Dr. CHARLES E KOLLMER, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. CHARLES E KOLLMER, MD

812 Indian River Blvd

Edgewater, FL

32141

Volusia

Court Case # 2004 20378 CINS

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200639464
Claim Number :	0900366
Date Submitted :	2/8/2006

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	CHARLES		E	KOLLMER
Insurer Type		Street Address of Practice
Licensed		812 Indian River Blvd
City		State	Zip Code	County
Edgewater		FL	32141	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003184		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		New Smyrna Orthopedics PA
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
6/24/2002		8/4/2004

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left hip pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total hip replacement
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged unnecessary surgery
Principal Injury Giving Rise To The Claim
left leg and ankle weakness and numbness; possible RSD
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
11/5/2004			2004 20378 CINS
County Suit Filed in			Date of Final Disposition
Volusia			1/27/2006
Other Defendants Involved in this Claim
New Smyrna Orthopedics PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/31/2006

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$80,017

All Other Loss Adjustment Expense Paid

$57,675

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

No updates found.

This page is not displaying certain sensitive information.

Court Case # 2008-20383-CINS

Indemnity Paid: $240,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200955041
Claim Number :	1001252-01
Date Submitted :	2/24/2010

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	Charles		E	Kollmer
Insurer Type		Street Address of Practice
Licensed		812 Indian River Blvd
City		State	Zip Code	County
Edgewater		FL	32141	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003184		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BERT FISH MEDICAL CENTER		100014
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/17/2006		11/1/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tibial plateau fracture of left knee resulting from fall
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total left knee replacement
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged unnecessary knee replacement surgery, development of arthrofibrosis; alleged negligence in management of the arthrofibrosis
Principal Injury Giving Rise To The Claim
Loss of range of motion in left knee causing or contributing to pain and suffering, permanent partial disability
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/15/2008			2008-20383-CINS
County Suit Filed in			Date of Final Disposition
Volusia			9/28/2009
Other Defendants Involved in this Claim
New Smyrna Orthopedics PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/25/2009

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$240,000

Loss Adjust Expense Paid to Defense Counsel

$22,863

All Other Loss Adjustment Expense Paid

$12,338

Injured Person's Total Non-Economic Loss

$180,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

Date of Change:

2/24/2010 3:56:16 PM

Reason for Change:

Update ALE financial info

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	19749	22863
All Other Loss Adjustment Expense Paid	9977	12338

This page is not displaying certain sensitive information.

Court Case #

Indemnity Paid: $240,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201990768
Claim Number :	A000000028287
Date Submitted :	12/3/2019

Insurer Information

Insurer Name				Coverage Type
ADMIRAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
22-2235730
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Denise			Padilla
Street Address
1000 Howard Blvd, Ste. 300
City				State	Zip
Mount Laurel				NJ	08054
Phone	Ext	Fax	E-Mail Address
(856) 505 - 8115			dpadilla@admiralins.com

Insured Information

Type	First Name		MI	Last Name
Individual	Charles		E	Kollmer
Insurer Type		Street Address of Practice
Licensed		812 W. Indian River Blvd.
City		State	Zip Code	County
Edgewater		FL	32132	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
EO000035732-02		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Florida Hospital New Smyrna
Name of Institution		Code
NEW SMYRNA BEACH AMBULATORY CARE CENTER INC		161
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
1/7/2019		3/27/2019

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left sacroiliac dysfunction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Right sacroiliac fusion.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Right sacroiliac fusion performed instead of left sacroiliac fusion.
Principal Injury Giving Rise To The Claim
Left sacroiliac dysfunction.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			10/8/2019
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/22/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$240,000

Loss Adjust Expense Paid to Defense Counsel

$10,360

All Other Loss Adjustment Expense Paid

$800

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

None.

Updates

No updates found.

Court Case # 2006-20315-CINS-02

Indemnity Paid: $190,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200849028
Claim Number :	1000852
Date Submitted :	3/5/2009

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	CHARLES		E	KOLLMER
Insurer Type		Street Address of Practice
Licensed		812 Indian River Boulevard
City		State	Zip Code	County
Edgewater		FL	32141	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003184		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
BERT FISH MEDICAL CENTER		100014
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
6/28/2004		5/9/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Elbow pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Arthroscopic Surgery
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Excessive use of steroid injections prior to surgery, failure to use preoperative antibiotics
Principal Injury Giving Rise To The Claim
Slow wound healing, post-op infection, pain and suffering
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/7/2006			2006-20315-CINS-02
County Suit Filed in			Date of Final Disposition
Volusia			3/21/2008
Other Defendants Involved in this Claim
New Smyrna Orthopedics PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/20/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$190,000

Loss Adjust Expense Paid to Defense Counsel

$19,747

All Other Loss Adjustment Expense Paid

$20,674

Injured Person's Total Non-Economic Loss

$140,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Updates

Date of Change:

3/5/2009 11:42:41 AM

Reason for Change:

ALE Update

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	14320	19747
All Other Loss Adjustment Expense Paid	13343	20674

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Court Case # 2006-20195-CINS

Indemnity Paid: $145,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200850969
Claim Number :	1000732
Date Submitted :	9/3/2009

