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

ALLAN MARK SPIEGEL

Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology

NPI
1235148743
CMS profile
328389
Location
PALM HARBOR, FL

General Payments · PY2019–2025

$19,959.38

  • Reported across 1,075 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$3,676.55

172 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

Nature of paymentAmountRecords
Food and Beverage $3,676.55 172

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,549.51 105
PY2020 $2,264.77 121
PY2021 $2,735.53 162
PY2022 $2,803.37 153
PY2023 $3,456.82 184
PY2024 $3,472.83 178
PY2025 $3,676.55 172

Payment records · PY2025 (172)

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

Program year 2025 201920202021202220232024 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. $17.03 01/14/2025 Food and Beverage Undisputed 06/30/2026 1204378591 CMS
ABBVIE INC. $11.58 01/23/2025 Food and Beverage Undisputed 06/30/2026 1204378594 CMS
ABBVIE INC. $11.84 02/04/2025 Food and Beverage Undisputed 06/30/2026 1204378599 CMS
ABBVIE INC. $26.80 02/24/2025 Food and Beverage Undisputed 06/30/2026 1204378603 CMS
ABBVIE INC. $17.78 03/10/2025 Food and Beverage Undisputed 06/30/2026 1204378606 CMS
ABBVIE INC. $5.68 04/10/2025 Food and Beverage Undisputed 06/30/2026 1204378611 CMS
ABBVIE INC. $12.06 04/15/2025 Food and Beverage Undisputed 06/30/2026 1204378614 CMS
ABBVIE INC. $18.09 05/06/2025 Food and Beverage Undisputed 06/30/2026 1204378618 CMS
ABBVIE INC. $16.45 06/09/2025 Food and Beverage Undisputed 06/30/2026 1204378622 CMS
ABBVIE INC. $21.43 07/14/2025 Food and Beverage Undisputed 06/30/2026 1204378627 CMS
ABBVIE INC. $17.77 07/31/2025 Food and Beverage Undisputed 06/30/2026 1204378630 CMS
ABBVIE INC. $16.49 08/04/2025 Food and Beverage Undisputed 06/30/2026 1204378634 CMS
ABBVIE INC. $17.77 08/08/2025 Food and Beverage Undisputed 06/30/2026 1204378639 CMS
ABBVIE INC. $20.00 09/09/2025 Food and Beverage Undisputed 06/30/2026 1204378643 CMS
ABBVIE INC. $7.11 09/16/2025 Food and Beverage Undisputed 06/30/2026 1204378646 CMS
ABBVIE INC. $14.43 10/13/2025 Food and Beverage Undisputed 06/30/2026 1204378650 CMS
ABBVIE INC. $20.48 10/21/2025 Food and Beverage Undisputed 06/30/2026 1204378654 CMS
ABBVIE INC. $26.02 11/17/2025 Food and Beverage Undisputed 06/30/2026 1204378658 CMS
ABBVIE INC. $19.77 12/02/2025 Food and Beverage Undisputed 06/30/2026 1204378661 CMS
ACADIA Pharmaceuticals Inc $14.85 06/05/2025 Food and Beverage Undisputed 06/30/2026 1247801227 CMS
Alexion Pharmaceuticals, Inc. $30.32 05/16/2025 Food and Beverage Undisputed 06/30/2026 1202922954 CMS
Alexion Pharmaceuticals, Inc. $28.19 06/11/2025 Food and Beverage Undisputed 06/30/2026 1202917499 CMS
Alexion Pharmaceuticals, Inc. $26.18 07/07/2025 Food and Beverage Undisputed 06/30/2026 1202935846 CMS
