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

MEREDITH A SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1205376167
CMS profile
10638942
Location
RADFORD, VA

General Payments · PY2021–2024

$3,477.43

  • Reported across 197 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$909.65

44 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 $909.65 44

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $841.00 53
PY2022 $663.31 45
PY2023 $1,063.47 55
PY2024 $909.65 44

Payment records · PY2024 (44)

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
Abbott Laboratories $15.70 12/12/2024 Food and Beverage Undisputed 01/23/2026 1124899098 CMS
ABBVIE INC. $14.56 01/09/2024 Food and Beverage Undisputed 01/23/2026 1108238152 CMS
ABBVIE INC. $27.53 03/21/2024 Food and Beverage Undisputed 01/23/2026 1108238154 CMS
ABBVIE INC. $18.21 03/22/2024 Food and Beverage Undisputed 01/23/2026 1108238156 CMS
ABBVIE INC. $26.76 07/16/2024 Food and Beverage Undisputed 01/23/2026 1108238158 CMS
Amgen Inc. $18.24 04/02/2024 Food and Beverage Undisputed 01/23/2026 1117690590 CMS
Amgen Inc. $17.12 05/14/2024 Food and Beverage Undisputed 01/23/2026 1117690592 CMS
Amgen Inc. $13.15 12/12/2024 Food and Beverage Undisputed 01/23/2026 1117690594 CMS
Antares Pharma, Inc. $17.35 11/19/2024 Food and Beverage Undisputed 01/23/2026 1146523719 CMS
Astellas Pharma US Inc $18.20 10/08/2024 Food and Beverage Undisputed 01/23/2026 1139538882 CMS
AstraZeneca Pharmaceuticals LP $16.62 01/11/2024 Food and Beverage Undisputed 01/23/2026 1105754639 CMS
AstraZeneca Pharmaceuticals LP $15.12 01/25/2024 Food and Beverage Undisputed 01/23/2026 1105416908 CMS
AstraZeneca Pharmaceuticals LP $13.68 02/13/2024 Food and Beverage Undisputed 01/23/2026 1105296290 CMS
AstraZeneca Pharmaceuticals LP $18.04 04/18/2024 Food and Beverage Undisputed 01/23/2026 1105848145 CMS
AstraZeneca Pharmaceuticals LP $14.12 12/03/2024 Food and Beverage Undisputed 01/23/2026 1104449655 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.76 03/26/2024 Food and Beverage Undisputed 01/23/2026 1117914567 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $32.18 09/26/2024 Food and Beverage Undisputed 01/23/2026 1117914569 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.09 11/13/2024 Food and Beverage Undisputed 01/23/2026 1117914565 CMS
GlaxoSmithKline, LLC. $13.60 02/29/2024 Food and Beverage Undisputed 01/23/2026 1116507543 CMS
GlaxoSmithKline, LLC. $14.14 08/08/2024 Food and Beverage Undisputed 01/23/2026 1116538860 CMS
GlaxoSmithKline, LLC. $15.02 10/31/2024 Food and Beverage Undisputed 01/23/2026 1116244036 CMS
GlaxoSmithKline, LLC. $14.86 12/05/2024 Food and Beverage Undisputed 01/23/2026 1116254545 CMS
Janssen Pharmaceuticals, Inc $15.08 10/23/2024 Food and Beverage Undisputed 01/23/2026 1078241569 CMS
Lilly USA, LLC $21.41 02/22/2024 Food and Beverage Undisputed 01/23/2026 1135790288 CMS
Lilly USA, LLC $21.06 09/17/2024 Food and Beverage Undisputed 01/23/2026 1135830923 CMS
Novo Nordisk Inc $23.13 02/07/2024 Food and Beverage Undisputed 01/23/2026 1100500811 CMS
Novo Nordisk Inc $20.24 02/16/2024 Food and Beverage Undisputed 01/23/2026 1100604992 CMS
Novo Nordisk Inc $21.42 04/25/2024 Food and Beverage Undisputed 01/23/2026 1100624944 CMS
Novo Nordisk Inc $20.10 05/21/2024 Food and Beverage Undisputed 01/23/2026 1100279580 CMS
Novo Nordisk Inc $115.05 07/16/2024 Food and Beverage Undisputed 01/23/2026 1100344752 CMS
Novo Nordisk Inc $20.36 07/19/2024 Food and Beverage Undisputed 01/23/2026 1100375527 CMS
Novo Nordisk Inc $20.46 08/22/2024 Food and Beverage Undisputed 01/23/2026 1100409038 CMS
Novo Nordisk Inc $19.18 09/19/2024 Food and Beverage Undisputed 01/23/2026 1100472621 CMS
Novo Nordisk Inc $15.98 10/24/2024 Food and Beverage Undisputed 01/23/2026 1100626314 CMS
Novo Nordisk Inc $21.50 11/14/2024 Food and Beverage Undisputed 01/23/2026 1100345424 CMS
Novo Nordisk Inc $19.30 12/04/2024 Food and Beverage Undisputed 01/23/2026 1100360948 CMS
PFIZER INC. $13.91 05/02/2024 Food and Beverage Undisputed 01/23/2026 1131356640 CMS
PFIZER INC. $15.05 05/07/2024 Food and Beverage Undisputed 01/23/2026 1131495004 CMS
PFIZER INC. $14.27 10/17/2024 Food and Beverage Undisputed 01/23/2026 1132099001 CMS
PFIZER INC. $13.41 11/06/2024 Food and Beverage Undisputed 01/23/2026 1130890537 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.98 03/20/2024 Food and Beverage Undisputed 01/23/2026 1153634670 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $20.69 10/23/2024 Food and Beverage Undisputed 01/23/2026 1153673764 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.68 12/10/2024 Food and Beverage Undisputed 01/23/2026 1153656247 CMS
Vanda Pharmaceuticals Inc. $16.34 10/22/2024 Food and Beverage Undisputed 01/23/2026 1133970998 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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