Department File Number : | M201783934 |
Claim Number : | 622.003 |
Date Submitted : | 12/29/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HUGHES-PAPSIDERO, JOHN | Primary | ||||
Insurer FEIN | Professional License Number | ||||
29-7504804 | OS5273 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joseph | S | Justice | ||
Street Address | |||||
105 E. Robinson Street, Suite 400 | |||||
City | State | Zip | |||
Orlando | FL | 32801 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 841 - 3800 | (407) 841 - 3855 | Jjustice@ringerhenry.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOHN | HUGHES-PAPSIDERO | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 2181 PORTLIGHT DRIVE, APT. 203 | ||||
City | State | Zip Code | County | ||
ORLANDO | FL | 32814 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
622.003 | $115,000 | $115,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS5273 | Otorhinolaryngology - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | LIFESTYLE LIFT | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/20/2009 | 6/18/2010 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
LOWER 1/3 OF THE FACIAL SKIN LAXITY WITH JOWLING NECK LAXITY | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
LIFESTYLE LIFT PROCEDURE WITH PLATYSMAPLASTY | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGEDLY LEFT SCARRING | |||||
Principal Injury Giving Rise To The Claim | |||||
SCARRING | |||||
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 | ||||
12/17/2010 | 2010-CA-261710-O | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 11/27/2017 | ||||
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 | ||||
Other | DISMISSAL AFTER SETTLEMENT | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/15/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $115,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $115,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
THIS ENTITY NO LONGER PERFORMS THESE PROCEDURES |
Updates | |
No updates found. |
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Department File Number : | M201783935 |
Claim Number : | 622.002 |
Date Submitted : | 12/29/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HUGHES-PAPSIDERO, JOHN | Primary | ||||
Insurer FEIN | Professional License Number | ||||
29-7504804 | OS5273 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joseph | S | Justice | ||
Street Address | |||||
105 Robinson Street, Suite 400 | |||||
City | State | Zip | |||
Orlando | FL | 32801 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 841 - 3800 | Iustitia812@gmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOHN | HUGHES-PAPSIDERO | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 2181 Portlight Drive Apt. 203 | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32814 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
622.002 | $40,000 | $40,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS5273 | Surgery - Plastic - Otorhinolaryngology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Lifestyle Lift | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/5/2012 | 11/8/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Face and neck skin/soft tissue ptosis, excess submental and jowl fat, prominent platysmal bands | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Lifestyle lift (SMAS Facelift), cervical/jowl liposuction, platysmaplasty | |||||
Diagnostic Code : | cpt15828 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No alleged misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged scarring | |||||
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 | ||||
3/26/2014 | 2014-CA-3206-O | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 12/7/2015 | ||||
Other Defendants Involved in this Claim | |||||
LIFESTYLE LIFT Orlando Surgical Associates | |||||
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 | ||||
Other | DISMISSAL AFTER SETTLEMENT | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
1/12/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $40,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured is no longer doing these types of procedures. |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201783606 |
Claim Number : | 622.005 |
Date Submitted : | 11/7/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HUGHES-PAPSIDERO, JOHN | Primary | ||||
Insurer FEIN | Professional License Number | ||||
29-7504804 | OS5273 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOSEPH | S | JUSTICE | ||
Street Address | |||||
105 E. ROBINSON STREET, SUITE 400 | |||||
City | State | Zip | |||
ORLANDO | FL | 32801 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 841 - 3800 | (407) 841 - 3855 | JJUSTICE@RINGERHENRY.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | Hughes-Papsidero | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 2181 Portlight Drive, Apt. 203 | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32814 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
622.005 | $30,000 | $30,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS5273 | Otorhinolaryngology - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Lifestyle Lift | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/20/2012 | 8/4/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Bilateral Brow Ptosis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Lateral subcutaneous brow lift | |||||
Diagnostic Code : | CPT15824 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Allegation was that the lift left scars | |||||
Principal Injury Giving Rise To The Claim | |||||
Scarring | |||||
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 | ||||
5/21/2015 | 2015-CA-1896-O | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 9/21/2017 | ||||
Other Defendants Involved in this Claim | |||||
Lifestyle Lift | |||||
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 | ||||
Other | Dismissal pending payment | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
10/1/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $30,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $19,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
This entity no longer performs these procedures |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. JOHN HUGHES-PAPSIDERO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN HUGHES-PAPSIDERO, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).