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

THOMAS H SPENCE

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1447221379
CMS profile: 247257
Location: SAINT LOUIS, MO

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 · PY2019–2025

CMS publication 2026-06-30

Latest program year · PY2025

$2,754.31

129 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	$2,736.62	128
Consulting Fee	$17.69	1

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
GlaxoSmithKline, LLC.	$422.59	28
Acerta Pharma LLC	$416.06	19
Inspire Medical Systems, Inc.	$242.78	3
Insmed, Inc.	$204.74	12
Philips Electronics North America Corporation	$121.42	6
Merck Sharp & Dohme Corporation	$112.54	5
GENZYME CORPORATION	$107.72	5
United Therapeutics Corporation	$103.91	4
HARMONY BIOSCIENCES LLC	$99.05	3
Boehringer Ingelheim Pharmaceuticals, Inc.	$98.50	4
Actelion Pharmaceuticals US, Inc.	$97.62	3
Regeneron Healthcare Solutions, Inc.	$87.10	3
Viatris Specialty LLC	$83.78	4
Amgen Inc.	$70.70	4
Grifols USA, LLC	$59.81	2
Verona Pharma, Inc.	$56.61	3
TACTILE SYSTEMS TECHNOLOGY INC	$55.28	2
Takeda Pharmaceuticals U.S.A., Inc.	$52.45	2
Lilly USA, LLC	$43.69	2
PFIZER INC.	$38.26	2
Electromed, Inc.	$33.99	6
Fisher & Paykel Healthcare Inc	$31.53	2
BAXTER HEALTHCARE	$30.15	1
Itamar Medical Inc	$24.70	1
ABBVIE INC.	$24.01	1
ADMA BioManufacturing LLC	$17.69	1
Azurity Pharmaceuticals, Inc.	$17.63	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$2,095.54	143
PY2020	$2,090.47	131
PY2021	$2,295.53	129
PY2022	$2,494.14	134
PY2023	$2,483.30	130
PY2024	$3,075.78	114
PY2025	$2,754.31	129

Payment records · PY2025 (129)

