Covered recipient · General Payments record
NICOLE K ALEXANDER-SPENCER
Allopathic & Osteopathic Physicians Family Medicine
General Payments · PY2019–2024
$6,457.13
- Reported across 211 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $1,260.25 | 47 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Lilly USA, LLC | $327.02 | 11 |
| Axsome Therapeutics, Inc. | $248.13 | 4 |
| Novo Nordisk AS | $227.08 | 8 |
| Acerta Pharma LLC | $163.15 | 10 |
| Astellas Pharma US Inc | $70.82 | 3 |
| PFIZER INC. | $59.15 | 3 |
| GlaxoSmithKline, LLC. | $41.96 | 2 |
| Amgen Inc. | $35.54 | 2 |
| Phathom Pharmaceuticals, Inc. | $27.56 | 1 |
| Merck Sharp & Dohme Corporation | $23.92 | 1 |
| Exact Sciences Corporation | $21.63 | 1 |
| Kowa Pharmaceuticals America, Inc. | $14.29 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (47)
Sorted by paying entity, then date · as published by 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
- 2019, 2020, 2021, 2022, 2023, 2024
- 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.
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