IndustryPayments
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

ZACHARY PETER SPIRITOS

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI
1154717148
CMS profile
9437440
Location
CARY, NC

General Payments · PY2021–2024

$4,914.89

  • Reported across 217 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,660.89

75 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.

Related groups: Gastroenterology NC All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,660.89 75

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $631.32 30
PFIZER INC. $189.93 15
BOSTON SCIENTIFIC CORPORATION $158.57 1
Regeneron Healthcare Solutions, Inc. $150.12 3
Alnylam Pharmaceuticals Inc. $148.48 5
Janssen Biotech, Inc. $68.13 3
Takeda Pharmaceuticals U.S.A., Inc. $52.39 3
AIMMUNE THERAPEUTICS, INC. $50.62 3
INTERCEPT PHARMACEUTICALS, INC. $50.18 3
Phathom Pharmaceuticals, Inc. $35.00 2
IRONWOOD PHARMACEUTICALS, INC $34.85 2
Celgene Corporation $34.20 2
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.66 1
Lilly USA, LLC $19.26 1
Ardelyx, Inc. $18.18 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $411.44 20
PY2022 $1,095.52 55
PY2023 $1,747.04 67
PY2024 $1,660.89 75

Payment records · PY2024 (75)

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
ABBVIE INC. $20.33 01/08/2024 Food and Beverage Undisputed 01/23/2026 1106148265 CMS
ABBVIE INC. $77.18 01/17/2024 Food and Beverage Undisputed 01/23/2026 1106148267 CMS
ABBVIE INC. $15.65 01/30/2024 Food and Beverage Undisputed 01/23/2026 1106148269 CMS
ABBVIE INC. $12.73 02/06/2024 Food and Beverage Undisputed 01/23/2026 1106148271 CMS
ABBVIE INC. $21.26 02/09/2024 Food and Beverage Undisputed 01/23/2026 1106148273 CMS
ABBVIE INC. $15.56 03/14/2024 Food and Beverage Undisputed 01/23/2026 1106148275 CMS
ABBVIE INC. $96.72 03/14/2024 Food and Beverage Undisputed 01/23/2026 1106148277 CMS
ABBVIE INC. $22.38 04/06/2024 Food and Beverage Undisputed 01/23/2026 1106148279 CMS
ABBVIE INC. $10.27 04/15/2024 Food and Beverage Undisputed 01/23/2026 1106148281 CMS
ABBVIE INC. $23.24 05/13/2024 Food and Beverage Undisputed 01/23/2026 1106148283 CMS
ABBVIE INC. $22.33 05/17/2024 Food and Beverage Undisputed 01/23/2026 1106148285 CMS
ABBVIE INC. $25.03 05/20/2024 Food and Beverage Undisputed 01/23/2026 1106148287 CMS
ABBVIE INC. $20.82 05/28/2024 Food and Beverage Undisputed 01/23/2026 1106148289 CMS
ABBVIE INC. $15.56 06/04/2024 Food and Beverage Undisputed 01/23/2026 1106148291 CMS
ABBVIE INC. $12.75 06/28/2024 Food and Beverage Undisputed 01/23/2026 1106148293 CMS
ABBVIE INC. $10.68 07/15/2024 Food and Beverage Undisputed 01/23/2026 1106148295 CMS
ABBVIE INC. $12.40 07/30/2024 Food and Beverage Undisputed 01/23/2026 1106148297 CMS
ABBVIE INC. $16.88 08/19/2024 Food and Beverage Undisputed 01/23/2026 1106148299 CMS
ABBVIE INC. $24.66 08/26/2024 Food and Beverage Undisputed 01/23/2026 1106148301 CMS
ABBVIE INC. $14.44 09/09/2024 Food and Beverage Undisputed 01/23/2026 1106148303 CMS
ABBVIE INC. $19.87 09/11/2024 Food and Beverage Undisputed 01/23/2026 1106148305 CMS
ABBVIE INC. $3.28 09/13/2024 Food and Beverage Undisputed 01/23/2026 1106148307 CMS
ABBVIE INC. $6.03 09/13/2024 Food and Beverage Undisputed 01/23/2026 1106148309 CMS
ABBVIE INC. $16.72 09/17/2024 Food and Beverage Undisputed 01/23/2026 1106148311 CMS
ABBVIE INC. $23.03 10/01/2024 Food and Beverage Undisputed 01/23/2026 1106148313 CMS
ABBVIE INC. $13.64 10/22/2024 Food and Beverage Undisputed 01/23/2026 1106148315 CMS
ABBVIE INC. $24.95 10/29/2024 Food and Beverage Undisputed 01/23/2026 1106148317 CMS
ABBVIE INC. $6.54 10/30/2024 Food and Beverage Undisputed 01/23/2026 1106148319 CMS
ABBVIE INC. $11.56 11/15/2024 Food and Beverage Undisputed 01/23/2026 1106148321 CMS
ABBVIE INC. $14.83 12/18/2024 Food and Beverage Undisputed 01/23/2026 1106148323 CMS
AIMMUNE THERAPEUTICS, INC. $17.98 01/22/2024 Food and Beverage Undisputed 01/23/2026 1147015815 CMS
AIMMUNE THERAPEUTICS, INC. $13.29 07/22/2024 Food and Beverage Undisputed 01/23/2026 1146961836 CMS
AIMMUNE THERAPEUTICS, INC. $19.35 12/09/2024 Food and Beverage Undisputed 01/23/2026 1146998424 CMS
