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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2020 · Entire year

$2,090.47

131 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

PY2020 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,090.47 131

By paying entity

PY2020 · entire year · sorted by reported total

Payment records · PY2020

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

General Payments · PY2020 · Physicians and non-physician practitioners · CMS publication 2026-06-30

131 matching records · $2,090.47 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 131 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 131.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Advanced Respiratory, Inc $19.6512/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026751008567 CMS
GlaxoSmithKline, LLC. $5.0112/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738788349 CMS
Fisher & Paykel Healthcare Inc $15.4812/21/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026737138971 CMS
AstraZeneca Pharmaceuticals LP $17.5412/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026736423491 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $30.3412/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720988641 CMS
GlaxoSmithKline, LLC. $12.0912/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738568211 CMS
Actelion Pharmaceuticals US, Inc. $25.7612/07/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719452551 CMS
AstraZeneca Pharmaceuticals LP $14.7512/02/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026736152775 CMS
Bayer HealthCare Pharmaceuticals Inc. $11.8612/02/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026713629071 CMS
GlaxoSmithKline, LLC. $11.1912/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738767407 CMS
GlaxoSmithKline, LLC. $4.4512/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738821337 CMS
GlaxoSmithKline, LLC. $13.1911/23/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738755871 CMS
Grifols USA, LLC $18.4911/18/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026750420515 CMS
Actelion Pharmaceuticals US, Inc. $26.6311/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719452553 CMS
Actelion Pharmaceuticals US, Inc. $10.5011/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719452569 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.7511/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720537381 CMS
GlaxoSmithKline, LLC. $0.6411/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738688503 CMS
GlaxoSmithKline, LLC. $13.7811/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738861091 CMS
GlaxoSmithKline, LLC. $0.5311/05/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738569577 CMS
GlaxoSmithKline, LLC. $15.0211/04/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738970682 CMS
AstraZeneca Pharmaceuticals LP $13.2411/03/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026735808455 CMS
AstraZeneca Pharmaceuticals LP $14.5510/29/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026735792439 CMS
GlaxoSmithKline, LLC. $11.9910/28/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738766207 CMS
Actelion Pharmaceuticals US, Inc. $25.6410/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719452563 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.3710/21/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720537387 CMS
Grifols USA, LLC $15.3510/20/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026750414753 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.8610/19/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720537393 CMS
Advanced Respiratory, Inc $12.9110/15/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026751008541 CMS
Regeneron Healthcare Solutions, Inc. $17.1810/15/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026724458233 CMS
GENZYME CORPORATION $16.1510/13/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744155125 CMS
GlaxoSmithKline, LLC. $17.6010/13/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738588445 CMS
Takeda Pharmaceuticals U.S.A., Inc. $28.0110/12/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026747306705 CMS
GlaxoSmithKline, LLC. $3.6410/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738632827 CMS
GlaxoSmithKline, LLC. $10.4010/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738756183 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $7.3210/07/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720537399 CMS
GlaxoSmithKline, LLC. $12.0910/05/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738568985 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.5709/23/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720537403 CMS
Actelion Pharmaceuticals US, Inc. $27.8209/21/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719452561 CMS
AstraZeneca Pharmaceuticals LP $12.3109/17/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026736089181 CMS
Insmed, Inc. $21.4709/15/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026739695149 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $30.5009/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720537409 CMS
Advanced Respiratory, Inc $16.7709/10/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026751008525 CMS
GlaxoSmithKline, LLC. $1.8409/10/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738568999 CMS
GlaxoSmithKline, LLC. $11.5609/09/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738777063 CMS
Mylan Specialty L.P. $14.8809/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026751396365 CMS
GlaxoSmithKline, LLC. $11.4209/02/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738568145 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.4809/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720537413 CMS
AstraZeneca Pharmaceuticals LP $19.2208/31/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026736433071 CMS
E.R. Squibb & Sons, L.L.C. $17.7908/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026727991327 CMS
Janssen Pharmaceuticals, Inc $11.9608/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719452573 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.