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

DAVID R SPIGEL

Allopathic & Osteopathic Physicians Internal Medicine Medical Oncology

NPI
1427074210
CMS profile
291623
Location
NASHVILLE, TN

General Payments · PY2018–2024

$162,124.48

  • Reported across 258 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$4,614.45

49 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
Consulting Fee $3,300.00 1
Food and Beverage $1,247.05 46
Travel and Lodging $67.40 2

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $22,249.19 62
PY2019 $59,860.23 70
PY2020 $36,690.23 22
PY2021 $8,322.17 11
PY2022 $10,977.42 15
PY2023 $19,410.79 29
PY2024 $4,614.45 49

Payment records · PY2024 (49)

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

Program year 2024 201820192020202120222023 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. $53.20 05/30/2024 Food and Beverage Undisputed 01/23/2026 1106147483 CMS
ABBVIE INC. $50.50 12/13/2024 Travel and Lodging Undisputed 01/23/2026 1106147485 CMS
ABBVIE INC. $3,300.00 12/13/2024 Consulting Fee Undisputed 01/23/2026 1106147487 CMS
ARRAY BIOPHARMA INC $18.36 10/25/2024 Food and Beverage Undisputed 01/23/2026 1130885848 CMS
Astellas Pharma US Inc $17.22 06/07/2024 Food and Beverage Undisputed 01/23/2026 1139362471 CMS
AstraZeneca Pharmaceuticals LP $19.74 01/22/2024 Food and Beverage Undisputed 01/23/2026 1110532934 CMS
AstraZeneca Pharmaceuticals LP $32.87 04/25/2024 Food and Beverage Undisputed 01/23/2026 1110537437 CMS
AstraZeneca Pharmaceuticals LP $135.00 06/01/2024 Food and Beverage Undisputed 01/23/2026 1110535156 CMS
AstraZeneca UK Limited $16.90 07/30/2024 Travel and Lodging Undisputed 01/23/2026 1110535950 CMS
Aveo Pharmaceuticals, Inc. $43.88 10/22/2024 Food and Beverage Undisputed 01/23/2026 1143476101 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.45 03/06/2024 Food and Beverage Undisputed 01/23/2026 1086188038 CMS
Bayer Healthcare Pharmaceuticals Inc. $16.09 08/07/2024 Food and Beverage Undisputed 01/23/2026 1086161002 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $123.98 09/14/2024 Food and Beverage Undisputed 01/23/2026 1118003770 CMS
Celgene Corporation $18.87 06/14/2024 Food and Beverage Undisputed 01/23/2026 1101190911 CMS
Daiichi Sankyo Inc. $17.61 03/28/2024 Food and Beverage Undisputed 01/23/2026 1089485898 CMS
Daiichi Sankyo Inc. $28.48 04/16/2024 Food and Beverage Undisputed 01/23/2026 1089485900 CMS
Daiichi Sankyo Inc. $29.36 09/23/2024 Food and Beverage Undisputed 01/23/2026 1089485894 CMS
Daiichi Sankyo Inc. $27.69 12/12/2024 Food and Beverage Undisputed 01/23/2026 1089485896 CMS
Deciphera Pharmaceuticals Inc. $22.34 03/18/2024 Food and Beverage Undisputed 01/23/2026 1145875473 CMS
Eisai Inc. $23.75 05/28/2024 Food and Beverage Undisputed 01/23/2026 1110740735 CMS
Eisai Inc. $30.30 07/12/2024 Food and Beverage Undisputed 01/23/2026 1110740733 CMS
EMD Serono, Inc. $21.12 09/24/2024 Food and Beverage Undisputed 01/23/2026 1120263012 CMS
Exelixis Inc. $14.83 07/16/2024 Food and Beverage Undisputed 01/23/2026 1138557025 CMS
Exelixis Inc. $20.27 10/15/2024 Food and Beverage Undisputed 01/23/2026 1138557027 CMS
Genentech USA, Inc. $17.74 06/21/2024 Food and Beverage Undisputed 01/23/2026 1132999162 CMS
Genentech USA, Inc. $16.88 11/20/2024 Food and Beverage Undisputed 01/23/2026 1132999158 CMS
Gilead Sciences, Inc. $22.86 02/07/2024 Food and Beverage Undisputed 01/23/2026 1133831393 CMS
Janssen Biotech, Inc. $18.07 09/20/2024 Food and Beverage Undisputed 01/23/2026 1078675030 CMS
Janssen Biotech, Inc. $17.85 11/15/2024 Food and Beverage Undisputed 01/23/2026 1078671916 CMS
JAZZ PHARMACEUTICALS INC. $19.33 12/13/2024 Food and Beverage Undisputed 01/23/2026 1150214380 CMS
Lilly USA, LLC $23.84 05/31/2024 Food and Beverage Undisputed 01/23/2026 1136136174 CMS
Merck Sharp & Dohme LLC $16.71 02/02/2024 Food and Beverage Undisputed 01/23/2026 1141610490 CMS
Merck Sharp & Dohme LLC $24.03 02/13/2024 Food and Beverage Undisputed 01/23/2026 1141610492 CMS
Merck Sharp & Dohme LLC $31.37 04/30/2024 Food and Beverage Undisputed 01/23/2026 1141608735 CMS
Merck Sharp & Dohme LLC $29.41 08/27/2024 Food and Beverage Undisputed 01/23/2026 1141841389 CMS
Merck Sharp & Dohme LLC $31.99 11/11/2024 Food and Beverage Undisputed 01/23/2026 1141918272 CMS
Mirati Therapeutics, Inc. $16.58 06/18/2024 Food and Beverage Undisputed 01/23/2026 1117177719 CMS
PFIZER INC. $13.13 01/23/2024 Food and Beverage Undisputed 01/23/2026 1131145627 CMS
PFIZER INC. $15.79 05/14/2024 Food and Beverage Undisputed 01/23/2026 1131326489 CMS
PFIZER INC. $19.50 06/10/2024 Food and Beverage Undisputed 01/23/2026 1131334817 CMS
SERVIER PHARMACEUTICALS LLC $20.49 12/10/2024 Food and Beverage Undisputed 01/23/2026 1147259108 CMS
SOBI, INC $16.16 11/12/2024 Food and Beverage Undisputed 01/23/2026 1141428479 CMS
Stemline Therapeutics Inc. $25.51 10/29/2024 Food and Beverage Undisputed 01/23/2026 1142959344 CMS
Sumitomo Pharma America, Inc. $13.80 10/04/2024 Food and Beverage Undisputed 01/23/2026 1148922821 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $17.83 04/30/2024 Food and Beverage Undisputed 01/23/2026 1152142414 CMS
SUN PHARMACEUTICAL INDUSTRIES INC. $18.65 11/19/2024 Food and Beverage Undisputed 01/23/2026 1152142416 CMS
Tempus AI, Inc $29.57 10/07/2024 Food and Beverage Undisputed 01/23/2026 1150175020 CMS
TerSera Therapeutics LLC $18.23 04/11/2024 Food and Beverage Undisputed 01/23/2026 1144713827 CMS
Verity Pharmaceuticals Inc. $21.32 03/27/2024 Food and Beverage Undisputed 01/23/2026 1080600775 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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