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

SHANNON LEIGH SPAIN

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1205306131
CMS profile
5696746
Location
ELKTON, KY

General Payments · PY2021–2024

$1,242.72

  • Reported across 66 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$479.66

24 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 $479.66 24

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Acerta Pharma LLC $157.10 6
Lilly USA, LLC $77.14 4
Exact Sciences Corporation $72.48 4
PFIZER INC. $35.33 2
Novo Nordisk AS $33.91 2
Sumitomo Pharma America, Inc. $32.66 2
Alnylam Pharmaceuticals Inc. $21.71 1
Amgen Inc. $21.36 1
GlaxoSmithKline, LLC. $14.09 1
ABBVIE INC. $13.88 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $116.05 6
PY2022 $255.33 11
PY2023 $391.68 25
PY2024 $479.66 24

Payment records · PY2024 (24)

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. $13.88 05/22/2024 Food and Beverage Undisputed 01/23/2026 1108235134 CMS
Alnylam Pharmaceuticals Inc. $21.71 10/15/2024 Food and Beverage Undisputed 01/23/2026 1125854531 CMS
Amgen Inc. $21.36 05/28/2024 Food and Beverage Undisputed 01/23/2026 1117311856 CMS
AstraZeneca Pharmaceuticals LP $80.57 01/25/2024 Food and Beverage Undisputed 01/23/2026 1105765730 CMS
AstraZeneca Pharmaceuticals LP $17.82 03/21/2024 Food and Beverage Undisputed 01/23/2026 1105723721 CMS
AstraZeneca Pharmaceuticals LP $9.84 04/25/2024 Food and Beverage Undisputed 01/23/2026 1105705818 CMS
AstraZeneca Pharmaceuticals LP $17.70 05/29/2024 Food and Beverage Undisputed 01/23/2026 1105760023 CMS
AstraZeneca Pharmaceuticals LP $14.32 09/23/2024 Food and Beverage Undisputed 01/23/2026 1105641258 CMS
AstraZeneca Pharmaceuticals LP $16.85 11/21/2024 Food and Beverage Undisputed 01/23/2026 1105843631 CMS
Exact Sciences Corporation $17.22 02/27/2024 Food and Beverage Undisputed 01/23/2026 1114912458 CMS
Exact Sciences Corporation $18.42 06/24/2024 Food and Beverage Undisputed 01/23/2026 1114912473 CMS
Exact Sciences Corporation $18.42 08/12/2024 Food and Beverage Undisputed 01/23/2026 1114912479 CMS
Exact Sciences Corporation $18.42 11/11/2024 Food and Beverage Undisputed 01/23/2026 1114912489 CMS
GlaxoSmithKline, LLC. $14.09 10/28/2024 Food and Beverage Undisputed 01/23/2026 1116713715 CMS
Lilly USA, LLC $15.66 01/09/2024 Food and Beverage Undisputed 01/23/2026 1135945278 CMS
Lilly USA, LLC $17.53 02/13/2024 Food and Beverage Undisputed 01/23/2026 1135864220 CMS
Lilly USA, LLC $23.11 07/15/2024 Food and Beverage Undisputed 01/23/2026 1135887977 CMS
Lilly USA, LLC $20.84 10/22/2024 Food and Beverage Undisputed 01/23/2026 1135864224 CMS
Novo Nordisk Inc $19.82 02/28/2024 Food and Beverage Undisputed 01/23/2026 1100256822 CMS
Novo Nordisk Inc $14.09 08/05/2024 Food and Beverage Undisputed 01/23/2026 1100241834 CMS
PFIZER INC. $18.09 06/25/2024 Food and Beverage Undisputed 01/23/2026 1131794275 CMS
PFIZER INC. $17.24 11/07/2024 Food and Beverage Undisputed 01/23/2026 1131083127 CMS
Sumitomo Pharma America, Inc. $16.26 05/21/2024 Food and Beverage Undisputed 01/23/2026 1148996776 CMS
Sumitomo Pharma America, Inc. $16.40 09/26/2024 Food and Beverage Undisputed 01/23/2026 1148996778 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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