Covered recipient · General Payments record

ADAM ARNOLD SHPIGEL

Allopathic & Osteopathic Physicians Internal Medicine Interventional Cardiology

NPI: 1417223447
CMS profile: 517488
Location: SAINT LOUIS, MO

General Payments · PY2018–2024

$33,910.61

Reported across 439 records
CMS publication 2026-01-23

Latest program year · PY2024

$3,785.52

148 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	$3,189.44	146
Travel and Lodging	$596.08	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Edwards Lifesciences Corporation	$1,312.16	13
NOVARTIS PHARMACEUTICALS CORPORATION	$410.33	25
BOSTON SCIENTIFIC CORPORATION	$262.35	17
ShockWave Medical, Inc	$259.81	23
Amgen Inc.	$246.08	12
Boehringer Ingelheim Pharmaceuticals, Inc.	$232.15	11
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$196.84	10
Medtronic, Inc.	$172.90	1
PFIZER INC.	$126.14	6
Janssen Pharmaceuticals, Inc	$88.95	5
Merck Sharp & Dohme Corporation	$86.34	5
CHIESI USA, INC.	$76.60	4
Kestra Medical Technology Services, Inc.	$61.72	3
Kiniksa Pharmaceuticals International, plc	$43.00	2
SCPHARMACEUTICALS INC.	$40.52	2
Lexicon Pharmaceuticals, Inc.	$38.10	2
CARDIVA MEDICAL, INC.	$36.58	2
Acerta Pharma LLC	$34.69	2
Abbott Laboratories	$23.75	1
Alnylam Pharmaceuticals Inc.	$23.30	1
E.R. Squibb & Sons, L.L.C.	$13.21	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$2,145.20	29
PY2019	$21,704.23	60
PY2020	$115.75	1
PY2021	$1,589.49	68
PY2022	$2,823.68	80
PY2023	$1,746.74	53
PY2024	$3,785.52	148

Payment records · PY2024 (148)

