Covered recipient · General Payments record

TAMMY R SPRING

Allopathic & Osteopathic Physicians Internal Medicine Rheumatology

NPI: 1083816722
CMS profile: 139698
Location: RICHMOND, VA

General Payments · PY2018–2024

$16,204.25

Reported across 980 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,909.78

146 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 payment	Amount	Records
Food and Beverage	$2,909.78	146

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Amgen Inc.	$510.37	24
NOVARTIS PHARMACEUTICALS CORPORATION	$347.07	15
PFIZER INC.	$230.94	16
Acerta Pharma LLC	$224.36	12
ABBVIE INC.	$208.97	16
UCB, Inc.	$203.02	8
Radius Health, Inc.	$139.54	5
Janssen Biotech, Inc.	$136.87	6
Lilly USA, LLC	$120.23	5
ANI Pharmaceuticals, Inc.	$112.63	4
E.R. Squibb & Sons, L.L.C.	$104.08	5
Fresenius Kabi USA, LLC	$83.68	5
Organon LLC	$60.15	4
Kiniksa Pharmaceuticals International, plc	$59.34	3
Sandoz Inc.	$46.87	2
TerSera Therapeutics LLC	$45.28	2
GENZYME CORPORATION	$45.11	2
Alexion Pharmaceuticals, Inc.	$41.66	2
Kyowa Kirin, Inc.	$39.40	2
GlaxoSmithKline, LLC.	$30.81	2
Mallinckrodt Hospital Products Inc.	$23.00	1
SOBI, INC	$22.62	1
Invivyd Inc	$20.66	1
Aurinia Pharma U.S., Inc.	$19.63	1
Actelion Pharmaceuticals US, Inc.	$19.12	1
Pharming Healthcare, Inc.	$14.37	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,638.59	208
PY2019	$2,738.97	186
PY2020	$1,488.19	80
PY2021	$1,438.79	96
PY2022	$2,331.47	132
PY2023	$2,658.46	132
PY2024	$2,909.78	146

