Covered recipient · General Payments record

MICHAEL SPEZIA

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1316928369
CMS profile: 241538
Location: SAINT LOUIS, MO

General Payments · PY2018–2024

$31,594.23

Reported across 1,277 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,462.93

137 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	$3,462.93	137

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$751.74	11
Otsuka America Pharmaceutical, Inc.	$360.74	12
GlaxoSmithKline, LLC.	$315.25	24
Phathom Pharmaceuticals, Inc.	$307.77	7
Lilly USA, LLC	$185.84	4
NOVARTIS PHARMACEUTICALS CORPORATION	$162.77	14
Bayer HealthCare Pharmaceuticals Inc.	$161.60	3
PFIZER INC.	$131.40	16
SK Life Science, Inc.	$124.65	1
DEXCOM, INC.	$108.07	2
ABBVIE INC.	$101.10	6
ITI, Inc.	$99.88	3
AIMMUNE THERAPEUTICS, INC.	$90.60	5
Nevro Corp.	$85.91	4
Novo Nordisk AS	$79.82	4
Astellas Pharma US Inc	$73.75	4
Merck Sharp & Dohme Corporation	$57.08	3
Ardelyx, Inc.	$51.65	3
Exact Sciences Corporation	$51.32	2
Sumitomo Pharma America, Inc.	$48.30	3
Amgen Inc.	$40.59	2
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$31.73	2
Lexicon Pharmaceuticals, Inc.	$24.54	1
Kowa Pharmaceuticals America, Inc.	$16.83	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$8,946.20	295
PY2019	$5,081.79	229
PY2020	$3,031.52	145
PY2021	$3,237.27	141
PY2022	$3,541.84	143
PY2023	$4,292.68	187
PY2024	$3,462.93	137

Payment records · PY2024 (137)