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

Program year 2025 2019 2020 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
Amgen Inc.	$22.66	12/23/2025	Food and Beverage	No dispute reported	06/30/2026	1228425423	CMS
Philips North America LLC	$14.12	12/19/2025	Food and Beverage	No dispute reported	06/30/2026	1232588620	CMS
Verona Pharma, Inc.	$19.19	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1233756015	CMS
Insmed, Inc.	$27.35	12/14/2025	Food and Beverage	No dispute reported	06/30/2026	1186308230	CMS
GlaxoSmithKline, LLC.	$19.13	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1190364020	CMS
GENZYME CORPORATION	$28.28	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1233307170	CMS
GlaxoSmithKline, LLC.	$11.98	12/10/2025	Food and Beverage	No dispute reported	06/30/2026	1191734160	CMS
GENZYME CORPORATION	$21.76	12/09/2025	Food and Beverage	No dispute reported	06/30/2026	1233307188	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.04	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1222950969	CMS
GlaxoSmithKline, LLC.	$14.28	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1191176666	CMS
AstraZeneca Pharmaceuticals LP	$19.35	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1207272592	CMS
Fisher & Paykel Healthcare Inc	$14.05	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1244153659	CMS
Grifols USA, LLC	$33.77	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1249585006	CMS
Philips North America LLC	$16.76	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1232588626	CMS
GlaxoSmithKline, LLC.	$1.28	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1190779534	CMS
GlaxoSmithKline, LLC.	$27.69	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1191824494	CMS
AstraZeneca Pharmaceuticals LP	$26.61	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1206339598	CMS
Insmed, Inc.	$12.52	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1186302814	CMS
AstraZeneca Pharmaceuticals LP	$16.72	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1206357830	CMS
Regeneron Healthcare Solutions, Inc.	$22.43	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1213049077	CMS
Amgen Inc.	$16.57	11/17/2025	Food and Beverage	No dispute reported	06/30/2026	1228425421	CMS
United Therapeutics Corporation	$24.96	11/13/2025	Food and Beverage	No dispute reported	06/30/2026	1242542792	CMS
Regeneron Healthcare Solutions, Inc.	$27.08	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1213049075	CMS
AstraZeneca Pharmaceuticals LP	$20.90	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1207260821	CMS
GlaxoSmithKline, LLC.	$18.57	11/06/2025	Food and Beverage	No dispute reported	06/30/2026	1190463583	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$26.11	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1222950967	CMS
Merck Sharp & Dohme LLC	$27.77	10/23/2025	Food and Beverage	No dispute reported	06/30/2026	1238207836	CMS
PFIZER INC.	$21.15	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1229740645	CMS
Electromed, Inc.	$4.13	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1224596475	CMS
Electromed, Inc.	$3.54	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1224596491	CMS
GENZYME CORPORATION	$20.39	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1233307154	CMS
GlaxoSmithKline, LLC.	$13.85	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1191127593	CMS
Viatris Specialty LLC	$23.80	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1238464481	CMS
AstraZeneca Pharmaceuticals LP	$20.19	10/08/2025	Food and Beverage	No dispute reported	06/30/2026	1206172916	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$30.68	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1223923924	CMS
ADMA BioManufacturing LLC	$17.69	10/06/2025	Consulting Fee	No dispute reported	06/30/2026	1211423378	CMS
GlaxoSmithKline, LLC.	$20.62	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1190388932	CMS
Fisher & Paykel Healthcare Inc	$17.48	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1244153703	CMS
Insmed, Inc.	$22.90	09/29/2025	Food and Beverage	No dispute reported	06/30/2026	1186272230	CMS
Merck Sharp & Dohme LLC	$22.93	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1238303139	CMS
Insmed, Inc.	$16.87	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1186279134	CMS
Grifols USA, LLC	$26.04	09/17/2025	Food and Beverage	No dispute reported	06/30/2026	1249585004	CMS
GlaxoSmithKline, LLC.	$21.43	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1190597812	CMS
United Therapeutics Corporation	$32.44	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1242536294	CMS
Itamar Medical Inc	$24.70	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1254932989	CMS
GlaxoSmithKline, LLC.	$0.52	09/04/2025	Food and Beverage	No dispute reported	06/30/2026	1191261548	CMS
Actelion Pharmaceuticals US, Inc.	$25.87	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1174245478	CMS
GlaxoSmithKline, LLC.	$17.80	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1190610639	CMS
AstraZeneca Pharmaceuticals LP	$14.54	08/28/2025	Food and Beverage	No dispute reported	06/30/2026	1206331336	CMS
Insmed, Inc.	$13.03	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1186319728	CMS
HARMONY BIOSCIENCES LLC	$38.67	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1222409523	CMS
AstraZeneca Pharmaceuticals LP	$16.83	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1206459923	CMS
Amgen Inc.	$16.25	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1228425425	CMS
Lilly USA, LLC	$20.21	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1186917850	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$32.43	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1222950979	CMS
Azurity Pharmaceuticals, Inc.	$17.63	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1242679625	CMS
GlaxoSmithKline, LLC.	$16.18	08/11/2025	Food and Beverage	No dispute reported	06/30/2026	1190524473	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$21.77	08/07/2025	Food and Beverage	No dispute reported	06/30/2026	1223872445	CMS
GlaxoSmithKline, LLC.	$1.66	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1190480389	CMS
GlaxoSmithKline, LLC.	$16.11	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1191051311	CMS
GlaxoSmithKline, LLC.	$20.22	07/31/2025	Food and Beverage	No dispute reported	06/30/2026	1190532032	CMS
Insmed, Inc.	$25.10	07/31/2025	Food and Beverage	No dispute reported	06/30/2026	1186275435	CMS
AstraZeneca Pharmaceuticals LP	$18.87	07/29/2025	Food and Beverage	No dispute reported	06/30/2026	1206944911	CMS
Merck Sharp & Dohme LLC	$23.50	07/24/2025	Food and Beverage	No dispute reported	06/30/2026	1238211996	CMS
Philips North America LLC	$23.03	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1232588580	CMS
Tactile Systems Technology Inc	$30.60	07/17/2025	Food and Beverage	No dispute reported	06/30/2026	1180560874	CMS
