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 · PY2023 · Entire year

$2,483.30

130 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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,483.30 130

By paying entity

PY2023 · entire year · sorted by reported total

Payment records · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

130 matching records · $2,483.30 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 130 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 130.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Insmed, Inc. $25.6812/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026978791341 CMS
GlaxoSmithKline, LLC. $24.7312/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001736435 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $32.2112/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996972049 CMS
GlaxoSmithKline, LLC. $3.2112/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001737561 CMS
GlaxoSmithKline, LLC. $22.6912/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001737639 CMS
AstraZeneca Pharmaceuticals LP $17.0012/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261015975493 CMS
Electromed, Inc. $8.8112/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026977395159 CMS
AstraZeneca Pharmaceuticals LP $22.1012/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261016282779 CMS
GlaxoSmithKline, LLC. $23.3911/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001736965 CMS
Insmed, Inc. $22.3511/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026978800481 CMS
Regeneron Healthcare Solutions, Inc. $33.9111/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026999460483 CMS
GlaxoSmithKline, LLC. $24.2111/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001737629 CMS
Philips Electronics North America Corporation $15.1411/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261024022865 CMS
Axsome Therapeutics, Inc. $20.3011/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261056222843 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $32.2111/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996972053 CMS
Electromed, Inc. $12.5611/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026977395157 CMS
GlaxoSmithKline, LLC. $23.7111/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001738357 CMS
AstraZeneca Pharmaceuticals LP $14.0011/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261014928447 CMS
Insmed, Inc. $4.9111/02/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026978805181 CMS
Inari Medical, Inc. $14.1010/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261057881323 CMS
AstraZeneca Pharmaceuticals LP $14.6210/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261015224621 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $34.1610/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026997145787 CMS
AstraZeneca Pharmaceuticals LP $21.3810/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261015728925 CMS
Insmed, Inc. $17.1710/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026978785335 CMS
GlaxoSmithKline, LLC. $15.8910/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001738337 CMS
GlaxoSmithKline, LLC. $25.7510/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001732029 CMS
Electromed, Inc. $14.1610/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026977395155 CMS
Insmed, Inc. $23.6009/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026978798833 CMS
GlaxoSmithKline, LLC. $18.1409/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001733511 CMS
Amgen Inc. $20.9109/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020173587 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.0909/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996972057 CMS
GlaxoSmithKline, LLC. $18.2809/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001732013 CMS
Electromed, Inc. $11.5909/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026977395151 CMS
Electromed, Inc. $1.2109/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026977395153 CMS
GlaxoSmithKline, LLC. $27.3309/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001738307 CMS
Axsome Therapeutics, Inc. $16.6209/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261056222841 CMS
AstraZeneca Pharmaceuticals LP $23.9109/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261011726079 CMS
Paratek Pharmaceuticals, Inc. $14.6809/08/2023 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/20261002329265 CMS
Merck Sharp & Dohme LLC $16.7308/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261048406627 CMS
GlaxoSmithKline, LLC. $21.3008/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001738299 CMS
GlaxoSmithKline, LLC. $1.4508/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001731895 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $27.0008/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996972061 CMS
GlaxoSmithKline, LLC. $19.8608/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001737975 CMS
Baxter Healthcare $20.1708/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026998236257 CMS
GENZYME CORPORATION $25.3508/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049842373 CMS
AstraZeneca Pharmaceuticals LP $17.4408/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261015725061 CMS
GlaxoSmithKline, LLC. $18.9008/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001731943 CMS
Insmed, Inc. $11.0908/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026978812387 CMS
Electromed, Inc. $10.0508/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026977395149 CMS
GlaxoSmithKline, LLC. $3.5107/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261001731963 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.