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

NATASHA L SPENCER

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1477846004
CMS profile
775717
Location
ALTAMONTE SPRINGS, FL

General Payments · PY2018–2024

$15,593.91

  • Reported across 101 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,930.22

27 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
Travel and Lodging $1,290.36 5
Education $1,000.00 1
Food and Beverage $639.86 21

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $286.87 19
PY2019 $288.91 17
PY2020 $188.87 6
PY2021 $86.59 5
PY2022 $11,594.33 18
PY2023 $218.12 9
PY2024 $2,930.22 27

Payment records · PY2024 (27)

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
Astellas Pharma US Inc $34.61 01/24/2024 Food and Beverage Undisputed 01/23/2026 1139315742 CMS
Astellas Pharma US Inc $34.12 05/29/2024 Food and Beverage Undisputed 01/23/2026 1139363953 CMS
Astellas Pharma US Inc $31.13 07/24/2024 Food and Beverage Undisputed 01/23/2026 1139347832 CMS
Astellas Pharma US Inc $32.18 08/28/2024 Food and Beverage Undisputed 01/23/2026 1139380878 CMS
Astellas Pharma US Inc $34.24 09/25/2024 Food and Beverage Undisputed 01/23/2026 1139409387 CMS
Astellas Pharma US Inc $33.07 10/30/2024 Food and Beverage Undisputed 01/23/2026 1139432774 CMS
Astellas Pharma US Inc $20.27 12/16/2024 Food and Beverage Undisputed 01/23/2026 1139446968 CMS
Bayer Healthcare Pharmaceuticals Inc. $29.44 02/09/2024 Food and Beverage Undisputed 01/23/2026 1086205723 CMS
Exact Sciences Corporation $25.84 01/22/2024 Food and Beverage Undisputed 01/23/2026 1114912985 CMS
Exact Sciences Corporation $14.38 06/12/2024 Food and Beverage Undisputed 01/23/2026 1114912999 CMS
Exact Sciences Corporation $14.69 10/16/2024 Food and Beverage Undisputed 01/23/2026 1114913015 CMS
Gynesonics, Inc. $19.48 02/14/2024 Food and Beverage Undisputed 01/23/2026 1128624067 CMS
Gynesonics, Inc. $19.99 03/11/2024 Food and Beverage Undisputed 01/23/2026 1128624069 CMS
Gynesonics, Inc. $18.14 09/23/2024 Food and Beverage Undisputed 01/23/2026 1128624071 CMS
Hologic Sales and Service, LLC $135.58 11/04/2024 Food and Beverage Undisputed 01/23/2026 1084919490 CMS
Hologic Sales and Service, LLC $27.98 11/13/2024 Food and Beverage Undisputed 01/23/2026 1084919646 CMS
INTUITIVE SURGICAL, INC. $25.00 03/07/2024 Travel and Lodging Undisputed 01/23/2026 1137084793 CMS
INTUITIVE SURGICAL, INC. $804.19 03/07/2024 Travel and Lodging Undisputed 01/23/2026 1137237819 CMS
INTUITIVE SURGICAL, INC. $278.92 04/11/2024 Travel and Lodging Undisputed 01/23/2026 1137235628 CMS
INTUITIVE SURGICAL, INC. $28.00 04/26/2024 Food and Beverage Undisputed 01/23/2026 1137216809 CMS
INTUITIVE SURGICAL, INC. $88.90 04/26/2024 Travel and Lodging Undisputed 01/23/2026 1137248869 CMS
INTUITIVE SURGICAL, INC. $1,000.00 04/26/2024 Education Undisputed 01/23/2026 1137260983 CMS
INTUITIVE SURGICAL, INC. $93.35 04/28/2024 Travel and Lodging Undisputed 01/23/2026 1137116248 CMS
MILLICENT US INC $23.50 10/17/2024 Food and Beverage Undisputed 01/23/2026 1150912304 CMS
PFIZER INC. $26.03 03/14/2024 Food and Beverage Undisputed 01/23/2026 1131626517 CMS
PFIZER INC. $17.17 05/30/2024 Food and Beverage Undisputed 01/23/2026 1131711631 CMS
PFIZER INC. $20.02 10/07/2024 Food and Beverage Undisputed 01/23/2026 1131626521 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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