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

JOHN ROBERT SPURZEM

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1467489930
CMS profile
292684
Location
SAN RAFAEL, CA

General Payments · PY2018–2023

$8,210.56

  • Reported across 402 records
  • CMS publication 2026-01-23

Latest program year · PY2023

$748.10

31 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

PY2023 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $748.10 31

By paying entity

PY2023 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,110.16 112
PY2019 $2,054.93 108
PY2020 $554.51 28
PY2021 $873.19 49
PY2022 $1,869.67 74
PY2023 $748.10 31

Payment records · PY2023 (31)

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

Program year 2023 20182019202020212022 Record-level detail is published for PY2023; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AbbVie Inc. $16.57 04/05/2023 Food and Beverage Undisputed 01/23/2026 999094223 CMS
Actelion Pharmaceuticals US, Inc. $28.14 01/11/2023 Food and Beverage Undisputed 01/23/2026 988542393 CMS
Actelion Pharmaceuticals US, Inc. $15.15 02/13/2023 Food and Beverage Undisputed 01/23/2026 988542425 CMS
Actelion Pharmaceuticals US, Inc. $35.39 02/14/2023 Food and Beverage Undisputed 01/23/2026 988542417 CMS
Actelion Pharmaceuticals US, Inc. $23.44 03/14/2023 Food and Beverage Undisputed 01/23/2026 988542431 CMS
Actelion Pharmaceuticals US, Inc. $37.54 04/04/2023 Food and Beverage Undisputed 01/23/2026 988542401 CMS
Actelion Pharmaceuticals US, Inc. $23.12 05/10/2023 Food and Beverage Undisputed 01/23/2026 988542405 CMS
Actelion Pharmaceuticals US, Inc. $25.95 06/05/2023 Food and Beverage Undisputed 01/23/2026 988542411 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.24 01/09/2023 Food and Beverage Undisputed 01/23/2026 1000672897 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.79 06/12/2023 Food and Beverage Undisputed 01/23/2026 1000678709 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.37 01/30/2023 Food and Beverage Undisputed 01/23/2026 996960125 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.22 02/22/2023 Food and Beverage Undisputed 01/23/2026 996960121 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.68 05/22/2023 Food and Beverage Undisputed 01/23/2026 997128331 CMS
GENZYME CORPORATION $23.62 02/16/2023 Food and Beverage Undisputed 01/23/2026 1050273521 CMS
GENZYME CORPORATION $28.81 06/15/2023 Food and Beverage Undisputed 01/23/2026 1050273621 CMS
GlaxoSmithKline, LLC. $26.53 03/08/2023 Food and Beverage Undisputed 01/23/2026 1002843943 CMS
GlaxoSmithKline, LLC. $19.83 03/27/2023 Food and Beverage Undisputed 01/23/2026 1002841603 CMS
GlaxoSmithKline, LLC. $21.85 05/26/2023 Food and Beverage Undisputed 01/23/2026 1002843855 CMS
Grifols USA, LLC $14.40 02/20/2023 Food and Beverage Undisputed 01/23/2026 1011804819 CMS
Grifols USA, LLC $19.94 03/21/2023 Food and Beverage Undisputed 01/23/2026 1011804825 CMS
Inari Medical, Inc. $18.85 05/08/2023 Food and Beverage Undisputed 01/23/2026 1057881473 CMS
Insmed, Inc. $14.39 01/25/2023 Food and Beverage Undisputed 01/23/2026 978787173 CMS
Mallinckrodt Hospital Products Inc. $24.43 02/16/2023 Food and Beverage Undisputed 01/23/2026 1042906101 CMS
Mallinckrodt Hospital Products Inc. $24.43 06/08/2023 Food and Beverage Undisputed 01/23/2026 1042906111 CMS
Merck Sharp & Dohme LLC $20.76 01/23/2023 Food and Beverage Undisputed 01/23/2026 1048695273 CMS
Merck Sharp & Dohme LLC $16.62 02/06/2023 Food and Beverage Undisputed 01/23/2026 1048841495 CMS
Merck Sharp & Dohme LLC $20.96 03/06/2023 Food and Beverage Undisputed 01/23/2026 1048695277 CMS
PFIZER INC. $16.09 05/15/2023 Food and Beverage Undisputed 01/23/2026 1050390803 CMS
Takeda Pharmaceuticals U.S.A., Inc. $90.86 02/15/2023 Food and Beverage Undisputed 01/23/2026 1055619113 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.75 03/29/2023 Food and Beverage Undisputed 01/23/2026 1055619119 CMS
Takeda Pharmaceuticals U.S.A., Inc. $33.38 05/31/2023 Food and Beverage Undisputed 01/23/2026 1055619125 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
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023
Generated from
OP_DTL_GNRL_PGYR2023_P01232026_01102026.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.

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