Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

MICHAEL SPIVAK

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI: 1437499076
CMS profile: 11101950
Location: MASON, OH

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2021–2025

CMS publication 2026-06-30

Latest program year · PY2025

$2,752.79

141 records · 0 disputed

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,752.79	141

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Lilly USA, LLC	$267.70	17
KYOWA KIRIN, INC.	$248.16	8
Novo Nordisk AS	$228.78	16
Neurocrine BioSciences, Inc.	$190.09	5
Amgen Inc.	$163.93	9
RECORDATI_RARE_DISEASES_INC.	$157.96	7
Boehringer Ingelheim Pharmaceuticals, Inc.	$148.59	9
ABBVIE INC.	$140.38	12
BETA BIONICS, INC.	$111.73	5
Insulet Corporation	$89.15	5
Sequel Med Tech, LLC	$89.09	3
Xeris Pharmaceuticals, Inc.	$86.55	5
DEXCOM, INC.	$82.85	3
SANOFI-AVENTIS U.S. LLC	$80.22	4
Corcept Therapeutics	$77.85	4
Tandem Diabetes Care, Inc.	$74.74	3
Acella Pharmaceuticals, LLC	$71.31	4
Bayer HealthCare Pharmaceuticals Inc.	$66.51	3
Ascendis Pharma Endocrinology Inc	$53.64	3
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$51.66	3
Madrigal Pharmaceuticals	$45.05	1
AIMMUNE THERAPEUTICS, INC.	$38.22	2
Amphastar Pharmaceuticals, Inc.	$37.96	2
NOVARTIS PHARMACEUTICALS CORPORATION	$35.01	2
Medtronic, Inc.	$31.03	2
SHIELD THERAPEUTICS INC	$24.05	1
Alvogen Inc	$23.09	1
Phadia US Inc.	$20.75	1
MannKind Corporation	$16.74	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$3,627.64	263
PY2022	$2,603.54	185
PY2023	$3,427.89	188
PY2024	$3,295.44	181
PY2025	$2,752.79	141

