Dr. PETER A COURCY, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. PETER A COURCY, MD

1717 North E St., Suite 205

Pensacola, FL

32501

Escambia

Court Case # 2006 VA 001788

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200848251
Claim Number :	23779
Date Submitted :	2/20/2008

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	cwehner@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Peter		A	Courcy
Insurer Type		Street Address of Practice
Licensed		1717 North E St., Suite 205
City		State	Zip Code	County
Pensacola		FL	32501	Escambia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1601336 01		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME44155		Surgery - General		3509

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAPTIST HOSPITAL		100093
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
7/28/2004		5/1/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Morbid obesity
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Roux-en-y gastric bypass
Diagnostic Code :		427.59
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose leak
Principal Injury Giving Rise To The Claim
Leak
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/11/2006			2006 VA 001788
County Suit Filed in			Date of Final Disposition
Escambia			2/12/2008
Other Defendants Involved in this Claim
Gulf Coast 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
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/19/2007

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

$12,676

All Other Loss Adjustment Expense Paid

$8,507

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$411,994	$150,000
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Risk management has counseled insured

Updates

Date of Change:

2/20/2008 12:20:27 PM

Reason for Change:

Report updated to reflect Court Document final disposition date of 02/12/08

Field Changed	Former Value	New Value
Date of Final Disposition	14-DEC-07	12-FEB-08

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Court Case # 2006CA469

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200848593
Claim Number :	1000711
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	Peter		A	Courcy
Insurer Type		Street Address of Practice
Licensed		1011 A West Moreno Street
City		State	Zip Code	County
Pensacola		FL	32501	Escambia
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
FL003855		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME44155		Surgery - General

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
BAPTIST HOSPITAL		100093
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/4/2004		1/9/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparascopic Cholecystectomy
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Transecting common bile duct during procedure
Principal Injury Giving Rise To The Claim
Post-op pain and suffering and complications; need for corrective surgery
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
3/16/2006			2006CA469
County Suit Filed in			Date of Final Disposition
Escambia			2/11/2008
Other Defendants Involved in this Claim
Gulf Coast Surgical Associates a/k/a 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
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/5/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$200,000

Loss Adjust Expense Paid to Defense Counsel

$21,508

All Other Loss Adjustment Expense Paid

$6,617

Injured Person's Total Non-Economic Loss

$150,000

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 11:08:41 AM

Reason for Change:

ALE Update

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	20110	21508
All Other Loss Adjustment Expense Paid	6004	6617

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Frequently Asked Questions

Does Dr. PETER A COURCY, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. PETER A COURCY, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).