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/65755
  • 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/65755
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.

ANDREW NOBLE

Listed Specialty: Orthopaedic Surgery
4215 BURNS ROAD, SUITE 100, PALM BEACH GARDENS, FL, 33410-4627

2018 Payments: At a Glance

72

payments

$34,002

payment total

9

companies paid this doctor

Types of Payments

Category Payments Payment Value
Promotional Speaking/Other
 5 $23,510
Travel and Lodging
 21 $5,656
Consulting
 1 $2,500
Food and Beverage
 45 $2,336

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†
POLARSTEM

device

 $20,987
REDAPT REVISION HIP SYSTEM

device

 $14,576
R3

device

 $10,655
ANTHOLOGY

device

 $9,401
BIRMINGHAM HIP RESURFACING

device

 $9,401
OFIRMEV

drug

 $5,101
OXINIUM HIPS

device

 $3,184
YUNO OTN

device

 $2,500
JOURNEY II BCS

device

 $1,749
LEGION REVISION

device

 $1,620
VERILAST HIPS

device

 $1,424
NAVIO SURGICAL SYSTEM

device

 $1,033
VISIONAIRE SOLUTIONS

device

 $600
ACCORD

device

 $239
PICO

device

 $229
PERI-LOC VLP

device

 $139
EXTREMITIES INSTRUMENTS

device

 $129
REGENETEN

device

 $101
Payments with no listed product

N/A

 $86
MONOVISC

device

 $50
† 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/65755

Payment Details

When How Much Related To What For From Third Party Payee
Mar 7, 2018 $8,500 ANTHOLOGY BIRMINGHAM HIP RESURFACING POLARSTEM REDAPT REVISION HIP SYSTEM Promotional Speaking/Other SMITH & NEPHEW, INC.
Jul 30, 2018 $7,200 POLARSTEM R3 Promotional Speaking/Other SMITH & NEPHEW, INC.
Apr 25, 2018 $4,810 OFIRMEV Promotional Speaking/Other MALLINCKRODT LLC
Feb 6, 2018 $2,500 YUNO OTN Consulting MAQUET CARDIOVASCULAR U.S. SALES, L.L.C.
Apr 12, 2018 $2,400 OXINIUM HIPS POLARSTEM R3 REDAPT REVISION HIP SYSTEM Promotional Speaking/Other SMITH & NEPHEW, INC.
Jun 15, 2018 $1,620 REDAPT REVISION HIP SYSTEM LEGION REVISION Travel and Lodging SMITH & NEPHEW, INC.
Apr 12, 2018 $600 OXINIUM HIPS POLARSTEM VERILAST HIPS VISIONAIRE SOLUTIONS Promotional Speaking/Other SMITH & NEPHEW, INC.
Apr 26, 2018 $558 NAVIO SURGICAL SYSTEM Travel and Lodging SMITH & NEPHEW, INC.
Aug 16, 2018 $530 POLARSTEM R3 Travel and Lodging SMITH & NEPHEW, INC.
Jan 12, 2018 $414 ANTHOLOGY BIRMINGHAM HIP RESURFACING POLARSTEM REDAPT REVISION HIP SYSTEM VERILAST HIPS Travel and Lodging SMITH & NEPHEW, INC.
Jan 12, 2018 $376 REDAPT REVISION HIP SYSTEM Travel and Lodging SMITH & NEPHEW, INC.
Jun 23, 2018 $307 JOURNEY II BCS Travel and Lodging SMITH & NEPHEW, INC.
Jun 20, 2018 $307 JOURNEY II BCS Travel and Lodging SMITH & NEPHEW, INC.
Jun 21, 2018 $307 JOURNEY II BCS Travel and Lodging SMITH & NEPHEW, INC.
Jun 22, 2018 $307 JOURNEY II BCS Travel and Lodging SMITH & NEPHEW, INC.
Jan 12, 2018 $192 ANTHOLOGY BIRMINGHAM HIP RESURFACING POLARSTEM REDAPT REVISION HIP SYSTEM VERILAST HIPS Travel and Lodging SMITH & NEPHEW, INC.
Apr 12, 2018 $184 OXINIUM HIPS POLARSTEM R3 REDAPT REVISION HIP SYSTEM Travel and Lodging SMITH & NEPHEW, INC.
Apr 27, 2018 $156 POLARSTEM Travel and Lodging SMITH & NEPHEW, INC.
Nov 2, 2018 $147 REDAPT REVISION HIP SYSTEM Food and Beverage SMITH & NEPHEW, INC.
Mar 8, 2018 $139 ACCORD POLARSTEM REDAPT REVISION HIP SYSTEM PERI-LOC VLP Food and Beverage SMITH & NEPHEW, 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/65755

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.