Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ROBIN F SPIERING

Allopathic & Osteopathic Physicians Internal Medicine

NPI
1467458729
CMS profile
20634
Location
EL CAJON, CA

General Payments · PY2018–2024

$11,386.37

  • Reported across 517 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,392.47

53 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. 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.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,392.47 53

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,563.06 78
PY2019 $1,660.13 77
PY2020 $1,287.08 64
PY2021 $1,970.96 102
PY2022 $1,530.20 68
PY2023 $1,982.47 75
PY2024 $1,392.47 53

Payment records · PY2024 (53)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $4.71 01/02/2024 Food and Beverage Undisputed 01/23/2026 1106147345 CMS
ABBVIE INC. $16.22 01/03/2024 Food and Beverage Undisputed 01/23/2026 1106147347 CMS
ABBVIE INC. $11.85 01/17/2024 Food and Beverage Undisputed 01/23/2026 1106147349 CMS
ABBVIE INC. $13.62 01/22/2024 Food and Beverage Undisputed 01/23/2026 1106147351 CMS
ABBVIE INC. $13.20 01/29/2024 Food and Beverage Undisputed 01/23/2026 1106147353 CMS
ABBVIE INC. $18.64 02/01/2024 Food and Beverage Undisputed 01/23/2026 1106147355 CMS
ABBVIE INC. $12.85 02/07/2024 Food and Beverage Undisputed 01/23/2026 1106147357 CMS
ABBVIE INC. $28.26 02/23/2024 Food and Beverage Undisputed 01/23/2026 1106147359 CMS
ABBVIE INC. $22.95 05/08/2024 Food and Beverage Undisputed 01/23/2026 1106147361 CMS
ABBVIE INC. $23.39 06/17/2024 Food and Beverage Undisputed 01/23/2026 1106147363 CMS
ABBVIE INC. $17.64 08/06/2024 Food and Beverage Undisputed 01/23/2026 1106147365 CMS
ABBVIE INC. $11.94 09/05/2024 Food and Beverage Undisputed 01/23/2026 1106147367 CMS
ABBVIE INC. $21.54 09/23/2024 Food and Beverage Undisputed 01/23/2026 1106147369 CMS
ABBVIE INC. $19.90 11/13/2024 Food and Beverage Undisputed 01/23/2026 1106147371 CMS
Amgen Inc. $22.15 07/17/2024 Food and Beverage Undisputed 01/23/2026 1117690842 CMS
Amgen Inc. $16.76 10/23/2024 Food and Beverage Undisputed 01/23/2026 1116146082 CMS
AstraZeneca Pharmaceuticals LP $196.49 02/08/2024 Food and Beverage Undisputed 01/23/2026 1105704664 CMS
AstraZeneca Pharmaceuticals LP $20.52 02/21/2024 Food and Beverage Undisputed 01/23/2026 1104580850 CMS
AstraZeneca Pharmaceuticals LP $18.57 03/11/2024 Food and Beverage Undisputed 01/23/2026 1104697886 CMS
AstraZeneca Pharmaceuticals LP $16.51 04/11/2024 Food and Beverage Undisputed 01/23/2026 1105887897 CMS
AstraZeneca Pharmaceuticals LP $18.15 06/05/2024 Food and Beverage Undisputed 01/23/2026 1105776904 CMS
AstraZeneca Pharmaceuticals LP $14.50 09/25/2024 Food and Beverage Undisputed 01/23/2026 1105540815 CMS
AstraZeneca Pharmaceuticals LP $13.82 10/23/2024 Food and Beverage Undisputed 01/23/2026 1105351185 CMS
AstraZeneca Pharmaceuticals LP $13.38 11/23/2024 Food and Beverage Undisputed 01/23/2026 1104772792 CMS
AstraZeneca Pharmaceuticals LP $15.28 12/03/2024 Food and Beverage Undisputed 01/23/2026 1105512055 CMS
Azurity Pharmaceuticals, Inc. $16.37 01/11/2024 Food and Beverage Undisputed 01/23/2026 1134013059 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.94 10/02/2024 Food and Beverage Undisputed 01/23/2026 1118020798 CMS
E.R. Squibb & Sons, L.L.C. $22.65 08/21/2024 Food and Beverage Undisputed 01/23/2026 1101430833 CMS
Esperion Therapeutics, Inc. $19.37 02/14/2024 Food and Beverage Undisputed 01/23/2026 1129456416 CMS
Esperion Therapeutics, Inc. $23.38 05/16/2024 Food and Beverage Undisputed 01/23/2026 1129456418 CMS
Esperion Therapeutics, Inc. $23.02 07/12/2024 Food and Beverage Undisputed 01/23/2026 1129456420 CMS
GlaxoSmithKline, LLC. $13.67 09/11/2024 Food and Beverage Undisputed 01/23/2026 1116380662 CMS
GlaxoSmithKline, LLC. $121.83 10/24/2024 Food and Beverage Undisputed 01/23/2026 1116375196 CMS
GlaxoSmithKline, LLC. $17.76 12/11/2024 Food and Beverage Undisputed 01/23/2026 1116350978 CMS
Lilly USA, LLC $20.27 04/06/2024 Food and Beverage Undisputed 01/23/2026 1135386771 CMS
Lilly USA, LLC $29.35 04/17/2024 Food and Beverage Undisputed 01/23/2026 1135372190 CMS
Lilly USA, LLC $25.58 05/16/2024 Food and Beverage Undisputed 01/23/2026 1135386769 CMS
Lilly USA, LLC $23.06 05/29/2024 Food and Beverage Undisputed 01/23/2026 1135372192 CMS
Lilly USA, LLC $24.84 06/12/2024 Food and Beverage Undisputed 01/23/2026 1135372194 CMS
Lilly USA, LLC $16.88 07/31/2024 Food and Beverage Undisputed 01/23/2026 1135357117 CMS
Lilly USA, LLC $24.30 08/07/2024 Food and Beverage Undisputed 01/23/2026 1135357119 CMS
Lilly USA, LLC $18.32 10/09/2024 Food and Beverage Undisputed 01/23/2026 1135386773 CMS
Lilly USA, LLC $20.39 11/20/2024 Food and Beverage Undisputed 01/23/2026 1135400615 CMS
Merck Sharp & Dohme LLC $16.03 04/10/2024 Food and Beverage Undisputed 01/23/2026 1141640941 CMS
Merck Sharp & Dohme LLC $21.13 07/11/2024 Food and Beverage Undisputed 01/23/2026 1141850952 CMS
Nevro Corp. $13.67 08/13/2024 Food and Beverage Undisputed 01/23/2026 1130774733 CMS
Novo Nordisk Inc $13.95 06/25/2024 Food and Beverage Undisputed 01/23/2026 1096897322 CMS
Novo Nordisk Inc $16.49 09/19/2024 Food and Beverage Undisputed 01/23/2026 1096984292 CMS
Phathom Pharmaceuticals, Inc. $20.72 08/14/2024 Food and Beverage Undisputed 01/23/2026 1151129205 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.91 11/04/2024 Food and Beverage Undisputed 01/23/2026 1153620853 CMS
SI-BONE, INC. $145.35 10/08/2024 Food and Beverage Undisputed 01/23/2026 1120048028 CMS
Sumitomo Pharma America, Inc. $20.54 06/19/2024 Food and Beverage Undisputed 01/23/2026 1148922819 CMS
Verity Pharmaceuticals Inc. $17.86 09/04/2024 Food and Beverage Undisputed 01/23/2026 1080608278 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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