Covered recipient · General Payments record

STACEY HECKFORD SPEARS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1245670314
CMS profile: 11085876
Location: WEST MONROE, LA

General Payments · PY2021–2024

$5,338.34

Reported across 294 records
CMS publication 2026-01-23

Latest program year · PY2024

$1,643.53

87 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	$1,643.53	87

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
NOVARTIS PHARMACEUTICALS CORPORATION	$376.62	23
Merck Sharp & Dohme Corporation	$169.67	9
EMD Serono, Inc.	$91.15	1
Exelixis Inc.	$81.13	5
Acerta Pharma LLC	$76.18	4
Regeneron Healthcare Solutions, Inc.	$60.90	3
Daiichi Sankyo Inc.	$57.70	3
Genentech USA, Inc.	$53.78	3
Janssen Biotech, Inc.	$51.21	3
Incyte Corporation	$43.86	2
EISAI INC.	$43.83	2
Lilly USA, LLC	$41.85	2
JAZZ PHARMACEUTICALS INC.	$40.14	2
PFIZER INC.	$39.84	2
Blueprint Medicines Corporation	$36.81	2
Celgene Corporation	$36.03	2
Mirati Therapeutics, Inc.	$35.98	2
GENZYME CORPORATION	$35.45	2
Astellas Pharma US Inc	$35.35	2
Alexion Pharmaceuticals, Inc.	$35.16	2
Rigel Pharmaceuticals, Inc.	$21.96	1
Adaptive Biotechnologies Corporation	$21.73	1
ARRAY BIOPHARMA INC	$20.86	1
GlaxoSmithKline, LLC.	$20.71	1
PharmaEssentia USA Corporation	$19.98	1
BeiGene USA, Inc.	$18.64	1
Gilead Sciences, Inc.	$17.32	1
E.R. Squibb & Sons, L.L.C.	$17.25	1
Stemline Therapeutics Inc.	$14.55	1
PUMA BIOTECHNOLOGY, INC.	$14.00	1
Bayer HealthCare Pharmaceuticals Inc.	$13.89	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$549.31	32
PY2022	$1,184.53	67
PY2023	$1,960.97	108
PY2024	$1,643.53	87

Payment records · PY2024 (87)