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	Charles		E	Kollmer
Insurer Type		Street Address of Practice
Licensed		812 Indian River Blvd
City		State	Zip Code	County
Edgewater		FL	32141	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003184		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		New Smyrna Orthopedics PA
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
5/28/2004		3/10/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Knee pain (left knee)
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Medical menisectomy surgery
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Unnecessary surgery
Principal Injury Giving Rise To The Claim
Pain and suffering; limp and inability to flex and extend left knee
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/13/2006			2006-20195-CINS
County Suit Filed in			Date of Final Disposition
Volusia			9/22/2008
Other Defendants Involved in this Claim
New Smyrna Orthopedics PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/12/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$145,000

Loss Adjust Expense Paid to Defense Counsel

$34,348

All Other Loss Adjustment Expense Paid

$21,303

Injured Person's Total Non-Economic Loss

$115,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

Date of Change:

3/5/2009 11:34:35 AM

Reason for Change:

ALE Update

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	19678	21302
Amount of Loss Adjustment Expense Paid to Defense Counsel	30990	34328

Date of Change:

9/3/2009 10:36:31 AM

Reason for Change:

Update ALE

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	21302	21303
Amount of Loss Adjustment Expense Paid to Defense Counsel	34328	34348

This page is not displaying certain sensitive information.

Court Case # 2006-20201 CINS (02)

Indemnity Paid: $90,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200953053
Claim Number :	1000733
Date Submitted :	9/3/2009

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	CHARLES		E	KOLLMER
Insurer Type		Street Address of Practice
Licensed		812 Indian River Blvd
City		State	Zip Code	County
Edgewater		FL	32141	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003184		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BERT FISH MEDICAL CENTER		100014
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
4/6/2005		3/16/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Back and neck pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Percutaneous diskectomy surgery
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Performance of surgery at incorrect level
Principal Injury Giving Rise To The Claim
Foot drop and RSD, causing or contributing to pain and suffering and eventual death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/13/2006			2006-20201 CINS (02)
County Suit Filed in			Date of Final Disposition
Volusia			3/23/2009
Other Defendants Involved in this Claim
New Smyrna Orthopedics PA Bert Fish Medical Center Inc
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/17/2009

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$90,000

Loss Adjust Expense Paid to Defense Counsel

$48,814

All Other Loss Adjustment Expense Paid

$17,524

Injured Person's Total Non-Economic Loss

$72,500

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

Date of Change:

9/3/2009 10:37:42 AM

Reason for Change:

Update ALE

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	44783	48814
All Other Loss Adjustment Expense Paid	14927	17524

This page is not displaying certain sensitive information.

Court Case # 2014-10783-CIDL

Indemnity Paid: $75,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201677638
Claim Number :	30954-1
Date Submitted :	3/21/2016

Insurer Information

Insurer Name				Coverage Type
LANCET INDEMNITY RISK RETENTION GROUP INC.				Primary
Insurer FEIN		Professional License Number
26-1479165
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christopher			Teter
Street Address
2810 West St. Isabel Street Suite 100
City				State	Zip
Tampa				FL	33602
Phone	Ext	Fax	E-Mail Address
(813) 290 - 8282	265		cteter@lancetindemnity.com

Insured Information

Type	First Name		MI	Last Name
Individual	Charles			Kollmer
Insurer Type		Street Address of Practice
Licensed		812 W. INDIAN RIVER BLVD
City		State	Zip Code	County
Edgewater		FL	32132	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
LR090909000106		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BERT FISH MEDICAL CENTER		100014
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
11/2/2011		1/8/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Treatment was sought for right carpal tunnel syndrome.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
A right carpal tunnel release was performed.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged improper performance of a right tunnel carpal tunnel release that resulted in damage to the median nerve.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
4/16/2014			2014-10783-CIDL
County Suit Filed in			Date of Final Disposition
Volusia			2/29/2016
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/29/2016

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$75,000

Loss Adjust Expense Paid to Defense Counsel

$125,000

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$75,000	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurer is unaware of what steps have been taken.

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Court Case # 2006-20250-CINS (02)

Indemnity Paid: $37,500.00

Medical Malpractice Closed Claims Report

Department File Number :	M200747412
Claim Number :	1000846
Date Submitted :	10/22/2007

Insurer Information

Insurer Name				Coverage Type
FLORIDA MEDICAL MALPRACTICE JUA				Primary
Insurer FEIN		Professional License Number
59-1625412
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	SUSAN			SPIELMAN
Street Address
5814 Reed Street
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340		(260) 486 - 0782	SUSAN.SPIELMAN@MEDPRO.COM

Insured Information

Type	First Name		MI	Last Name
Individual	Charles		E	Kollmer
Insurer Type		Street Address of Practice
Licensed		812 W INDIAN RIVER BLVD
City		State	Zip Code	County
EDGEWATER		FL	32132	Volusia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003184		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME65222		Surgery - Orthopedic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Volusia
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		New Smyrna Orthopedics PA
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
5/21/2004		4/11/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Knee pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical revision
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Unnecessary surgery
Principal Injury Giving Rise To The Claim
Pain and suffering; permanent disability
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/26/2006			2006-20250-CINS (02)
County Suit Filed in			Date of Final Disposition
Volusia			10/18/2007
Other Defendants Involved in this Claim
New Smyrna Orthopedics PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/18/2007

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$37,500

Loss Adjust Expense Paid to Defense Counsel

$8,591

All Other Loss Adjustment Expense Paid

$3,169

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

No updates found.

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Frequently Asked Questions

Does Dr. CHARLES E KOLLMER, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. CHARLES E KOLLMER, MD has at least 8 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases