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 · PY2022 · Entire year

$2,494.14

134 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

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,494.14 134

By paying entity

PY2022 · entire year · sorted by reported total

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

134 matching records · $2,494.14 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 134 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 134.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Electromed, Inc. $4.5312/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948257059 CMS
Electromed, Inc. $2.4512/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948257065 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $33.5912/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887483437 CMS
GlaxoSmithKline, LLC. $17.6112/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973193 CMS
Insmed, Inc. $22.3512/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026906407135 CMS
GENZYME CORPORATION $27.2112/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026938842619 CMS
GlaxoSmithKline, LLC. $16.7112/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973145 CMS
Actelion Pharmaceuticals US, Inc. $24.9112/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885397705 CMS
AstraZeneca Pharmaceuticals LP $11.8212/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914782399 CMS
AstraZeneca Pharmaceuticals LP $12.0211/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914640443 CMS
Electromed, Inc. $12.9911/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948257053 CMS
GlaxoSmithKline, LLC. $15.2611/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973163 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.4211/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887483455 CMS
GlaxoSmithKline, LLC. $0.7711/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973179 CMS
GlaxoSmithKline, LLC. $16.7011/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973201 CMS
JAZZ PHARMACEUTICALS INC. $27.0111/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026951373437 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.1311/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887483439 CMS
GlaxoSmithKline, LLC. $23.4411/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973149 CMS
GlaxoSmithKline, LLC. $0.4211/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973151 CMS
AstraZeneca Pharmaceuticals LP $17.3711/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914702519 CMS
AstraZeneca Pharmaceuticals LP $23.3111/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915869557 CMS
GlaxoSmithKline, LLC. $1.6810/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973185 CMS
GlaxoSmithKline, LLC. $16.3610/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973187 CMS
Grifols USA, LLC $24.8710/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918705309 CMS
GlaxoSmithKline, LLC. $17.4310/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973191 CMS
GENZYME CORPORATION $30.8010/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026938842603 CMS
Actelion Pharmaceuticals US, Inc. $31.4710/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885397695 CMS
GlaxoSmithKline, LLC. $21.3110/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973161 CMS
Janssen Pharmaceuticals, Inc $17.4610/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026886489035 CMS
Regeneron Healthcare Solutions, Inc. $31.4310/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026927421131 CMS
AstraZeneca Pharmaceuticals LP $23.3110/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915659639 CMS
Insmed, Inc. $10.2310/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026906424485 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.6210/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887483441 CMS
Actelion Pharmaceuticals US, Inc. $23.7610/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885397689 CMS
AstraZeneca Pharmaceuticals LP $20.4110/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915612643 CMS
AstraZeneca Pharmaceuticals LP $12.3809/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915247267 CMS
Bayer HealthCare Pharmaceuticals Inc. $16.2609/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929849475 CMS
Insmed, Inc. $7.0609/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026906452585 CMS
Regeneron Healthcare Solutions, Inc. $31.0909/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026927421121 CMS
Grifols USA, LLC $24.9909/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918730435 CMS
Actelion Pharmaceuticals US, Inc. $23.4409/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885397697 CMS
AstraZeneca Pharmaceuticals LP $15.6309/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914757391 CMS
GENZYME CORPORATION $28.2908/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026938842597 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.8108/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887483443 CMS
Bayer HealthCare Pharmaceuticals Inc. $16.2608/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929843081 CMS
GlaxoSmithKline, LLC. $19.9508/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944973183 CMS
E.R. Squibb & Sons, L.L.C. $21.0808/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026932696741 CMS
Actelion Pharmaceuticals US, Inc. $28.6408/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885397721 CMS
Insmed, Inc. $32.3908/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026906443323 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $32.0808/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887405825 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.