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/268560
  • 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/268560
If you spot an error, please let us know at [email protected]

ALEXANDER VACCARO

Listed Specialty: Orthopaedic Surgery of the Spine
925 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA, 19107-4216

Payments: At a Glance

317

payments

$3,959,878

payment total

29

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
55 $3.74M
Consulting
44 $162K
Travel and Lodging
71 $31,926
Promotional Speaking/Other
4 $16,918
Food and Beverage
143 $10,214

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
THORACOLUMBAR

device

$2.04M
CERVICAL AND TRAUMA THERAPIES

device

$675K
THORACOLUMBAR THERAPIES

device

$345K
SPINE

device

$336K
BIOLOGICS

device

$180K
CERVICAL /TRAUMA THERAPIES

device

$140K
XPAND

device

$91,815
TRITANIUM

device

$36,388
OTHER

device

$31,472
NEURO/SPINE/ENT

device

$30,549
XIA

device

$15,976
ACCULIF

device

$14,943
ARIA

device

$14,246
ANCHOR C

device

$14,168
AERO

device

$14,168
ANCHOR L

device

$14,135
BONE SUBSTITUTES BIOLOGICS

device

$10,533
RIALTO

device

$7,063
VERTEX

device

$3,555
OSSEOFIX

device

$3,090
ENABLING TECHNOLOGIES - NIM, NAV, POWER

device

$2,452
† 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/268560

Payment Details

When How Much Related To What For From Third Party Payee
Nov 1, 2013 $416,235

CERVICAL AND TRAUMA THERAPIES Royalty or License Medtronic Sofamor Danek USA, Inc.
Nov 25, 2014 $365,822

THORACOLUMBAR Royalty or License Stryker Corporation
Feb 27, 2014 $362,574

THORACOLUMBAR Royalty or License Stryker Corporation
Nov 26, 2013 $344,120

THORACOLUMBAR Royalty or License Stryker Corporation
Feb 26, 2015 $343,067

THORACOLUMBAR Royalty or License Stryker Corporation
Feb 5, 2014 $298,849

THORACOLUMBAR THERAPIES Royalty or License Medtronic Sofamor Danek USA, Inc.
Nov 14, 2014 $193,314

Cervical and Trauma Therapies Royalty or License Medtronic Sofamor Danek USA, Inc.
May 29, 2014 $173,406

THORACOLUMBAR Royalty or License Stryker Corporation
Jun 30, 2015 $165,081

THORACOLUMBAR Royalty or License Stryker Corporation
Aug 29, 2014 $126,030

THORACOLUMBAR Royalty or License Stryker Corporation
Sep 10, 2013 $119,900

THORACOLUMBAR Royalty or License Stryker Corporation
Feb 13, 2015 $45,977

Cervical /Trauma Therapies Royalty or License Medtronic Sofamor Danek USA, Inc.
May 13, 2015 $44,163

Cervical /Trauma Therapies Royalty or License Medtronic Sofamor Danek USA, Inc.
Aug 11, 2015 $39,480

Cervical /Trauma Therapies Royalty or License Medtronic Sofamor Danek USA, Inc.
Nov 1, 2013 $38,916

CERVICAL AND TRAUMA THERAPIES Royalty or License Medtronic Sofamor Danek USA, Inc.
Sep 30, 2013 $37,962

Spine Royalty or License Globus Medical, Inc.
Dec 31, 2013 $35,892

Spine Royalty or License Globus Medical, Inc.
Mar 31, 2014 $34,981

Spine Royalty or License Globus Medical, Inc.
Sep 30, 2014 $33,680

Spine Royalty or License Globus Medical, Inc.
Dec 31, 2014 $30,284

Spine Royalty or License Globus Medical, Inc.
Jun 30, 2014 $27,767

Spine Royalty or License Globus Medical, 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/268560

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].