Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

MYRANDA NOEL SPIGLER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1225715121
CMS profile
11522667
Location
CUMBERLAND, MD

General Payments · PY2023–2025

$9,691.86

  • Reported across 196 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$6,507.34

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

PY2025 · sorted by reported total

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $623.54 16
PY2024 $2,560.98 94
PY2025 $6,507.34 86

Payment records · PY2025 (86)

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

Program year 2025 20232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $5.73 01/14/2025 Food and Beverage Undisputed 06/30/2026 1203561657 CMS
ABBVIE INC. $82.23 01/23/2025 Food and Beverage Undisputed 06/30/2026 1203561663 CMS
ABBVIE INC. $5.16 02/13/2025 Food and Beverage Undisputed 06/30/2026 1203561669 CMS
ABBVIE INC. $3.81 02/19/2025 Food and Beverage Undisputed 06/30/2026 1203561673 CMS
ABBVIE INC. $6.91 03/10/2025 Food and Beverage Undisputed 06/30/2026 1203561679 CMS
ABBVIE INC. $21.90 03/18/2025 Food and Beverage Undisputed 06/30/2026 1203561685 CMS
ABBVIE INC. $5.50 04/07/2025 Food and Beverage Undisputed 06/30/2026 1203561689 CMS
ABBVIE INC. $18.99 04/28/2025 Food and Beverage Undisputed 06/30/2026 1203561695 CMS
ABBVIE INC. $7.95 05/20/2025 Food and Beverage Undisputed 06/30/2026 1203561700 CMS
ABBVIE INC. $5.29 06/10/2025 Food and Beverage Undisputed 06/30/2026 1203561707 CMS
ABBVIE INC. $6.19 06/19/2025 Food and Beverage Undisputed 06/30/2026 1203561715 CMS
ABBVIE INC. $26.48 07/14/2025 Food and Beverage Undisputed 06/30/2026 1203561721 CMS
ABBVIE INC. $39.20 07/14/2025 Travel and Lodging Undisputed 06/30/2026 1203561727 CMS
ABBVIE INC. $13.21 07/17/2025 Food and Beverage Undisputed 06/30/2026 1203561735 CMS
ABBVIE INC. $6.04 07/22/2025 Food and Beverage Undisputed 06/30/2026 1203561741 CMS
ABBVIE INC. $1,250.00 07/24/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1203561747 CMS
ABBVIE INC. $5.41 08/06/2025 Food and Beverage Undisputed 06/30/2026 1203561753 CMS
ABBVIE INC. $25.28 08/14/2025 Food and Beverage Undisputed 06/30/2026 1203561759 CMS
ABBVIE INC. $28.61 09/16/2025 Food and Beverage Undisputed 06/30/2026 1203561765 CMS
ABBVIE INC. $56.00 09/22/2025 Travel and Lodging Undisputed 06/30/2026 1203561771 CMS
ABBVIE INC. $1,250.00 10/02/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1203561777 CMS
ABBVIE INC. $49.00 11/19/2025 Travel and Lodging Undisputed 06/30/2026 1203561783 CMS
ABBVIE INC. $24.93 11/19/2025 Food and Beverage Undisputed 06/30/2026 1203561791 CMS
ABBVIE INC. $1,750.00 12/04/2025 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 06/30/2026 1203561797 CMS
Alkermes, Inc. $26.69 01/13/2025 Food and Beverage Undisputed 06/30/2026 1222644812 CMS
Alkermes, Inc. $2.80 01/13/2025 Food and Beverage Undisputed 06/30/2026 1222644814 CMS
Alkermes, Inc. $27.74 02/18/2025 Food and Beverage Undisputed 06/30/2026 1222644816 CMS