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

Program year 2024 2018 2019 2020 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.	$14.71	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1106146903	CMS
ABBVIE INC.	$19.00	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1106146905	CMS
ABBVIE INC.	$21.00	06/29/2024	Food and Beverage	Undisputed	01/23/2026	1106146907	CMS
ABBVIE INC.	$18.55	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1106146909	CMS
ABBVIE INC.	$14.73	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1106146911	CMS
ABBVIE INC.	$13.11	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1106146913	CMS
AIMMUNE THERAPEUTICS, INC.	$25.00	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1146966112	CMS
AIMMUNE THERAPEUTICS, INC.	$14.47	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1146966100	CMS
AIMMUNE THERAPEUTICS, INC.	$23.26	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1146961898	CMS
AIMMUNE THERAPEUTICS, INC.	$14.53	11/23/2024	Food and Beverage	Undisputed	01/23/2026	1147004282	CMS
AIMMUNE THERAPEUTICS, INC.	$13.34	12/13/2024	Food and Beverage	Undisputed	01/23/2026	1147004118	CMS
Amgen Inc.	$22.24	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1116145807	CMS
Amgen Inc.	$18.35	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1117389376	CMS
Ardelyx, Inc.	$14.86	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1146709174	CMS
Ardelyx, Inc.	$17.41	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1146709176	CMS
Ardelyx, Inc.	$19.38	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1146709178	CMS
Astellas Pharma US Inc	$21.35	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1139301114	CMS
Astellas Pharma US Inc	$15.58	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1139342734	CMS
Astellas Pharma US Inc	$13.54	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1139266928	CMS
Astellas Pharma US Inc	$23.28	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1139420591	CMS
AstraZeneca Pharmaceuticals LP	$112.50	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1105540387	CMS
AstraZeneca Pharmaceuticals LP	$99.09	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1105872987	CMS
AstraZeneca Pharmaceuticals LP	$100.70	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1105383533	CMS
AstraZeneca Pharmaceuticals LP	$15.09	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1105710660	CMS
AstraZeneca Pharmaceuticals LP	$15.76	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1105735831	CMS
AstraZeneca Pharmaceuticals LP	$125.05	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1105466297	CMS
AstraZeneca Pharmaceuticals LP	$16.63	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1104746515	CMS
AstraZeneca Pharmaceuticals LP	$125.01	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1105363449	CMS
AstraZeneca Pharmaceuticals LP	$20.12	10/05/2024	Food and Beverage	Undisputed	01/23/2026	1105704958	CMS
AstraZeneca Pharmaceuticals LP	$104.88	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1104313966	CMS
AstraZeneca Pharmaceuticals LP	$16.91	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1104252845	CMS
Bayer Healthcare Pharmaceuticals Inc.	$147.45	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1086197540	CMS
Bayer Healthcare Pharmaceuticals Inc.	$12.64	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1086084721	CMS
Bayer Healthcare Pharmaceuticals Inc.	$1.51	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1086091339	CMS
Dexcom, Inc.	$21.25	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1153322646	CMS
Dexcom, Inc.	$86.82	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1153322648	CMS
Exact Sciences Corporation	$19.34	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1114913296	CMS
Exact Sciences Corporation	$31.98	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1114913300	CMS
GlaxoSmithKline, LLC.	$5.60	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1115958261	CMS
GlaxoSmithKline, LLC.	$1.84	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1116278982	CMS
GlaxoSmithKline, LLC.	$17.58	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1116400658	CMS
GlaxoSmithKline, LLC.	$2.50	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1116201754	CMS
GlaxoSmithKline, LLC.	$21.97	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1116672444	CMS
GlaxoSmithKline, LLC.	$14.42	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1116320114	CMS
GlaxoSmithKline, LLC.	$4.39	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1116466198	CMS
GlaxoSmithKline, LLC.	$2.01	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1116729762	CMS
GlaxoSmithKline, LLC.	$4.67	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1116652923	CMS
GlaxoSmithKline, LLC.	$14.47	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1116687971	CMS
GlaxoSmithKline, LLC.	$5.03	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1116694051	CMS
GlaxoSmithKline, LLC.	$20.95	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1116551583	CMS
GlaxoSmithKline, LLC.	$14.29	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1116361715	CMS
GlaxoSmithKline, LLC.	$16.34	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1116546335	CMS
GlaxoSmithKline, LLC.	$21.97	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1116255354	CMS
GlaxoSmithKline, LLC.	$20.95	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1116225514	CMS
GlaxoSmithKline, LLC.	$12.88	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1116379860	CMS
GlaxoSmithKline, LLC.	$20.95	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1116354369	CMS
GlaxoSmithKline, LLC.	$12.91	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1116275727	CMS
GlaxoSmithKline, LLC.	$5.84	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1115778401	CMS
GlaxoSmithKline, LLC.	$14.38	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1116552901	CMS
GlaxoSmithKline, LLC.	$23.05	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1115970976	CMS
GlaxoSmithKline, LLC.	$20.11	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1116484525	CMS
GlaxoSmithKline, LLC.	$16.15	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1116276208	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$15.74	11/04/2024	Food and Beverage	Undisputed	01/23/2026	1143325756	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$65.42	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1143325759	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$18.72	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1143325763	CMS
Kowa Pharmaceuticals America, Inc.	$16.83	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1113470753	CMS
Lexicon Pharmaceuticals, Inc.	$24.54	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1081709371	CMS
Lilly USA, LLC	$23.52	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1135217453	CMS
Lilly USA, LLC	$23.89	03/29/2024	Food and Beverage	Undisputed	01/23/2026	1135195452	CMS
