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

KRISTIN A SPINELLI

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1134435027
CMS profile
10664060
Location
TOLEDO, OH

General Payments · PY2021–2025

$7,945.99

  • Reported across 447 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$406.02

10 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

Nature of paymentAmountRecords
Food and Beverage $406.02 10

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $191.09 4
Acerta Pharma LLC $124.56 1
GlaxoSmithKline, LLC. $44.77 2
Novo Nordisk AS $16.61 1
Bayer HealthCare Pharmaceuticals Inc. $15.50 1
Lilly USA, LLC $13.49 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,673.65 98
PY2022 $1,851.85 120
PY2023 $1,397.63 86
PY2024 $2,616.84 133
PY2025 $406.02 10

Payment records · PY2025 (10)

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
ABBVIE INC. $17.49 01/20/2025 Food and Beverage Undisputed 06/30/2026 1203562946 CMS
ABBVIE INC. $125.05 03/13/2025 Food and Beverage Undisputed 06/30/2026 1203562952 CMS
ABBVIE INC. $33.82 03/17/2025 Food and Beverage Undisputed 06/30/2026 1203562957 CMS
ABBVIE INC. $14.73 08/06/2025 Food and Beverage Undisputed 06/30/2026 1203562963 CMS
AstraZeneca Pharmaceuticals LP $124.56 10/01/2025 Food and Beverage Undisputed 06/30/2026 1207014229 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.50 09/23/2025 Food and Beverage Undisputed 06/30/2026 1225820251 CMS
GlaxoSmithKline, LLC. $17.58 01/02/2025 Food and Beverage Undisputed 06/30/2026 1191635779 CMS
GlaxoSmithKline, LLC. $27.19 02/21/2025 Food and Beverage Undisputed 06/30/2026 1191696377 CMS
Lilly USA, LLC $13.49 07/02/2025 Food and Beverage Undisputed 06/30/2026 1187201187 CMS
Novo Nordisk Inc $16.61 07/30/2025 Food and Beverage Undisputed 06/30/2026 1188319278 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

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.