Covered recipient · General Payments record

JOHN A SPENCE

Allopathic & Osteopathic Physicians Family Medicine

NPI: 1497794796
CMS profile: 158101
Location: MARIANNA, FL

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2023 · Entire year

$2,382.82

147 records · 0 disputed

Summary and payment records

CMS publication 2026-06-30

Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated July 26, 2026. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2023 · entire year · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,382.82	147

By paying entity

PY2023 · entire year · sorted by reported total

Paying entity	Amount	Records
AbbVie Inc.	$319.85	25
Merck Sharp & Dohme LLC	$260.99	11
Lilly USA, LLC	$213.45	26
Amgen Inc.	$178.40	11
Novo Nordisk Inc	$160.67	9
Bayer Healthcare Pharmaceuticals Inc.	$153.62	11
PFIZER INC.	$146.32	7
Abbott Laboratories	$125.00	1
SANOFI-AVENTIS U.S. LLC	$105.86	5
Boehringer Ingelheim Pharmaceuticals, Inc.	$96.93	5
Novartis Pharmaceuticals Corporation	$79.17	5
Astellas Pharma US Inc	$74.65	4
AstraZeneca Pharmaceuticals LP	$59.79	4
GlaxoSmithKline, LLC.	$56.99	3
Exact Sciences Corporation	$52.94	3
Teva Pharmaceuticals USA, Inc.	$45.91	3
Corium, LLC	$38.95	2
Janssen Pharmaceuticals, Inc	$34.90	2
Ultragenyx Pharmaceutical Inc.	$24.73	1
E.R. Squibb & Sons, L.L.C.	$24.13	1
Dexcom, Inc.	$23.05	1
ACADIA Pharmaceuticals Inc	$19.11	1
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$17.24	1
NESTLE HEALTHCARE NUTRITION INC.	$15.51	1
Otsuka America Pharmaceutical, Inc.	$15.20	1
Hologic Sales and Service, LLC	$13.37	1
Takeda Pharmaceuticals U.S.A., Inc.	$13.28	1
Gilead Sciences, Inc.	$12.81	1

Page 2 of 3; records 51–100 of 147 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

JOHN A SPENCE

NPI 1497794796 · CMS profile ID 158101

Allopathic & Osteopathic Physicians / Family Medicine

MARIANNA, FL

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 2 of 3; records 51–100 of 147 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1497794796?year=2023&recipient=provider&page=2#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain: JOHN A SPENCE, NPI 1497794796, CMS profile ID 158101. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 2 of 3; records 51–100 of 147 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1497794796?year=2023&recipient=provider&page=2#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
APA 7: IndustryPayments. (2026). JOHN A SPENCE, NPI 1497794796, CMS profile ID 158101. General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 2 of 3; records 51–100 of 147 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1497794796?year=2023&recipient=provider&page=2#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9.
Bluebook: JOHN A SPENCE, NPI 1497794796, CMS profile ID 158101, IndustryPayments, General Payments, PY2023; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 2 of 3; records 51–100 of 147 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb3a65aa-c901-4a38-a813-b04b00dfa2a9. https://industrypayments.org/provider/npi-1497794796?year=2023&recipient=provider&page=2#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

General Payments only. Research Payments and Ownership/Investment Interests are separate datasets and are not included.

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

Centers for Medicare & Medicaid Services, Open Payments

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state.

IndustryPayments.org is not a consumer reporting agency as defined by the Fair Credit Reporting Act. Do not use this site to determine any person's eligibility for employment, credentialing, insurance, credit, housing, or any other purpose covered by the FCRA.

Methodology: https://industrypayments.org/methodology

Payment records · PY2023

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Reporting company Nature of payment

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

147 matching records · $2,382.82 reported total · 0 disputed

Nature of payment: All payment types

Records imported here November 5, 2026 (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 147 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 51–100 of 147.