Alnylam Pharmaceuticals Inc. $27.53 01/09/2024 Food and Beverage Undisputed 01/23/2026 1125855887 CMS
Alnylam Pharmaceuticals Inc. $26.22 02/07/2024 Food and Beverage Undisputed 01/23/2026 1125855893 CMS
Alnylam Pharmaceuticals Inc. $32.57 07/31/2024 Food and Beverage Undisputed 01/23/2026 1125855973 CMS
Alnylam Pharmaceuticals Inc. $29.77 08/02/2024 Food and Beverage Undisputed 01/23/2026 1125855983 CMS
Alnylam Pharmaceuticals Inc. $32.39 11/05/2024 Food and Beverage Undisputed 01/23/2026 1125856025 CMS
Ardelyx, Inc. $18.18 12/02/2024 Food and Beverage Undisputed 01/23/2026 1146709214 CMS
Boston Scientific Corporation $158.57 07/24/2024 Food and Beverage Undisputed 01/23/2026 1092357719 CMS
Celgene Corporation $20.30 04/19/2024 Food and Beverage Undisputed 01/23/2026 1101109628 CMS
Celgene Corporation $13.90 09/03/2024 Food and Beverage Undisputed 01/23/2026 1101109636 CMS
Intercept Pharmaceuticals, Inc. $14.72 05/31/2024 Food and Beverage Undisputed 01/23/2026 1113644633 CMS
Intercept Pharmaceuticals, Inc. $19.59 07/16/2024 Food and Beverage Undisputed 01/23/2026 1113644631 CMS
Intercept Pharmaceuticals, Inc. $15.87 07/29/2024 Food and Beverage Undisputed 01/23/2026 1113644635 CMS
IRONWOOD PHARMACEUTICALS, INC $19.04 05/31/2024 Food and Beverage Undisputed 01/23/2026 1153726060 CMS
IRONWOOD PHARMACEUTICALS, INC $15.81 11/25/2024 Food and Beverage Undisputed 01/23/2026 1153772370 CMS
Janssen Biotech, Inc. $13.25 10/07/2024 Food and Beverage Undisputed 01/23/2026 1078825578 CMS
Janssen Biotech, Inc. $33.47 10/14/2024 Food and Beverage Undisputed 01/23/2026 1078825582 CMS
Janssen Biotech, Inc. $21.41 12/16/2024 Food and Beverage Undisputed 01/23/2026 1078825562 CMS
Lilly USA, LLC $19.26 05/14/2024 Food and Beverage Undisputed 01/23/2026 1135443239 CMS
PFIZER INC. $13.48 02/08/2024 Food and Beverage Undisputed 01/23/2026 1131559069 CMS
PFIZER INC. $22.09 04/01/2024 Food and Beverage Undisputed 01/23/2026 1131591976 CMS
PFIZER INC. $8.26 04/09/2024 Food and Beverage Undisputed 01/23/2026 1131913801 CMS
PFIZER INC. $5.05 04/24/2024 Food and Beverage Undisputed 01/23/2026 1131912813 CMS
PFIZER INC. $11.76 06/05/2024 Food and Beverage Undisputed 01/23/2026 1131920447 CMS
PFIZER INC. $2.47 06/05/2024 Food and Beverage Undisputed 01/23/2026 1131946064 CMS
PFIZER INC. $17.42 06/11/2024 Food and Beverage Undisputed 01/23/2026 1131688853 CMS
PFIZER INC. $1.09 06/11/2024 Food and Beverage Undisputed 01/23/2026 1131917869 CMS
PFIZER INC. $22.09 08/12/2024 Food and Beverage Undisputed 01/23/2026 1131893940 CMS
PFIZER INC. $14.90 08/13/2024 Food and Beverage Undisputed 01/23/2026 1131863849 CMS
PFIZER INC. $17.08 09/04/2024 Food and Beverage Undisputed 01/23/2026 1131952386 CMS
PFIZER INC. $15.73 09/23/2024 Food and Beverage Undisputed 01/23/2026 1131982943 CMS
PFIZER INC. $16.30 11/11/2024 Food and Beverage Undisputed 01/23/2026 1131027748 CMS
PFIZER INC. $1.97 11/11/2024 Food and Beverage Undisputed 01/23/2026 1131123766 CMS
PFIZER INC. $20.24 12/03/2024 Food and Beverage Undisputed 01/23/2026 1131116778 CMS
Phathom Pharmaceuticals, Inc. $19.20 05/03/2024 Food and Beverage Undisputed 01/23/2026 1151129243 CMS
Phathom Pharmaceuticals, Inc. $15.80 08/26/2024 Food and Beverage Undisputed 01/23/2026 1151129245 CMS
Regeneron Healthcare Solutions, Inc. $12.51 01/12/2024 Food and Beverage Undisputed 01/23/2026 1114189374 CMS
Regeneron Healthcare Solutions, Inc. $111.19 05/09/2024 Food and Beverage Undisputed 01/23/2026 1114189381 CMS
Regeneron Healthcare Solutions, Inc. $26.42 12/01/2024 Food and Beverage Undisputed 01/23/2026 1114189387 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.66 11/06/2024 Food and Beverage Undisputed 01/23/2026 1153572462 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.32 02/13/2024 Food and Beverage Undisputed 01/23/2026 1137680727 CMS
Takeda Pharmaceuticals U.S.A., Inc. $18.97 03/19/2024 Food and Beverage Undisputed 01/23/2026 1137680729 CMS
Takeda Pharmaceuticals U.S.A., Inc. $16.10 08/20/2024 Food and Beverage Undisputed 01/23/2026 1137680731 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

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