GlaxoSmithKline, LLC.	$16.96	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1191478433	CMS
United Therapeutics Corporation	$27.28	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1242530906	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.92	07/07/2025	Food and Beverage	No dispute reported	06/30/2026	1222950977	CMS
GlaxoSmithKline, LLC.	$2.43	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1190725366	CMS
GlaxoSmithKline, LLC.	$13.47	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1190757838	CMS
Verona Pharma, Inc.	$16.78	06/23/2025	Food and Beverage	No dispute reported	06/30/2026	1233756105	CMS
HARMONY BIOSCIENCES LLC	$20.17	06/19/2025	Food and Beverage	No dispute reported	06/30/2026	1222395578	CMS
GlaxoSmithKline, LLC.	$6.18	06/18/2025	Food and Beverage	No dispute reported	06/30/2026	1190745296	CMS
Insmed, Inc.	$19.83	06/16/2025	Food and Beverage	No dispute reported	06/30/2026	1186307742	CMS
Lilly USA, LLC	$23.48	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1186857033	CMS
Actelion Pharmaceuticals US, Inc.	$37.35	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1174245731	CMS
Viatris Specialty LLC	$17.71	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1238503765	CMS
Amgen Inc.	$15.22	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1228425419	CMS
Insmed, Inc.	$21.93	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1186265634	CMS
Philips North America LLC	$23.61	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1232588558	CMS
Electromed, Inc.	$1.81	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1224596471	CMS
Electromed, Inc.	$3.00	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1224596482	CMS
Electromed, Inc.	$10.91	05/19/2025	Food and Beverage	No dispute reported	06/30/2026	1224596487	CMS
AstraZeneca Pharmaceuticals LP	$18.36	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1206774256	CMS
AstraZeneca Pharmaceuticals LP	$19.60	05/12/2025	Food and Beverage	No dispute reported	06/30/2026	1207297042	CMS
Insmed, Inc.	$10.00	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1186290960	CMS
Merck Sharp & Dohme LLC	$23.20	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1238124227	CMS
Insmed, Inc.	$1.79	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1186263391	CMS
Insmed, Inc.	$12.08	05/05/2025	Food and Beverage	No dispute reported	06/30/2026	1186309233	CMS
GENZYME CORPORATION	$17.88	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1233307104	CMS
Inspire Medical Systems, Inc.	$88.48	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1251511216	CMS
Merck Sharp & Dohme LLC	$15.14	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1238177009	CMS
United Therapeutics Corporation	$19.23	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1242557562	CMS
HARMONY BIOSCIENCES LLC	$40.21	04/26/2025	Food and Beverage	No dispute reported	06/30/2026	1222404113	CMS
GlaxoSmithKline, LLC.	$18.75	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1190544908	CMS
GlaxoSmithKline, LLC.	$19.05	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1190363684	CMS
GlaxoSmithKline, LLC.	$20.96	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1190806213	CMS
Viatris Specialty LLC	$23.24	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1238478809	CMS
GENZYME CORPORATION	$19.41	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1233307096	CMS
ABBVIE INC.	$24.01	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1204376189	CMS
AstraZeneca Pharmaceuticals LP	$21.43	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1206212341	CMS
AstraZeneca Pharmaceuticals LP	$23.07	03/27/2025	Food and Beverage	No dispute reported	06/30/2026	1206741915	CMS
AstraZeneca Pharmaceuticals LP	$19.82	03/26/2025	Food and Beverage	No dispute reported	06/30/2026	1206532970	CMS
GlaxoSmithKline, LLC.	$18.46	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1191469916	CMS
Electromed, Inc.	$10.60	03/17/2025	Food and Beverage	No dispute reported	06/30/2026	1224596479	CMS
Baxter Healthcare	$30.15	03/13/2025	Food and Beverage	No dispute reported	06/30/2026	1181556361	CMS
Philips North America LLC	$21.85	03/13/2025	Food and Beverage	No dispute reported	06/30/2026	1232588540	CMS
AstraZeneca Pharmaceuticals LP	$19.77	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1206517954	CMS
AstraZeneca Pharmaceuticals LP	$55.01	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1206635566	CMS
GlaxoSmithKline, LLC.	$16.76	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1191296429	CMS
Insmed, Inc.	$21.34	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1186294281	CMS
Regeneron Healthcare Solutions, Inc.	$37.59	02/27/2025	Food and Beverage	No dispute reported	06/30/2026	1213049073	CMS
Inspire Medical Systems, Inc.	$145.23	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1251511214	CMS
AstraZeneca Pharmaceuticals LP	$18.05	02/25/2025	Food and Beverage	No dispute reported	06/30/2026	1207172175	CMS
GlaxoSmithKline, LLC.	$9.39	02/19/2025	Food and Beverage	No dispute reported	06/30/2026	1190726322	CMS
Verona Pharma, Inc.	$20.64	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1233756155	CMS
PFIZER INC.	$17.11	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1231371556	CMS
Inspire Medical Systems, Inc.	$9.07	01/30/2025	Food and Beverage	No dispute reported	06/30/2026	1251511212	CMS
Actelion Pharmaceuticals US, Inc.	$34.40	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1174246068	CMS
GlaxoSmithKline, LLC.	$15.62	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1191185397	CMS
AstraZeneca Pharmaceuticals LP	$26.63	01/23/2025	Food and Beverage	No dispute reported	06/30/2026	1207235562	CMS
AstraZeneca Pharmaceuticals LP	$19.42	01/21/2025	Food and Beverage	No dispute reported	06/30/2026	1206357870	CMS
Viatris Specialty LLC	$19.03	01/20/2025	Food and Beverage	No dispute reported	06/30/2026	1238492067	CMS
GlaxoSmithKline, LLC.	$20.50	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1190703496	CMS
Philips North America LLC	$22.05	01/14/2025	Food and Beverage	No dispute reported	06/30/2026	1232588512	CMS
Tactile Systems Technology Inc	$24.68	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1180560876	CMS
GlaxoSmithKline, LLC.	$22.74	01/09/2025	Food and Beverage	No dispute reported	06/30/2026	1190479808	CMS
AstraZeneca Pharmaceuticals LP	$20.89	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1206389948	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: 2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2019 , PY2020 , 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-1447221379

Plain: THOMAS H SPENCE, NPI 1447221379. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1447221379.
APA 7: IndustryPayments. (2026). THOMAS H SPENCE, NPI 1447221379 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1447221379
Bluebook: THOMAS H SPENCE, NPI 1447221379, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1447221379.

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