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
Abbott Laboratories	$23.75	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1125053589	CMS
Alnylam Pharmaceuticals Inc.	$23.30	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1125854511	CMS
Amgen Inc.	$19.05	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1111707086	CMS
Amgen Inc.	$14.68	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1111707088	CMS
Amgen Inc.	$20.69	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1111707090	CMS
Amgen Inc.	$22.25	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1111707092	CMS
Amgen Inc.	$22.21	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1111707094	CMS
Amgen Inc.	$19.92	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1111707096	CMS
Amgen Inc.	$23.73	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1111707098	CMS
Amgen Inc.	$17.25	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1111707100	CMS
Amgen Inc.	$24.76	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1111707102	CMS
Amgen Inc.	$17.76	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1111707104	CMS
Amgen Inc.	$23.25	12/03/2024	Food and Beverage	Undisputed	01/23/2026	1111707106	CMS
Amgen Inc.	$20.53	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1111707108	CMS
AstraZeneca Pharmaceuticals LP	$16.33	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1105251409	CMS
AstraZeneca Pharmaceuticals LP	$18.36	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1105597557	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$25.92	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1118000207	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.16	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1118000195	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.27	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1118000197	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.08	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1118000203	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.50	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1118000189	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.33	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1118000199	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.53	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1118000201	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.94	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1118000191	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.41	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1118000205	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.77	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1118000187	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.24	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1118000193	CMS
Boston Scientific Corporation	$0.95	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1092570260	CMS
Boston Scientific Corporation	$26.18	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1092570296	CMS
Boston Scientific Corporation	$11.13	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1092570280	CMS
Boston Scientific Corporation	$19.08	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1092570290	CMS
Boston Scientific Corporation	$24.96	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1092570294	CMS
Boston Scientific Corporation	$17.20	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1092570288	CMS
Boston Scientific Corporation	$16.90	05/11/2024	Food and Beverage	Undisputed	01/23/2026	1092570286	CMS
Boston Scientific Corporation	$23.50	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1092570292	CMS
Boston Scientific Corporation	$34.96	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1092570300	CMS
Boston Scientific Corporation	$16.49	06/24/2024	Food and Beverage	Undisputed	01/23/2026	1092570284	CMS
Boston Scientific Corporation	$2.03	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1092570274	CMS
Boston Scientific Corporation	$14.56	08/06/2024	Food and Beverage	Undisputed	01/23/2026	1092570282	CMS
Boston Scientific Corporation	$10.38	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1092570276	CMS
Boston Scientific Corporation	$30.63	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1092570298	CMS
Boston Scientific Corporation	$1.95	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1092570272	CMS
Boston Scientific Corporation	$10.48	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1092570278	CMS
Boston Scientific Corporation	$0.97	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1092570270	CMS
CARDIVA MEDICAL, INC.	$15.63	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1143861422	CMS
CARDIVA MEDICAL, INC.	$20.95	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1143861424	CMS
Chiesi USA, Inc.	$19.61	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1151820981	CMS
Chiesi USA, Inc.	$18.74	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1151820985	CMS
Chiesi USA, Inc.	$18.38	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1151820990	CMS
Chiesi USA, Inc.	$19.87	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1151820995	CMS
E.R. Squibb & Sons, L.L.C.	$13.21	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1101262021	CMS
Edwards Lifesciences Corporation	$296.29	04/19/2024	Travel and Lodging	Undisputed	01/23/2026	1138784769	CMS
Edwards Lifesciences Corporation	$299.79	05/16/2024	Travel and Lodging	Undisputed	01/23/2026	1138784905	CMS
Edwards Lifesciences Corporation	$75.00	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1138784907	CMS
Edwards Lifesciences Corporation	$79.52	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1138784909	CMS
Edwards Lifesciences Corporation	$37.19	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1138784911	CMS
Edwards Lifesciences Corporation	$176.15	05/16/2024	Food and Beverage	Undisputed	01/23/2026	1138784913	CMS
Edwards Lifesciences Corporation	$60.00	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1138784903	CMS
Edwards Lifesciences Corporation	$91.06	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1138784915	CMS
Edwards Lifesciences Corporation	$75.00	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1138784917	CMS
Edwards Lifesciences Corporation	$47.33	09/04/2024	Food and Beverage	Undisputed	01/23/2026	1138784919	CMS
Edwards Lifesciences Corporation	$20.94	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1138784921	CMS
Edwards Lifesciences Corporation	$34.99	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1138784929	CMS
Edwards Lifesciences Corporation	$18.90	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1138784941	CMS
Janssen Pharmaceuticals, Inc	$20.92	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1078060634	CMS
Janssen Pharmaceuticals, Inc	$18.51	01/30/2024	Food and Beverage	Undisputed	01/23/2026	1078060710	CMS
Janssen Pharmaceuticals, Inc	$15.46	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1078060546	CMS
Janssen Pharmaceuticals, Inc	$19.72	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1078061254	CMS
Janssen Pharmaceuticals, Inc	$14.34	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1078060880	CMS
Kestra Medical Technology Services, Inc.	$24.58	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1152383600	CMS
Kestra Medical Technology Services, Inc.	$22.69	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1152383604	CMS
Kestra Medical Technology Services, Inc.	$14.45	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1152383602	CMS
Kiniksa Pharmaceuticals International, plc	$20.00	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1154877025	CMS
Kiniksa Pharmaceuticals International, plc	$23.00	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1154877103	CMS
Lexicon Pharmaceuticals, Inc.	$18.86	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1081729305	CMS
