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

JAMIE F SPENCE

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

NPI
1518133032
CMS profile
10459362
Location
SAN MARCOS, CA

General Payments · PY2021–2024

$1,581.92

  • Reported across 63 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$637.52

26 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 $552.53 25
Education $84.99 1

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $212.91 8
PY2022 $443.90 15
PY2023 $287.59 14
PY2024 $637.52 26

Payment records · PY2024 (26)

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
Abbott Laboratories $22.97 02/02/2024 Food and Beverage Undisputed 01/23/2026 1125103612 CMS
Abbott Laboratories $16.61 05/22/2024 Food and Beverage Undisputed 01/23/2026 1125103614 CMS
Abbott Laboratories $22.46 07/26/2024 Food and Beverage Undisputed 01/23/2026 1125103616 CMS
Ascensia Diabetes Care Us Inc. $27.47 06/24/2024 Food and Beverage Undisputed 01/23/2026 1089091731 CMS
Astellas Pharma US Inc $84.99 03/07/2024 Education Undisputed 01/23/2026 1139505111 CMS
Astellas Pharma US Inc $18.61 06/05/2024 Food and Beverage Undisputed 01/23/2026 1139512209 CMS
Astellas Pharma US Inc $17.23 10/28/2024 Food and Beverage Undisputed 01/23/2026 1139554369 CMS
Braeburn Inc. $28.77 06/26/2024 Food and Beverage Undisputed 01/23/2026 1125614405 CMS
Dexcom, Inc. $28.33 05/29/2024 Food and Beverage Undisputed 01/23/2026 1153364264 CMS
GlaxoSmithKline, LLC. $16.08 10/03/2024 Food and Beverage Undisputed 01/23/2026 1116186235 CMS
Lilly USA, LLC $28.15 01/17/2024 Food and Beverage Undisputed 01/23/2026 1135654297 CMS
Lilly USA, LLC $17.00 09/09/2024 Food and Beverage Undisputed 01/23/2026 1135654295 CMS
Novo Nordisk Inc $19.08 02/14/2024 Food and Beverage Undisputed 01/23/2026 1100244891 CMS
Novo Nordisk Inc $24.88 02/21/2024 Food and Beverage Undisputed 01/23/2026 1100269202 CMS
Novo Nordisk Inc $20.27 05/01/2024 Food and Beverage Undisputed 01/23/2026 1100326300 CMS
Novo Nordisk Inc $24.43 05/15/2024 Food and Beverage Undisputed 01/23/2026 1100318982 CMS
Novo Nordisk Inc $18.44 07/22/2024 Food and Beverage Undisputed 01/23/2026 1100407953 CMS
Novo Nordisk Inc $7.62 08/27/2024 Food and Beverage Undisputed 01/23/2026 1100579070 CMS
Novo Nordisk Inc $24.47 09/11/2024 Food and Beverage Undisputed 01/23/2026 1100503207 CMS
Novo Nordisk Inc $23.96 10/03/2024 Food and Beverage Undisputed 01/23/2026 1100350970 CMS
Novo Nordisk Inc $22.16 10/21/2024 Food and Beverage Undisputed 01/23/2026 1100284300 CMS
SCILEX PHARMACEUTICALS INC. $23.54 01/09/2024 Food and Beverage Undisputed 01/23/2026 1136216115 CMS
Seqirus USA Inc $27.08 09/18/2024 Food and Beverage Undisputed 01/23/2026 1125628002 CMS
Theratechnologies Inc. $33.77 06/10/2024 Food and Beverage Undisputed 01/23/2026 1092911422 CMS
ViiV Healthcare Company $14.90 05/23/2024 Food and Beverage Undisputed 01/23/2026 1112814041 CMS
Xeris Pharmaceuticals, Inc. $24.25 02/05/2024 Food and Beverage Undisputed 01/23/2026 1144627876 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.