Alexion Pharmaceuticals, Inc. $29.43 08/15/2025 Food and Beverage Undisputed 06/30/2026 1202930378 CMS
Alexion Pharmaceuticals, Inc. $29.43 09/04/2025 Food and Beverage Undisputed 06/30/2026 1202975062 CMS
Alexion Pharmaceuticals, Inc. $27.06 09/24/2025 Food and Beverage Undisputed 06/30/2026 1202969830 CMS
Alexion Pharmaceuticals, Inc. $25.48 10/01/2025 Food and Beverage Undisputed 06/30/2026 1202930490 CMS
Alexion Pharmaceuticals, Inc. $27.43 10/27/2025 Food and Beverage Undisputed 06/30/2026 1202915283 CMS
Amneal Pharmaceuticals LLC $15.56 12/10/2025 Food and Beverage Undisputed 06/30/2026 1220550340 CMS
ANI Pharmaceuticals, Inc. $24.76 09/29/2025 Food and Beverage Undisputed 06/30/2026 1248594492 CMS
ARGENX US, INC. $27.85 07/23/2025 Food and Beverage Undisputed 06/30/2026 1240429030 CMS
ARGENX US, INC. $32.82 09/02/2025 Food and Beverage Undisputed 06/30/2026 1240433335 CMS
Axsome Therapeutics, Inc. $17.52 06/25/2025 Food and Beverage Undisputed 06/30/2026 1235311485 CMS
Axsome Therapeutics, Inc. $15.15 07/17/2025 Food and Beverage Undisputed 06/30/2026 1235436298 CMS
Axsome Therapeutics, Inc. $13.91 08/20/2025 Food and Beverage Undisputed 06/30/2026 1235487911 CMS
Axsome Therapeutics, Inc. $15.22 10/31/2025 Food and Beverage Undisputed 06/30/2026 1235627460 CMS
CATALYST PHARMACEUTICALS, INC. $19.99 01/30/2025 Food and Beverage Undisputed 06/30/2026 1253218612 CMS
CATALYST PHARMACEUTICALS, INC. $14.87 02/28/2025 Food and Beverage Undisputed 06/30/2026 1253218614 CMS
Celgene Corporation $84.89 02/13/2025 Food and Beverage Undisputed 06/30/2026 1184806269 CMS
Celgene Corporation $23.67 04/22/2025 Food and Beverage Undisputed 06/30/2026 1184806323 CMS
Celgene Corporation $15.82 06/10/2025 Food and Beverage Undisputed 06/30/2026 1184806364 CMS
Celgene Corporation $13.70 08/07/2025 Food and Beverage Undisputed 06/30/2026 1184806374 CMS
Celgene Corporation $16.01 11/13/2025 Food and Beverage Undisputed 06/30/2026 1184806390 CMS
Eisai Inc. $28.31 02/03/2025 Food and Beverage Undisputed 06/30/2026 1244457901 CMS
Eisai Inc. $27.38 03/03/2025 Food and Beverage Undisputed 06/30/2026 1244457903 CMS
Eisai Inc. $19.79 05/01/2025 Food and Beverage Undisputed 06/30/2026 1244457905 CMS
Eisai Inc. $22.86 07/16/2025 Food and Beverage Undisputed 06/30/2026 1244457907 CMS
Eisai Inc. $19.88 09/18/2025 Food and Beverage Undisputed 06/30/2026 1244457909 CMS
EMD Serono, Inc. $23.04 03/11/2025 Food and Beverage Undisputed 06/30/2026 1236920535 CMS
Impel Pharmaceuticals LLC $14.83 09/22/2025 Food and Beverage Undisputed 06/30/2026 1211450528 CMS
Impel Pharmaceuticals LLC $19.87 11/04/2025 Food and Beverage Undisputed 06/30/2026 1211451112 CMS
Impel Pharmaceuticals LLC $20.03 12/13/2025 Food and Beverage Undisputed 06/30/2026 1211451909 CMS
Janssen Biotech, Inc. $18.84 09/23/2025 Food and Beverage Undisputed 06/30/2026 1175207608 CMS
