Covered recipient · General Payments record

TIFFANY ANN SPEARS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI: 1245516251
CMS profile: 10665678
Location: CHESAPEAKE, OH

General Payments · PY2021–2024

$5,600.06

Reported across 350 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,407.99

100 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	$1,407.99	100

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
ABBVIE INC.	$336.38	31
Acerta Pharma LLC	$179.83	10
Amgen Inc.	$164.36	12
Lundbeck LLC	$149.88	13
Lilly USA, LLC	$149.25	10
ITI, Inc.	$80.83	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$54.83	3
Otsuka America Pharmaceutical, Inc.	$50.34	3
PFIZER INC.	$36.74	2
Alkermes, Inc.	$34.56	2
Xeris Pharmaceuticals, Inc.	$31.68	2
Novo Nordisk AS	$30.64	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$29.90	2
Teva Pharmaceuticals USA, Inc.	$22.44	1
Exact Sciences Corporation	$21.22	1
IDORSIA PHARMACEUTICALS US INC	$17.78	1
GlaxoSmithKline, LLC.	$17.33	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$1,156.69	65
PY2022	$1,240.80	83
PY2023	$1,794.58	102
PY2024	$1,407.99	100

Payment records · PY2024 (100)

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

Program year 2024 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.	$11.42	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1108236880	CMS
ABBVIE INC.	$11.61	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1108236882	CMS
ABBVIE INC.	$10.54	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1108236884	CMS
ABBVIE INC.	$19.46	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1108236886	CMS
ABBVIE INC.	$7.80	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1108236888	CMS
ABBVIE INC.	$19.05	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1108236890	CMS
ABBVIE INC.	$9.42	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1108236892	CMS
ABBVIE INC.	$17.73	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1108236894	CMS
ABBVIE INC.	$5.60	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1108236896	CMS
ABBVIE INC.	$9.87	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1108236898	CMS
ABBVIE INC.	$8.84	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1108236900	CMS
ABBVIE INC.	$5.82	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1108236902	CMS
ABBVIE INC.	$6.47	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1108236904	CMS
ABBVIE INC.	$9.02	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1108236906	CMS
ABBVIE INC.	$10.88	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1108236908	CMS
ABBVIE INC.	$7.82	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1108236910	CMS
ABBVIE INC.	$11.98	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1108236912	CMS
ABBVIE INC.	$10.72	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1108236914	CMS
ABBVIE INC.	$4.49	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1108236916	CMS
ABBVIE INC.	$13.06	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1108236918	CMS
ABBVIE INC.	$10.16	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1108236920	CMS
ABBVIE INC.	$15.80	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1108236922	CMS
ABBVIE INC.	$4.19	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1108236924	CMS
ABBVIE INC.	$16.51	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1108236926	CMS
ABBVIE INC.	$8.57	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1108236928	CMS
ABBVIE INC.	$12.23	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1108236930	CMS
ABBVIE INC.	$9.44	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1108236932	CMS
ABBVIE INC.	$14.12	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1108236934	CMS
ABBVIE INC.	$3.57	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1108236936	CMS
ABBVIE INC.	$20.04	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1108236938	CMS
ABBVIE INC.	$10.15	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1108236940	CMS
Alkermes, Inc.	$15.12	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1120601652	CMS
Alkermes, Inc.	$19.44	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1120601654	CMS
Amgen Inc.	$15.21	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1117690448	CMS
Amgen Inc.	$18.55	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1117690450	CMS
Amgen Inc.	$12.24	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1117690452	CMS
Amgen Inc.	$6.95	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1117690454	CMS
Amgen Inc.	$16.80	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1117690456	CMS
Amgen Inc.	$8.08	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1117690458	CMS
Amgen Inc.	$14.27	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1117690460	CMS
Amgen Inc.	$18.54	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1117690462	CMS
Amgen Inc.	$15.64	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1117690464	CMS
Amgen Inc.	$12.31	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1117690466	CMS
Amgen Inc.	$8.83	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1117690468	CMS
Amgen Inc.	$16.94	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1117690470	CMS
AstraZeneca Pharmaceuticals LP	$16.45	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1104459870	CMS
AstraZeneca Pharmaceuticals LP	$27.33	02/13/2024	Food and Beverage	Undisputed	01/23/2026	1105394449	CMS