Lexicon Pharmaceuticals, Inc.	$19.24	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1081729307	CMS
Medtronic, Inc.	$172.90	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1119308786	CMS
Merck Sharp & Dohme LLC	$14.31	02/22/2024	Food and Beverage	Undisputed	01/23/2026	1141946375	CMS
Merck Sharp & Dohme LLC	$16.61	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1141794380	CMS
Merck Sharp & Dohme LLC	$20.05	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1141902714	CMS
Merck Sharp & Dohme LLC	$15.74	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1141794382	CMS
Merck Sharp & Dohme LLC	$19.63	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1141794388	CMS
Novartis Pharmaceuticals Corporation	$11.01	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1087170965	CMS
Novartis Pharmaceuticals Corporation	$4.80	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1087170967	CMS
Novartis Pharmaceuticals Corporation	$17.73	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1087170971	CMS
Novartis Pharmaceuticals Corporation	$21.31	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1087170975	CMS
Novartis Pharmaceuticals Corporation	$22.65	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1087170973	CMS
Novartis Pharmaceuticals Corporation	$6.36	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1087170981	CMS
Novartis Pharmaceuticals Corporation	$1.75	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1087170977	CMS
Novartis Pharmaceuticals Corporation	$15.55	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1087170979	CMS
Novartis Pharmaceuticals Corporation	$16.35	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1087170983	CMS
Novartis Pharmaceuticals Corporation	$24.05	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1087170985	CMS
Novartis Pharmaceuticals Corporation	$21.51	05/29/2024	Food and Beverage	Undisputed	01/23/2026	1087170987	CMS
Novartis Pharmaceuticals Corporation	$20.90	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1087170989	CMS
Novartis Pharmaceuticals Corporation	$25.34	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1087170991	CMS
Novartis Pharmaceuticals Corporation	$22.55	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1087170993	CMS
Novartis Pharmaceuticals Corporation	$23.77	07/23/2024	Food and Beverage	Undisputed	01/23/2026	1087170995	CMS
Novartis Pharmaceuticals Corporation	$15.13	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1087170997	CMS
Novartis Pharmaceuticals Corporation	$14.44	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1087171033	CMS
Novartis Pharmaceuticals Corporation	$25.87	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1087171027	CMS
Novartis Pharmaceuticals Corporation	$14.50	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1087171035	CMS
Novartis Pharmaceuticals Corporation	$23.01	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1087171041	CMS
Novartis Pharmaceuticals Corporation	$24.29	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1087171043	CMS
Novartis Pharmaceuticals Corporation	$1.23	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1087171045	CMS
Novartis Pharmaceuticals Corporation	$12.33	11/05/2024	Food and Beverage	Undisputed	01/23/2026	1087171047	CMS
Novartis Pharmaceuticals Corporation	$19.05	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1087171053	CMS
Novartis Pharmaceuticals Corporation	$4.85	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1087171055	CMS
PFIZER INC.	$16.80	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1131029004	CMS
PFIZER INC.	$20.68	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1131276804	CMS
PFIZER INC.	$21.64	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1131355586	CMS
PFIZER INC.	$21.64	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131503462	CMS
PFIZER INC.	$24.96	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1131991161	CMS
PFIZER INC.	$20.42	11/22/2024	Food and Beverage	Undisputed	01/23/2026	1131015235	CMS
SCPHARMACEUTICALS INC.	$22.52	10/16/2024	Food and Beverage	Undisputed	01/23/2026	1132304329	CMS
SCPHARMACEUTICALS INC.	$18.00	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1132314123	CMS
ShockWave Medical, Inc	$1.48	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1152975913	CMS
ShockWave Medical, Inc	$2.24	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1152975100	CMS
ShockWave Medical, Inc	$15.44	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1152974244	CMS
ShockWave Medical, Inc	$42.67	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1152980838	CMS
ShockWave Medical, Inc	$2.83	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1152986076	CMS
ShockWave Medical, Inc	$6.37	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1152984816	CMS
ShockWave Medical, Inc	$40.28	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1152980465	CMS
ShockWave Medical, Inc	$7.59	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1152980624	CMS
ShockWave Medical, Inc	$20.80	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1152991073	CMS
ShockWave Medical, Inc	$0.53	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1152991681	CMS
ShockWave Medical, Inc	$6.20	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1152974468	CMS
ShockWave Medical, Inc	$1.42	06/21/2024	Food and Beverage	Undisputed	01/23/2026	1152991679	CMS
ShockWave Medical, Inc	$7.50	08/02/2024	Food and Beverage	Undisputed	01/23/2026	1153002962	CMS
ShockWave Medical, Inc	$38.13	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1152999894	CMS
ShockWave Medical, Inc	$2.97	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1153001510	CMS
ShockWave Medical, Inc	$5.15	09/17/2024	Food and Beverage	Undisputed	01/23/2026	1152999938	CMS
ShockWave Medical, Inc	$1.56	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1152997481	CMS
ShockWave Medical, Inc	$17.63	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1152996867	CMS
ShockWave Medical, Inc	$6.03	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1152995785	CMS
ShockWave Medical, Inc	$2.17	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1152995787	CMS
ShockWave Medical, Inc	$2.35	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1152993825	CMS
ShockWave Medical, Inc	$26.54	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1152992167	CMS
ShockWave Medical, Inc	$1.93	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1152970887	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$17.36	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1080554451	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$21.03	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1080554497	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$19.68	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1080554547	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$21.78	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1080554563	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$24.39	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1080554605	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$8.81	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1080554655	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$14.68	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1080554683	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$23.25	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1080554807	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$23.47	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1080554813	CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$22.39	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1080554881	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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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.