Covered recipient · General Payments record
LAURENCE N SPIER
Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery)
General Payments · PY2019–2025
$95,460.54
- Reported across 195 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Education | $8,000.00 | 2 |
| Food and Beverage | $750.84 | 8 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| INTUITIVE SURGICAL, INC. | $8,470.57 | 5 |
| DAVOL INC. | $228.04 | 3 |
| Merck Sharp & Dohme Corporation | $33.12 | 1 |
| ATRICURE, INC. | $19.11 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (10)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| AtriCure, Inc. | $19.11 | 02/11/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1223215194 | CMS |
| Davol Inc. | $112.47 | 01/08/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1232207342 | CMS |
| Davol Inc. | $66.67 | 01/14/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1232207340 | CMS |
| Davol Inc. | $48.90 | 04/07/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1232207348 | CMS |
| INTUITIVE SURGICAL, INC. | $4,000.00 | 02/21/2025 | Education | Undisputed | 06/30/2026 | 1236513676 | CMS |
| INTUITIVE SURGICAL, INC. | $300.00 | 02/21/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1236513682 | CMS |
| INTUITIVE SURGICAL, INC. | $20.57 | 03/04/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1236513680 | CMS |
| INTUITIVE SURGICAL, INC. | $150.00 | 03/12/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1236513674 | CMS |
| INTUITIVE SURGICAL, INC. | $4,000.00 | 03/12/2025 | Education | Undisputed | 06/30/2026 | 1236513678 | CMS |
| Merck Sharp & Dohme LLC | $33.12 | 01/29/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1238341411 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-06-30
- Program years on this page
- 2019, 2020, 2021, 2023, 2024, 2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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