Payment records · PY2025 (141)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 2021 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
Amphastar Pharmaceuticals, Inc.	$20.60	12/22/2025	Food and Beverage	No dispute reported	06/30/2026	1223647377	CMS
Amgen Inc.	$23.21	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1229168627	CMS
Neurocrine BioSciences, Inc.	$82.35	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1242803538	CMS
Neurocrine BioSciences, Inc.	$37.87	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1242809885	CMS
Sequel Med Tech, LLC	$34.58	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1243773895	CMS
Madrigal Pharmaceuticals	$45.05	12/08/2025	Food and Beverage	No dispute reported	06/30/2026	1248383749	CMS
Acella Pharmaceuticals, LLC	$15.72	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1241772698	CMS
Dexcom, Inc.	$20.10	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1250574928	CMS
Xeris Pharmaceuticals, Inc.	$19.48	11/26/2025	Food and Beverage	No dispute reported	06/30/2026	1250199728	CMS
Corcept Therapeutics	$21.55	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1214152459	CMS
ABBVIE INC.	$3.50	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1203564265	CMS
Alvogen Inc	$23.09	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1209953882	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.92	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1225820390	CMS
Insulet Corporation	$20.74	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1207128740	CMS
BETA BIONICS, INC.	$30.61	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1246804378	CMS
Medtronic, Inc.	$16.96	11/17/2025	Food and Beverage	No dispute reported	06/30/2026	1219790624	CMS
SANOFI-AVENTIS U.S. LLC	$21.68	11/13/2025	Food and Beverage	No dispute reported	06/30/2026	1233549370	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.32	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1232120466	CMS
Neurocrine BioSciences, Inc.	$20.71	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1242880652	CMS
Novo Nordisk Inc	$16.77	10/30/2025	Food and Beverage	No dispute reported	06/30/2026	1188256159	CMS
Amgen Inc.	$14.62	10/29/2025	Food and Beverage	No dispute reported	06/30/2026	1229168595	CMS
Xeris Pharmaceuticals, Inc.	$16.35	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1250199726	CMS
ABBVIE INC.	$14.00	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1203564260	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.63	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1222915149	CMS
SANOFI-AVENTIS U.S. LLC	$22.99	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1233549358	CMS
BETA BIONICS, INC.	$9.57	10/17/2025	Food and Beverage	No dispute reported	06/30/2026	1246803516	CMS
BETA BIONICS, INC.	$30.73	10/17/2025	Food and Beverage	No dispute reported	06/30/2026	1246803518	CMS
Novartis Pharmaceuticals Corporation	$20.86	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1200395884	CMS
Aimmune Therapeutics, Inc.	$23.43	10/13/2025	Food and Beverage	No dispute reported	06/30/2026	1249663503	CMS
Corcept Therapeutics	$19.37	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1214152437	CMS
Novo Nordisk Inc	$8.17	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1188562853	CMS
RECORDATI_RARE_DISEASES_INC.	$9.70	09/29/2025	Food and Beverage	No dispute reported	06/30/2026	1181733157	CMS
Acella Pharmaceuticals, LLC	$20.47	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1241772694	CMS
ABBVIE INC.	$2.43	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1203564254	CMS
Tandem Diabetes Care, Inc.	$30.63	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1241279418	CMS
Lilly USA, LLC	$14.01	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1187165599	CMS
KYOWA KIRIN, INC.	$18.12	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1222121791	CMS
Amgen Inc.	$13.99	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1229168589	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.38	09/04/2025	Food and Beverage	No dispute reported	06/30/2026	1222915147	CMS
Bayer Healthcare Pharmaceuticals Inc.	$23.08	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1225820386	CMS
Novo Nordisk Inc	$10.77	09/02/2025	Food and Beverage	No dispute reported	06/30/2026	1188532756	CMS
ABBVIE INC.	$6.43	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1203564246	CMS
Amphastar Pharmaceuticals, Inc.	$17.36	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1223647373	CMS
Dexcom, Inc.	$42.93	08/26/2025	Food and Beverage	No dispute reported	06/30/2026	1250574926	CMS
Corcept Therapeutics	$19.95	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1214152413	CMS
Sequel Med Tech, LLC	$35.33	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1243773891	CMS
ABBVIE INC.	$5.93	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1203564233	CMS
ABBVIE INC.	$8.50	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1203564240	CMS
SHIELD THERAPEUTICS INC	$24.05	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1249622345	CMS
Lilly USA, LLC	$19.76	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1187276794	CMS
Lilly USA, LLC	$19.61	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1187207079	CMS
Novo Nordisk Inc	$22.97	08/07/2025	Food and Beverage	No dispute reported	06/30/2026	1188441973	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.92	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1222915145	CMS
RECORDATI_RARE_DISEASES_INC.	$23.40	08/04/2025	Food and Beverage	No dispute reported	06/30/2026	1181733155	CMS
Insulet Corporation	$21.81	07/24/2025	Food and Beverage	No dispute reported	06/30/2026	1207151844	CMS
Amgen Inc.	$18.00	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1229168576	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.55	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1222915143	CMS
KYOWA KIRIN, INC.	$18.17	07/21/2025	Food and Beverage	No dispute reported	06/30/2026	1222121789	CMS
ABBVIE INC.	$17.93	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1203564227	CMS
Lilly USA, LLC	$24.61	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1187185756	CMS
Lilly USA, LLC	$17.62	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1187207077	CMS
Insulet Corporation	$15.50	07/03/2025	Food and Beverage	No dispute reported	06/30/2026	1207097846	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.56	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1222915141	CMS
Aimmune Therapeutics, Inc.	$14.79	06/26/2025	Food and Beverage	No dispute reported	06/30/2026	1249663501	CMS
Lilly USA, LLC	$20.10	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1187236788	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$13.04	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1222915139	CMS
Medtronic, Inc.	$14.07	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1219790622	CMS
Novo Nordisk Inc	$15.55	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1189007763	CMS
Ascendis Pharma Endocrinology Inc	$15.27	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1237042845	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.51	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1225820382	CMS
RECORDATI_RARE_DISEASES_INC.	$13.72	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1181733151	CMS
RECORDATI_RARE_DISEASES_INC.	$60.42	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1181733153	CMS
