Dr. VERNON GORDON, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. VERNON GORDON, MD

250 Palm Coast Pkwy NE

Palm Coast, FL

32137

Flagler

Court Case #

Indemnity Paid: $112,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201885842
Claim Number :	162680
Date Submitted :	7/10/2018

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	Richard			Petersen
Street Address
4651 Salisbury Rd. #410
City				State	Zip
Jacksonville				FL	32256
Phone	Ext	Fax	E-Mail Address
(904) 309 - 8142		(904) 394 - 7134	rpetersen@norcal-group.com

Insured Information

Type	First Name		MI	Last Name
Individual	Vernon			Gordon
Insurer Type		Street Address of Practice
Licensed		250 Palm Coast Parkway
City		State	Zip Code	County
Palm Coast		FL	32137	Flagler
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
725219E		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN15828		Dentists

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	Flagler
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
Other		Dentist Office
Date of Occurrence		Date Reported to Insurer
4/21/2016		3/29/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Wisdom teeth removal.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Wisdom teeth removal.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient alleged complications from wisdom teeth removal including numbness.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

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			6/21/2018
Other Defendants Involved in this Claim
Coast Dental PA
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			Settled between parties
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/21/2018

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$112,500

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

Facts of the case were discussed with the insured & risk management.

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: $7,445.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201781589
Claim Number :	HMA31311
Date Submitted :	3/30/2017

Insurer Information

Insurer Name				Coverage Type
CONTINENTAL CASUALTY COMPANY				Primary
Insurer FEIN		Professional License Number
36-2114545
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Shauna			Jumper
Street Address
333 S Wabash Ave
City				State	Zip
Chicago				IL	60604
Phone	Ext	Fax	E-Mail Address
(312) 822 - 5419			Shauna.Jumper@cna.com

Insured Information

Type	First Name		MI	Last Name
Individual	Vernon			Gordon
Insurer Type		Street Address of Practice
Licensed		250 Palm Coast Pkwy NE
City		State	Zip Code	County
Palm Coast		FL	32137	Flagler
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
DNC 428186134		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Dentistry
License Number		Specialty Code & Classification		Certification Number
DN15828		Dental General Practice - NOC

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	Flagler
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Dental Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
6/24/2014		7/21/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alleged it was not a deep cut, just a scratch.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient went in for dental work.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient had a hard time keeping his head still. The insured warned the child to remain still as he was using the handpiece in his mouth. All of a sudden, the child "jerked" his head to the left and the handpiece caused a 1" abrasion to the right side of the lip
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

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			3/9/2017
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
3/9/2017

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$7,445

Loss Adjust Expense Paid to Defense Counsel

$26,031

All Other Loss Adjustment Expense Paid

$3,288

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

Consult advise from Legal counsel

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.

Frequently Asked Questions

Does Dr. VERNON GORDON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. VERNON GORDON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

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