Alkermes, Inc. $6.27 02/24/2025 Food and Beverage Undisputed 06/30/2026 1222644818 CMS
Alkermes, Inc. $23.71 02/24/2025 Food and Beverage Undisputed 06/30/2026 1222644820 CMS
Alkermes, Inc. $5.29 03/12/2025 Food and Beverage Undisputed 06/30/2026 1222644822 CMS
Alkermes, Inc. $24.92 03/26/2025 Food and Beverage Undisputed 06/30/2026 1222644824 CMS
Alkermes, Inc. $24.78 04/15/2025 Food and Beverage Undisputed 06/30/2026 1222644826 CMS
Alkermes, Inc. $22.84 05/05/2025 Food and Beverage Undisputed 06/30/2026 1222644828 CMS
Alkermes, Inc. $19.68 05/14/2025 Food and Beverage Undisputed 06/30/2026 1222644830 CMS
Alkermes, Inc. $23.73 06/16/2025 Food and Beverage Undisputed 06/30/2026 1222644832 CMS
Alkermes, Inc. $27.31 06/24/2025 Food and Beverage Undisputed 06/30/2026 1222644834 CMS
Alkermes, Inc. $20.65 07/28/2025 Food and Beverage Undisputed 06/30/2026 1222644836 CMS
Axsome Therapeutics, Inc. $8.83 05/01/2025 Food and Beverage Undisputed 06/30/2026 1235718258 CMS
Axsome Therapeutics, Inc. $13.29 05/01/2025 Food and Beverage Undisputed 06/30/2026 1235718260 CMS
Axsome Therapeutics, Inc. $121.56 06/17/2025 Food and Beverage Undisputed 06/30/2026 1235768868 CMS
Axsome Therapeutics, Inc. $14.96 07/21/2025 Food and Beverage Undisputed 06/30/2026 1235322431 CMS
Collegium Pharmaceutical, Inc. $19.75 01/28/2025 Food and Beverage Undisputed 06/30/2026 1224138546 CMS
Collegium Pharmaceutical, Inc. $15.78 02/25/2025 Food and Beverage Undisputed 06/30/2026 1224138548 CMS
Corium, LLC $18.98 05/12/2025 Food and Beverage Undisputed 06/30/2026 1185809812 CMS
Corium, LLC $24.50 07/31/2025 Food and Beverage Undisputed 06/30/2026 1185830922 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.02 06/18/2025 Food and Beverage Undisputed 06/30/2026 1241682400 CMS
Lundbeck LLC $15.49 05/28/2025 Food and Beverage Undisputed 06/30/2026 1251970689 CMS
Lundbeck LLC $17.87 08/20/2025 Food and Beverage Undisputed 06/30/2026 1251970691 CMS
MERZ NORTH AMERICA, INC. $24.58 03/20/2025 Food and Beverage Undisputed 06/30/2026 1236992473 CMS
Neurocrine BioSciences, Inc. $16.69 01/14/2025 Food and Beverage Undisputed 06/30/2026 1242908684 CMS
Neurocrine BioSciences, Inc. $12.50 01/21/2025 Food and Beverage Undisputed 06/30/2026 1242927709 CMS
Neurocrine BioSciences, Inc. $11.83 02/04/2025 Food and Beverage Undisputed 06/30/2026 1242928795 CMS
Neurocrine BioSciences, Inc. $11.66 03/05/2025 Food and Beverage Undisputed 06/30/2026 1242929097 CMS
Neurocrine BioSciences, Inc. $133.03 03/12/2025 Food and Beverage Undisputed 06/30/2026 1242781002 CMS
Neurocrine BioSciences, Inc. $9.79 05/06/2025 Food and Beverage Undisputed 06/30/2026 1242932666 CMS
Neurocrine BioSciences, Inc. $9.86 05/20/2025 Food and Beverage Undisputed 06/30/2026 1242932442 CMS
Neurocrine BioSciences, Inc. $18.50 06/10/2025 Food and Beverage Undisputed 06/30/2026 1242896566 CMS
Neurocrine BioSciences, Inc. $9.22 07/01/2025 Food and Beverage Undisputed 06/30/2026 1242933712 CMS
