Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official 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.

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General Payments · PY2019 · Entire year

$2,095.54

143 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2019 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,095.54 143

By paying entity

PY2019 · entire year · sorted by reported total

Payment records · PY2019

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

General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30

143 matching records · $2,095.54 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 143 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 143.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Merck Sharp & Dohme Corporation $16.8212/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026695896315 CMS
Electromed, Inc. $22.1212/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026705235465 CMS
Insmed, Inc. $21.0012/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026693340167 CMS
GlaxoSmithKline, LLC. $3.3712/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026670551477 CMS
GlaxoSmithKline, LLC. $4.9412/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026670591661 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.2812/03/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700174103 CMS
Regeneron Healthcare Solutions, Inc. $18.8912/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026673481719 CMS
Resmed Corp $14.3411/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026686150681 CMS
AstraZeneca Pharmaceuticals LP $15.4611/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685493809 CMS
GlaxoSmithKline, LLC. $3.6011/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026670730111 CMS
GlaxoSmithKline, LLC. $2.5011/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026671544967 CMS
Sunovion Pharmaceuticals Inc. $4.4211/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026688089855 CMS
Grifols USA, LLC $17.4811/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692600885 CMS
Novartis Pharmaceuticals Corporation $16.4611/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026660191789 CMS
Bayer HealthCare Pharmaceuticals Inc. $14.0111/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026628429931 CMS
GlaxoSmithKline, LLC. $9.3511/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026671305471 CMS
GlaxoSmithKline, LLC. $16.6811/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026671452061 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.1311/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700174105 CMS
Sunovion Pharmaceuticals Inc. $7.4310/31/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026688089853 CMS
AstraZeneca Pharmaceuticals LP $16.2010/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685117953 CMS
GlaxoSmithKline, LLC. $6.9410/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026670819191 CMS
Sunovion Pharmaceuticals Inc. $22.3410/28/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026688089851 CMS
United Therapeutics Corporation $18.1610/23/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026703112781 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.3410/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700173959 CMS
Insmed, Inc. $17.3910/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026693342079 CMS
Grifols USA, LLC $21.8810/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692601489 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $8.8010/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700173961 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $29.4510/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700173963 CMS
E.R. Squibb & Sons, L.L.C. $15.0510/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651429201 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.5710/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700173965 CMS
Actelion Pharmaceuticals US, Inc. $22.3709/30/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026659793399 CMS
ADVANCED RESPIRATORY, INC $16.5209/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026706301005 CMS
GlaxoSmithKline, LLC. $10.3609/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026670950035 CMS
Sunovion Pharmaceuticals Inc. $2.6109/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026688089849 CMS
Philips Electronics North America Corporation $22.2209/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026684069043 CMS
E.R. Squibb & Sons, L.L.C. $16.3109/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651429191 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.7609/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700173967 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $29.0909/09/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700173969 CMS
Circassia Pharmaceuticals Inc $13.9809/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026660221061 CMS
Sunovion Pharmaceuticals Inc. $9.0909/03/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026688089847 CMS
Circassia Pharmaceuticals Inc $16.0608/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026660221059 CMS
AstraZeneca Pharmaceuticals LP $16.6408/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026685788787 CMS
GlaxoSmithKline, LLC. $12.4708/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026671124611 CMS
GlaxoSmithKline, LLC. $9.1208/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026670921241 CMS
JAZZ PHARMACEUTICALS INC. $18.7608/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026684175531 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $10.3308/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026700173971 CMS
E.R. Squibb & Sons, L.L.C. $12.8508/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026651429173 CMS
Sunovion Pharmaceuticals Inc. $11.0408/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026688089845 CMS
GENZYME CORPORATION $28.9707/25/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026694287801 CMS
Circassia Pharmaceuticals Inc $15.7607/23/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026660221057 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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

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 and profile matching
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.

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.