Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

KRISTEN SPANO

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1508241563
CMS profile
10774365
Location
NASHVILLE, TN

General Payments · PY2021–2024

$2,530.34

  • Reported across 81 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$526.39

23 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $526.39 23

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Gilead Sciences, Inc. $466.45 20
ViiV Healthcare Company $59.94 3

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $28.69 2
PY2022 $930.52 27
PY2023 $1,044.74 29
PY2024 $526.39 23

Payment records · PY2024 (23)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Gilead Sciences, Inc. $19.87 01/30/2024 Food and Beverage Undisputed 01/23/2026 1133734091 CMS
Gilead Sciences, Inc. $10.49 02/02/2024 Food and Beverage Undisputed 01/23/2026 1133734093 CMS
Gilead Sciences, Inc. $4.80 02/07/2024 Food and Beverage Undisputed 01/23/2026 1133734095 CMS
Gilead Sciences, Inc. $20.29 02/27/2024 Food and Beverage Undisputed 01/23/2026 1133734097 CMS
Gilead Sciences, Inc. $29.05 03/04/2024 Food and Beverage Undisputed 01/23/2026 1133734099 CMS
Gilead Sciences, Inc. $17.41 03/09/2024 Food and Beverage Undisputed 01/23/2026 1133709437 CMS
Gilead Sciences, Inc. $23.15 03/15/2024 Food and Beverage Undisputed 01/23/2026 1133734101 CMS
Gilead Sciences, Inc. $25.20 04/08/2024 Food and Beverage Undisputed 01/23/2026 1133734103 CMS
Gilead Sciences, Inc. $18.94 04/16/2024 Food and Beverage Undisputed 01/23/2026 1133709439 CMS
Gilead Sciences, Inc. $25.78 04/18/2024 Food and Beverage Undisputed 01/23/2026 1133734105 CMS
Gilead Sciences, Inc. $24.08 04/27/2024 Food and Beverage Undisputed 01/23/2026 1133734107 CMS
Gilead Sciences, Inc. $27.35 05/13/2024 Food and Beverage Undisputed 01/23/2026 1133734109 CMS
Gilead Sciences, Inc. $29.80 06/10/2024 Food and Beverage Undisputed 01/23/2026 1133734111 CMS
Gilead Sciences, Inc. $27.18 07/03/2024 Food and Beverage Undisputed 01/23/2026 1133734113 CMS
Gilead Sciences, Inc. $23.74 07/08/2024 Food and Beverage Undisputed 01/23/2026 1133709441 CMS
Gilead Sciences, Inc. $21.98 08/18/2024 Food and Beverage Undisputed 01/23/2026 1133734115 CMS
Gilead Sciences, Inc. $19.30 09/09/2024 Food and Beverage Undisputed 01/23/2026 1133734117 CMS
Gilead Sciences, Inc. $53.75 09/20/2024 Food and Beverage Undisputed 01/23/2026 1133734119 CMS
Gilead Sciences, Inc. $23.16 10/10/2024 Food and Beverage Undisputed 01/23/2026 1133734121 CMS
Gilead Sciences, Inc. $21.13 10/13/2024 Food and Beverage Undisputed 01/23/2026 1133734123 CMS
ViiV Healthcare Company $23.68 03/07/2024 Food and Beverage Undisputed 01/23/2026 1112759100 CMS
ViiV Healthcare Company $18.26 04/02/2024 Food and Beverage Undisputed 01/23/2026 1112728209 CMS
ViiV Healthcare Company $18.00 07/17/2024 Food and Beverage Undisputed 01/23/2026 1112748660 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.