Payment records · PY2024 (146)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
ABBVIE INC.	$16.50	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1106149475	CMS
ABBVIE INC.	$13.36	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1106149477	CMS
ABBVIE INC.	$9.74	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1106149479	CMS
ABBVIE INC.	$12.33	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1106149481	CMS
ABBVIE INC.	$16.50	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1106149483	CMS
ABBVIE INC.	$14.10	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1106149485	CMS
ABBVIE INC.	$16.13	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1106149487	CMS
ABBVIE INC.	$13.03	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1106149489	CMS
ABBVIE INC.	$10.07	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1106149491	CMS
ABBVIE INC.	$11.78	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1106149493	CMS
ABBVIE INC.	$17.05	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1106149495	CMS
ABBVIE INC.	$17.74	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1106149497	CMS
ABBVIE INC.	$15.88	11/07/2024	Food and Beverage	Undisputed	01/23/2026	1106149499	CMS
ABBVIE INC.	$4.89	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1106149501	CMS
ABBVIE INC.	$8.94	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1106149503	CMS
ABBVIE INC.	$10.93	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1106149505	CMS
Actelion Pharmaceuticals US, Inc.	$19.12	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1078922793	CMS
Alexion Pharmaceuticals, Inc.	$22.53	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1093926595	CMS
Alexion Pharmaceuticals, Inc.	$19.13	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1093916964	CMS
Amgen Inc.	$27.24	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1116146504	CMS
Amgen Inc.	$22.63	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1116146556	CMS
Amgen Inc.	$28.84	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1116146510	CMS
Amgen Inc.	$22.10	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1116146518	CMS
Amgen Inc.	$21.55	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1116146472	CMS
Amgen Inc.	$21.06	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1117691126	CMS
Amgen Inc.	$22.94	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1116146524	CMS
Amgen Inc.	$19.80	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1116146550	CMS
Amgen Inc.	$17.65	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1117691128	CMS
Amgen Inc.	$8.91	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1116146568	CMS
Amgen Inc.	$19.01	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1116146562	CMS
Amgen Inc.	$28.81	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1117691130	CMS
Amgen Inc.	$19.65	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1116146478	CMS
Amgen Inc.	$28.40	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1116146530	CMS
Amgen Inc.	$19.98	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1116146576	CMS
Amgen Inc.	$18.56	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1116146484	CMS
Amgen Inc.	$18.88	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1117691132	CMS
Amgen Inc.	$5.71	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1116146588	CMS
Amgen Inc.	$15.18	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1116146582	CMS
Amgen Inc.	$22.68	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1116146492	CMS
Amgen Inc.	$28.40	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1116146536	CMS
Amgen Inc.	$24.18	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1117691134	CMS
Amgen Inc.	$22.65	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1116146498	CMS
Amgen Inc.	$25.56	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1116146544	CMS
ANI Pharmaceuticals, Inc.	$29.87	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1091150720	CMS
ANI Pharmaceuticals, Inc.	$30.67	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1091163914	CMS
ANI Pharmaceuticals, Inc.	$21.07	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1091146362	CMS
ANI Pharmaceuticals, Inc.	$31.02	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1091133149	CMS
AstraZeneca Pharmaceuticals LP	$20.51	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105581460	CMS
AstraZeneca Pharmaceuticals LP	$21.53	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1104711527	CMS
AstraZeneca Pharmaceuticals LP	$22.65	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1104283117	CMS
AstraZeneca Pharmaceuticals LP	$16.84	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1104497960	CMS
AstraZeneca Pharmaceuticals LP	$7.02	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1104587744	CMS
AstraZeneca Pharmaceuticals LP	$15.02	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1104612832	CMS
AstraZeneca Pharmaceuticals LP	$21.43	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1105861786	CMS
AstraZeneca Pharmaceuticals LP	$16.97	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1105631377	CMS
AstraZeneca Pharmaceuticals LP	$22.46	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1105633954	CMS
AstraZeneca Pharmaceuticals LP	$18.51	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1104445151	CMS
AstraZeneca Pharmaceuticals LP	$20.57	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1105578234	CMS
AstraZeneca Pharmaceuticals LP	$20.85	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1104609820	CMS
Aurinia Pharma U.S., Inc.	$19.63	07/26/2024	Food and Beverage	Undisputed	01/23/2026	1150692600	CMS
E.R. Squibb & Sons, L.L.C.	$19.97	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1101279621	CMS
E.R. Squibb & Sons, L.L.C.	$22.15	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1101279653	CMS
E.R. Squibb & Sons, L.L.C.	$16.37	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1101279689	CMS
E.R. Squibb & Sons, L.L.C.	$22.49	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1101279733	CMS
E.R. Squibb & Sons, L.L.C.	$23.10	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1101279739	CMS
Fresenius Kabi USA, LLC	$13.67	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1146942802	CMS
Fresenius Kabi USA, LLC	$16.35	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1146942804	CMS
Fresenius Kabi USA, LLC	$18.14	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1146942810	CMS
Fresenius Kabi USA, LLC	$17.58	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1146942806	CMS
Fresenius Kabi USA, LLC	$17.94	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1146942808	CMS
GENZYME CORPORATION	$22.62	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1139747592	CMS
GENZYME CORPORATION	$22.49	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1139747634	CMS
GlaxoSmithKline, LLC.	$14.37	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1116271738	CMS
GlaxoSmithKline, LLC.	$16.44	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1116543382	CMS