Janssen Biotech, Inc. $16.74 11/03/2025 Food and Beverage Undisputed 06/30/2026 1175207164 CMS
JAZZ PHARMACEUTICALS INC. $15.97 01/07/2025 Food and Beverage Undisputed 06/30/2026 1234343026 CMS
JAZZ PHARMACEUTICALS INC. $19.68 03/27/2025 Food and Beverage Undisputed 06/30/2026 1234337331 CMS
Lilly USA, LLC $22.45 02/25/2025 Food and Beverage Undisputed 06/30/2026 1186495919 CMS
Lilly USA, LLC $18.14 06/02/2025 Food and Beverage Undisputed 06/30/2026 1186482003 CMS
Lilly USA, LLC $32.25 08/07/2025 Food and Beverage Undisputed 06/30/2026 1186511337 CMS
Lilly USA, LLC $22.86 09/22/2025 Food and Beverage Undisputed 06/30/2026 1186501185 CMS
Lundbeck LLC $28.11 01/02/2025 Food and Beverage Undisputed 06/30/2026 1251849877 CMS
Lundbeck LLC $9.48 02/11/2025 Food and Beverage Undisputed 06/30/2026 1251849879 CMS
Lundbeck LLC $31.04 02/17/2025 Food and Beverage Undisputed 06/30/2026 1251849881 CMS
Lundbeck LLC $8.41 03/03/2025 Food and Beverage Undisputed 06/30/2026 1251849883 CMS
Lundbeck LLC $14.33 03/26/2025 Food and Beverage Undisputed 06/30/2026 1251849885 CMS
Lundbeck LLC $24.42 04/09/2025 Food and Beverage Undisputed 06/30/2026 1251849887 CMS
Lundbeck LLC $16.52 04/25/2025 Food and Beverage Undisputed 06/30/2026 1251849889 CMS
Lundbeck LLC $8.01 04/30/2025 Food and Beverage Undisputed 06/30/2026 1251849891 CMS
Lundbeck LLC $8.78 05/06/2025 Food and Beverage Undisputed 06/30/2026 1251849893 CMS
Lundbeck LLC $29.70 05/09/2025 Food and Beverage Undisputed 06/30/2026 1251849895 CMS
Lundbeck LLC $27.44 06/18/2025 Food and Beverage Undisputed 06/30/2026 1251849897 CMS
Lundbeck LLC $16.05 06/26/2025 Food and Beverage Undisputed 06/30/2026 1251849899 CMS
Lundbeck LLC $14.32 07/09/2025 Food and Beverage Undisputed 06/30/2026 1251849901 CMS
Lundbeck LLC $27.44 07/28/2025 Food and Beverage Undisputed 06/30/2026 1251849903 CMS
Lundbeck LLC $0.78 09/02/2025 Food and Beverage Undisputed 06/30/2026 1251849905 CMS
Lundbeck LLC $11.22 09/02/2025 Food and Beverage Undisputed 06/30/2026 1251849907 CMS
Lundbeck LLC $27.84 09/12/2025 Food and Beverage Undisputed 06/30/2026 1251849909 CMS
Lundbeck LLC $27.84 09/24/2025 Food and Beverage Undisputed 06/30/2026 1251849911 CMS
Lundbeck LLC $29.70 10/09/2025 Food and Beverage Undisputed 06/30/2026 1251849913 CMS
Lundbeck LLC $18.08 11/06/2025 Food and Beverage Undisputed 06/30/2026 1251849915 CMS
Lundbeck LLC $18.58 12/16/2025 Food and Beverage Undisputed 06/30/2026 1251849917 CMS
MDD US Operations, LLC $22.73 05/19/2025 Food and Beverage Undisputed 06/30/2026 1241848424 CMS
MDD US Operations, LLC $23.99 06/19/2025 Food and Beverage Undisputed 06/30/2026 1241848428 CMS
MDD US Operations, LLC $21.86 07/21/2025 Food and Beverage Undisputed 06/30/2026 1244854694 CMS
Merz Pharmaceuticals, LLC $19.15 01/08/2025 Food and Beverage Undisputed 06/30/2026 1232555923 CMS
