Covered recipient · General Payments record

SPENCER J KNOX

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI: 1205220688
CMS profile: 2787389
Location: FLEMING ISLAND, FL

General Payments · PY2018–2024

$4,306.22

Reported across 225 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,635.81

86 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 payment	Amount	Records
Food and Beverage	$1,635.81	86

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$525.07	30
Lilly USA, LLC	$131.32	8
Takeda Pharmaceuticals U.S.A., Inc.	$128.90	6
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$115.20	6
AIMMUNE THERAPEUTICS, INC.	$112.13	6
GENZYME CORPORATION	$89.99	4
Janssen Biotech, Inc.	$87.93	4
Merck Sharp & Dohme Corporation	$58.24	2
PFIZER INC.	$55.97	3
INTERCEPT PHARMACEUTICALS, INC.	$47.22	3
Gilead Sciences, Inc.	$46.68	3
Madrigal Pharmaceuticals	$45.24	2
IRONWOOD PHARMACEUTICALS, INC	$40.60	2
Braintree Laboratories, Inc.	$37.54	2
Ardelyx, Inc.	$30.35	1
Daiichi Sankyo Inc.	$25.15	1
Regeneron Healthcare Solutions, Inc.	$20.34	1
Ipsen Biopharmaceuticals, Inc	$19.82	1
Celgene Corporation	$18.12	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$136.20	2
PY2021	$128.37	7
PY2022	$1,130.41	58
PY2023	$1,275.43	72
PY2024	$1,635.81	86

Payment records · PY2024 (86)

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

Program year 2024 2018 2021 2022 2023 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.	$6.98	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1104089638	CMS
ABBVIE INC.	$20.19	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1104089640	CMS
ABBVIE INC.	$23.71	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1104089642	CMS
ABBVIE INC.	$19.18	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1104089644	CMS
ABBVIE INC.	$22.78	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1104089646	CMS
ABBVIE INC.	$20.34	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1104089648	CMS
ABBVIE INC.	$7.72	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1104089650	CMS
ABBVIE INC.	$6.10	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1104089652	CMS
ABBVIE INC.	$20.92	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1104089654	CMS
ABBVIE INC.	$19.78	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1104089656	CMS
ABBVIE INC.	$18.09	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1104089658	CMS
ABBVIE INC.	$5.97	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1104089660	CMS
ABBVIE INC.	$3.29	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1104089662	CMS
ABBVIE INC.	$18.47	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1104089664	CMS
ABBVIE INC.	$24.99	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1104089666	CMS
ABBVIE INC.	$22.65	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1104089668	CMS
ABBVIE INC.	$20.42	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1104089670	CMS
ABBVIE INC.	$24.08	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1104089672	CMS
ABBVIE INC.	$19.40	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1104089674	CMS
ABBVIE INC.	$11.48	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1104089676	CMS
ABBVIE INC.	$26.28	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1104089678	CMS
ABBVIE INC.	$23.37	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1104089680	CMS
ABBVIE INC.	$14.11	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1104089682	CMS
ABBVIE INC.	$21.45	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1104089684	CMS
ABBVIE INC.	$21.36	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1104089686	CMS
ABBVIE INC.	$22.57	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1104089688	CMS
ABBVIE INC.	$4.87	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1104089690	CMS
ABBVIE INC.	$17.50	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1104089692	CMS
ABBVIE INC.	$20.77	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1104089694	CMS
ABBVIE INC.	$16.25	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1104089696	CMS
AIMMUNE THERAPEUTICS, INC.	$19.13	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1147015510	CMS
AIMMUNE THERAPEUTICS, INC.	$18.03	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1147015588	CMS
AIMMUNE THERAPEUTICS, INC.	$20.77	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1147015979	CMS
AIMMUNE THERAPEUTICS, INC.	$17.41	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1146967225	CMS
AIMMUNE THERAPEUTICS, INC.	$18.69	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1146974810	CMS
AIMMUNE THERAPEUTICS, INC.	$18.10	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1147003878	CMS
Ardelyx, Inc.	$30.35	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1146689862	CMS
Braintree Laboratories, Inc.	$16.59	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1125515645	CMS
Braintree Laboratories, Inc.	$20.95	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1125515647	CMS
Celgene Corporation	$18.12	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1101150087	CMS
Daiichi Sankyo Inc.	$25.15	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1089443723	CMS
GENZYME CORPORATION	$26.55	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1139893316	CMS
GENZYME CORPORATION	$26.55	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1139893328	CMS
GENZYME CORPORATION	$15.98	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1139893482	CMS
GENZYME CORPORATION	$20.91	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1139893540	CMS
Gilead Sciences, Inc.	$17.94	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1133779386	CMS
Gilead Sciences, Inc.	$14.74	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1133779388	CMS
Gilead Sciences, Inc.	$14.00	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1133779390	CMS
Intercept Pharmaceuticals, Inc.	$13.85	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1113643019	CMS
Intercept Pharmaceuticals, Inc.	$14.28	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1113643021	CMS
Intercept Pharmaceuticals, Inc.	$19.09	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1113643023	CMS
Ipsen Biopharmaceuticals, Inc	$19.82	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1091952059	CMS
IRONWOOD PHARMACEUTICALS, INC	$19.95	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1153715086	CMS
IRONWOOD PHARMACEUTICALS, INC	$20.65	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1153750264	CMS
Janssen Biotech, Inc.	$16.16	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1078415535	CMS
Janssen Biotech, Inc.	$18.80	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1078415508	CMS
Janssen Biotech, Inc.	$29.94	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1078415733	CMS
Janssen Biotech, Inc.	$23.03	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1078415612	CMS
Lilly USA, LLC	$19.97	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1135430179	CMS
Lilly USA, LLC	$17.18	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1135409599	CMS
Lilly USA, LLC	$15.13	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1135422567	CMS
Lilly USA, LLC	$19.52	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1135409601	CMS
Lilly USA, LLC	$16.03	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1135428915	CMS
Lilly USA, LLC	$22.59	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1135430181	CMS
Lilly USA, LLC	$8.00	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1135422569	CMS
Lilly USA, LLC	$12.90	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1135398175	CMS
Madrigal Pharmaceuticals	$21.56	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1144173101	CMS
Madrigal Pharmaceuticals	$23.68	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1144173103	CMS
Merck Sharp & Dohme LLC	$33.49	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1141620390	CMS
Merck Sharp & Dohme LLC	$24.75	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1141843893	CMS
PFIZER INC.	$16.29	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131676062	CMS
PFIZER INC.	$17.93	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1131741588	CMS
PFIZER INC.	$21.75	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1131079945	CMS
Regeneron Healthcare Solutions, Inc.	$20.34	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1114089887	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.28	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1153673073	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$23.64	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1153633574	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.90	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1153676672	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.84	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1153643059	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.22	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1153685281	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$25.32	12/23/2024	Food and Beverage	Undisputed	01/23/2026	1153695971	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$23.70	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1137604826	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.08	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1137604829	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$18.67	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1137604833	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.46	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1137604837	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.90	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1137604841	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$24.09	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1137604844	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: 2018, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , 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.

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.