AstraZeneca Pharmaceuticals LP	$17.85	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1105689075	CMS
AstraZeneca Pharmaceuticals LP	$19.20	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1104439293	CMS
AstraZeneca Pharmaceuticals LP	$16.92	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1105872139	CMS
AstraZeneca Pharmaceuticals LP	$17.23	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1104215511	CMS
AstraZeneca Pharmaceuticals LP	$15.89	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1105851530	CMS
AstraZeneca Pharmaceuticals LP	$16.88	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1104418087	CMS
AstraZeneca Pharmaceuticals LP	$15.30	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1104414751	CMS
AstraZeneca Pharmaceuticals LP	$16.78	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1105660764	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.44	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1117931833	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.09	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1117931837	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.30	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1117931835	CMS
Exact Sciences Corporation	$21.22	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1114418799	CMS
GlaxoSmithKline, LLC.	$17.33	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1116285804	CMS
IDORSIA PHARMACEUTICALS US INC	$17.78	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1146760297	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.80	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1143608336	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.80	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1143608338	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.43	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1143608340	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.80	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1143608342	CMS
Lilly USA, LLC	$16.61	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1135980015	CMS
Lilly USA, LLC	$21.75	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1135969434	CMS
Lilly USA, LLC	$12.08	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1135990264	CMS
Lilly USA, LLC	$18.70	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1135980017	CMS
Lilly USA, LLC	$12.36	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1135980125	CMS
Lilly USA, LLC	$8.34	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1135969438	CMS
Lilly USA, LLC	$12.35	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1135969436	CMS
Lilly USA, LLC	$16.83	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1135990260	CMS
Lilly USA, LLC	$15.01	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1135972364	CMS
Lilly USA, LLC	$15.22	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1135990262	CMS
Lundbeck LLC	$7.28	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1146093001	CMS
Lundbeck LLC	$17.28	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1146093003	CMS
Lundbeck LLC	$14.28	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1146093005	CMS
Lundbeck LLC	$8.82	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1146093007	CMS
Lundbeck LLC	$18.96	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1146093009	CMS
Lundbeck LLC	$0.41	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1146093011	CMS
Lundbeck LLC	$25.77	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1146093013	CMS
Lundbeck LLC	$5.76	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1146093015	CMS
Lundbeck LLC	$7.87	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1146093017	CMS
Lundbeck LLC	$0.72	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1146093019	CMS
Lundbeck LLC	$14.42	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1146093021	CMS
Lundbeck LLC	$9.50	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1146093023	CMS
Lundbeck LLC	$18.81	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1146093025	CMS
Novo Nordisk Inc	$15.94	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1100569814	CMS
Novo Nordisk Inc	$14.70	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1100572386	CMS
Otsuka America Pharmaceutical, Inc.	$19.22	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1119190772	CMS
Otsuka America Pharmaceutical, Inc.	$16.30	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1119190774	CMS
Otsuka America Pharmaceutical, Inc.	$14.82	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1119190776	CMS
PFIZER INC.	$18.74	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1131838310	CMS
PFIZER INC.	$18.00	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1132099925	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.93	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1153675734	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.97	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153480052	CMS
Teva Pharmaceuticals USA, Inc.	$22.44	09/10/2024	Food and Beverage	Undisputed	01/23/2026	1151594975	CMS
Xeris Pharmaceuticals, Inc.	$16.67	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1144640136	CMS
Xeris Pharmaceuticals, Inc.	$15.01	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1144640138	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

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.