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/77066
  • 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/77066
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.

JAMES NUNLEY

Listed Specialty: Surgery of the Hand
1000 TRENT DR, DURHAM, NC, 27710-0001

2018 Payments: At a Glance

155

payments

$235,064

payment total

10

companies paid this doctor

Types of Payments

Category Payments Payment Value
Consulting
 46 $145K
Royalty or License
 5 $43,132
Travel and Lodging
 54 $42,221
Food and Beverage
 50 $4,601

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†
EQUINOXE

device

 $167K
TRIPLANAR FIXATION SYSTEM

device

 $56,557
ALLOQUENT STRUCTURAL ALLOGRAFT

drug

 $6,050
COLLAGE OSTEOCONDUCTIVE SCAFFOLD

drug

 $6,050
TRINITY ELITE

drug

 $6,050
TRINITY EVOLUTION

drug

 $6,050
VERSASHIELD

drug

 $6,050
Payments with no listed product

N/A

 $3,354
VANTAGE

device

 $1,122
FIRSTPASS MINI

device

 $157
CARTIVA

device

 $151
GRAFIX & STRAVIX

drug

 $124
DEFORMITY CORRECTIONS

drug

 $111
TRINITY

drug

 $89
OSTEOTOMY TRUSS SYSTEM

device

 $85
DISTAL EXTREMITIES IMPLANTS SOFT TISSUE IB LIGAMENT AUGMENTATION

device

 $68
AUGMENT

device

 $67
† 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
Mar 22, 2018 $26,188 EQUINOXE Consulting EXACTECH, INC.
Jan 5, 2018 $22,125 EQUINOXE Consulting EXACTECH, INC.
Dec 31, 2018 $14,867 EQUINOXE Royalty or License EXACTECH, INC.
Oct 4, 2018 $9,500 EQUINOXE Consulting EXACTECH, INC.
Nov 29, 2018 $8,867 EQUINOXE Royalty or License EXACTECH, INC.
Aug 30, 2018 $8,511 EQUINOXE Royalty or License EXACTECH, INC.
May 31, 2018 $8,467 EQUINOXE Royalty or License EXACTECH, INC.
May 17, 2018 $7,438 EQUINOXE Consulting EXACTECH, INC.
Jun 15, 2018 $7,438 EQUINOXE Consulting EXACTECH, INC.
Oct 24, 2018 $4,016 TRIPLANAR FIXATION SYSTEM Travel and Lodging TREACE MEDICAL CONCEPTS, INC.
Feb 26, 2018 $4,004 TRIPLANAR FIXATION SYSTEM Travel and Lodging TREACE MEDICAL CONCEPTS, INC.
Jun 29, 2018 $4,000 EQUINOXE Consulting EXACTECH, INC.
Jul 12, 2018 $4,000 EQUINOXE Consulting EXACTECH, INC.
Apr 30, 2018 $3,988 TRIPLANAR FIXATION SYSTEM Travel and Lodging TREACE MEDICAL CONCEPTS, INC.
Jun 6, 2018 $3,750 EQUINOXE Consulting EXACTECH, INC.
Jun 28, 2018 $3,750 EQUINOXE Consulting EXACTECH, INC.
Mar 13, 2018 $3,300 COLLAGE OSTEOCONDUCTIVE SCAFFOLD TRINITY EVOLUTION TRINITY ELITE VERSASHIELD ALLOQUENT STRUCTURAL ALLOGRAFT Consulting ORTHOFIX MEDICAL, INC.
Mar 24, 2018 $3,270 TRIPLANAR FIXATION SYSTEM Travel and Lodging TREACE MEDICAL CONCEPTS, INC.
Aug 6, 2018 $3,250 EQUINOXE Consulting EXACTECH, INC.
Feb 26, 2018 $3,218 TRIPLANAR FIXATION SYSTEM Consulting TREACE MEDICAL CONCEPTS, 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/77066

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.