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/308445
  • 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/308445
If you spot an error, please let us know at [email protected]

THOMAS APPLEBY

Listed Specialty: Vascular Surgery
1327 ASHLEY RIVER ROAD, BUILDING B, CHARLESTON, SC, 29407

Payments: At a Glance

107

payments

$9,033

payment total

31

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
6 $5,216
Food and Beverage
97 $3,690
Education
4 $127

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
SPINE

device

$3,250
INDEPENDENCE

device

$1,950
ACUSEAL VASCULAR GRAFT

device

$456
EXCLUDER AAA ENDOPROSTHESIS

device

$328
VIABAHN ENDOPROSTHESIS

device

$299
AFX

device

$286
PROCEDURAL SUPPORT AND OTHER

device

$263
ELIQUIS

drug

$223
PLAQUE EXCISION

device

$216
EXCLUDER ILIAC BRANCH ENDOPROST

device

$188
EVERCROSS

device

$127
PROPATEN BIOACTIVE SURFACE

device

$118
PRECLUDE SPINAL MEMBRANE

device

$91
XARELTO

drug

$75
SANTYL

drug

$73
AORFIX FLEXIBLE STENT GRAFT SYSTEM

device

$69
ECM PATCH

device

$67
AAA STENT GRAFTS

device

$63
ATHERECTOMY DEVICE

device

$56
THERABOND 3D

device

$52
SILVERSEAL

device

$52
† 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/308445

Payment Details

When How Much Related To What For From Third Party Payee
Nov 4, 2016 $1,300

INDEPENDENCE Promotional Speaking/Other Globus Medical, Inc.
Feb 20, 2015 $1,300

Spine Promotional Speaking/Other Globus Medical, Inc.
Jun 13, 2014 $1,300

Spine Promotional Speaking/Other Globus Medical, Inc.
Nov 20, 2015 $650

Spine Promotional Speaking/Other Globus Medical, Inc.
Mar 7, 2016 $650

INDEPENDENCE Promotional Speaking/Other

Details: 2015 Activity Date but Payment Posted in 2016

Globus Medical, Inc.
Oct 15, 2015 $210

VIABAHN ENDOPROSTHESIS Food and Beverage W. L. Gore & Associates, Inc.
Nov 9, 2016 $188

EXCLUDER Iliac Branch Endoprost Food and Beverage W. L. Gore & Associates, Inc.
Oct 15, 2015 $168

ACUSEAL Vascular Graft Food and Beverage W. L. Gore & Associates, Inc.
Feb 9, 2015 $148

Procedural Support and Other Food and Beverage Medtronic Vascular, Inc.
Oct 22, 2013 $147

ACUSEAL Vascular Graft Food and Beverage W. L. Gore & Associates, Inc.
Jan 16, 2014 $135

Plaque Excision Food and Beverage Covidien Sales LLC
Nov 23, 2016 $127

EverCross Food and Beverage Medtronic Vascular, Inc.
Dec 20, 2014 $123

ELIQUIS Food and Beverage Pfizer Inc.
Sep 19, 2016 $118

PROPATEN Bioactive Surface Food and Beverage W. L. Gore & Associates, Inc.
Aug 26, 2014 $115

Procedural Support and Other Food and Beverage Covidien Sales LLC
Feb 11, 2016 $101

EXCLUDER AAA Endoprosthesis Food and Beverage W. L. Gore & Associates, Inc.
Aug 5, 2013 $98

EXCLUDER AAA ENDOPROSTHESIS Food and Beverage W. L. Gore & Associates, Inc.
Oct 18, 2016 $93

No Listed Product Education Covidien Sales LLC
Jul 21, 2014 $92

AFX Food and Beverage Endologix, Inc.
Sep 23, 2014 $91

PRECLUDE SPINAL MEMBRANE Food and Beverage W. L. Gore & Associates, Inc.
Dec 1, 2015 $89

AFX Food and Beverage Endologix, 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/308445

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].