Lilly USA, LLC	$15.82	06/06/2025	Food and Beverage	No dispute reported	06/30/2026	1187276792	CMS
Novo Nordisk Inc	$15.56	06/05/2025	Food and Beverage	No dispute reported	06/30/2026	1188686235	CMS
Corcept Therapeutics	$16.98	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1214152389	CMS
Amgen Inc.	$18.50	05/30/2025	Food and Beverage	No dispute reported	06/30/2026	1229168605	CMS
Mannkind Corporation	$16.74	05/29/2025	Food and Beverage	No dispute reported	06/30/2026	1250892559	CMS
Ascendis Pharma Endocrinology Inc	$18.30	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1237040839	CMS
Novo Nordisk Inc	$9.91	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1188271079	CMS
Lilly USA, LLC	$13.24	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1187236790	CMS
Novartis Pharmaceuticals Corporation	$14.15	05/13/2025	Food and Beverage	No dispute reported	06/30/2026	1200410507	CMS
Phadia US Inc.	$20.75	05/13/2025	Food and Beverage	No dispute reported	06/30/2026	1161492439	CMS
Novo Nordisk Inc	$5.10	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1188497330	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$13.73	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1232120464	CMS
KYOWA KIRIN, INC.	$18.70	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1222121787	CMS
Amgen Inc.	$2.91	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1229168600	CMS
Tandem Diabetes Care, Inc.	$27.84	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1241279427	CMS
Acella Pharmaceuticals, LLC	$20.12	05/02/2025	Food and Beverage	No dispute reported	06/30/2026	1241772690	CMS
Dexcom, Inc.	$19.82	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1250574924	CMS
Lilly USA, LLC	$11.40	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1187236786	CMS
RECORDATI_RARE_DISEASES_INC.	$19.10	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1181733147	CMS
RECORDATI_RARE_DISEASES_INC.	$22.73	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1181733149	CMS
Lilly USA, LLC	$19.40	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1187276796	CMS
Insulet Corporation	$15.82	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1207081451	CMS
SANOFI-AVENTIS U.S. LLC	$19.46	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1233549201	CMS
BETA BIONICS, INC.	$14.89	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1246798373	CMS
KYOWA KIRIN, INC.	$9.07	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1222121785	CMS
ABBVIE INC.	$2.16	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1203564221	CMS
Lilly USA, LLC	$10.34	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1187228307	CMS
RECORDATI_RARE_DISEASES_INC.	$8.89	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1181733145	CMS
Neurocrine BioSciences, Inc.	$27.85	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1242837175	CMS
Amgen Inc.	$21.00	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1229168620	CMS
KYOWA KIRIN, INC.	$133.24	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1222121782	CMS
Novo Nordisk Inc	$17.79	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1188757876	CMS
Novo Nordisk Inc	$9.67	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1188950624	CMS
Lilly USA, LLC	$12.59	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1187228477	CMS
Lilly USA, LLC	$7.53	04/02/2025	Food and Beverage	No dispute reported	06/30/2026	1187228481	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.40	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1222915137	CMS
KYOWA KIRIN, INC.	$15.21	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1222121780	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.61	03/24/2025	Food and Beverage	No dispute reported	06/30/2026	1232120462	CMS
ABBVIE INC.	$13.08	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1203564215	CMS
Lilly USA, LLC	$19.47	03/12/2025	Food and Beverage	No dispute reported	06/30/2026	1187165597	CMS
Novo Nordisk Inc	$21.40	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1188825117	CMS
Sequel Med Tech, LLC	$19.18	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1243773884	CMS
Novo Nordisk Inc	$15.27	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1188421067	CMS
Amgen Inc.	$27.07	03/03/2025	Food and Beverage	No dispute reported	06/30/2026	1229168616	CMS
Neurocrine BioSciences, Inc.	$21.31	02/27/2025	Food and Beverage	No dispute reported	06/30/2026	1242876492	CMS
Xeris Pharmaceuticals, Inc.	$14.89	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1250199724	CMS
KYOWA KIRIN, INC.	$18.23	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1222121778	CMS
Novo Nordisk Inc	$5.71	02/20/2025	Food and Beverage	No dispute reported	06/30/2026	1188288244	CMS
Tandem Diabetes Care, Inc.	$16.27	02/20/2025	Food and Beverage	No dispute reported	06/30/2026	1241279422	CMS
Ascendis Pharma Endocrinology Inc	$20.07	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1237034031	CMS
Lilly USA, LLC	$19.35	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1187228479	CMS
ABBVIE INC.	$19.26	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1203564209	CMS
Insulet Corporation	$15.28	02/10/2025	Food and Beverage	No dispute reported	06/30/2026	1207066740	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.71	02/06/2025	Food and Beverage	No dispute reported	06/30/2026	1222915135	CMS
ABBVIE INC.	$21.07	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1203564203	CMS
Novo Nordisk Inc	$18.76	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1188891287	CMS
Novo Nordisk Inc	$17.51	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1189088342	CMS
BETA BIONICS, INC.	$25.93	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1246796549	CMS
SANOFI-AVENTIS U.S. LLC	$16.09	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1233549125	CMS
KYOWA KIRIN, INC.	$17.42	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1222121776	CMS
Lilly USA, LLC	$8.65	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1187185754	CMS
ABBVIE INC.	$26.09	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1203564197	CMS
Xeris Pharmaceuticals, Inc.	$13.60	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1250199722	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.40	01/23/2025	Food and Beverage	No dispute reported	06/30/2026	1222915133	CMS
Amgen Inc.	$24.63	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1229168610	CMS
Novo Nordisk Inc	$17.87	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1188345412	CMS
Xeris Pharmaceuticals, Inc.	$22.23	01/15/2025	Food and Beverage	No dispute reported	06/30/2026	1250199730	CMS
Acella Pharmaceuticals, LLC	$15.00	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1241772685	CMS
Lilly USA, LLC	$14.20	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1187228305	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2021, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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.

Cite this record.

Permalink https://industrypayments.org/provider/npi-1437499076

Plain: MICHAEL SPIVAK, NPI 1437499076. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1437499076.
APA 7: IndustryPayments. (2026). MICHAEL SPIVAK, NPI 1437499076 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1437499076
Bluebook: MICHAEL SPIVAK, NPI 1437499076, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1437499076.

Source: Centers for Medicare & Medicaid Services, Open Payments.