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/22628
  • 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/22628
If you spot an error, please let us know at [email protected]

ROBERT ISAACS

Listed Specialty: Neurological Surgery
2100 ERWIN RD, DURHAM, NC, 27710-0001

Payments: At a Glance

233

payments

$2,457,051

payment total

25

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
17 $2.23M
Consulting
11 $125K
Ownership or Investment Interest
1 $70,448
Travel and Lodging
84 $21,768
Food and Beverage
114 $5,279
Promotional Speaking/Other
2 $1,537
Education
4 $254

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
INTEGRATED OPERATIVE SOLUTIONS

device

$1.46M
THORACOLUMBAR

device

$901K
BENDINI

device

$641K
PRECEPT

device

$619K
ARMADA

device

$619K
RELINE

device

$339K
CERVICOTHORACIC

device

$18,017
BRAINLAB

device

$12,157
VIPER

device

$1,918
COUGAR

device

$1,708
LESSRAY

device

$1,322
EXPAREL

drug

$800
FLAREHAWK

device

$491
INTERVENTIONAL THERAPIES

device

$386
SPINAL IMPLANTS

device

$337
SPINE

device

$330
NEW PRODUCT DEVELOPMENT

device

$122
THORACOLUMBAR THERAPIES

device

$122
STABILIT

device

$101
STAR TUMOR ABLATION SYSTEM

device

$101
EXPEDIUM

device

$96
† 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/22628

Payment Details

When How Much Related To What For From Third Party Payee
Oct 2, 2013 $800,000

Integrated Operative Solutions Royalty or License NuVasive, Inc. VILASPINE LIMITED
Nov 14, 2016 $175,597

RELINE Bendini Precept Armada Royalty or License NUVASIVE, INC. Vilaspine Limited
Aug 12, 2016 $163,136

ReLine Precept Bendini Armada Royalty or License NUVASIVE, INC. Vilaspine Limited
May 11, 2016 $146,719

Armada Precept Bendini Royalty or License NUVASIVE, INC. Vilaspine Limited
Feb 10, 2016 $133,918

Precept Armada Bendini Royalty or License NUVASIVE, INC. Vilaspine Limited
Nov 13, 2015 $125,526

ThoracoLumbar Integrated Operative Solutions Royalty or License NuVasive, Inc. Minispine, Inc.
Aug 10, 2015 $113,082

ThoracoLumbar Integrated Operative Solutions Royalty or License NuVasive, Inc. Minispine, Inc.
Feb 11, 2015 $105,794

ThoracoLumbar Royalty or License NuVasive, Inc. Minispine, Inc.
Nov 12, 2014 $102,546

ThoracoLumbar Integrated Operative Solutions Royalty or License NuVasive, Inc. VILASPINE LIMITED
May 13, 2015 $99,392

ThoracoLumbar Royalty or License NuVasive, Inc. Minispine, Inc.
Feb 26, 2014 $94,881

ThoracoLumbar Integrated Operative Solutions Royalty or License NuVasive, Inc. VILASPINE LIMITED
Aug 15, 2014 $84,839

ThoracoLumbar Integrated Operative Solutions Royalty or License NuVasive, Inc. VILASPINE LIMITED
May 14, 2014 $75,332

ThoracoLumbar Integrated Operative Solutions Royalty or License NuVasive, Inc. VILASPINE LIMITED
Apr 11, 2016 $70,448

No Listed Product Ownership or Investment Interest

Details: Distribution to LLC members

Safewire, LLC
Dec 18, 2014 $28,100

ThoracoLumbar Integrated Operative Solutions Consulting NUVASIVE, INC.
Aug 27, 2013 $19,900

ThoracoLumbar Consulting NUVASIVE, INC. Minispine, Inc.
Aug 22, 2013 $15,700

ThoracoLumbar CervicoThoracic Consulting NUVASIVE, INC. Minispine, Inc.
Feb 2, 2016 $14,900

Bendini Consulting NUVASIVE, INC. Minispine, Inc.
Feb 1, 2016 $10,250

BRAINLAB Consulting DePuy Orthopaedics Inc. MINISPINE INC
Dec 4, 2014 $9,900

Integrated Operative Solutions Consulting NUVASIVE, INC.
Feb 24, 2015 $6,900

ThoracoLumbar Consulting NuVasive, Inc. Minispine, 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/22628

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].