Dr. ROBERT W BURK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. ROBERT W BURK, MD

209 Ponte Vedra Park Drive

Indemnity Paid: $30,000.00

Insurer Information

Insurer Name				Coverage Type
NORCAL MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
94-2301054
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Terese		N	Grant
Street Address
1700 BENT CREEK BOULEVARD
City				State	Zip
Mechanicsburg				PA	17050
Phone	Ext	Fax	E-Mail Address
(717) 796 - 5410			tgrant@norcal-group.com

Insured Information

Type	First Name		MI	Last Name
Individual	Robert		W	Burk
Insurer Type		Street Address of Practice
Licensed		209 Ponte Vedra Park Drive
City		State	Zip Code	County
Ponte Vedra		FL	32082	St. Johns
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
723054N		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME57422		Surgery - Plastic

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	St. Johns
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Ponte Vedra Ambulatory Surgical Center
Name of Institution		Code
PONTE VEDRA AMBULATORY SURGERY CENTER		14960476
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/9/2017		3/20/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Erbium Laser Procedure/Rhinoplasty
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Erbium Laser Procedure/Rhinoplasty
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to remove protective eye plates post-operatively
Principal Injury Giving Rise To The Claim
Alleged failure to remove protective eye plates post-operatively
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			1/15/2018
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Settlement Reached Prior to Pre-Suit Period
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/21/2018

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

$2,050

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

Insured counsel by defense atty

Does Dr. ROBERT W BURK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. ROBERT W BURK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases