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

Covered recipient · General Payments record

LINDA C SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1134156599
CMS profile
10914193
Location
TROY, MI

General Payments · PY2021–2025

$216,805.07

  • Reported across 349 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$41,348.27

59 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

PY2025 · sorted by reported total

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
GENZYME CORPORATION $35,706.70 48
Takeda Pharmaceuticals U.S.A., Inc. $5,565.32 10
Alexion Pharmaceuticals, Inc. $76.25 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $9,192.42 19
PY2022 $33,692.30 70
PY2023 $36,231.29 79
PY2024 $96,340.79 122
PY2025 $41,348.27 59

Payment records · PY2025 (59)

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

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Alexion Pharmaceuticals, Inc. $76.25 04/09/2025 Food and Beverage Undisputed 06/30/2026 1202922356 CMS
GENZYME CORPORATION $126.31 05/09/2025 Food and Beverage Undisputed 06/30/2026 1233408527 CMS
GENZYME CORPORATION $1,752.00 05/09/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408529 CMS
GENZYME CORPORATION $3.65 05/09/2025 Travel and Lodging Undisputed 06/30/2026 1233408531 CMS
GENZYME CORPORATION $28.00 05/09/2025 Travel and Lodging Undisputed 06/30/2026 1233408533 CMS
GENZYME CORPORATION $584.00 05/22/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408523 CMS
GENZYME CORPORATION $2,044.00 05/27/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408561 CMS
GENZYME CORPORATION $44.80 05/27/2025 Travel and Lodging Undisputed 06/30/2026 1233408563 CMS
GENZYME CORPORATION $76.63 06/09/2025 Food and Beverage Undisputed 06/30/2026 1233408525 CMS
GENZYME CORPORATION $128.23 06/26/2025 Food and Beverage Undisputed 06/30/2026 1233408537 CMS
GENZYME CORPORATION $3,650.00 06/26/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408539 CMS
GENZYME CORPORATION $172.61 06/26/2025 Travel and Lodging Undisputed 06/30/2026 1233408541 CMS
GENZYME CORPORATION $548.41 06/26/2025 Travel and Lodging Undisputed 06/30/2026 1233408543 CMS
GENZYME CORPORATION $833.82 06/26/2025 Travel and Lodging Undisputed 06/30/2026 1233408545 CMS
GENZYME CORPORATION $16.90 06/26/2025 Food and Beverage Undisputed 06/30/2026 1233408547 CMS
GENZYME CORPORATION $28.00 06/26/2025 Travel and Lodging Undisputed 06/30/2026 1233408549 CMS
GENZYME CORPORATION $44.00 06/26/2025 Travel and Lodging Undisputed 06/30/2026 1233408551 CMS
GENZYME CORPORATION $53.20 07/15/2025 Travel and Lodging Undisputed 06/30/2026 1233408581 CMS
GENZYME CORPORATION $20.34 07/15/2025 Food and Beverage Undisputed 06/30/2026 1233408583 CMS
GENZYME CORPORATION $3,796.00 07/15/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408585 CMS
GENZYME CORPORATION $362.48 07/15/2025 Travel and Lodging Undisputed 06/30/2026 1233408587 CMS
GENZYME CORPORATION $687.67 07/15/2025 Travel and Lodging Undisputed 06/30/2026 1233408589 CMS
GENZYME CORPORATION $2,138.02 07/15/2025 Travel and Lodging Undisputed 06/30/2026 1233408591 CMS
GENZYME CORPORATION $24.35 07/15/2025 Food and Beverage Undisputed 06/30/2026 1233408593 CMS
GENZYME CORPORATION $24.00 07/15/2025 Travel and Lodging Undisputed 06/30/2026 1233408595 CMS
GENZYME CORPORATION $116.03 07/16/2025 Food and Beverage Undisputed 06/30/2026 1233408553 CMS
GENZYME CORPORATION $1,460.00 07/16/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408555 CMS
