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 1 of 3; records 1–50 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 1 of 3; records 1–50 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#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 1 of 3; records 1–50 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#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 1 of 3; records 1–50 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#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 1 of 3; records 1–50 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#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 1–50 of 147.

Paying entity	Amount	Date	Nature of payment	Dispute status	Publication flags	Published	Record ID	Source
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.26	12/28/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	996957797	CMS
Novartis Pharmaceuticals Corporation	$17.73	12/21/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	993408039	CMS
Amgen Inc.	$16.11	12/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020602879	CMS
E.R. Squibb & Sons, L.L.C.	$24.13	12/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1015299711	CMS
PFIZER INC.	$21.07	12/12/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1050544109	CMS
AbbVie Inc.	$17.95	12/11/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084813	CMS
AstraZeneca Pharmaceuticals LP	$14.98	12/05/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1014532635	CMS
Merck Sharp & Dohme LLC	$15.08	12/04/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048332085	CMS
Amgen Inc.	$18.88	11/28/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020602877	CMS
Lilly USA, LLC	$10.60	11/28/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031594661	CMS
Astellas Pharma US Inc	$14.91	11/27/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1034697993	CMS
Merck Sharp & Dohme LLC	$14.08	11/13/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048737417	CMS
Exact Sciences Corporation	$16.68	11/10/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1026606509	CMS
GlaxoSmithKline, LLC.	$21.68	11/10/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1003368183	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.83	11/07/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000112285	CMS
Lilly USA, LLC	$13.64	11/06/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031678719	CMS
AbbVie Inc.	$20.52	11/02/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084809	CMS
Merck Sharp & Dohme LLC	$124.99	11/01/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048332093	CMS
PFIZER INC.	$19.44	10/30/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1049497499	CMS
AbbVie Inc.	$27.86	10/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084805	CMS
Lilly USA, LLC	$10.23	10/25/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031630837	CMS
Amgen Inc.	$15.88	10/23/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020602875	CMS
AbbVie Inc.	$13.43	10/11/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084801	CMS
PFIZER INC.	$20.38	10/10/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1049164187	CMS
Novartis Pharmaceuticals Corporation	$15.52	10/05/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	993408037	CMS
Bayer Healthcare Pharmaceuticals Inc.	$0.69	10/04/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000018827	CMS
Bayer Healthcare Pharmaceuticals Inc.	$10.72	10/04/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000045855	CMS
Janssen Pharmaceuticals, Inc	$15.90	10/01/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	987808855	CMS
Lilly USA, LLC	$13.88	09/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031511209	CMS
Novo Nordisk Inc	$8.21	09/26/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1001555043	CMS
Lilly USA, LLC	$6.28	09/20/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031711983	CMS
PFIZER INC.	$22.04	09/20/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1049164181	CMS
Lilly USA, LLC	$3.78	09/19/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031511217	CMS
Bayer Healthcare Pharmaceuticals Inc.	$17.83	09/18/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000112245	CMS
Novo Nordisk Inc	$23.50	09/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1001555093	CMS
Amgen Inc.	$13.90	09/12/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1020602873	CMS
AstraZeneca Pharmaceuticals LP	$13.77	09/12/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1015167565	CMS
Merck Sharp & Dohme LLC	$13.32	09/11/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048860569	CMS
AbbVie Inc.	$28.06	09/08/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084797	CMS
Astellas Pharma US Inc	$21.53	09/06/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1034477331	CMS
AbbVie Inc.	$3.28	08/29/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084793	CMS
GlaxoSmithKline, LLC.	$16.76	08/25/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1003366645	CMS
Novartis Pharmaceuticals Corporation	$15.37	08/22/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	993408035	CMS
Janssen Pharmaceuticals, Inc	$19.00	08/21/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	987808849	CMS
Bayer Healthcare Pharmaceuticals Inc.	$21.54	08/17/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1000153157	CMS
Novo Nordisk Inc	$23.74	08/15/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1001555121	CMS
Lilly USA, LLC	$8.79	08/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1031635425	CMS
Merck Sharp & Dohme LLC	$12.55	08/14/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	1048737421	CMS
AbbVie Inc.	$13.68	08/10/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084789	CMS
AbbVie Inc.	$17.51	08/09/2023	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	999084785	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.