Merz Pharmaceuticals, LLC $21.25 05/20/2025 Food and Beverage Undisputed 06/30/2026 1232555925 CMS
Merz Pharmaceuticals, LLC $26.13 11/20/2025 Food and Beverage Undisputed 06/30/2026 1232555921 CMS
Neurocrine BioSciences, Inc. $19.70 01/15/2025 Food and Beverage Undisputed 06/30/2026 1243027320 CMS
Neurocrine BioSciences, Inc. $24.18 01/27/2025 Food and Beverage Undisputed 06/30/2026 1243008461 CMS
Neurocrine BioSciences, Inc. $15.67 02/28/2025 Food and Beverage Undisputed 06/30/2026 1243041045 CMS
Neurocrine BioSciences, Inc. $23.95 03/25/2025 Food and Beverage Undisputed 06/30/2026 1243009793 CMS
Neurocrine BioSciences, Inc. $22.24 04/21/2025 Food and Beverage Undisputed 06/30/2026 1243016753 CMS
Neurocrine BioSciences, Inc. $18.93 05/29/2025 Food and Beverage Undisputed 06/30/2026 1243030418 CMS
Neurocrine BioSciences, Inc. $19.51 06/24/2025 Food and Beverage Undisputed 06/30/2026 1243028084 CMS
Neurocrine BioSciences, Inc. $10.96 07/16/2025 Food and Beverage Undisputed 06/30/2026 1243048849 CMS
Neurocrine BioSciences, Inc. $24.52 07/24/2025 Food and Beverage Undisputed 06/30/2026 1243007227 CMS
Neurocrine BioSciences, Inc. $20.06 09/04/2025 Food and Beverage Undisputed 06/30/2026 1243025730 CMS
Neurocrine BioSciences, Inc. $18.23 10/21/2025 Food and Beverage Undisputed 06/30/2026 1243032860 CMS
Neurocrine BioSciences, Inc. $19.36 11/20/2025 Food and Beverage Undisputed 06/30/2026 1243028632 CMS
Neurocrine BioSciences, Inc. $16.37 12/08/2025 Food and Beverage Undisputed 06/30/2026 1243039137 CMS
Otsuka America Pharmaceutical, Inc. $28.63 01/09/2025 Food and Beverage Undisputed 06/30/2026 1227502780 CMS
Otsuka America Pharmaceutical, Inc. $6.15 01/16/2025 Food and Beverage Undisputed 06/30/2026 1227502784 CMS
Otsuka America Pharmaceutical, Inc. $6.48 01/30/2025 Food and Beverage Undisputed 06/30/2026 1227502788 CMS
Otsuka America Pharmaceutical, Inc. $21.51 02/07/2025 Food and Beverage Undisputed 06/30/2026 1227502791 CMS
Otsuka America Pharmaceutical, Inc. $8.44 02/18/2025 Food and Beverage Undisputed 06/30/2026 1227502795 CMS
Otsuka America Pharmaceutical, Inc. $20.61 03/18/2025 Food and Beverage Undisputed 06/30/2026 1227502798 CMS
Otsuka America Pharmaceutical, Inc. $7.05 03/31/2025 Food and Beverage Undisputed 06/30/2026 1227502803 CMS
Otsuka America Pharmaceutical, Inc. $121.83 04/16/2025 Food and Beverage Undisputed 06/30/2026 1227502806 CMS
Otsuka America Pharmaceutical, Inc. $20.35 04/25/2025 Food and Beverage Undisputed 06/30/2026 1227502810 CMS
Otsuka America Pharmaceutical, Inc. $22.51 04/30/2025 Food and Beverage Undisputed 06/30/2026 1227502813 CMS
Otsuka America Pharmaceutical, Inc. $8.72 07/08/2025 Food and Beverage Undisputed 06/30/2026 1227502817 CMS
Otsuka America Pharmaceutical, Inc. $8.96 08/14/2025 Food and Beverage Undisputed 06/30/2026 1227502821 CMS
