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/40739
  • 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/40739
If you spot an error, please let us know at [email protected]

TIM FISCHELL

Listed Specialty: Interventional Cardiology
1722 SHAFFER ST, SUITE 1, KALAMAZOO, MI, 49048-1633

Payments: At a Glance

356

payments

$1,144,214

payment total

37

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
44 $779K
Promotional Speaking/Other
2 $310K
Consulting
16 $41,500
Food and Beverage
274 $7,739
Travel and Lodging
16 $6,060
Education
4 $234

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
NONE

device

$303K
CARDIOVASCULAR

device

$86,408
OTHER

device

$83,191
AXERA

device

$27,079
NA

device

$24,929
VASCULAR

device

$14,441
NC TREK CORONARY CATHETERS

device

$5,593
XIENCE V CORONARY STENT SYSTEM

device

$5,593
ASAHI FIELDER CORONARY GUIDE WIRE

device

$5,593
HI-TORQUE CORONARY GUIDE WIRE

device

$5,593
CHOCOLATE PTA BALLOON CATHETER

drug

$5,467
CORONARY ORBITAL ATHERECTOMY SYSTEM

device

$2,184
CTO (CHRONIC TOTAL OCCLUSION) SYSTEM

device

$1,460
OSTIAL PRO STENT POSITIONING SYSTEM

device

$1,088
AGGRASTAT (TIROFIBAN HCL)

drug

$677
IMPELLA

device

$649
AGGRASTAT

drug

$575
CARDIOLOGY

device

$529
EFFIENT

drug

$483
BRILINTA

drug

$483
XARELTO

drug

$428
† 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/40739

Payment Details

When How Much Related To What For From Third Party Payee
Aug 27, 2014 $304,410

No Listed Product Promotional Speaking/Other

Details: Transfer of value related to company acquisition

Covidien LP
Jul 16, 2014 $300,000

None Royalty or License Merit Medical Systems Inc
Apr 1, 2015 $235,018

No Listed Product Royalty or License

Details: Payment related to Medtronic's purchase of a company in which recipient had ownership interest.

Medtronic Vascular, Inc.
Feb 26, 2015 $36,314

Cardiovascular Royalty or License Cordis Corporation
Feb 26, 2015 $27,959

Cardiovascular Royalty or License Cordis Corporation
Aug 25, 2016 $12,616

No Listed Product Royalty or License Cordis Corporation
May 24, 2016 $11,081

No Listed Product Royalty or License Cordis Corporation
Mar 1, 2016 $10,679

No Listed Product Royalty or License Cordis Corporation
Dec 2, 2016 $9,633

No Listed Product Royalty or License Cordis Corporation
Aug 26, 2013 $8,285

OTHER Royalty or License Cordis Corporation
Nov 28, 2013 $7,507

OTHER Royalty or License Cordis Corporation
Aug 26, 2013 $7,259

OTHER Royalty or License Cordis Corporation
Feb 25, 2014 $6,949

NA Royalty or License Cordis Corporation
May 21, 2015 $6,613

Cardiovascular Royalty or License Cordis Corporation
Feb 25, 2014 $6,539

NA Royalty or License Cordis Corporation
Aug 28, 2015 $6,497

Cardiovascular Royalty or License Cordis Corporation
Aug 19, 2014 $6,410

OTHER Royalty or License Cordis Corporation
Nov 28, 2013 $6,243

OTHER Royalty or License Cordis Corporation
May 30, 2014 $6,182

NA Royalty or License Cordis Corporation
Nov 12, 2014 $5,800

OTHER Royalty or License Cordis Corporation
Feb 25, 2014 $5,685

OTHER Royalty or License Cordis Corporation

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/40739

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].