $3,500 ACTIVE PLATING Consulting ZIMMER BIOMET HOLDINGS, INC.
Apr 4, 2018 $3,000 AFFIXUS ALPS ELBOW ALPS PROX TIB PLATES Consulting ZIMMER BIOMET HOLDINGS, INC.
Aug 31, 2018 $2,500 OXFORD JUGGERKNOT G7 AFFIXUS Consulting ZIMMER BIOMET HOLDINGS, INC.
Jun 21, 2018 $2,250 T2 Consulting STRYKER CORPORATION
Aug 31, 2018 $2,000 JUGGERKNOT AFFIXUS OXFORD G7 Consulting ZIMMER BIOMET HOLDINGS, INC.
Nov 27, 2018 $2,000 ALPS PROX TIB PLATES ALPS ELBOW AFFIXUS Consulting ZIMMER BIOMET HOLDINGS, INC.
May 24, 2018 $1,860 TRAUMA PRODUCT PORTFOLIO Travel and Lodging ZIMMER BIOMET HOLDINGS, 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/18550

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.