IndustryPayments

JOHN A SPENCE

Allopathic & Osteopathic Physicians|Family Medicine MARIANNA, FL NPI 1497794796

Browse related groups: Allopathic & Osteopathic Physicians|Family Medicine FL ABBVIE INC. All categories

General Payments — all program years on this page

$16,059.35

  • Category: General Payments
  • Program years: PY2018–2024
  • Record count: 1,056
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $2,339.12 across 144 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $2,339.12144

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
ABBVIE INC. $341.1922
Novo Nordisk AS $267.7117
PFIZER INC. $195.9711
Lilly USA, LLC $191.6318
Bayer HealthCare Pharmaceuticals Inc. $186.568
Amgen Inc. $179.4712
Phathom Pharmaceuticals, Inc. $158.176
GlaxoSmithKline, LLC. $141.0113
Astellas Pharma US Inc $113.856
E.R. Squibb & Sons, L.L.C. $105.385
Merck Sharp & Dohme Corporation $94.176
NOVARTIS PHARMACEUTICALS CORPORATION $50.633
Boehringer Ingelheim Pharmaceuticals, Inc. $42.602
Vanda Pharmaceuticals Inc. $37.802
Acerta Pharma LLC $30.172
EISAI INC. $21.571
Teva Pharmaceuticals USA, Inc. $21.501
DEXCOM, INC. $21.501
Smith & Nephew, Inc. $20.351
Exact Sciences Corporation $20.171
Otsuka America Pharmaceutical, Inc. $18.431
Philips Electronics North America Corporation $18.321
ITI, Inc. $16.651
Gilead Sciences, Inc. $15.231
Janssen Pharmaceuticals, Inc $14.691
Takeda Pharmaceuticals U.S.A., Inc. $14.401

By program year

Program yearAmountRecords
2018 $2,132.78151
2019 $1,947.78133
2020 $1,921.02130
2021 $2,498.54158
2022 $2,837.29193
2023 $2,382.82147
2024 $2,339.12144

