Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

CYNTHIA L SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1154705515
CMS profile
10546463
Location
TAMPA, FL

General Payments · PY2021–2024

$1,201.56

  • Reported across 29 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$168.89

14 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 paymentAmountRecords
Food and Beverage $168.89 14

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
MERZ NORTH AMERICA, INC. $150.61 13
Galderma Laboratories, L.P. $18.28 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $593.94 10
PY2022 $177.30 3
PY2023 $261.43 2
PY2024 $168.89 14

Payment records · PY2024 (14)

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

Program year 2024 202120222023 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
Galderma Laboratories, L.P. $18.28 03/05/2024 Food and Beverage Undisputed 01/23/2026 1145393871 CMS
MERZ NORTH AMERICA, INC. $38.50 01/18/2024 Food and Beverage Undisputed 01/23/2026 1146381557 CMS
MERZ NORTH AMERICA, INC. $10.47 02/16/2024 Food and Beverage Undisputed 01/23/2026 1146381559 CMS
MERZ NORTH AMERICA, INC. $9.55 03/05/2024 Food and Beverage Undisputed 01/23/2026 1146381561 CMS
MERZ NORTH AMERICA, INC. $6.09 04/17/2024 Food and Beverage Undisputed 01/23/2026 1146381563 CMS
MERZ NORTH AMERICA, INC. $7.11 04/30/2024 Food and Beverage Undisputed 01/23/2026 1146381565 CMS
MERZ NORTH AMERICA, INC. $5.97 05/07/2024 Food and Beverage Undisputed 01/23/2026 1146381567 CMS
MERZ NORTH AMERICA, INC. $9.51 06/04/2024 Food and Beverage Undisputed 01/23/2026 1146381569 CMS
MERZ NORTH AMERICA, INC. $5.71 06/28/2024 Food and Beverage Undisputed 01/23/2026 1146381571 CMS
MERZ NORTH AMERICA, INC. $8.44 07/16/2024 Food and Beverage Undisputed 01/23/2026 1146381573 CMS
MERZ NORTH AMERICA, INC. $6.56 08/01/2024 Food and Beverage Undisputed 01/23/2026 1146381575 CMS
MERZ NORTH AMERICA, INC. $7.14 08/23/2024 Food and Beverage Undisputed 01/23/2026 1146381577 CMS
MERZ NORTH AMERICA, INC. $11.84 11/16/2024 Food and Beverage Undisputed 01/23/2026 1146381579 CMS
MERZ NORTH AMERICA, INC. $23.72 12/23/2024 Food and Beverage Undisputed 01/23/2026 1146381581 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.

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