Neurocrine BioSciences, Inc. $8.53 07/16/2025 Food and Beverage Undisputed 06/30/2026 1242935154 CMS
Neurocrine BioSciences, Inc. $7.42 08/06/2025 Food and Beverage Undisputed 06/30/2026 1242937760 CMS
Neurocrine BioSciences, Inc. $10.29 08/20/2025 Food and Beverage Undisputed 06/30/2026 1242931558 CMS
Neurocrine BioSciences, Inc. $12.38 08/25/2025 Food and Beverage Undisputed 06/30/2026 1242927921 CMS
Neurocrine BioSciences, Inc. $9.67 09/24/2025 Food and Beverage Undisputed 06/30/2026 1242932906 CMS
Otsuka America Pharmaceutical, Inc. $13.91 02/11/2025 Food and Beverage Undisputed 06/30/2026 1227995301 CMS
Otsuka America Pharmaceutical, Inc. $101.76 02/20/2025 Food and Beverage Undisputed 06/30/2026 1227995305 CMS
Otsuka America Pharmaceutical, Inc. $8.87 04/03/2025 Food and Beverage Undisputed 06/30/2026 1227995311 CMS
Otsuka America Pharmaceutical, Inc. $5.83 05/21/2025 Food and Beverage Undisputed 06/30/2026 1227995317 CMS
Otsuka America Pharmaceutical, Inc. $6.12 06/30/2025 Food and Beverage Undisputed 06/30/2026 1227995321 CMS
Otsuka America Pharmaceutical, Inc. $14.76 07/09/2025 Food and Beverage Undisputed 06/30/2026 1227995327 CMS
Teva Pharmaceuticals USA, Inc. $96.04 01/16/2025 Food and Beverage Undisputed 06/30/2026 1247256983 CMS
Teva Pharmaceuticals USA, Inc. $24.42 01/22/2025 Food and Beverage Undisputed 06/30/2026 1247256981 CMS
Teva Pharmaceuticals USA, Inc. $98.43 02/13/2025 Food and Beverage Undisputed 06/30/2026 1247256993 CMS
Teva Pharmaceuticals USA, Inc. $28.41 03/04/2025 Food and Beverage Undisputed 06/30/2026 1247257021 CMS
Teva Pharmaceuticals USA, Inc. $111.49 04/08/2025 Education Undisputed 06/30/2026 1247257029 CMS
Teva Pharmaceuticals USA, Inc. $17.38 04/08/2025 Food and Beverage Undisputed 06/30/2026 1247257031 CMS
Teva Pharmaceuticals USA, Inc. $108.12 05/13/2025 Food and Beverage Undisputed 06/30/2026 1247257047 CMS
Teva Pharmaceuticals USA, Inc. $22.90 05/19/2025 Food and Beverage Undisputed 06/30/2026 1247257049 CMS
Teva Pharmaceuticals USA, Inc. $30.29 06/17/2025 Food and Beverage Undisputed 06/30/2026 1247257069 CMS
Teva Pharmaceuticals USA, Inc. $23.36 06/30/2025 Food and Beverage Undisputed 06/30/2026 1247257083 CMS
Teva Pharmaceuticals USA, Inc. $21.27 07/07/2025 Food and Beverage Undisputed 06/30/2026 1247257085 CMS
Teva Pharmaceuticals USA, Inc. $28.09 08/04/2025 Food and Beverage Undisputed 06/30/2026 1247257101 CMS
Teva Pharmaceuticals USA, Inc. $6.87 08/13/2025 Food and Beverage Undisputed 06/30/2026 1247257103 CMS
Teva Pharmaceuticals USA, Inc. $22.49 08/18/2025 Food and Beverage Undisputed 06/30/2026 1247257105 CMS
Teva Pharmaceuticals USA, Inc. $125.00 09/09/2025 Food and Beverage Undisputed 06/30/2026 1247257115 CMS
Vanda Pharmaceuticals Inc. $22.83 03/11/2025 Food and Beverage Undisputed 06/30/2026 1233129643 CMS
Vanda Pharmaceuticals Inc. $23.49 05/14/2025 Food and Beverage Undisputed 06/30/2026 1233129645 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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