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

SARAH ELIZABETH SPENCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1376082990
CMS profile
10838337
Location
MURFREESBORO, TN

General Payments · PY2021–2024

$5,877.82

  • Reported across 281 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,885.48

88 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 $1,885.48 88

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $811.67 40
PY2022 $1,176.23 48
PY2023 $2,004.44 105
PY2024 $1,885.48 88

Payment records · PY2024 (88)

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
Abbott Laboratories $16.08 04/23/2024 Food and Beverage Undisputed 01/23/2026 1125032987 CMS
Abbott Laboratories $15.31 07/11/2024 Food and Beverage Undisputed 01/23/2026 1125032989 CMS
Abbott Laboratories $15.13 10/09/2024 Food and Beverage Undisputed 01/23/2026 1125032991 CMS
Abbott Laboratories $14.28 11/06/2024 Food and Beverage Undisputed 01/23/2026 1125032993 CMS
ABBVIE INC. $26.26 02/23/2024 Food and Beverage Undisputed 01/23/2026 1108237768 CMS
ABBVIE INC. $26.46 03/27/2024 Food and Beverage Undisputed 01/23/2026 1108237770 CMS
ABBVIE INC. $8.53 04/30/2024 Food and Beverage Undisputed 01/23/2026 1108237772 CMS
ABBVIE INC. $15.52 06/14/2024 Food and Beverage Undisputed 01/23/2026 1108237774 CMS
ABBVIE INC. $29.04 07/16/2024 Food and Beverage Undisputed 01/23/2026 1108237776 CMS
ABBVIE INC. $17.18 08/16/2024 Food and Beverage Undisputed 01/23/2026 1108237778 CMS
ABBVIE INC. $17.02 10/11/2024 Food and Beverage Undisputed 01/23/2026 1108237780 CMS
ABBVIE INC. $7.50 11/05/2024 Food and Beverage Undisputed 01/23/2026 1108237782 CMS
ABBVIE INC. $20.49 12/17/2024 Food and Beverage Undisputed 01/23/2026 1108237784 CMS
Amgen Inc. $24.39 03/07/2024 Food and Beverage Undisputed 01/23/2026 1117389228 CMS
Amgen Inc. $14.71 08/13/2024 Food and Beverage Undisputed 01/23/2026 1117389226 CMS
Amgen Inc. $14.27 11/26/2024 Food and Beverage Undisputed 01/23/2026 1117389230 CMS
Amneal Pharmaceuticals LLC $14.51 03/14/2024 Food and Beverage Undisputed 01/23/2026 1139217098 CMS
Antares Pharma, Inc. $21.03 01/25/2024 Food and Beverage Undisputed 01/23/2026 1146523697 CMS
Antares Pharma, Inc. $22.09 02/29/2024 Food and Beverage Undisputed 01/23/2026 1146523701 CMS
AstraZeneca Pharmaceuticals LP $21.64 05/14/2024 Food and Beverage Undisputed 01/23/2026 1104532178 CMS
AstraZeneca Pharmaceuticals LP $13.41 06/03/2024 Food and Beverage Undisputed 01/23/2026 1104752668 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.58 02/02/2024 Food and Beverage Undisputed 01/23/2026 1086359726 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.11 03/22/2024 Food and Beverage Undisputed 01/23/2026 1086325678 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.59 08/20/2024 Food and Beverage Undisputed 01/23/2026 1086318130 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.32 10/16/2024 Food and Beverage Undisputed 01/23/2026 1086322026 CMS
BETA BIONICS, INC. $25.85 05/08/2024 Food and Beverage Undisputed 01/23/2026 1087876831 CMS
BETA BIONICS, INC. $22.24 07/12/2024 Food and Beverage Undisputed 01/23/2026 1087879851 CMS
BETA BIONICS, INC. $30.57 10/11/2024 Food and Beverage Undisputed 01/23/2026 1087885075 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.71 08/22/2024 Food and Beverage Undisputed 01/23/2026 1117983532 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.46 09/19/2024 Food and Beverage Undisputed 01/23/2026 1117983536 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.40 10/03/2024 Food and Beverage Undisputed 01/23/2026 1117983534 CMS
CeQur Corporation $151.28 01/11/2024 Food and Beverage Undisputed 01/23/2026 1099649407 CMS
Corcept Therapeutics $98.35 03/12/2024 Food and Beverage Undisputed 01/23/2026 1117747189 CMS
Corcept Therapeutics $18.05 08/07/2024 Food and Beverage Undisputed 01/23/2026 1117747251 CMS
Dexcom, Inc. $20.50 02/12/2024 Food and Beverage Undisputed 01/23/2026 1153385352 CMS
Dexcom, Inc. $13.22 10/02/2024 Food and Beverage Undisputed 01/23/2026 1153385354 CMS
Dexcom, Inc. $21.54 12/19/2024 Food and Beverage Undisputed 01/23/2026 1153385356 CMS
IBSA Pharma Inc. $17.00 09/05/2024 Food and Beverage Undisputed 01/23/2026 1142973467 CMS
Insulet Corporation $20.01 01/23/2024 Food and Beverage Undisputed 01/23/2026 1116802498 CMS
Insulet Corporation $16.99 03/12/2024 Food and Beverage Undisputed 01/23/2026 1116802496 CMS
