| Department File Number : | M201990218 |
| Claim Number : | 25494-01 |
| Date Submitted : | 10/10/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE INSURANCE COMPANY OF AMERICA | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 58-1403235 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Angeline | Schave | |||
| Street Address | |||||
| 3000 Meridian Blvd. Ste. 400 | |||||
| City | State | Zip | |||
| Franklin | TN | 37067 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Donald | C | Johnson | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 233 Osceola Ave | ||||
| City | State | Zip Code | County | ||
| Ormond Beach | FL | 32176 | Volusia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0011175 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO2558 | |||||
| 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 | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/22/2015 | 6/22/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Hammertoe 2nd, 3rd and 4th toes, bilaterally | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Hammertoe surgery 2nd, 3rd, 4th digits bilaterally | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient presented to insured on 9/17/15 with complaints of hammertoe¿s on digits two through five bilaterally. Conservative treatment was exhausted before surgery was discussed and performed on 10/22/2015 without complications. However, patient complained of pain and experienced excess swelling spreading into the ankle and lower leg and developed numbness in the toes. Patient refused splints and other treatment modalities and ultimately treated with another doctor. Patient claims that the surgery resulted in permanent bilateral injury to her feet and toes causing a loss of unction, pain, loss of balance, numbness and overall physical limitation. | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 9/27/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| East Coast Podiatry | |||||
| 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 | |||||
| 10/1/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $4,999 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $25,890 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,283 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Specialty Code - 80993 | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201676774 |
| Claim Number : | 22921-01 |
| Date Submitted : | 1/7/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 58-1403235 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Karen | Kessler | |||
| Street Address | |||||
| 3000 Meridian Blvd., Suite 400 | |||||
| City | State | Zip | |||
| Franklin | TN | 37067 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 371 - 8776 | 2249 | kkessler@picagroup.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Donald | Johnson | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 233 Osceloa Ave. | ||||
| City | State | Zip Code | County | ||
| Ormond Beach | FL | 32176 | Volusia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0011175 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO2558 | |||||
| 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 | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/16/2014 | 9/21/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Dry, gangrenous wound to dorsum of left, medical mid-foot and forefoot | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Referral to orthopedist for BKA | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Insured did not see patient until he was consulted while patient was in the hospital for a wound that was down to the bone. Insured recommended that a vascular surgeon be consulted for a revascularization procedure. Patient returned to insured's office one month later with a dry, gangrenous wound to his left foot. Insured advised patient that nothing could be done from a vascular surgery standpoint, and he referred patient to an orthopedist for a BKA. Patient apparently went on to a AKA. | |||||
| Severity Of Injury | |||||
| Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 1/5/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| East Coast Podiatry | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $4,730 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,800 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| None - Specialty code #80993 | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. DONALD C JOHNSON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DONALD C JOHNSON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).