Covered recipient · General Payments record
STEFANIE MICHELE SPESSARD
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics
General Payments · PY2021–2024
$472.68
- Reported across 25 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $174.78 | 9 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Merck Sharp & Dohme Corporation | $64.50 | 3 |
| SANOFI PASTEUR INC. | $39.91 | 2 |
| Cranial Technologies, Inc | $33.89 | 2 |
| SANOFI-AVENTIS U.S. LLC | $20.11 | 1 |
| IRONSHORE PHARMACEUTICALS INC. | $16.37 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (9)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Cranial Technologies, Inc | $14.82 | 06/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1082241318 | CMS |
| Cranial Technologies, Inc | $19.07 | 12/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1082241320 | CMS |
| IRONSHORE PHARMACEUTICALS INC. | $16.37 | 09/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1146318131 | CMS |
| Merck Sharp & Dohme LLC | $16.67 | 04/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1141610161 | CMS |
| Merck Sharp & Dohme LLC | $22.96 | 11/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1141979761 | CMS |
| Merck Sharp & Dohme LLC | $24.87 | 12/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1141610163 | CMS |
| SANOFI PASTEUR INC. | $18.83 | 07/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1128754379 | CMS |
| SANOFI PASTEUR INC. | $21.08 | 09/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1128754387 | CMS |
| SANOFI-AVENTIS U.S. LLC | $20.11 | 03/07/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1139946559 | 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
- 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.
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.