Lilly USA, LLC	$27.93	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1135195454	CMS
Lilly USA, LLC	$110.50	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1135226506	CMS
Merck Sharp & Dohme LLC	$20.92	03/04/2024	Food and Beverage	Undisputed	01/23/2026	1141650991	CMS
Merck Sharp & Dohme LLC	$17.85	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1141854005	CMS
Merck Sharp & Dohme LLC	$18.31	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1141651101	CMS
Nevro Corp.	$22.33	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1130728968	CMS
Nevro Corp.	$24.18	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1130728970	CMS
Nevro Corp.	$19.18	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1130728966	CMS
Nevro Corp.	$20.22	09/30/2024	Food and Beverage	Undisputed	01/23/2026	1130728964	CMS
Novartis Pharmaceuticals Corporation	$9.19	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1087287301	CMS
Novartis Pharmaceuticals Corporation	$10.72	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1087287305	CMS
Novartis Pharmaceuticals Corporation	$24.13	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1087287321	CMS
Novartis Pharmaceuticals Corporation	$9.80	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1087287337	CMS
Novartis Pharmaceuticals Corporation	$6.10	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1087287329	CMS
Novartis Pharmaceuticals Corporation	$26.68	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1087287345	CMS
Novartis Pharmaceuticals Corporation	$4.84	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1087287341	CMS
Novartis Pharmaceuticals Corporation	$4.46	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1087287361	CMS
Novartis Pharmaceuticals Corporation	$10.48	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1087287363	CMS
Novartis Pharmaceuticals Corporation	$3.04	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1087287367	CMS
Novartis Pharmaceuticals Corporation	$20.26	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1087287369	CMS
Novartis Pharmaceuticals Corporation	$7.72	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1087287365	CMS
Novartis Pharmaceuticals Corporation	$8.36	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1087287377	CMS
Novartis Pharmaceuticals Corporation	$16.99	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1087287385	CMS
Novo Nordisk Inc	$17.71	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1097810157	CMS
Novo Nordisk Inc	$20.70	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1096973502	CMS
Novo Nordisk Inc	$21.02	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1096930662	CMS
Novo Nordisk Inc	$20.39	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1096602887	CMS
Otsuka America Pharmaceutical, Inc.	$1.81	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1118987078	CMS
Otsuka America Pharmaceutical, Inc.	$15.99	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1118987080	CMS
Otsuka America Pharmaceutical, Inc.	$20.32	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1118987082	CMS
Otsuka America Pharmaceutical, Inc.	$15.26	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1118987084	CMS
Otsuka America Pharmaceutical, Inc.	$1.08	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1118987086	CMS
Otsuka America Pharmaceutical, Inc.	$14.90	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1118987088	CMS
Otsuka America Pharmaceutical, Inc.	$99.69	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1118987090	CMS
Otsuka America Pharmaceutical, Inc.	$123.32	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1118987092	CMS
Otsuka America Pharmaceutical, Inc.	$20.33	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1118987094	CMS
Otsuka America Pharmaceutical, Inc.	$18.27	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1118987096	CMS
Otsuka America Pharmaceutical, Inc.	$15.85	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1118987098	CMS
Otsuka America Pharmaceutical, Inc.	$13.92	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1118987100	CMS
PFIZER INC.	$10.66	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1131235020	CMS
PFIZER INC.	$9.58	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1131235024	CMS
PFIZER INC.	$5.14	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1130898464	CMS
PFIZER INC.	$1.24	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1130896408	CMS
PFIZER INC.	$18.65	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1131003371	CMS
PFIZER INC.	$2.64	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1130900892	CMS
PFIZER INC.	$2.58	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1130908175	CMS
PFIZER INC.	$16.16	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1131313076	CMS
PFIZER INC.	$3.86	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1130916629	CMS
PFIZER INC.	$1.85	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1130911758	CMS
PFIZER INC.	$13.31	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1131454930	CMS
PFIZER INC.	$6.19	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1130922901	CMS
PFIZER INC.	$17.37	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1131884009	CMS
PFIZER INC.	$3.99	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1131157584	CMS
PFIZER INC.	$1.63	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1131072646	CMS
PFIZER INC.	$16.55	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1131185292	CMS
Phathom Pharmaceuticals, Inc.	$14.41	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1151129183	CMS
Phathom Pharmaceuticals, Inc.	$113.89	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1151129185	CMS
Phathom Pharmaceuticals, Inc.	$15.41	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1151129187	CMS
Phathom Pharmaceuticals, Inc.	$125.27	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1151129189	CMS
Phathom Pharmaceuticals, Inc.	$10.16	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1151129191	CMS
Phathom Pharmaceuticals, Inc.	$14.31	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1151129193	CMS
Phathom Pharmaceuticals, Inc.	$14.32	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1151129195	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.95	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1153692016	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$14.78	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1153552383	CMS
SK Life Science, Inc.	$124.65	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1154147022	CMS
Sumitomo Pharma America, Inc.	$17.87	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1148922767	CMS
Sumitomo Pharma America, Inc.	$14.92	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1148922769	CMS
Sumitomo Pharma America, Inc.	$15.51	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1148922771	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, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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