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.

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General Payments · PY2022 · Entire year

$2,837.29

193 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

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,837.29 193

By paying entity

PY2022 · entire year · sorted by reported total

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

193 matching records · $2,837.29 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 193 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 193.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Dexcom, Inc. $21.8312/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026957328659 CMS
Corcept Therapeutics $15.0012/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948827265 CMS
Novo Nordisk Inc $19.0012/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899640765 CMS
Lilly USA, LLC $8.4812/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918098531 CMS
Novo Nordisk Inc $3.2912/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899237287 CMS
Novo Nordisk Inc $0.3012/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899281267 CMS
Amgen Inc. $18.1012/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939848813 CMS
Teva Pharmaceuticals USA, Inc. $12.0012/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954832708 CMS
Gilead Sciences, Inc. $12.0111/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929569345 CMS
AstraZeneca Pharmaceuticals LP $12.9511/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914871547 CMS
GlaxoSmithKline, LLC. $13.2011/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026945014253 CMS
ABBVIE INC. $14.1511/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649105 CMS
Amgen Inc. $18.7011/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939848811 CMS
ABBVIE INC. $2.1811/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649103 CMS
Lilly USA, LLC $10.2211/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918095231 CMS
Teva Pharmaceuticals USA, Inc. $13.6011/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954832645 CMS
Novo Nordisk Inc $17.4611/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899640759 CMS
Avanir Pharmaceuticals, Inc. $17.7611/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026936000749 CMS
Novo Nordisk Inc $1.0611/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899334817 CMS
Bayer HealthCare Pharmaceuticals Inc. $14.4711/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026930302629 CMS
Merck Sharp & Dohme LLC $16.6111/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944253745 CMS
ABBVIE INC. $10.5611/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649101 CMS
Corcept Therapeutics $18.0011/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026948827221 CMS
Lilly USA, LLC $11.3611/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918098537 CMS
ABBVIE INC. $18.1311/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649099 CMS
ABBVIE INC. $1.5210/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649097 CMS
Daiichi Sankyo Inc. $12.2110/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026930876617 CMS
Novartis Pharmaceuticals Corporation $19.6310/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894397237 CMS
GlaxoSmithKline, LLC. $9.0610/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026945014261 CMS
Merck Sharp & Dohme LLC $12.5710/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944241567 CMS
Amgen Inc. $18.7010/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939848809 CMS
Janssen Pharmaceuticals, Inc $12.8010/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885956515 CMS
Novo Nordisk Inc $23.8810/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026898662323 CMS
Bayer HealthCare Pharmaceuticals Inc. $15.7310/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026930048083 CMS
GlaxoSmithKline, LLC. $1.3909/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026945014273 CMS
GlaxoSmithKline, LLC. $12.4609/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026945014281 CMS
Astellas Pharma US Inc $22.7709/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026940285129 CMS
ABBVIE INC. $14.9209/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649093 CMS
ABBVIE INC. $7.1709/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649095 CMS
Lilly USA, LLC $17.1009/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918137903 CMS
Merck Sharp & Dohme LLC $13.6409/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944353875 CMS
ABBVIE INC. $95.6609/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026891649091 CMS
Lilly USA, LLC $3.5009/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918098535 CMS
Lilly USA, LLC $2.6309/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918135329 CMS
Lilly USA, LLC $10.1109/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918137901 CMS
Amgen Inc. $5.1509/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939848805 CMS
Amgen Inc. $8.5109/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939848807 CMS
Astellas Pharma US Inc $12.5809/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026940273947 CMS
PFIZER INC. $20.6209/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026949536951 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $11.9209/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959583255 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.