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/83875
  • 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/83875
If you spot an error, please let us know at [email protected]

FREDERICK MARCIANO

Listed Specialty: Neurological Surgery
7301 E 2ND ST, #106, SCOTTSDALE, AZ, 85251-5600

Payments: At a Glance

95

payments

$1,008,693

payment total

8

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
24 $988K
Consulting
7 $15,765
Travel and Lodging
7 $3,761
Food and Beverage
57 $711

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
SPINE

device

$531K
ZERO-P

device

$255K
TRAUMA

device

$193K
THORACOLUMBAR THERAPIES

device

$16,100
MAGNIFY-S

device

$11,212
SPORTS MEDICINE

device

$1,337
SPRIX

drug

$332
SPINE FIXATION

device

$120
NEUROMUSCULAR ELECTRICAL STIMULATION

device

$36
† 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
Sep 26, 2013 $87,195

Spine Royalty or License DePuy Synthes Products LLC
Dec 23, 2013 $73,320

Spine Royalty or License DePuy Synthes Products LLC
Sep 25, 2014 $72,390

Spine Royalty or License DePuy Synthes Products LLC
Jun 26, 2014 $71,761

Spine Royalty or License DePuy Synthes Products LLC
Mar 26, 2014 $71,382

Spine Royalty or License DePuy Synthes Products LLC
Mar 29, 2016 $68,886

ZERO-P Royalty or License DePuy Synthes Products LLC
Sep 30, 2015 $68,564

Trauma Royalty or License DePuy Synthes Products LLC
Dec 23, 2014 $68,470

Spine Royalty or License DePuy Synthes Products LLC
Apr 2, 2015 $68,361

Spine Royalty or License DePuy Synthes Products LLC
Sep 23, 2016 $65,131

ZERO-P Royalty or License DePuy Synthes Products LLC
Jun 29, 2016 $64,747

ZERO-P Royalty or License DePuy Synthes Products LLC
Jul 20, 2015 $64,016

Trauma Royalty or License DePuy Synthes Products LLC
Dec 17, 2015 $60,827

Trauma Royalty or License DePuy Synthes Products LLC
Dec 22, 2016 $56,116

ZERO-P Royalty or License DePuy Synthes Products LLC
Aug 5, 2015 $6,250

Spine Consulting DePuy Synthes Products LLC FREDERICK F MARCIANO MD PHD
Nov 15, 2013 $5,250

Spine Consulting Globus Medical, Inc.
Sep 30, 2016 $3,701

MAGNIFY-S Royalty or License Globus Medical, Inc.
Aug 13, 2014 $3,328

THORACOLUMBAR THERAPIES Royalty or License Medtronic Sofamor Danek USA, Inc.
Jun 30, 2016 $3,096

MAGNIFY-S Royalty or License Globus Medical, Inc.
Oct 30, 2013 $3,002

Thoracolumbar Therapies Royalty or License Medtronic Sofamor Danek USA, Inc.
Aug 5, 2013 $2,943

Thoracolumbar Therapies Royalty or License Medtronic Sofamor Danek 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/83875

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].