Insulet Corporation $23.79 11/12/2024 Food and Beverage Undisputed 01/23/2026 1116824406 CMS
Lilly USA, LLC $18.93 01/04/2024 Food and Beverage Undisputed 01/23/2026 1135946445 CMS
Lilly USA, LLC $8.77 01/08/2024 Food and Beverage Undisputed 01/23/2026 1135886288 CMS
Lilly USA, LLC $27.78 01/09/2024 Food and Beverage Undisputed 01/23/2026 1135961111 CMS
Lilly USA, LLC $23.46 02/13/2024 Food and Beverage Undisputed 01/23/2026 1135886284 CMS
Lilly USA, LLC $24.57 02/16/2024 Food and Beverage Undisputed 01/23/2026 1135904585 CMS
Lilly USA, LLC $17.38 02/27/2024 Food and Beverage Undisputed 01/23/2026 1135946447 CMS
Lilly USA, LLC $30.38 03/05/2024 Food and Beverage Undisputed 01/23/2026 1135862580 CMS
Lilly USA, LLC $6.96 04/02/2024 Food and Beverage Undisputed 01/23/2026 1135946449 CMS
Lilly USA, LLC $29.04 04/09/2024 Food and Beverage Undisputed 01/23/2026 1135886276 CMS
Lilly USA, LLC $14.60 04/17/2024 Food and Beverage Undisputed 01/23/2026 1135932610 CMS
Lilly USA, LLC $28.35 05/07/2024 Food and Beverage Undisputed 01/23/2026 1135932612 CMS
Lilly USA, LLC $31.36 06/04/2024 Food and Beverage Undisputed 01/23/2026 1135904587 CMS
Lilly USA, LLC $20.29 06/10/2024 Food and Beverage Undisputed 01/23/2026 1135941886 CMS
Lilly USA, LLC $12.89 06/14/2024 Food and Beverage Undisputed 01/23/2026 1135932614 CMS
Lilly USA, LLC $22.39 07/09/2024 Food and Beverage Undisputed 01/23/2026 1135904589 CMS
Lilly USA, LLC $15.41 08/06/2024 Food and Beverage Undisputed 01/23/2026 1135862584 CMS
Lilly USA, LLC $18.65 08/29/2024 Food and Beverage Undisputed 01/23/2026 1135946443 CMS
Lilly USA, LLC $26.78 09/10/2024 Food and Beverage Undisputed 01/23/2026 1135940624 CMS
Lilly USA, LLC $20.59 10/07/2024 Food and Beverage Undisputed 01/23/2026 1135886280 CMS
Lilly USA, LLC $23.21 12/03/2024 Food and Beverage Undisputed 01/23/2026 1135941884 CMS
Mannkind Corporation $20.50 05/30/2024 Food and Beverage Undisputed 01/23/2026 1145862279 CMS
Mannkind Corporation $18.98 07/11/2024 Food and Beverage Undisputed 01/23/2026 1145862284 CMS
Mannkind Corporation $22.04 08/08/2024 Food and Beverage Undisputed 01/23/2026 1145862288 CMS
Mannkind Corporation $16.56 11/08/2024 Food and Beverage Undisputed 01/23/2026 1145862292 CMS
Medtronic, Inc. $21.53 02/08/2024 Food and Beverage Undisputed 01/23/2026 1116940050 CMS
Medtronic, Inc. $24.26 06/27/2024 Food and Beverage Undisputed 01/23/2026 1116940052 CMS
Medtronic, Inc. $25.94 12/12/2024 Food and Beverage Undisputed 01/23/2026 1116940054 CMS
Novo Nordisk Inc $15.85 02/06/2024 Food and Beverage Undisputed 01/23/2026 1100263594 CMS
Novo Nordisk Inc $16.93 03/28/2024 Food and Beverage Undisputed 01/23/2026 1100397656 CMS
Novo Nordisk Inc $1.05 04/05/2024 Food and Beverage Undisputed 01/23/2026 1100231532 CMS
Novo Nordisk Inc $7.62 04/05/2024 Food and Beverage Undisputed 01/23/2026 1100653001 CMS
Novo Nordisk Inc $16.57 04/29/2024 Food and Beverage Undisputed 01/23/2026 1100554559 CMS
Novo Nordisk Inc $14.76 05/09/2024 Food and Beverage Undisputed 01/23/2026 1100317584 CMS
Novo Nordisk Inc $9.07 06/13/2024 Food and Beverage Undisputed 01/23/2026 1100259047 CMS
Novo Nordisk Inc $13.90 06/14/2024 Food and Beverage Undisputed 01/23/2026 1100372946 CMS
Novo Nordisk Inc $16.85 07/17/2024 Food and Beverage Undisputed 01/23/2026 1100319514 CMS
Novo Nordisk Inc $16.20 09/13/2024 Food and Beverage Undisputed 01/23/2026 1100343356 CMS
Novo Nordisk Inc $17.97 10/22/2024 Food and Beverage Undisputed 01/23/2026 1100269674 CMS
Novo Nordisk Inc $18.81 10/31/2024 Food and Beverage Undisputed 01/23/2026 1100535989 CMS
Novo Nordisk Inc $8.59 11/21/2024 Food and Beverage Undisputed 01/23/2026 1100360712 CMS
Novo Nordisk Inc $15.14 12/04/2024 Food and Beverage Undisputed 01/23/2026 1100618410 CMS
Tandem Diabetes Care, Inc. $74.14 02/29/2024 Food and Beverage Undisputed 01/23/2026 1138752253 CMS
Tandem Diabetes Care, Inc. $4.06 07/09/2024 Food and Beverage Undisputed 01/23/2026 1138752319 CMS
Tandem Diabetes Care, Inc. $29.40 11/14/2024 Food and Beverage Undisputed 01/23/2026 1138752313 CMS
Tolmar, Inc. $14.54 02/20/2024 Food and Beverage Undisputed 01/23/2026 1138721410 CMS
Tolmar, Inc. $13.36 04/04/2024 Food and Beverage Undisputed 01/23/2026 1138721412 CMS
Tolmar, Inc. $14.66 10/24/2024 Food and Beverage Undisputed 01/23/2026 1138718236 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

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