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

KRISTINE KNOP SPENCE

Allopathic & Osteopathic Physicians Obstetrics & Gynecology

NPI
1497733190
CMS profile
832708
Location
SAGINAW, MI

General Payments · PY2018–2024

$1,650.56

  • Reported across 88 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$281.41

14 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 $281.41 14

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $202.06 14
PY2019 $214.29 14
PY2020 $127.81 5
PY2021 $206.70 11
PY2022 $356.62 15
PY2023 $261.67 15
PY2024 $281.41 14

Payment records · PY2024 (14)

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. $19.12 02/22/2024 Food and Beverage Undisputed 01/23/2026 1106145834 CMS
ABBVIE INC. $22.08 05/14/2024 Food and Beverage Undisputed 01/23/2026 1106145836 CMS
ABBVIE INC. $16.38 07/10/2024 Food and Beverage Undisputed 01/23/2026 1106145838 CMS
Applied Medical Resources Corporation $15.92 06/13/2024 Food and Beverage Undisputed 01/23/2026 1141538449 CMS
Astellas Pharma US Inc $19.17 05/16/2024 Food and Beverage Undisputed 01/23/2026 1139338772 CMS
Astellas Pharma US Inc $20.12 07/18/2024 Food and Beverage Undisputed 01/23/2026 1139273618 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.30 06/26/2024 Food and Beverage Undisputed 01/23/2026 1086133674 CMS
Biogen, Inc. $20.33 01/12/2024 Food and Beverage Undisputed 01/23/2026 1104831704 CMS
Biogen, Inc. $27.99 04/04/2024 Food and Beverage Undisputed 01/23/2026 1104845726 CMS
Organon Llc $32.27 04/11/2024 Food and Beverage Undisputed 01/23/2026 1136213618 CMS
PFIZER INC. $16.03 01/17/2024 Food and Beverage Undisputed 01/23/2026 1130989982 CMS
PFIZER INC. $13.14 05/20/2024 Food and Beverage Undisputed 01/23/2026 1131568091 CMS
Sumitomo Pharma America, Inc. $13.50 06/20/2024 Food and Beverage Undisputed 01/23/2026 1148922711 CMS
Sumitomo Pharma America, Inc. $22.06 08/06/2024 Food and Beverage Undisputed 01/23/2026 1148922713 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

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.