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

JON E SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1437842085
CMS profile
11458213
Location
SAN MARCOS, TX

General Payments · PY2023–2024

$996.62

  • Reported across 52 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$864.06

44 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 $864.06 44

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $132.56 8
PY2024 $864.06 44

Payment records · PY2024 (44)

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

Program year 2024 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. $15.30 03/28/2024 Food and Beverage Undisputed 01/23/2026 1108237922 CMS
ABBVIE INC. $15.86 05/14/2024 Food and Beverage Undisputed 01/23/2026 1108237924 CMS
ABBVIE INC. $18.32 06/18/2024 Food and Beverage Undisputed 01/23/2026 1108237926 CMS
ABBVIE INC. $19.33 08/29/2024 Food and Beverage Undisputed 01/23/2026 1108237928 CMS
Amgen Inc. $17.42 03/27/2024 Food and Beverage Undisputed 01/23/2026 1117690564 CMS
Amgen Inc. $20.13 05/08/2024 Food and Beverage Undisputed 01/23/2026 1117690566 CMS
Amgen Inc. $21.70 06/17/2024 Food and Beverage Undisputed 01/23/2026 1117690568 CMS
Amgen Inc. $13.81 10/24/2024 Food and Beverage Undisputed 01/23/2026 1117690570 CMS
Amgen Inc. $14.55 12/10/2024 Food and Beverage Undisputed 01/23/2026 1117690572 CMS
AstraZeneca Pharmaceuticals LP $19.09 03/20/2024 Food and Beverage Undisputed 01/23/2026 1110555680 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.05 05/07/2024 Food and Beverage Undisputed 01/23/2026 1086347615 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.23 04/17/2024 Food and Beverage Undisputed 01/23/2026 1118267585 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.52 05/22/2024 Food and Beverage Undisputed 01/23/2026 1118267581 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.03 08/13/2024 Food and Beverage Undisputed 01/23/2026 1118267583 CMS
Dexcom, Inc. $19.79 07/03/2024 Food and Beverage Undisputed 01/23/2026 1153367579 CMS
Exact Sciences Corporation $14.15 02/17/2024 Food and Beverage Undisputed 01/23/2026 1128383960 CMS
Exact Sciences Corporation $24.08 03/19/2024 Food and Beverage Undisputed 01/23/2026 1128383964 CMS
Exact Sciences Corporation $21.40 10/22/2024 Food and Beverage Undisputed 01/23/2026 1128383968 CMS
Exact Sciences Corporation $18.08 12/03/2024 Food and Beverage Undisputed 01/23/2026 1128383972 CMS
Exeltis, USA Inc. $14.51 11/19/2024 Food and Beverage Undisputed 01/23/2026 1150019959 CMS
GENZYME CORPORATION $32.02 06/04/2024 Food and Beverage Undisputed 01/23/2026 1139988589 CMS
GlaxoSmithKline, LLC. $23.55 01/24/2024 Food and Beverage Undisputed 01/23/2026 1116280291 CMS
GlaxoSmithKline, LLC. $17.93 07/08/2024 Food and Beverage Undisputed 01/23/2026 1116266241 CMS
GlaxoSmithKline, LLC. $15.87 08/07/2024 Food and Beverage Undisputed 01/23/2026 1115745112 CMS
GlaxoSmithKline, LLC. $21.49 10/17/2024 Food and Beverage Undisputed 01/23/2026 1116119236 CMS
Hologic Sales and Service, LLC $14.59 12/20/2024 Food and Beverage Undisputed 01/23/2026 1084922260 CMS
Lilly USA, LLC $29.07 04/15/2024 Food and Beverage Undisputed 01/23/2026 1135696230 CMS
Lilly USA, LLC $120.49 06/20/2024 Food and Beverage Undisputed 01/23/2026 1135728397 CMS
Lilly USA, LLC $17.31 07/31/2024 Food and Beverage Undisputed 01/23/2026 1135725165 CMS
Lilly USA, LLC $8.78 08/21/2024 Food and Beverage Undisputed 01/23/2026 1135713612 CMS
Lilly USA, LLC $21.06 09/16/2024 Food and Beverage Undisputed 01/23/2026 1135725167 CMS
Lilly USA, LLC $7.21 11/01/2024 Food and Beverage Undisputed 01/23/2026 1135659595 CMS
Lilly USA, LLC $14.05 12/17/2024 Food and Beverage Undisputed 01/23/2026 1135646427 CMS
Novo Nordisk Inc $13.65 04/26/2024 Food and Beverage Undisputed 01/23/2026 1108568221 CMS
Novo Nordisk Inc $20.12 09/24/2024 Food and Beverage Undisputed 01/23/2026 1108563951 CMS
PFIZER INC. $13.37 03/06/2024 Food and Beverage Undisputed 01/23/2026 1131166778 CMS
PFIZER INC. $21.33 05/15/2024 Food and Beverage Undisputed 01/23/2026 1131439747 CMS
PFIZER INC. $0.81 07/09/2024 Food and Beverage Undisputed 01/23/2026 1131252318 CMS
PFIZER INC. $18.74 07/10/2024 Food and Beverage Undisputed 01/23/2026 1131669672 CMS
PFIZER INC. $24.27 08/05/2024 Food and Beverage Undisputed 01/23/2026 1132010148 CMS
PFIZER INC. $17.13 10/01/2024 Food and Beverage Undisputed 01/23/2026 1131934144 CMS
PFIZER INC. $0.57 11/12/2024 Food and Beverage Undisputed 01/23/2026 1131248893 CMS
PFIZER INC. $12.52 11/12/2024 Food and Beverage Undisputed 01/23/2026 1131252322 CMS
PFIZER INC. $24.78 11/15/2024 Food and Beverage Undisputed 01/23/2026 1131257781 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
2023, 2024
Source files
Dataset page · Bulk file · PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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