Records — PY2024 (144)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1077966682 Janssen Pharmaceuticals, Inc $14.69 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086084203 Bayer Healthcare Pharmaceuticals Inc. $3.42 04/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086084439 Bayer Healthcare Pharmaceuticals Inc. $3.39 02/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086088779 Bayer Healthcare Pharmaceuticals Inc. $6.69 05/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086129558 Bayer Healthcare Pharmaceuticals Inc. $16.28 01/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086132892 Bayer Healthcare Pharmaceuticals Inc. $15.90 04/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086171658 Bayer Healthcare Pharmaceuticals Inc. $15.00 07/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086232744 Bayer Healthcare Pharmaceuticals Inc. $16.82 03/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086250584 Bayer Healthcare Pharmaceuticals Inc. $109.06 09/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1087292353 Novartis Pharmaceuticals Corporation $17.81 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1087292357 Novartis Pharmaceuticals Corporation $17.82 06/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1087292379 Novartis Pharmaceuticals Corporation $15.00 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096627862 Novo Nordisk Inc $22.27 04/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096646650 Novo Nordisk Inc $23.89 06/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096773833 Novo Nordisk Inc $12.68 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096825069 Novo Nordisk Inc $26.38 09/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096897542 Novo Nordisk Inc $9.41 11/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096900255 Novo Nordisk Inc $23.50 02/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1096910539 Novo Nordisk Inc $23.50 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097020152 Novo Nordisk Inc $8.24 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097180509 Novo Nordisk Inc $6.03 11/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097235087 Novo Nordisk Inc $10.03 04/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097296525 Novo Nordisk Inc $12.49 05/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097329430 Novo Nordisk Inc $10.42 11/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097483382 Novo Nordisk Inc $22.84 03/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097697286 Novo Nordisk Inc $21.07 10/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097718777 Novo Nordisk Inc $9.99 09/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097734782 Novo Nordisk Inc $18.90 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1097734942 Novo Nordisk Inc $6.07 07/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101316662 E.R. Squibb & Sons, L.L.C. $21.44 02/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101316668 E.R. Squibb & Sons, L.L.C. $21.44 04/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101316684 E.R. Squibb & Sons, L.L.C. $20.71 06/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101316690 E.R. Squibb & Sons, L.L.C. $19.59 08/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1101316706 E.R. Squibb & Sons, L.L.C. $22.20 10/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105778454 AstraZeneca Pharmaceuticals LP $14.73 12/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105859720 AstraZeneca Pharmaceuticals LP $15.44 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145756 ABBVIE INC. $19.51 01/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145758 ABBVIE INC. $15.30 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145760 ABBVIE INC. $9.29 03/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145762 ABBVIE INC. $26.63 03/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145764 ABBVIE INC. $5.14 03/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145766 ABBVIE INC. $8.14 03/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145768 ABBVIE INC. $4.00 04/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145770 ABBVIE INC. $8.89 04/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145772 ABBVIE INC. $16.45 04/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145774 ABBVIE INC. $18.65 05/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145776 ABBVIE INC. $15.91 05/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145778 ABBVIE INC. $13.30 06/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145780 ABBVIE INC. $12.23 06/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145782 ABBVIE INC. $13.00 07/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145784 ABBVIE INC. $22.00 07/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145786 ABBVIE INC. $13.38 08/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145788 ABBVIE INC. $23.87 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145790 ABBVIE INC. $14.26 09/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145792 ABBVIE INC. $29.84 10/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145794 ABBVIE INC. $13.44 10/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145796 ABBVIE INC. $23.99 11/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1106145798 ABBVIE INC. $13.97 12/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1110754132 Eisai Inc. $21.57 04/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111714406 Amgen Inc. $15.53 04/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111714408 Amgen Inc. $18.15 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111714410 Amgen Inc. $12.27 08/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1111714412 Amgen Inc. $16.39 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114912877 Exact Sciences Corporation $20.17 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115737330 GlaxoSmithKline, LLC. $18.74 06/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115984012 GlaxoSmithKline, LLC. $16.55 01/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116019442 GlaxoSmithKline, LLC. $16.44 12/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116292769 GlaxoSmithKline, LLC. $13.11 07/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116388680 GlaxoSmithKline, LLC. $17.97 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116408629 GlaxoSmithKline, LLC. $15.41 10/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116470572 GlaxoSmithKline, LLC. $4.70 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116472203 GlaxoSmithKline, LLC. $15.45 02/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116479389 GlaxoSmithKline, LLC. $1.13 10/21/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116607934 GlaxoSmithKline, LLC. $11.35 04/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116614348 GlaxoSmithKline, LLC. $0.92 02/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116677949 GlaxoSmithKline, LLC. $8.29 08/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116731234 GlaxoSmithKline, LLC. $0.95 01/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389232 Amgen Inc. $19.44 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389234 Amgen Inc. $17.58 02/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389236 Amgen Inc. $15.23 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389238 Amgen Inc. $11.89 05/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389240 Amgen Inc. $15.55 07/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389242 Amgen Inc. $16.76 09/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389244 Amgen Inc. $7.33 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117389246 Amgen Inc. $13.35 11/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118034375 Boehringer Ingelheim Pharmaceuticals, Inc. $13.66 05/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118034377 Boehringer Ingelheim Pharmaceuticals, Inc. $28.94 02/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118987024 Otsuka America Pharmaceutical, Inc. $18.43 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131109917 PFIZER INC. $21.67 01/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131230879 PFIZER INC. $23.63 03/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131403815 PFIZER INC. $19.91 05/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131635309 PFIZER INC. $17.10 04/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131780502 PFIZER INC. $15.96 06/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131787074 PFIZER INC. $23.96 07/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131818890 PFIZER INC. $2.83 06/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131884769 PFIZER INC. $24.30 09/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1131887699 PFIZER INC. $13.59 08/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1132017776 PFIZER INC. $12.35 03/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1132082932 PFIZER INC. $20.67 10/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133741548 Gilead Sciences, Inc. $15.23 03/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133921331 Vanda Pharmaceuticals Inc. $23.05 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1133921333 Vanda Pharmaceuticals Inc. $14.75 09/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135028700 Lilly USA, LLC $5.38 04/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135028702 Lilly USA, LLC $14.18 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135053138 Lilly USA, LLC $1.96 01/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135053140 Lilly USA, LLC $12.79 04/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135053142 Lilly USA, LLC $10.86 09/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135054664 Lilly USA, LLC $16.06 01/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135054666 Lilly USA, LLC $10.12 04/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135054668 Lilly USA, LLC $9.88 06/25/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135055186 Lilly USA, LLC $3.29 05/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135055188 Lilly USA, LLC $9.93 08/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135067229 Lilly USA, LLC $11.32 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135067231 Lilly USA, LLC $6.97 07/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135069411 Lilly USA, LLC $6.12 03/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135069413 Lilly USA, LLC $14.23 06/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135069415 Lilly USA, LLC $1.42 07/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135069417 Lilly USA, LLC $28.58 02/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135069419 Lilly USA, LLC $16.67 04/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135069993 Lilly USA, LLC $11.87 02/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1137680545 Takeda Pharmaceuticals U.S.A., Inc. $14.40 07/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139267038 Astellas Pharma US Inc $17.33 08/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139274152 Astellas Pharma US Inc $17.72 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139316592 Astellas Pharma US Inc $17.60 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139328810 Astellas Pharma US Inc $18.01 04/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139360769 Astellas Pharma US Inc $22.99 06/03/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1139410755 Astellas Pharma US Inc $20.20 09/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141581821 Merck Sharp & Dohme LLC $14.75 07/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141581893 Merck Sharp & Dohme LLC $16.19 04/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141831681 Merck Sharp & Dohme LLC $15.19 06/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141912271 Merck Sharp & Dohme LLC $14.39 08/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141912371 Merck Sharp & Dohme LLC $16.02 11/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141912373 Merck Sharp & Dohme LLC $17.63 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1143325677 ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.65 11/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1146919460 Philips North America LLC $18.32 02/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1149602340 Smith+Nephew, Inc. $20.35 04/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151129143 Phathom Pharmaceuticals, Inc. $17.17 03/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151129145 Phathom Pharmaceuticals, Inc. $9.41 04/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151129147 Phathom Pharmaceuticals, Inc. $11.61 08/07/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151129149 Phathom Pharmaceuticals, Inc. $4.83 09/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151129151 Phathom Pharmaceuticals, Inc. $10.83 09/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151129153 Phathom Pharmaceuticals, Inc. $104.32 11/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151664684 Teva Pharmaceuticals USA, Inc. $21.50 07/01/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1153310153 Dexcom, Inc. $21.50 01/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.