Dr. THOMAS CHERPAK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. THOMAS CHERPAK, MD

14884 Tamiami Trail

Indemnity Paid: $85,000.00

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	THOMAS			CHERPAK
Insurer Type		Street Address of Practice
Licensed		14884 Tamiami Trail
City		State	Zip Code	County
North Port		FL	34287	Sarasota
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
IN076116		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN17409		Dental General Practice - NOC

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Sarasota
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

Date of Occurrence		Date Reported to Insurer
7/28/2010		10/19/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient requested tooth whitening and crown replacement on # 9
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Evaluation of # 9 showed prior root canal and deteriorated tooth. Patient requested bridge rather than recommended implant and complained of fit of temporary and left practice.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleged improper crown placement and improper prep and placement of bridge, resulting in damage to 7, 8 & 10, requiring multiple implant placements.
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
9/26/2011			2011 CA 007766NC
County Suit Filed in			Date of Final Disposition
Sarasota			5/15/2014
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
Other			Dismissal
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/15/2014

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$85,000

Loss Adjust Expense Paid to Defense Counsel

$19,702

All Other Loss Adjustment Expense Paid

$23,825

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

Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

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

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Does Dr. THOMAS CHERPAK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. THOMAS CHERPAK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).