GENZYME CORPORATION $81.46 07/16/2025 Food and Beverage Undisputed 06/30/2026 1233408557 CMS
GENZYME CORPORATION $102.38 07/29/2025 Food and Beverage Undisputed 06/30/2026 1233408571 CMS
GENZYME CORPORATION $3,796.00 07/29/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408573 CMS
GENZYME CORPORATION $253.82 07/29/2025 Travel and Lodging Undisputed 06/30/2026 1233408575 CMS
GENZYME CORPORATION $996.96 07/29/2025 Travel and Lodging Undisputed 06/30/2026 1233408577 CMS
GENZYME CORPORATION $337.02 07/29/2025 Travel and Lodging Undisputed 06/30/2026 1233408579 CMS
GENZYME CORPORATION $62.85 07/29/2025 Food and Beverage Undisputed 06/30/2026 1233408607 CMS
GENZYME CORPORATION $24.00 07/29/2025 Travel and Lodging Undisputed 06/30/2026 1233408609 CMS
GENZYME CORPORATION $82.74 07/29/2025 Travel and Lodging Undisputed 06/30/2026 1233408611 CMS
GENZYME CORPORATION $50.25 09/03/2025 Food and Beverage Undisputed 06/30/2026 1233408605 CMS
GENZYME CORPORATION $115.64 10/07/2025 Food and Beverage Undisputed 06/30/2026 1233408663 CMS
GENZYME CORPORATION $2,482.00 10/07/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408665 CMS
GENZYME CORPORATION $6.00 10/07/2025 Travel and Lodging Undisputed 06/30/2026 1233408667 CMS
GENZYME CORPORATION $77.00 10/07/2025 Travel and Lodging Undisputed 06/30/2026 1233408669 CMS
GENZYME CORPORATION $26.12 10/13/2025 Food and Beverage Undisputed 06/30/2026 1233408621 CMS
GENZYME CORPORATION $119.84 10/21/2025 Food and Beverage Undisputed 06/30/2026 1233408643 CMS
GENZYME CORPORATION $3,650.00 10/21/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408645 CMS
GENZYME CORPORATION $225.56 10/21/2025 Travel and Lodging Undisputed 06/30/2026 1233408647 CMS
GENZYME CORPORATION $996.96 10/21/2025 Travel and Lodging Undisputed 06/30/2026 1233408649 CMS
GENZYME CORPORATION $783.59 10/21/2025 Travel and Lodging Undisputed 06/30/2026 1233408651 CMS
GENZYME CORPORATION $45.06 10/21/2025 Food and Beverage Undisputed 06/30/2026 1233408653 CMS
GENZYME CORPORATION $2,628.00 10/24/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1233408631 CMS
Takeda Pharmaceuticals U.S.A., Inc. $790.12 01/22/2025 Travel and Lodging Undisputed 06/30/2026 1224101288 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2,280.00 02/21/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1223795254 CMS
Takeda Pharmaceuticals U.S.A., Inc. $2,280.00 04/22/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1223795256 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.30 04/29/2025 Food and Beverage Undisputed 06/30/2026 1223957209 CMS
Takeda Pharmaceuticals U.S.A., Inc. $38.02 04/29/2025 Food and Beverage Undisputed 06/30/2026 1224092742 CMS
Takeda Pharmaceuticals U.S.A., Inc. $60.32 04/29/2025 Food and Beverage Undisputed 06/30/2026 1224094155 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.30 04/29/2025 Travel and Lodging Undisputed 06/30/2026 1224101005 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.90 04/29/2025 Travel and Lodging Undisputed 06/30/2026 1224101015 CMS
Takeda Pharmaceuticals U.S.A., Inc. $28.00 04/29/2025 Travel and Lodging Undisputed 06/30/2026 1224101033 CMS
Takeda Pharmaceuticals U.S.A., Inc. $52.36 04/29/2025 Travel and Lodging Undisputed 06/30/2026 1224101077 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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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