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/263721
  • 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/263721
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.

JEFFREY FISCHER

Listed Specialty: Urology
431 W OAK ST, KISSIMMEE, FL, 34741-6627

2018 Payments: At a Glance

45

payments

$1,470

payment total

13

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
 40 $780
Travel and Lodging
 3 $564
Education
 2 $125

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†
DATA MEDIATOR

device

 $515
XTANDI

drug

 $290
MYRBETRIQ

drug

 $135
OASIS

device

 $123
REGRANEX

drug

 $123
SANTYL

drug

 $123
STUDIO 3

device

 $94
ERLEADA

drug

 $73
ZYTIGA

drug

 $73
VESICARE

drug

 $69
NOCTIVA

drug

 $58
AVEED

drug

 $42
XIAFLEX

drug

 $42
TOVIAZ

drug

 $40
ANDROGEL

drug

 $38
TITAN

device

 $35
Payments with no listed product

N/A

 $32
UROLIFT

device

 $31
ELIGARD

drug

 $26
GENERAL BPH

device

 $25
† 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/263721

Payment Details

When How Much Related To What For From Third Party Payee
May 16, 2018 $470 DATA MEDIATOR Travel and Lodging STRYKER CORPORATION
Mar 1, 2018 $123 SANTYL REGRANEX OASIS Food and Beverage SMITH & NEPHEW, INC.
Dec 13, 2018 $90 XTANDI Education PFIZER INC.
May 29, 2018 $62 STUDIO 3 Travel and Lodging STRYKER CORPORATION
Feb 1, 2018 $35 TITAN Education COLOPLAST CORP
May 29, 2018 $32 STUDIO 3 Travel and Lodging STRYKER CORPORATION
May 25, 2018 $31 DATA MEDIATOR Food and Beverage STRYKER CORPORATION
Nov 5, 2018 $25 GENERAL BPH Food and Beverage BOSTON SCIENTIFIC CORPORATION
Aug 16, 2018 $25 NOCTIVA Food and Beverage AVADEL SPECIALTY PHARMACEUTICALS, LLC
Apr 13, 2018 $25 VESICARE MYRBETRIQ Food and Beverage ASTELLAS PHARMA US INC
Jun 21, 2018 $22 XIAFLEX AVEED Food and Beverage ENDO PHARMACEUTICALS INC.
Apr 16, 2018 $22 MYRBETRIQ VESICARE XTANDI Food and Beverage ASTELLAS PHARMA US INC
Apr 10, 2018 $21 ERLEADA ZYTIGA Food and Beverage JANSSEN BIOTECH, INC.
Aug 27, 2018 $20 XTANDI MYRBETRIQ Food and Beverage ASTELLAS PHARMA US INC
Oct 18, 2018 $20 MYRBETRIQ Food and Beverage ASTELLAS PHARMA US INC
Feb 28, 2018 $20 XIAFLEX AVEED Food and Beverage ENDO PHARMACEUTICALS INC.
May 17, 2018 $19 ANDROGEL LUPRON Food and Beverage ABBVIE, INC.
Jul 9, 2018 $19 XTANDI MYRBETRIQ Food and Beverage ASTELLAS PHARMA US INC
Jun 11, 2018 $19 No Listed Product Food and Beverage 180 MEDICAL, INC.
Dec 13, 2018 $18 XTANDI Food and Beverage ASTELLAS PHARMA US 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/263721

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.