Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

SPENCER AUSTIN PUGH

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1003294992
CMS profile
7218262
Location
KNOXVILLE, TN

General Payments · PY2018–2024

$3,501.93

  • Reported across 132 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$911.98

32 records · 0 disputed

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

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $641.54 29
Travel and Lodging $237.86 2
Education $32.58 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $15.13 1
PY2019 $726.50 32
PY2020 $275.36 14
PY2021 $124.44 7
PY2022 $614.62 21
PY2023 $833.90 25
PY2024 $911.98 32

Payment records · PY2024 (32)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Actelion Pharmaceuticals US, Inc. $30.13 05/24/2024 Food and Beverage Undisputed 01/23/2026 1078913567 CMS
Actelion Pharmaceuticals US, Inc. $27.13 07/31/2024 Food and Beverage Undisputed 01/23/2026 1078913629 CMS
Ambu Inc. $15.22 08/19/2024 Food and Beverage Undisputed 01/23/2026 1134078688 CMS
Amgen Inc. $16.83 08/28/2024 Food and Beverage Undisputed 01/23/2026 1117659798 CMS
Amgen Inc. $24.43 10/31/2024 Food and Beverage Undisputed 01/23/2026 1116031526 CMS
AstraZeneca Pharmaceuticals LP $22.83 02/24/2024 Food and Beverage Undisputed 01/23/2026 1104445889 CMS
AstraZeneca Pharmaceuticals LP $27.70 03/15/2024 Food and Beverage Undisputed 01/23/2026 1105626481 CMS
AstraZeneca Pharmaceuticals LP $3.94 06/28/2024 Food and Beverage Undisputed 01/23/2026 1104680589 CMS
AstraZeneca Pharmaceuticals LP $18.50 06/28/2024 Food and Beverage Undisputed 01/23/2026 1105696234 CMS
AstraZeneca Pharmaceuticals LP $20.17 09/24/2024 Food and Beverage Undisputed 01/23/2026 1105395382 CMS
AstraZeneca Pharmaceuticals LP $32.58 10/28/2024 Education Undisputed 01/23/2026 1104341544 CMS
AstraZeneca Pharmaceuticals LP $14.25 10/29/2024 Food and Beverage Undisputed 01/23/2026 1105465907 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.15 05/10/2024 Food and Beverage Undisputed 01/23/2026 1117832064 CMS
GENZYME CORPORATION $24.00 02/27/2024 Food and Beverage Undisputed 01/23/2026 1139965999 CMS
GENZYME CORPORATION $25.55 03/01/2024 Food and Beverage Undisputed 01/23/2026 1139966007 CMS
GENZYME CORPORATION $21.57 06/07/2024 Food and Beverage Undisputed 01/23/2026 1139966031 CMS
GENZYME CORPORATION $26.78 10/09/2024 Food and Beverage Undisputed 01/23/2026 1139966073 CMS
GlaxoSmithKline, LLC. $22.84 04/05/2024 Food and Beverage Undisputed 01/23/2026 1116729474 CMS
GlaxoSmithKline, LLC. $15.35 07/01/2024 Food and Beverage Undisputed 01/23/2026 1116730630 CMS
GlaxoSmithKline, LLC. $22.53 11/02/2024 Food and Beverage Undisputed 01/23/2026 1115791878 CMS
Grifols USA, LLC $22.81 04/16/2024 Food and Beverage Undisputed 01/23/2026 1124711812 CMS
Insmed, Inc. $24.83 07/25/2024 Food and Beverage Undisputed 01/23/2026 1089561832 CMS
INTUITIVE SURGICAL, INC. $6.00 06/11/2024 Travel and Lodging Undisputed 01/23/2026 1137243496 CMS
INTUITIVE SURGICAL, INC. $16.99 07/09/2024 Food and Beverage Undisputed 01/23/2026 1137290391 CMS
INTUITIVE SURGICAL, INC. $231.86 07/10/2024 Travel and Lodging Undisputed 01/23/2026 1137293679 CMS
Merck Sharp & Dohme LLC $32.86 09/05/2024 Food and Beverage Undisputed 01/23/2026 1141865970 CMS
Merck Sharp & Dohme LLC $25.81 12/19/2024 Food and Beverage Undisputed 01/23/2026 1141680257 CMS
Regeneron Healthcare Solutions, Inc. $17.14 08/08/2024 Food and Beverage Undisputed 01/23/2026 1114140801 CMS
Regeneron Healthcare Solutions, Inc. $24.17 09/18/2024 Food and Beverage Undisputed 01/23/2026 1114140803 CMS
Regeneron Healthcare Solutions, Inc. $25.05 11/14/2024 Food and Beverage Undisputed 01/23/2026 1114140805 CMS
Regeneron Healthcare Solutions, Inc. $19.76 12/16/2024 Food and Beverage Undisputed 01/23/2026 1114140807 CMS
Takeda Pharmaceuticals U.S.A., Inc. $34.22 04/17/2024 Food and Beverage Undisputed 01/23/2026 1137657018 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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