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

TAMERA S SPANGLER

Allopathic & Osteopathic Physicians Family Medicine

NPI
1316387079
CMS profile
14765
Location
IRVINE, KY

General Payments · PY2018–2024

$3,482.16

  • Reported across 242 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$758.58

42 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
Food and Beverage $758.58 42

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $462.92 34
PY2019 $1,365.32 108
PY2020 $242.57 18
PY2022 $214.75 15
PY2023 $438.02 25
PY2024 $758.58 42

Payment records · PY2024 (42)

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

Program year 2024 20182019202020222023 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
Abbott Laboratories $18.31 08/09/2024 Food and Beverage Undisputed 01/23/2026 1124984959 CMS
ABBVIE INC. $11.83 01/31/2024 Food and Beverage Undisputed 01/23/2026 1106143986 CMS
ABBVIE INC. $12.58 02/06/2024 Food and Beverage Undisputed 01/23/2026 1106143988 CMS
ABBVIE INC. $6.94 02/28/2024 Food and Beverage Undisputed 01/23/2026 1106143990 CMS
ABBVIE INC. $18.96 02/28/2024 Food and Beverage Undisputed 01/23/2026 1106143992 CMS
ABBVIE INC. $8.05 03/05/2024 Food and Beverage Undisputed 01/23/2026 1106143994 CMS
ABBVIE INC. $7.72 03/22/2024 Food and Beverage Undisputed 01/23/2026 1106143996 CMS
ABBVIE INC. $15.09 04/23/2024 Food and Beverage Undisputed 01/23/2026 1106143998 CMS
ABBVIE INC. $7.49 05/29/2024 Food and Beverage Undisputed 01/23/2026 1106144000 CMS
ABBVIE INC. $14.16 06/10/2024 Food and Beverage Undisputed 01/23/2026 1106144002 CMS
ABBVIE INC. $15.14 07/03/2024 Food and Beverage Undisputed 01/23/2026 1106144004 CMS
ABBVIE INC. $9.08 07/10/2024 Food and Beverage Undisputed 01/23/2026 1106144006 CMS
ABBVIE INC. $9.06 09/04/2024 Food and Beverage Undisputed 01/23/2026 1106144008 CMS
ABBVIE INC. $26.78 09/04/2024 Food and Beverage Undisputed 01/23/2026 1106144010 CMS
ABBVIE INC. $3.28 09/16/2024 Food and Beverage Undisputed 01/23/2026 1106144012 CMS
ABBVIE INC. $11.20 10/03/2024 Food and Beverage Undisputed 01/23/2026 1106144014 CMS
ABBVIE INC. $17.25 10/28/2024 Food and Beverage Undisputed 01/23/2026 1106144016 CMS
ABBVIE INC. $19.33 11/27/2024 Food and Beverage Undisputed 01/23/2026 1106144018 CMS
Amgen Inc. $13.13 03/06/2024 Food and Beverage Undisputed 01/23/2026 1116144979 CMS
Amgen Inc. $15.77 07/30/2024 Food and Beverage Undisputed 01/23/2026 1116144987 CMS
Amgen Inc. $15.40 11/05/2024 Food and Beverage Undisputed 01/23/2026 1116144993 CMS
Antares Pharma, Inc. $19.77 07/03/2024 Food and Beverage Undisputed 01/23/2026 1146487215 CMS
Antares Pharma, Inc. $104.20 09/19/2024 Food and Beverage Undisputed 01/23/2026 1146487220 CMS
Astellas Pharma US Inc $17.14 12/18/2024 Food and Beverage Undisputed 01/23/2026 1139447074 CMS
BETA BIONICS, INC. $24.92 11/01/2024 Food and Beverage Undisputed 01/23/2026 1087885853 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.06 02/07/2024 Food and Beverage Undisputed 01/23/2026 1117960392 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.09 07/24/2024 Food and Beverage Undisputed 01/23/2026 1117960390 CMS
Dexcom, Inc. $13.27 08/01/2024 Food and Beverage Undisputed 01/23/2026 1153339697 CMS
Dynavax Technologies Corporation $9.72 10/09/2024 Food and Beverage Undisputed 01/23/2026 1082153313 CMS
GlaxoSmithKline, LLC. $17.18 05/23/2024 Food and Beverage Undisputed 01/23/2026 1116707319 CMS
GlaxoSmithKline, LLC. $14.57 10/24/2024 Food and Beverage Undisputed 01/23/2026 1116688215 CMS
GlaxoSmithKline, LLC. $17.94 11/12/2024 Food and Beverage Undisputed 01/23/2026 1116728976 CMS
Lilly USA, LLC $13.59 04/22/2024 Food and Beverage Undisputed 01/23/2026 1135448489 CMS
Novo Nordisk Inc $18.28 04/30/2024 Food and Beverage Undisputed 01/23/2026 1096888122 CMS
Otsuka America Pharmaceutical, Inc. $29.60 01/30/2024 Food and Beverage Undisputed 01/23/2026 1118986768 CMS
Otsuka America Pharmaceutical, Inc. $24.77 02/14/2024 Food and Beverage Undisputed 01/23/2026 1118986770 CMS
Otsuka America Pharmaceutical, Inc. $28.54 04/02/2024 Food and Beverage Undisputed 01/23/2026 1118986772 CMS
PFIZER INC. $20.04 02/28/2024 Food and Beverage Undisputed 01/23/2026 1131060629 CMS
PFIZER INC. $13.43 09/11/2024 Food and Beverage Undisputed 01/23/2026 1131970248 CMS
Phathom Pharmaceuticals, Inc. $18.22 07/24/2024 Food and Beverage Undisputed 01/23/2026 1151129047 CMS
Sage Therapeutics, Inc. $24.11 05/23/2024 Food and Beverage Undisputed 01/23/2026 1120402092 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $22.59 08/05/2024 Food and Beverage Undisputed 01/23/2026 1153555721 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
2018, 2019, 2020, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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