Paying entity	Amount	Date	Nature of payment	Dispute status	Publication flags	Published	Record ID	Source
Lilly USA, LLC	$5.57	08/09/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031711977	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$31.89	08/07/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	996957801	CMS
Teva Pharmaceuticals USA, Inc.	$17.08	08/03/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1056856139	CMS
Astellas Pharma US Inc	$22.21	08/01/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1034356835	CMS
Exact Sciences Corporation	$20.00	07/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1026606449	CMS
Lilly USA, LLC	$9.83	07/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031630841	CMS
Amgen Inc.	$7.16	07/19/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020602871	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.72	07/19/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000064233	CMS
Merck Sharp & Dohme LLC	$16.10	07/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048860785	CMS
Gilead Sciences, Inc.	$12.81	07/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1026049575	CMS
Novo Nordisk Inc	$23.74	07/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1001555107	CMS
AbbVie Inc.	$11.90	07/12/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084781	CMS
Lilly USA, LLC	$7.17	07/10/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031543495	CMS
AstraZeneca Pharmaceuticals LP	$16.43	07/07/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1015846085	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.06	06/29/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	996957805	CMS
AbbVie Inc.	$20.52	06/27/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084777	CMS
Lilly USA, LLC	$5.81	06/27/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031579841	CMS
Astellas Pharma US Inc	$16.00	06/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1034223435	CMS
Lilly USA, LLC	$3.30	06/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031678735	CMS
AbbVie Inc.	$2.14	06/21/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084771	CMS
AbbVie Inc.	$15.52	06/21/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084775	CMS
Lilly USA, LLC	$14.24	06/19/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031711971	CMS
Novo Nordisk Inc	$0.83	06/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1001555029	CMS
Otsuka America Pharmaceutical, Inc.	$15.20	06/07/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1014838831	CMS
Amgen Inc.	$21.17	06/05/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020602869	CMS
Ultragenyx Pharmaceutical Inc.	$24.73	06/01/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1059060633	CMS
AbbVie Inc.	$20.72	05/25/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084767	CMS
AstraZeneca Pharmaceuticals LP	$14.61	05/24/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1011682531	CMS
Lilly USA, LLC	$14.45	05/23/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031543489	CMS
Novo Nordisk Inc	$21.94	05/18/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1001555079	CMS
ACADIA Pharmaceuticals Inc	$19.11	05/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1053166455	CMS
AbbVie Inc.	$7.81	05/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084763	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.00	05/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000066411	CMS
Lilly USA, LLC	$4.01	05/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031594673	CMS
Lilly USA, LLC	$2.87	05/16/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031678731	CMS
Merck Sharp & Dohme LLC	$11.61	05/15/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048331797	CMS
Abbott Laboratories	$125.00	05/11/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1019216085	CMS
SANOFI-AVENTIS U.S. LLC	$16.63	05/11/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1050013721	CMS
AbbVie Inc.	$8.36	05/09/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084759	CMS
Amgen Inc.	$9.55	05/08/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020602867	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.57	05/04/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	996957809	CMS
Novartis Pharmaceuticals Corporation	$14.58	05/04/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	993408027	CMS
Novo Nordisk Inc	$19.82	05/03/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1001555069	CMS
Exact Sciences Corporation	$16.26	04/30/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1026606395	CMS
AbbVie Inc.	$16.33	04/27/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084755	CMS
Dexcom, Inc.	$23.05	04/27/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1054636519	CMS
Corium, LLC	$19.31	04/24/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	978006331	CMS
Lilly USA, LLC	$14.62	04/24/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031594657	CMS
AbbVie Inc.	$7.30	04/20/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084751	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.43	04/20/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000070397	CMS

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$1,947.78	133
PY2020	$1,921.02	130
PY2021	$2,498.54	158
PY2022	$2,837.29	193
PY2023	$2,382.82	147
PY2024	$2,339.12	144
PY2025	$2,261.40	117

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2019, 2020, 2021, 2022, 2023, 2024, 2025

Source files and profile matching

Source files: Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.