Invivyd Inc	$20.66	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1147384624	CMS
Janssen Biotech, Inc.	$22.81	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1078809992	CMS
Janssen Biotech, Inc.	$24.90	02/24/2024	Food and Beverage	Undisputed	01/23/2026	1078810741	CMS
Janssen Biotech, Inc.	$22.34	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1078811395	CMS
Janssen Biotech, Inc.	$21.29	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1078810016	CMS
Janssen Biotech, Inc.	$31.44	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1078811008	CMS
Janssen Biotech, Inc.	$14.09	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1078809415	CMS
Kiniksa Pharmaceuticals International, plc	$21.55	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1154880470	CMS
Kiniksa Pharmaceuticals International, plc	$19.77	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1154880502	CMS
Kiniksa Pharmaceuticals International, plc	$18.02	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1154880524	CMS
Kyowa Kirin, Inc.	$21.29	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1127044387	CMS
Kyowa Kirin, Inc.	$18.11	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1127044389	CMS
Lilly USA, LLC	$18.38	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1135435883	CMS
Lilly USA, LLC	$21.44	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1135472661	CMS
Lilly USA, LLC	$27.27	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1135436853	CMS
Lilly USA, LLC	$24.47	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1135435885	CMS
Lilly USA, LLC	$28.67	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1135435881	CMS
Mallinckrodt Hospital Products Inc.	$23.00	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1145141261	CMS
Novartis Pharmaceuticals Corporation	$31.82	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1087274219	CMS
Novartis Pharmaceuticals Corporation	$22.90	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1087274223	CMS
Novartis Pharmaceuticals Corporation	$32.91	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1087274233	CMS
Novartis Pharmaceuticals Corporation	$24.12	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1087274235	CMS
Novartis Pharmaceuticals Corporation	$11.74	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1087274237	CMS
Novartis Pharmaceuticals Corporation	$4.37	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1087274239	CMS
Novartis Pharmaceuticals Corporation	$25.53	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1087274241	CMS
Novartis Pharmaceuticals Corporation	$31.13	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1087274243	CMS
Novartis Pharmaceuticals Corporation	$29.11	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1087274247	CMS
Novartis Pharmaceuticals Corporation	$25.48	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1087274255	CMS
Novartis Pharmaceuticals Corporation	$0.63	08/09/2024	Food and Beverage	Undisputed	01/23/2026	1087274257	CMS
Novartis Pharmaceuticals Corporation	$28.03	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1087274259	CMS
Novartis Pharmaceuticals Corporation	$27.20	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1087274263	CMS
Novartis Pharmaceuticals Corporation	$31.16	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1087274271	CMS
Novartis Pharmaceuticals Corporation	$20.94	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1087274273	CMS
Organon Llc	$10.50	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1136215280	CMS
Organon Llc	$21.55	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1136215284	CMS
Organon Llc	$13.59	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1136215292	CMS
Organon Llc	$14.51	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1136215288	CMS
PFIZER INC.	$14.85	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1131009236	CMS
PFIZER INC.	$21.73	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1131205073	CMS
PFIZER INC.	$21.68	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1131395158	CMS
PFIZER INC.	$2.27	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1131821072	CMS
PFIZER INC.	$17.27	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1131436180	CMS
PFIZER INC.	$20.83	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131650820	CMS
PFIZER INC.	$22.79	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1131782258	CMS
PFIZER INC.	$22.32	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1131845889	CMS
PFIZER INC.	$0.63	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1131934786	CMS
PFIZER INC.	$21.21	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1131981199	CMS
PFIZER INC.	$2.76	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1132093550	CMS
PFIZER INC.	$21.05	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1132105106	CMS
PFIZER INC.	$1.75	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1131189854	CMS
PFIZER INC.	$18.29	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1131131602	CMS
PFIZER INC.	$0.42	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1131179275	CMS
PFIZER INC.	$21.09	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1131194132	CMS
Pharming Healthcare, Inc.	$14.37	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1132166832	CMS
Radius Health, Inc.	$20.37	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1089996607	CMS
Radius Health, Inc.	$23.20	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1089996612	CMS
Radius Health, Inc.	$28.93	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1089996620	CMS
Radius Health, Inc.	$32.97	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1089996625	CMS
Radius Health, Inc.	$34.07	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1089996630	CMS
Sandoz Inc.	$24.87	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1089373661	CMS
Sandoz Inc.	$22.00	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1089373729	CMS
SOBI, INC	$22.62	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1141424949	CMS
TerSera Therapeutics LLC	$21.04	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1144718792	CMS
TerSera Therapeutics LLC	$24.24	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1144718794	CMS
UCB, Inc.	$13.22	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1143115933	CMS
UCB, Inc.	$29.49	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1143115935	CMS
UCB, Inc.	$29.61	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1143115937	CMS
UCB, Inc.	$31.00	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1143115939	CMS
UCB, Inc.	$30.06	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1143115941	CMS
UCB, Inc.	$18.30	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1143115943	CMS
UCB, Inc.	$29.24	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1143115945	CMS
UCB, Inc.	$22.10	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1143115947	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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