Department File Number : | M201990375 |
Claim Number : | 348394 |
Date Submitted : | 10/24/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | James | M | Cottom | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 6015 Pointe W. Boulevard W. | ||||
City | State | Zip Code | County | ||
Bradenton | FL | 34209 | Manatee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
921031 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3305 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Manatee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
LAKEWOOD RANCH MEDICAL CENTER | 23960046 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/15/2015 | 10/11/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Severe hallux valgus deformity, left foot. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Left first tarsometatarsal fusion and silver bunionectomy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged improper performance of left foot reconstructive surgery resulting in ischemic injury, infection and BKA. | |||||
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 | ||||
6/23/2017 | 2017CA001875 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Manatee | 10/21/2019 | ||||
Other Defendants Involved in this Claim | |||||
Manatee Memorial Hospital dba Lakewood Ranch Medical Center Inphynet Contracting Services, LLC Inphynet Contracting Services, Inc. Coastal Orthopedics & Sports Medicine of Southwest Florida, Tishman, DO, Neal D Richardson, DPM, Phillip E | |||||
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 | |||||
10/21/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $33,484 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,860 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Department File Number : | M201990211 |
Claim Number : | 337764 |
Date Submitted : | 10/9/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | James | M | Cottom | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 6015 Pointe West Blvd. | ||||
City | State | Zip Code | County | ||
Bradenton | FL | 34209 | Manatee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0921031 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3305 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Manatee | ||||
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 | ||||
Other | Physician's office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/29/2014 | 1/11/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Achilles tendinitis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Debridement of Achilles tendon, FHL tendon transfer. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged improper management of post-operative wound resulting in infection, delayed healing and nerve injury. | |||||
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 | ||||
8/26/2016 | 2016CA 003069 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Sarasota | 9/26/2019 | ||||
Other Defendants Involved in this Claim | |||||
Coastal Orthopedics & Sports Medicine of Southwest Florida, | |||||
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 | |||||
9/26/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $350,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $39,532 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $19,041 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Department File Number : | M201988588 |
Claim Number : | 341808 |
Date Submitted : | 4/25/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | James | M | Cottom | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 6015 Pointe West Blvd. | ||||
City | State | Zip Code | County | ||
Bradenton | FL | 34209 | Manatee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0921031 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3305 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Manatee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
LAKEWOOD RANCH MEDICAL CENTER | 23960046 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/20/2014 | 4/22/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Severe, non-reducible hallux Valgus, non-reducible dislocated lesser digits, hammertoes of the second and third digits, left foot. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
First metatarsal osteotomy and joint arthrodesis, metatarsal head resection 2-5 with pinning, left foot. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged improper performance of left foot reconstructive surgery without proper vascular clearance resulting in ischemic injury to the forefoot, first and second toes. | |||||
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 | ||||
8/26/2016 | 2016CA003739 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Manatee | 4/16/2019 | ||||
Other Defendants Involved in this Claim | |||||
Maker, DPM, Jared Coastal Orthopedics & Sports Medicine of SW Florida, PA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
During trial, but before court verdict. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
Other | Settled during trial, no verdict/court decision. | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
4/16/2019 |
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 | $61,952 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $33,652 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
Does Dr. JAMES M COTTOM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES M COTTOM, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).