Medspira, LLC

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Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

Centers for Medicare & Medicaid Services, Open Payments

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state.

Payment records · PY2022

Date, newest first, then reporting company; values as published by CMS.

General Payments · PY2022 · All recipient types · CMS publication 2026-06-30

21 matching records · $629.12 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 21 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–21 of 21.

Recipient Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
JONATHAN M ERLICH
Physician / non-physician practitioner
Medspira, LLC $15.4908/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923491895 CMS
ROBERT WAYNE CLINE
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923496461 CMS
DAVID CLARK FLEEGER
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923496507 CMS
APRIL WEST FOX
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923586005 CMS
ERNEST DOYLE GRAVES
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923604425 CMS
THIRU V LAKSHMAN
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923631959 CMS
ANDREW HUBBARD MILLER
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923654861 CMS
JOHN S MANGIONE
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923722771 CMS
RICARDO LERMA SOLIS
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923744881 CMS
AMAR SIDDHARTH SHAH
Physician / non-physician practitioner
Medspira, LLC $19.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026923773317 CMS
JEFFREY P LAKE
Physician / non-physician practitioner
Medspira, LLC $14.2904/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026947461389 CMS
DANIEL S GINGOLD
Physician / non-physician practitioner
Medspira, LLC $12.8904/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026947493441 CMS
CHARLES N HEADRICK
Physician / non-physician practitioner
Medspira, LLC $19.7704/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026947515131 CMS
SHIUN T KER
Physician / non-physician practitioner
Medspira, LLC $49.2501/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026951726929 CMS
GABRIEL GARCIA BARAJAS
Physician / non-physician practitioner
Medspira, LLC $37.9701/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026951849395 CMS
SANG WON LEE
Physician / non-physician practitioner
Medspira, LLC $50.0001/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954770917 CMS
ERIK R NOREN
Physician / non-physician practitioner
Medspira, LLC $50.0001/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954837825 CMS
CHRISTINE HSIEH
Physician / non-physician practitioner
Medspira, LLC $50.0001/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954928141 CMS
MARJUN PHILIP NARCISCO DULDULAO
Physician / non-physician practitioner
Medspira, LLC $50.0001/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026955046545 CMS
DEBBIE HILL
Physician / non-physician practitioner
Medspira, LLC $50.0001/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026955333619 CMS
SARAH ELIZABETH KOLLER
Physician / non-physician practitioner
Medspira, LLC $50.0001/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026955372323 CMS

Practitioner overview · all loaded program years

23 providers listed 23 records General Payments

General Payments to practitioners — all loaded program years

  • Category: General Payments
  • Program years: 2021, 2022
  • Record count: 23
  • Providers listed: 23

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.

Coverage: program years 2019–2025, General Payments only, reported to physicians and non-physician practitioners. Payments to teaching hospitals are not included in these practitioner figures. Each figure is labeled with its category and program year; categories are never combined.

Practitioner payments by program year

Program yearReportedRecordsProvidersDetail
PY2021 $55.50 2 2 This company in PY2021 →
PY2022 $629.12 21 21 This company in PY2022 →

By recipient specialty (5)

Sorted by name; identical names by identifier.

Allopathic & Osteopathic Physicians 3 specialties 21 providers
Physician Assistants & Advanced Practice Nursing Providers 2 specialties 2 providers

Providers listed (23)

Sorted by name; identical names by identifier.

ProviderSpecialtyStateRecords reported by this company
AMAR SIDDHARTH SHAH Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
ANDREW HUBBARD MILLER Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
APRIL WEST FOX Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
CHARLES N HEADRICK Allopathic & Osteopathic Physicians|Colon & Rectal Surgery CA 1
CHRISTINE HSIEH Allopathic & Osteopathic Physicians|Colon & Rectal Surgery CA 1
DANIEL S GINGOLD Allopathic & Osteopathic Physicians|Colon & Rectal Surgery NY 1
DANIEL S REICH Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology NY 1
DAVID CLARK FLEEGER Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
DEBBIE HILL Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner CA 1
ERIK R NOREN Allopathic & Osteopathic Physicians|Colon & Rectal Surgery CA 1
ERNEST DOYLE GRAVES Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
GABRIEL GARCIA BARAJAS Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family CA 1
JEFFREY P LAKE Allopathic & Osteopathic Physicians|Colon & Rectal Surgery CA 1
JOHN S MANGIONE Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
JONATHAN M ERLICH Allopathic & Osteopathic Physicians|Internal Medicine|Gastroenterology IL 1
MARJUN PHILIP NARCISCO DULDULAO Allopathic & Osteopathic Physicians|Colon & Rectal Surgery CA 1
MICHAEL REICH Allopathic & Osteopathic Physicians|Surgery NY 1
RICARDO LERMA SOLIS Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
ROBERT WAYNE CLINE Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1
SANG WON LEE Allopathic & Osteopathic Physicians|Colon & Rectal Surgery CA 1
SARAH ELIZABETH KOLLER Allopathic & Osteopathic Physicians|Colon & Rectal Surgery CA 1
SHIUN T KER Allopathic & Osteopathic Physicians|Surgery CA 1
THIRU V LAKSHMAN Allopathic & Osteopathic Physicians|Colon & Rectal Surgery TX 1