Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2020 · Entire year

$1,921.02

130 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 . 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

PY2020 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,921.02 130

By paying entity

PY2020 · entire year · sorted by reported total

Payment records · PY2020

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

General Payments · PY2020 · Physicians and non-physician practitioners · CMS publication 2026-06-30

130 matching records · $1,921.02 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 130 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 130.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Mylan Specialty L.P. $22.2112/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026751405765 CMS
Janssen Pharmaceuticals, Inc $10.0912/18/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208703 CMS
Eisai Inc. $17.0512/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026751247855 CMS
Novo Nordisk Inc $13.2512/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026745061839 CMS
Biohaven Pharmaceuticals, Inc. $28.0012/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026748982707 CMS
Lilly USA, LLC $16.7112/10/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026728471291 CMS
Amgen Inc. $18.5612/09/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026741132661 CMS
AstraZeneca Pharmaceuticals LP $10.9712/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026736322073 CMS
Merck Sharp & Dohme Corporation $13.4112/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026747825023 CMS
Novo Nordisk Inc $16.2512/04/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026745047293 CMS
Kowa Pharmaceuticals America, Inc. $15.9512/02/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026716764531 CMS
Allergan, Inc. $2.1812/01/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026723488475 CMS
Allergan, Inc. $7.7111/30/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026723488473 CMS
Grifols USA, LLC $14.2011/25/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026750413731 CMS
Janssen Pharmaceuticals, Inc $7.0611/25/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208709 CMS
Lilly USA, LLC $24.8811/24/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026728488435 CMS
Novo Nordisk Inc $16.8311/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026745037897 CMS
Janssen Pharmaceuticals, Inc $5.1911/19/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208705 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.3111/18/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720565328 CMS
Merck Sharp & Dohme Corporation $16.0511/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026747806987 CMS
Corcept Therapeutics $16.2711/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744766619 CMS
Janssen Pharmaceuticals, Inc $5.9811/11/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208707 CMS
GlaxoSmithKline, LLC. $12.3511/09/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026738594793 CMS
Novo Nordisk Inc $15.7310/29/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744939779 CMS
Merck Sharp & Dohme Corporation $14.8110/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026747789209 CMS
Grifols USA, LLC $14.2610/22/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026750414075 CMS
Novo Nordisk Inc $13.6410/21/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744927153 CMS
Janssen Pharmaceuticals, Inc $3.9110/20/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208701 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.9510/13/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720565333 CMS
Amgen Inc. $16.7010/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026741132653 CMS
Eisai Inc. $12.6410/07/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026751227905 CMS
Janssen Pharmaceuticals, Inc $15.0410/06/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208699 CMS
AstraZeneca Pharmaceuticals LP $10.9710/05/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026736042271 CMS
Allergan, Inc. $9.9809/30/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026723488471 CMS
Allergan, Inc. $7.4809/29/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026723488469 CMS
Allergan, Inc. $2.6609/24/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026723488467 CMS
Novo Nordisk Inc $17.2309/24/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744901487 CMS
Merck Sharp & Dohme Corporation $13.7509/21/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026747762681 CMS
Allergan, Inc. $11.1709/16/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026723488465 CMS
Lilly USA, LLC $17.3809/14/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026728471289 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.3409/10/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026720565337 CMS
Novo Nordisk Inc $6.0309/09/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744901459 CMS
Janssen Pharmaceuticals, Inc $14.6609/08/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208693 CMS
Janssen Pharmaceuticals, Inc $3.8409/03/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026719208695 CMS
Kowa Pharmaceuticals America, Inc. $13.1909/02/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026716741393 CMS
Novo Nordisk Inc $22.1908/31/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744842171 CMS
Novo Nordisk Inc $18.7408/27/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026744851879 CMS
E.R. Squibb & Sons, L.L.C. $24.1808/26/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026727889533 CMS
Grifols USA, LLC $12.4408/25/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026750415689 CMS
Lilly USA, LLC $17.1408/25/2020 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026728478087 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
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.

Cite this record.

Plain
JOHN A SPENCE, NPI 1497794796. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1497794796.
APA 7
IndustryPayments. (2026). JOHN A SPENCE, NPI 1497794796 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1497794796
Bluebook
JOHN A SPENCE, NPI 1497794796, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1497794796.

Source: Centers for Medicare & Medicaid Services, Open Payments.