Covered recipient · General Payments record
THOMAS H SPENCE
Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease
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General Payments · PY2025 · Entire year
$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.
- 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
PY2025 · entire year · 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 · entire year · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| GlaxoSmithKline, LLC. | $422.59 | 28 |
| AstraZeneca Pharmaceuticals LP | $416.06 | 19 |
| Inspire Medical Systems, Inc. | $242.78 | 3 |
| Insmed, Inc. | $204.74 | 12 |
| Philips North America LLC | $121.42 | 6 |
| Merck Sharp & Dohme LLC | $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 |
Payment records · PY2025
Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them
General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30
129 matching records · $2,754.31 reported total · 0 disputed
Nature of payment: All payment types
Records imported here (UTC).
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 129.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Publication flags | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|---|
| Amgen Inc. | $22.66 | 12/23/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1228425423 | CMS |
| Philips North America LLC | $14.12 | 12/19/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1232588620 | CMS |
| Verona Pharma, Inc. | $19.19 | 12/18/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1233756015 | CMS |
| Insmed, Inc. | $27.35 | 12/14/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1186308230 | CMS |
| GlaxoSmithKline, LLC. | $19.13 | 12/11/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1190364020 | CMS |
| GENZYME CORPORATION | $28.28 | 12/10/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1233307170 | CMS |
| GlaxoSmithKline, LLC. | $11.98 | 12/10/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1191734160 | CMS |
| GENZYME CORPORATION | $21.76 | 12/09/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1233307188 | CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $20.04 | 12/04/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222950969 | CMS |
| GlaxoSmithKline, LLC. | $14.28 | 12/04/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1191176666 | CMS |
| AstraZeneca Pharmaceuticals LP | $19.35 | 12/03/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1207272592 | CMS |
| Fisher & Paykel Healthcare Inc | $14.05 | 12/02/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1244153659 | CMS |
| Grifols USA, LLC | $33.77 | 12/02/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1249585006 | CMS |
| Philips North America LLC | $16.76 | 12/02/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1232588626 | CMS |
| GlaxoSmithKline, LLC. | $1.28 | 11/25/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1190779534 | CMS |
| GlaxoSmithKline, LLC. | $27.69 | 11/25/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1191824494 | CMS |
| AstraZeneca Pharmaceuticals LP | $26.61 | 11/19/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1206339598 | CMS |
| Insmed, Inc. | $12.52 | 11/19/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1186302814 | CMS |
| AstraZeneca Pharmaceuticals LP | $16.72 | 11/18/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1206357830 | CMS |
| Regeneron Healthcare Solutions, Inc. | $22.43 | 11/18/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1213049077 | CMS |
| Amgen Inc. | $16.57 | 11/17/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1228425421 | CMS |
| United Therapeutics Corporation | $24.96 | 11/13/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1242542792 | CMS |
| Regeneron Healthcare Solutions, Inc. | $27.08 | 11/11/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1213049075 | CMS |
| AstraZeneca Pharmaceuticals LP | $20.90 | 11/06/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1207260821 | CMS |
| GlaxoSmithKline, LLC. | $18.57 | 11/06/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1190463583 | CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $26.11 | 11/04/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222950967 | CMS |
| Merck Sharp & Dohme LLC | $27.77 | 10/23/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238207836 | CMS |
| PFIZER INC. | $21.15 | 10/22/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1229740645 | CMS |
| Electromed, Inc. | $4.13 | 10/15/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1224596475 | CMS |
| Electromed, Inc. | $3.54 | 10/15/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1224596491 | CMS |
| GENZYME CORPORATION | $20.39 | 10/15/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1233307154 | CMS |
| GlaxoSmithKline, LLC. | $13.85 | 10/09/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1191127593 | CMS |
| Viatris Specialty LLC | $23.80 | 10/09/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238464481 | CMS |
| AstraZeneca Pharmaceuticals LP | $20.19 | 10/08/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1206172916 | CMS |
| Takeda Pharmaceuticals U.S.A., Inc. | $30.68 | 10/07/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1223923924 | CMS |
| ADMA BioManufacturing LLC | $17.69 | 10/06/2025 | Consulting Fee | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1211423378 | CMS |
| GlaxoSmithKline, LLC. | $20.62 | 10/01/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1190388932 | CMS |
| Fisher & Paykel Healthcare Inc | $17.48 | 09/30/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1244153703 | CMS |
| Insmed, Inc. | $22.90 | 09/29/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1186272230 | CMS |
| Merck Sharp & Dohme LLC | $22.93 | 09/23/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1238303139 | CMS |
| Insmed, Inc. | $16.87 | 09/18/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1186279134 | CMS |
| Grifols USA, LLC | $26.04 | 09/17/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1249585004 | CMS |
| GlaxoSmithKline, LLC. | $21.43 | 09/10/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1190597812 | CMS |
| United Therapeutics Corporation | $32.44 | 09/09/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1242536294 | CMS |
| Itamar Medical Inc | $24.70 | 09/08/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1254932989 | CMS |
| GlaxoSmithKline, LLC. | $0.52 | 09/04/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1191261548 | CMS |
| Actelion Pharmaceuticals US, Inc. | $25.87 | 09/03/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1174245478 | CMS |
| GlaxoSmithKline, LLC. | $17.80 | 09/03/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1190610639 | CMS |
| AstraZeneca Pharmaceuticals LP | $14.54 | 08/28/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1206331336 | CMS |
| Insmed, Inc. | $13.03 | 08/27/2025 | Food and Beverage | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1186319728 | CMS |
By program year
All program years on this page · sorted by year
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
- 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.