Otsuka America Pharmaceutical, Inc. $0.98 08/14/2025 Food and Beverage Undisputed 06/30/2026 1227502824 CMS
Otsuka America Pharmaceutical, Inc. $6.41 09/11/2025 Food and Beverage Undisputed 06/30/2026 1227502830 CMS
Otsuka America Pharmaceutical, Inc. $11.48 11/13/2025 Food and Beverage Undisputed 06/30/2026 1227502834 CMS
Otsuka America Pharmaceutical, Inc. $7.50 11/20/2025 Food and Beverage Undisputed 06/30/2026 1227502839 CMS
PFIZER INC. $14.25 01/13/2025 Food and Beverage Undisputed 06/30/2026 1231129488 CMS
PFIZER INC. $15.33 02/12/2025 Food and Beverage Undisputed 06/30/2026 1231357740 CMS
PFIZER INC. $13.16 03/11/2025 Food and Beverage Undisputed 06/30/2026 1231441089 CMS
PFIZER INC. $18.26 04/17/2025 Food and Beverage Undisputed 06/30/2026 1231493388 CMS
PFIZER INC. $17.91 05/13/2025 Food and Beverage Undisputed 06/30/2026 1228976288 CMS
PFIZER INC. $17.67 06/10/2025 Food and Beverage Undisputed 06/30/2026 1231712702 CMS
PFIZER INC. $23.69 06/18/2025 Food and Beverage Undisputed 06/30/2026 1228928865 CMS
PFIZER INC. $20.55 06/25/2025 Food and Beverage Undisputed 06/30/2026 1229180574 CMS
PFIZER INC. $18.44 07/15/2025 Food and Beverage Undisputed 06/30/2026 1231716592 CMS
PFIZER INC. $20.55 07/22/2025 Food and Beverage Undisputed 06/30/2026 1229238554 CMS
PFIZER INC. $18.55 08/12/2025 Food and Beverage Undisputed 06/30/2026 1229001032 CMS
PFIZER INC. $18.69 09/16/2025 Food and Beverage Undisputed 06/30/2026 1229263611 CMS
PFIZER INC. $24.44 10/14/2025 Food and Beverage Undisputed 06/30/2026 1229817877 CMS
PFIZER INC. $18.57 10/23/2025 Food and Beverage Undisputed 06/30/2026 1229884556 CMS
PFIZER INC. $22.12 11/11/2025 Food and Beverage Undisputed 06/30/2026 1230002224 CMS
PFIZER INC. $26.19 12/11/2025 Food and Beverage Undisputed 06/30/2026 1229615776 CMS
SCILEX PHARMACEUTICALS INC. $23.29 04/29/2025 Food and Beverage Undisputed 06/30/2026 1242594259 CMS
SK Life Science, Inc. $34.49 03/13/2025 Food and Beverage Undisputed 06/30/2026 1252312528 CMS
SK Life Science, Inc. $28.71 08/06/2025 Food and Beverage Undisputed 06/30/2026 1252312578 CMS
SK Life Science, Inc. $92.70 08/13/2025 Food and Beverage Undisputed 06/30/2026 1252312644 CMS
SK Life Science, Inc. $34.96 10/08/2025 Food and Beverage Undisputed 06/30/2026 1252312598 CMS
Takeda Pharmaceuticals U.S.A., Inc. $33.71 01/21/2025 Food and Beverage Undisputed 06/30/2026 1223932294 CMS
Takeda Pharmaceuticals U.S.A., Inc. $30.34 03/04/2025 Food and Beverage Undisputed 06/30/2026 1223922366 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.11 04/15/2025 Food and Beverage Undisputed 06/30/2026 1223925350 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.03 05/27/2025 Food and Beverage Undisputed 06/30/2026 1223925148 CMS
Takeda Pharmaceuticals U.S.A., Inc. $29.29 07/10/2025 Food and Beverage Undisputed 06/30/2026 1223918338 CMS
