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/48203
  • 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/48203
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.


MARK GACEK

Listed Specialty: Otolaryngology
3715 DAUPHIN ST, 7-A, MOBILE, AL, 36608-1771

2018 Payments: At a Glance

42

payments

$902

payment total

5

companies paid this doctor

Types of Payments

Category Payments Payment Value
Food and Beverage
41 $893
Education
1 $9

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
ENTELLUS - XPRESS ENT DILATION SYSTEM

device

$461
ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM

device

$232
ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM

device

$219
NSE - NASOPORE OTOPORE

device

$123
ENTELLUS - XEROGEL NASALEPISTAXIS PACK

device

$89
ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM CONSUMABLES

device

$70
ENTELLUS - ENTELLUS MEDICAL REINFORCED ANESTHESIA NEEDLE

device

$45
COOK MEDICAL BIODESIGN

device

$25
SOPHONO

device

$22
SPIROX - LATERA

device

$16
OTOVEL

drug

$15
† 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.

Payment Details

When How Much Related To What For From Third Party Payee
May 3, 2018 $135 ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage STRYKER CORPORATION
Oct 5, 2018 $123 NSE - NASOPORE OTOPORE Food and Beverage STRYKER CORPORATION
Sep 6, 2018 $71 ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM Food and Beverage STRYKER CORPORATION
Feb 28, 2018 $70 ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage STRYKER CORPORATION
Sep 12, 2018 $53 ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM Food and Beverage STRYKER CORPORATION
Aug 1, 2018 $45 ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM CONSUMABLES ENTELLUS - ENTELLUS MEDICAL REINFORCED ANESTHESIA NEEDLE ENTELLUS - XEROGEL NASALEPISTAXIS PACK ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage STRYKER CORPORATION
Sep 28, 2018 $40 ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM ENTELLUS - XEROGEL NASALEPISTAXIS PACK ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage STRYKER CORPORATION
Dec 31, 2018 $29 ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM Food and Beverage STRYKER CORPORATION
Aug 21, 2018 $25 COOK MEDICAL BIODESIGN Food and Beverage COOK MEDICAL LLC
Jun 13, 2018 $22 SOPHONO Food and Beverage MEDTRONIC USA, INC.
Jul 17, 2018 $20 ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM Food and Beverage STRYKER CORPORATION
Jan 25, 2018 $17 ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage ENTELLUS MEDICAL, INC.
Dec 13, 2018 $16 ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM ENTELLUS - XPRESS ENT DILATION SYSTEM ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM CONSUMABLES ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM Food and Beverage STRYKER CORPORATION
May 29, 2018 $15 OTOVEL Food and Beverage ARBOR PHARMACEUTICALS, INC.
Jan 2, 2018 $15 ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage ENTELLUS MEDICAL, INC.
Sep 26, 2018 $15 ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM Food and Beverage STRYKER CORPORATION
Sep 7, 2018 $13 ENTELLUS - XPRESS ENT DILATION SYSTEM ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM Food and Beverage STRYKER CORPORATION
Apr 18, 2018 $13 ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage STRYKER CORPORATION
Aug 28, 2018 $12 ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM Food and Beverage STRYKER CORPORATION
Jun 5, 2018 $12 ENTELLUS - XPRESS ENT DILATION SYSTEM Food and Beverage STRYKER 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/48203

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.