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
Adaptive Biotechnologies Corporation	$21.73	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1150265997	CMS
Alexion Pharmaceuticals, Inc.	$18.59	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1093918775	CMS
Alexion Pharmaceuticals, Inc.	$16.57	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1093989631	CMS
ARRAY BIOPHARMA INC	$20.86	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1131736262	CMS
Astellas Pharma US Inc	$20.85	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1139495972	CMS
Astellas Pharma US Inc	$14.50	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1139516377	CMS
AstraZeneca Pharmaceuticals LP	$18.60	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1105510507	CMS
AstraZeneca Pharmaceuticals LP	$21.01	09/24/2024	Food and Beverage	Undisputed	01/23/2026	1104433441	CMS
AstraZeneca Pharmaceuticals LP	$16.35	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1105589428	CMS
AstraZeneca Pharmaceuticals LP	$20.22	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1104558472	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.89	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1086333463	CMS
BeiGene USA, Inc.	$18.64	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1120848217	CMS
Blueprint Medicines Corporation	$22.62	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1147450154	CMS
Blueprint Medicines Corporation	$14.19	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1147450282	CMS
Celgene Corporation	$18.99	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1101109446	CMS
Celgene Corporation	$17.04	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1101109458	CMS
Daiichi Sankyo Inc.	$19.21	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1089485698	CMS
Daiichi Sankyo Inc.	$19.10	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1089485702	CMS
Daiichi Sankyo Inc.	$19.39	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1089485690	CMS
E.R. Squibb & Sons, L.L.C.	$17.25	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1101324564	CMS
Eisai Inc.	$24.20	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1110821931	CMS
Eisai Inc.	$19.63	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1110821929	CMS
EMD Serono, Inc.	$91.15	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1120271866	CMS
Exelixis Inc.	$14.09	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1138574539	CMS
Exelixis Inc.	$18.29	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1138574543	CMS
Exelixis Inc.	$13.67	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1138574541	CMS
Exelixis Inc.	$16.52	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1138574545	CMS
Exelixis Inc.	$18.56	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1138574547	CMS
Genentech USA, Inc.	$18.98	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1133189017	CMS
Genentech USA, Inc.	$18.21	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1133189026	CMS
Genentech USA, Inc.	$16.59	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1133189033	CMS
GENZYME CORPORATION	$17.88	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1139876835	CMS
GENZYME CORPORATION	$17.57	10/08/2024	Food and Beverage	Undisputed	01/23/2026	1139876913	CMS
Gilead Sciences, Inc.	$17.32	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1133690014	CMS
GlaxoSmithKline, LLC.	$20.71	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1115737962	CMS
Incyte Corporation	$21.79	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1141231219	CMS
Incyte Corporation	$22.07	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1141308237	CMS
Janssen Biotech, Inc.	$13.74	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1078681918	CMS
Janssen Biotech, Inc.	$19.28	06/22/2024	Food and Beverage	Undisputed	01/23/2026	1078681948	CMS
Janssen Biotech, Inc.	$18.19	10/25/2024	Food and Beverage	Undisputed	01/23/2026	1078682019	CMS
JAZZ PHARMACEUTICALS INC.	$14.49	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1151299444	CMS
JAZZ PHARMACEUTICALS INC.	$25.65	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1151299442	CMS
Lilly USA, LLC	$21.09	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1135951516	CMS
Lilly USA, LLC	$20.76	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1135911543	CMS
Merck Sharp & Dohme LLC	$10.93	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1141849256	CMS
Merck Sharp & Dohme LLC	$22.94	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1141638846	CMS
Merck Sharp & Dohme LLC	$17.38	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1141851337	CMS
Merck Sharp & Dohme LLC	$24.60	04/26/2024	Food and Beverage	Undisputed	01/23/2026	1141638858	CMS
Merck Sharp & Dohme LLC	$19.75	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1141638856	CMS
Merck Sharp & Dohme LLC	$18.29	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1141638860	CMS
Merck Sharp & Dohme LLC	$17.39	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1141921648	CMS
Merck Sharp & Dohme LLC	$21.22	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1141638844	CMS
Merck Sharp & Dohme LLC	$17.17	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1141638854	CMS
Mirati Therapeutics, Inc.	$22.08	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1117164708	CMS
Mirati Therapeutics, Inc.	$13.90	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1117164712	CMS
Novartis Pharmaceuticals Corporation	$1.47	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1087169911	CMS
Novartis Pharmaceuticals Corporation	$18.78	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1087169913	CMS
Novartis Pharmaceuticals Corporation	$16.51	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1087169915	CMS
Novartis Pharmaceuticals Corporation	$4.76	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1087169919	CMS
Novartis Pharmaceuticals Corporation	$19.57	03/01/2024	Food and Beverage	Undisputed	01/23/2026	1087169921	CMS
Novartis Pharmaceuticals Corporation	$1.85	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1087169923	CMS
Novartis Pharmaceuticals Corporation	$18.47	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1087169925	CMS
Novartis Pharmaceuticals Corporation	$13.81	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1087169929	CMS
Novartis Pharmaceuticals Corporation	$19.58	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1087169927	CMS
Novartis Pharmaceuticals Corporation	$20.23	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1087169935	CMS
Novartis Pharmaceuticals Corporation	$27.04	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1087169943	CMS
Novartis Pharmaceuticals Corporation	$1.98	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1087169945	CMS
Novartis Pharmaceuticals Corporation	$14.24	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1087169947	CMS
Novartis Pharmaceuticals Corporation	$21.44	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1087169941	CMS
Novartis Pharmaceuticals Corporation	$24.81	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1087169961	CMS
Novartis Pharmaceuticals Corporation	$21.66	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1087169949	CMS
Novartis Pharmaceuticals Corporation	$3.49	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1087169951	CMS
Novartis Pharmaceuticals Corporation	$11.80	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1087169955	CMS
Novartis Pharmaceuticals Corporation	$28.88	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1087169963	CMS
Novartis Pharmaceuticals Corporation	$26.72	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1087169973	CMS
Novartis Pharmaceuticals Corporation	$20.04	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1087169967	CMS
Novartis Pharmaceuticals Corporation	$25.51	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1087169975	CMS
Novartis Pharmaceuticals Corporation	$13.98	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1087169977	CMS
PFIZER INC.	$17.76	03/23/2024	Food and Beverage	Undisputed	01/23/2026	1131292360	CMS
PFIZER INC.	$22.08	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1131730911	CMS
PharmaEssentia USA Corporation	$19.98	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1137309084	CMS
PUMA BIOTECHNOLOGY, INC.	$14.00	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1113863147	CMS
Regeneron Healthcare Solutions, Inc.	$18.77	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1114376159	CMS
Regeneron Healthcare Solutions, Inc.	$21.39	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1114376161	CMS
Regeneron Healthcare Solutions, Inc.	$20.74	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1114376163	CMS
Rigel Pharmaceuticals, Inc.	$21.96	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1145207761	CMS
Stemline Therapeutics Inc.	$14.55	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1142970456	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.