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

GRACE A SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1285158170
CMS profile
10443222
Location
ALABASTER, AL

General Payments · PY2021–2024

$3,625.93

  • Reported across 41 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,866.01

22 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
Travel and Lodging $1,124.88 3
Food and Beverage $741.13 19

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Medtronic, Inc. $1,376.07 9
SANOFI-AVENTIS U.S. LLC $150.03 6
Boehringer Ingelheim Pharmaceuticals, Inc. $139.51 3
Lilly USA, LLC $121.84 1
Radius Health, Inc. $49.54 1
IBSA Pharma Inc. $29.02 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $798.75 4
PY2022 $515.41 8
PY2023 $445.76 7
PY2024 $1,866.01 22

Payment records · PY2024 (22)

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
Boehringer Ingelheim Pharmaceuticals, Inc. $8.79 09/04/2024 Food and Beverage Undisputed 01/23/2026 1117946993 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $108.80 11/07/2024 Food and Beverage Undisputed 01/23/2026 1117946991 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.92 12/19/2024 Food and Beverage Undisputed 01/23/2026 1117946995 CMS
IBSA Pharma Inc. $13.15 01/24/2024 Food and Beverage Undisputed 01/23/2026 1142978116 CMS
IBSA Pharma Inc. $15.87 12/18/2024 Food and Beverage Undisputed 01/23/2026 1142987988 CMS
Lilly USA, LLC $121.84 08/27/2024 Food and Beverage Undisputed 01/23/2026 1135661361 CMS
Medtronic, Inc. $68.08 04/16/2024 Food and Beverage Undisputed 01/23/2026 1116928028 CMS
Medtronic, Inc. $477.15 05/17/2024 Travel and Lodging Undisputed 01/23/2026 1116928030 CMS
Medtronic, Inc. $34.25 05/17/2024 Travel and Lodging Undisputed 01/23/2026 1116928032 CMS
Medtronic, Inc. $58.83 06/14/2024 Food and Beverage Undisputed 01/23/2026 1116928034 CMS
Medtronic, Inc. $62.44 06/14/2024 Food and Beverage Undisputed 01/23/2026 1116928036 CMS
Medtronic, Inc. $0.78 06/14/2024 Food and Beverage Undisputed 01/23/2026 1116928038 CMS
Medtronic, Inc. $58.83 06/14/2024 Food and Beverage Undisputed 01/23/2026 1116928040 CMS
Medtronic, Inc. $2.23 06/14/2024 Food and Beverage Undisputed 01/23/2026 1116928042 CMS
Medtronic, Inc. $613.48 06/14/2024 Travel and Lodging Undisputed 01/23/2026 1116928044 CMS
Radius Health, Inc. $49.54 05/11/2024 Food and Beverage Undisputed 01/23/2026 1090017707 CMS
SANOFI-AVENTIS U.S. LLC $25.99 02/28/2024 Food and Beverage Undisputed 01/23/2026 1139924305 CMS
SANOFI-AVENTIS U.S. LLC $91.14 04/25/2024 Food and Beverage Undisputed 01/23/2026 1139924367 CMS
SANOFI-AVENTIS U.S. LLC $7.07 05/09/2024 Food and Beverage Undisputed 01/23/2026 1139924323 CMS
SANOFI-AVENTIS U.S. LLC $8.42 07/16/2024 Food and Beverage Undisputed 01/23/2026 1139924347 CMS
SANOFI-AVENTIS U.S. LLC $7.70 08/26/2024 Food and Beverage Undisputed 01/23/2026 1139924369 CMS
SANOFI-AVENTIS U.S. LLC $9.71 10/03/2024 Food and Beverage Undisputed 01/23/2026 1139924379 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.