Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

MARGARET RUTH SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1124690979
CMS profile
10927211
Location
TUCSON, AZ

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2023 · Entire year

$4,726.17

191 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

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.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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. View the official CMS record ↗

By nature of payment

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $3,621.18 187
Honoraria $920.00 1
Education $184.99 3

By paying entity

PY2023 · entire year · sorted by reported total

Paying entityAmountRecords
PharmaEssentia USA Corporation $941.37 2
Janssen Biotech, Inc. $384.89 15
Merck Sharp & Dohme LLC $331.53 17
NOVARTIS PHARMACEUTICALS CORPORATION $297.10 16
Incyte Corporation $206.63 5
Amgen Inc. $199.24 13
Seagen Inc. $184.36 10
Celgene Corporation $174.71 15
AstraZeneca Pharmaceuticals LP $128.69 5
Daiichi Sankyo Inc. $122.43 5
GENZYME CORPORATION $109.64 5
Regeneron Healthcare Solutions, Inc. $109.16 5
GlaxoSmithKline, LLC. $103.80 5
SANOFI-AVENTIS U.S. LLC $99.00 1
Bayer Healthcare Pharmaceuticals Inc. $91.15 4
Alexion Pharmaceuticals, Inc. $83.02 4
Lilly USA, LLC $75.64 4
Kite Pharma, Inc. $72.04 4
Mirati Therapeutics, Inc. $71.00 3
Karyopharm Therapeutics Inc. $69.72 4
SOBI, INC $64.35 3
Eisai Inc. $53.98 3
JAZZ PHARMACEUTICALS INC. $53.58 2
Rigel Pharmaceuticals, Inc. $52.06 6
Stemline Therapeutics Inc. $42.95 2
Takeda Pharmaceuticals U.S.A., Inc. $42.44 2
PFIZER INC. $37.40 2
Astellas Pharma US Inc $37.39 2
Teva Pharmaceuticals USA, Inc. $36.43 2
Pharmacosmos Therapeutics Inc. $36.17 2
Adaptive Biotechnologies Corporation $35.41 2
TAIHO ONCOLOGY, INC. $35.40 2
AVEO Pharmaceuticals, Inc. $34.33 2
Genentech USA, Inc. $31.24 2
Apellis Pharmaceuticals, Inc. $28.44 2
Genmab U.S., Inc. $28.19 1
ABBVIE INC. $28.09 2
Boehringer Ingelheim Pharmaceuticals, Inc. $27.26 1
ACCORD HEALTHCARE, INC. $25.29 1
Pharmacyclics LLC, An AbbVie Company $22.70 1
Progenics Pharmaceuticals, Inc. $21.48 1
ADC Therapeutics America, Inc. $20.90 1
EMD Serono, Inc. $16.74 1
E.R. Squibb & Sons, L.L.C. $16.05 1
ARRAY BIOPHARMA INC $14.78 1
Sumitomo Pharma America, Inc. $14.07 1
RECORDATI_RARE_DISEASES_INC. $13.93 1

Page 4 of 4; records 151–191 of 191 matching records. This page contains 41 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

MARGARET RUTH SPENCER

NPI 1124690979 · CMS profile ID 10927211

Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner / Family

TUCSON, AZ

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 4 of 4; records 151–191 of 191 matching records. This page contains 41 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1124690979?year=2023&recipient=provider&page=4#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
MARGARET RUTH SPENCER, NPI 1124690979, CMS profile ID 10927211. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 4 of 4; records 151–191 of 191 matching records. This page contains 41 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1124690979?year=2023&recipient=provider&page=4#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7
IndustryPayments. (2026). MARGARET RUTH SPENCER, NPI 1124690979, CMS profile ID 10927211. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 4 of 4; records 151–191 of 191 matching records. This page contains 41 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1124690979?year=2023&recipient=provider&page=4#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook
MARGARET RUTH SPENCER, NPI 1124690979, CMS profile ID 10927211, IndustryPayments, General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 4 of 4; records 151–191 of 191 matching records. This page contains 41 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1124690979?year=2023&recipient=provider&page=4#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2023

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

191 matching records · $4,726.17 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 191 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 151–191 of 191.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Boehringer Ingelheim Pharmaceuticals, Inc. $27.2604/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 996697265 CMS
GlaxoSmithKline, LLC. $17.2304/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1004321337 CMS
Novartis Pharmaceuticals Corporation $21.3204/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 993312517 CMS
Rigel Pharmaceuticals, Inc. $5.7804/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033398501 CMS
Lilly USA, LLC $17.7703/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1033205627 CMS
Celgene Corporation $5.2803/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015945653 CMS
Celgene Corporation $6.3603/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015945657 CMS
SANOFI-AVENTIS U.S. LLC $99.0003/29/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1050456489 CMS
Amgen Inc. $10.7603/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1020426225 CMS
Merck Sharp & Dohme LLC $12.1603/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048910273 CMS
Janssen Biotech, Inc. $37.0303/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988016861 CMS
ADC Therapeutics America, Inc. $20.9003/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1053796977 CMS
Novartis Pharmaceuticals Corporation $11.0503/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 993312513 CMS
Janssen Biotech, Inc. $22.2703/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988016887 CMS
Janssen Biotech, Inc. $25.7403/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988016895 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.3903/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1005554385 CMS
Merck Sharp & Dohme LLC $19.2203/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048433011 CMS
Merck Sharp & Dohme LLC $24.9103/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048875521 CMS
Mirati Therapeutics, Inc. $21.0002/28/2023 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1058017027 CMS
Janssen Biotech, Inc. $20.9702/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988016878 CMS
Alexion Pharmaceuticals, Inc. $19.9302/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1017051809 CMS
Karyopharm Therapeutics Inc. $17.3402/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1056917451 CMS
Adaptive Biotechnologies Corporation $20.5302/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1022972871 CMS
AstraZeneca Pharmaceuticals LP $56.3502/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1011717757 CMS
Kite Pharma, Inc. $14.2302/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1025277209 CMS
Celgene Corporation $1.0502/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015945603 CMS
Celgene Corporation $18.6402/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015945609 CMS
Seagen Inc. $16.1002/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 995825261 CMS
Novartis Pharmaceuticals Corporation $4.1801/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 993312507 CMS
PharmaEssentia USA Corporation $920.0001/31/2023 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1059300299 CMS
Alexion Pharmaceuticals, Inc. $13.1501/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1016999307 CMS
Merck Sharp & Dohme LLC $19.9901/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1048778299 CMS
Sumitomo Pharma America, Inc. $14.0701/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1031055269 CMS
Amgen Inc. $14.3801/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1020776083 CMS
SOBI, INC $22.6901/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1038081769 CMS
Seagen Inc. $20.1901/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 995825251 CMS
Janssen Biotech, Inc. $19.5701/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 988016869 CMS
Mirati Therapeutics, Inc. $24.4601/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1058017025 CMS
AstraZeneca Pharmaceuticals LP $14.4401/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1015378399 CMS
Kite Pharma, Inc. $21.6901/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1025277207 CMS
Regeneron Healthcare Solutions, Inc. $24.9201/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 999908195 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,005.13 40
PY2022 $4,238.04 220
PY2023 $4,726.17 191
PY2024 $4,054.49 206
PY2025 $4,530.40 205

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
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.