Takeda Pharmaceuticals U.S.A., Inc. $34.93 08/19/2025 Food and Beverage Undisputed 06/30/2026 1223934908 CMS
Takeda Pharmaceuticals U.S.A., Inc. $31.54 09/30/2025 Food and Beverage Undisputed 06/30/2026 1223926694 CMS
Teva Pharmaceuticals USA, Inc. $14.89 01/29/2025 Food and Beverage Undisputed 06/30/2026 1247425890 CMS
Teva Pharmaceuticals USA, Inc. $16.34 04/07/2025 Food and Beverage Undisputed 06/30/2026 1247425898 CMS
Teva Pharmaceuticals USA, Inc. $15.21 05/12/2025 Food and Beverage Undisputed 06/30/2026 1247425906 CMS
Teva Pharmaceuticals USA, Inc. $18.52 06/17/2025 Food and Beverage Undisputed 06/30/2026 1247425946 CMS
Teva Pharmaceuticals USA, Inc. $16.92 07/02/2025 Food and Beverage Undisputed 06/30/2026 1247425956 CMS
Teva Pharmaceuticals USA, Inc. $18.21 08/05/2025 Food and Beverage Undisputed 06/30/2026 1247425970 CMS
Teva Pharmaceuticals USA, Inc. $16.67 09/15/2025 Food and Beverage Undisputed 06/30/2026 1247425986 CMS
Teva Pharmaceuticals USA, Inc. $16.96 10/07/2025 Food and Beverage Undisputed 06/30/2026 1247426008 CMS
Teva Pharmaceuticals USA, Inc. $16.27 12/02/2025 Food and Beverage Undisputed 06/30/2026 1247426034 CMS
Tonix Medicines, Inc. $20.19 04/03/2025 Food and Beverage Undisputed 06/30/2026 1235874364 CMS
Tonix Medicines, Inc. $14.94 10/28/2025 Food and Beverage Undisputed 06/30/2026 1235874366 CMS
UCB, Inc. $29.38 01/17/2025 Food and Beverage Undisputed 06/30/2026 1224763720 CMS
UCB, Inc. $4.82 02/13/2025 Food and Beverage Undisputed 06/30/2026 1224763722 CMS
UCB, Inc. $28.25 02/13/2025 Food and Beverage Undisputed 06/30/2026 1224763724 CMS
UCB, Inc. $34.67 03/17/2025 Food and Beverage Undisputed 06/30/2026 1224763726 CMS
UCB, Inc. $23.90 04/10/2025 Food and Beverage Undisputed 06/30/2026 1224763728 CMS
UCB, Inc. $0.54 05/08/2025 Food and Beverage Undisputed 06/30/2026 1224763730 CMS
UCB, Inc. $8.77 05/08/2025 Food and Beverage Undisputed 06/30/2026 1224763732 CMS
UCB, Inc. $26.66 05/15/2025 Food and Beverage Undisputed 06/30/2026 1224763734 CMS
UCB, Inc. $29.14 06/12/2025 Food and Beverage Undisputed 06/30/2026 1224763736 CMS
UCB, Inc. $29.14 07/17/2025 Food and Beverage Undisputed 06/30/2026 1224763738 CMS
UCB, Inc. $30.14 08/11/2025 Food and Beverage Undisputed 06/30/2026 1224763740 CMS
UCB, Inc. $29.54 09/11/2025 Food and Beverage Undisputed 06/30/2026 1224763742 CMS
UCB, Inc. $19.22 10/09/2025 Food and Beverage Undisputed 06/30/2026 1224763744 CMS
UCB, Inc. $25.50 10/16/2025 Food and Beverage Undisputed 06/30/2026 1224763746 CMS
UCB, Inc. $4.63 11/06/2025 Food and Beverage Undisputed 06/30/2026 1224763748 CMS
UCB, Inc. $26.68 11/18/2025 Food and Beverage Undisputed 06/30/2026 1224763750 CMS
UCB, Inc. $29.88 12/09/2025 Food and Beverage Undisputed 06/30/2026 1224763752 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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.