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/91642
  • 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/91642
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.


MICHAEL COUGHLIN

Listed Specialty: Orthopaedic Surgery
1075 N CURTIS RD, STE 300, BOISE, ID, 83706-1348

2018 Payments: At a Glance

97

payments

$379,815

payment total

7

companies paid this doctor

Types of Payments

Category Payments Payment Value
Royalty or License
14 $231K
Consulting
24 $66,722
Promotional Speaking/Other
5 $59,027
Travel and Lodging
30 $20,524
Food and Beverage
24 $2,354

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
VARIAX

device

$122K
DISTAL EXTREMITIES INSTRUMENTS DEVICE SPECIFIC INSTRUMENTS PLANTAR PLATE

device

$115K
Payments with no listed product

N/A

$78,253
DISTAL EXTREMITIES IMPLANTS SOFT TISSUE PLANTAR PLATE

device

$67,666
STAR

device

$56,589
DISTAL EXTREMITIES IMPLANTS FOREFOOT PLANTAR PLATE

device

$48,030
HOFFMANN

device

$28,209
T2

device

$18,584
ANCHORAGE

device

$14,336
ASNIS

device

$14,209
TOTAL FOOT SYSTEM

device

$4,078
BILAYER WOUND MATRIX BWM

device

$3,300
FLOWABLE

device

$3,300
IDRT

device

$3,300
INTEGRA WOUND MATRIX IWM

device

$3,300
DISTAL EXTREMITIES IMPLANTS MIDFOOT PLATES & SCREWS COMPRESSION PLATES

device

$2,475
DISTAL EXTREMITIES IMPLANTS NITINOL OTHER

device

$2,212
AXSOS

device

$2,014
NEX FIX

device

$1,238
SURG - REMB

device

$1,000
† 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/91642

Payment Details

When How Much Related To What For From Third Party Payee
Feb 15, 2018 $36,688 DISTAL EXTREMITIES INSTRUMENTS DEVICE SPECIFIC INSTRUMENTS PLANTAR PLATE DISTAL EXTREMITIES IMPLANTS SOFT TISSUE PLANTAR PLATE Royalty or License ARTHREX, INC. MICHAEL J. COUGHLIN M.D. P.A
Feb 14, 2018 $34,886 VARIAX Royalty or License STRYKER CORPORATION
May 15, 2018 $30,428 DISTAL EXTREMITIES INSTRUMENTS DEVICE SPECIFIC INSTRUMENTS PLANTAR PLATE DISTAL EXTREMITIES IMPLANTS SOFT TISSUE PLANTAR PLATE Royalty or License ARTHREX, INC. MICHAEL J. COUGHLIN M.D. P.A
May 14, 2018 $28,176 VARIAX Royalty or License STRYKER CORPORATION
Aug 14, 2018 $25,631 VARIAX Royalty or License STRYKER CORPORATION
Aug 15, 2018 $25,214 DISTAL EXTREMITIES INSTRUMENTS DEVICE SPECIFIC INSTRUMENTS PLANTAR PLATE DISTAL EXTREMITIES IMPLANTS FOREFOOT PLANTAR PLATE Royalty or License ARTHREX, INC. MICHAEL J. COUGHLIN M.D. P.A
Nov 15, 2018 $22,816 DISTAL EXTREMITIES INSTRUMENTS DEVICE SPECIFIC INSTRUMENTS PLANTAR PLATE DISTAL EXTREMITIES IMPLANTS FOREFOOT PLANTAR PLATE Royalty or License ARTHREX, INC. MICHAEL J. COUGHLIN M.D. P.A
Nov 14, 2018 $22,805 VARIAX Royalty or License STRYKER CORPORATION MICHAEL COUGHLIN MD PA
Oct 25, 2018 $21,450 No Listed Product Promotional Speaking/Other ARTHREX, INC. MICHAEL J COUGHLIN MD PA
Jul 26, 2018 $17,050 No Listed Product Promotional Speaking/Other ARTHREX, INC. MICHAEL J COUGHLIN MD PA
Jun 21, 2018 $16,000 STAR HOFFMANN T2 Consulting STRYKER CORPORATION
Nov 29, 2018 $13,000 STAR Consulting STRYKER CORPORATION
Jul 26, 2018 $12,375 No Listed Product Promotional Speaking/Other ARTHREX, INC. MICHAEL J COUGHLIN MD PA
Jul 5, 2018 $10,000 ANCHORAGE ASNIS VARIAX STAR HOFFMANN Consulting STRYKER CORPORATION
Nov 16, 2018 $8,629 No Listed Product Travel and Lodging ARTHREX, INC.
Apr 26, 2018 $8,113 No Listed Product Promotional Speaking/Other ARTHREX, INC. MICHAEL J COUGHLIN MD PA
Mar 15, 2018 $6,500 STAR Consulting STRYKER CORPORATION
Aug 16, 2018 $2,750 STAR Consulting STRYKER CORPORATION
Jan 25, 2018 $2,475 DISTAL EXTREMITIES IMPLANTS MIDFOOT PLATES & SCREWS COMPRESSION PLATES Consulting ARTHREX, INC. MICHAEL J COUGHLIN MD PA
Apr 26, 2018 $2,200 DISTAL EXTREMITIES IMPLANTS NITINOL OTHER Consulting ARTHREX, INC. MICHAEL J COUGHLIN MD PA

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/91642

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.