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/459009
  • 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/459009
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.


DANIEL WILLIAMS

Listed Specialty: Orthopaedic Surgery of the Spine
5 FIRST VILLAGE DR, PINEHURST, NC, 28374-8724

2018 Payments: At a Glance

45

payments

$19,822

payment total

15

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
3 $14,200
Food and Beverage
38 $2,810
Travel and Lodging
3 $1,694
Royalty or License
1 $1,118

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
Payments with no listed product

N/A

$14,378
TIGER SHARK L

device

$3,118
PLIF

device

$1,200
BLACKBIRD

device

$331
BLACKHAWK

device

$331
TIGER SHARK

device

$331
TOMCAT

device

$331
VEO

device

$331
SPINE TRUSS SYSTEM

device

$152
EVEREST SPINAL SYSTEM

device

$102
CAVUX CERVICAL CAGE

device

$96
DTRAX SPINAL SYSTEM

device

$96
ALLY BONE SCREW

device

$96
BIOLOGIX ALLOGRAFT BONE

device

$96
I-FACTOR PUTTY

device

$85
DIVERGENCE-L

device

$80
RAVINE

device

$66
LESSRAY

device

$54
CASCADIA INTERBODY SYSTEM

device

$44
BACS

device

$33
† 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/459009

Payment Details

When How Much Related To What For From Third Party Payee
Mar 8, 2018 $11,000 No Listed Product Consulting SPINEART USA INC
Feb 15, 2018 $2,000 TIGER SHARK L Consulting CHOICE SPINE, LLC
Jan 21, 2018 $1,304 No Listed Product Travel and Lodging SPINEART USA INC
Apr 13, 2018 $1,200 PLIF Consulting DEGEN MEDICAL, INC.
Sep 30, 2018 $1,118 TIGER SHARK L Royalty or License CHOICE SPINE, LLC
Jan 19, 2018 $434 No Listed Product Food and Beverage SPINEART USA INC
Jan 25, 2018 $331 BLACKHAWK TIGER SHARK BLACKBIRD TOMCAT VEO Food and Beverage CHOICE SPINE, LLC
Jan 19, 2018 $208 No Listed Product Travel and Lodging SPINEART USA INC
Jan 21, 2018 $183 No Listed Product Travel and Lodging SPINEART USA INC
Jan 21, 2018 $134 No Listed Product Food and Beverage SPINEART USA INC
Sep 4, 2018 $123 No Listed Product Food and Beverage SPINEART USA INC
Oct 16, 2018 $114 No Listed Product Food and Beverage SPINEART USA INC
May 9, 2018 $113 SPINE TRUSS SYSTEM Food and Beverage 4WEB, INC.
Jan 21, 2018 $111 No Listed Product Food and Beverage SPINEART USA INC
Jan 5, 2018 $110 No Listed Product Food and Beverage SPINEART USA INC
Aug 30, 2018 $102 EVEREST SPINAL SYSTEM Food and Beverage K2M, INC.
May 10, 2018 $96 No Listed Product Food and Beverage SPINEART USA INC
Jul 20, 2018 $88 No Listed Product Food and Beverage SPINEART USA INC
Dec 13, 2018 $85 I-FACTOR PUTTY Food and Beverage CERAPEDICS, INC.
Apr 18, 2018 $80 DIVERGENCE-L Food and Beverage MEDTRONIC USA, 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/459009

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.