Dr. ROGER E BASSIN, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. ROGER E BASSIN, MD

1705 Berglund Lane, Suite 103

Viera, FL

32940

Brevard

Court Case # 2010CA004840

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201161805
Claim Number :	7382
Date Submitted :	10/7/2011

Insurer Information

Insurer Name				Coverage Type
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.)				Primary
Insurer FEIN		Professional License Number
94-3047990
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Roger		E	Bassin
Street Address
1705 Berglund Lane, Suite 103
City				State	Zip
Viera				FL	32940
Phone	Ext	Fax	E-Mail Address
(321) 255 - 0025		(321) 255 - 0027	christine@drbassin.com

Insured Information

Type	First Name		MI	Last Name
Individual	Roger		E	Bassin
Insurer Type		Street Address of Practice
Licensed		1705 Berglund Lane, Suite 103
City		State	Zip Code	County
Viera		FL	32940	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
OMC0009888		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85585		Surgery - Opthalmology

Medical Malpractice Closed Claims Report

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
Physician's Office
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
4/14/2010		7/15/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
pt was diagnosed with having retrobulbar hematoma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
patient had facelift and blepharplasty
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
pt was diagnosed with having retrobulbar hematoma
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/1/2010			2010CA004840
County Suit Filed in			Date of Final Disposition
Lake			5/5/2011
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
No Court Proceedings.
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/5/2011

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

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

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

Office is in contact with patients the evening of their procedure for follow-up care in addition tonext day for post surgical followup. Continuing to provide additional patient instruction to patients prior to surgery on awareness of post surgical complications.

Updates

No updates found.

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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Court Case #

Indemnity Paid: $25,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201988386
Claim Number :	1046245-01
Date Submitted :	9/25/2019

Insurer Information

Insurer Name				Coverage Type
NATIONAL FIRE & MARINE INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
47-6021331
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Michelle			Pierron
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(800) 463 - 3776			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Roger		E	Bassin
Insurer Type		Street Address of Practice
Licensed		1705 Berglund Ln Ste 103
City		State	Zip Code	County
Viera		FL	32940	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
ES009204		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85585		Surgery - Plastic

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Bassin Center for Plastic Surgery
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/22/2017		7/17/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Loose skin, jowling in neck
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Facelift, Brow lift
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Area of depigmentation on forehead
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			3/18/2019
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/18/2019

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$25,000

Loss Adjust Expense Paid to Defense Counsel

$4,277

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

$8,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$17,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Updates

No updates found.

Court Case # 05-2013-CC-69850

Indemnity Paid: $5,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201470759
Claim Number :	052013CC
Date Submitted :	5/8/2014

Insurer Information

Insurer Name				Coverage Type
Bassin, Roger E				Primary
Insurer FEIN		Professional License Number
20-2998816		ME85585
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Roger		E	Bassin
Street Address
1705 Berglund Lane, Suite 103
City				State	Zip
VIera				FL	32940
Phone	Ext	Fax	E-Mail Address
(321) 255 - 0025		(321) 255 - 0027	christine@drbassin.com

Insured Information

Type	First Name		MI	Last Name
Individual	Roger		E	Bassin
Insurer Type		Street Address of Practice
Self-Insurer		1705 Berglund Lane, Suite 103
City		State	Zip Code	County
Viera		FL	32940	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
C52128		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85585		Surgery - Opthalmology

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Brevard
City			State	Zip Code

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
10/21/2009		9/19/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient filed claim originally as she was not happy with results, then later changed claim she wanted money returned for non-completed services.
Severity Of Injury
Emotional Only - Fright, no physical damage

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/19/2013			05-2013-CC-69850
County Suit Filed in			Date of Final Disposition
Brevard			4/11/2014
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
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$5,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

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

Doctor continues during consultation revewing with patient in office procedures and what a patient can expect as discomfort.

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.

Court Case # 05-2015-CA-039886

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201783840
Claim Number :	1025395
Date Submitted :	12/12/2017

Insurer Information

Insurer Name				Coverage Type
NATIONAL FIRE & MARINE INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
47-6021331
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Myra			Lassen
Street Address
5814 Reed Road
City				State	Zip
Ft Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(800) 463 - 3776			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	Roger		E	Bassin
Insurer Type		Street Address of Practice
Licensed		1705 Berglund Lane, Ste 103
City		State	Zip Code	County
Viera		FL	32940	Brevard
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
ES009204		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85585		Surgery - Plastic

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Brevard
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
MELBOURNE SURGERY CENTER		249
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
1/18/2013		4/10/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Upper lid ptosis and lower lid laxity
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery on eyelids
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Removed excessive eyelid tissue and failure to correct excessive eye exposure
Principal Injury Giving Rise To The Claim
Loss of visual acuity, cornea damage, 2nd corrective surgery
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/16/2015			05-2015-CA-039886
County Suit Filed in			Date of Final Disposition
Brevard			10/24/2017
Other Defendants Involved in this Claim
Surgical Care Affiliates Inc Melbourne Surgery Center LP Melbourne Surgery Center LLC The Bassin Center for Plastic Surgery
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
Disposed of by Court
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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$13,765

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

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

No updates found.

This page is not displaying certain sensitive information.

Frequently Asked Questions

Does Dr. ROGER E BASSIN, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. ROGER E BASSIN, MD has at least 4 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases