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

NICOLE K ALEXANDER-SPENCER

Allopathic & Osteopathic Physicians Family Medicine

NPI
1528175395
CMS profile
406612
Location
TORRANCE, CA

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.

General Payments · PY2025

$3,164.58

45 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.

Data mirrored . 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $2,130.00 2
Food and Beverage $1,034.58 43

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Novo Nordisk AS $2,463.01 16
Lilly USA, LLC $251.86 8
Acerta Pharma LLC $114.19 7
PFIZER INC. $76.72 3
Amgen Inc. $57.21 3
Axsome Therapeutics, Inc. $53.59 2
Janssen Pharmaceuticals, Inc $45.00 1
INTRA-SANA LABORATORIES $33.41 2
Phadia US Inc. $29.71 1
GlaxoSmithKline, LLC. $24.88 1
Exact Sciences Corporation $15.00 1

Payment records · PY2025 (45)

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

Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AstraZeneca Pharmaceuticals LP $14.78 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1206755368 CMS
Novo Nordisk Inc $18.40 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1188697706 CMS
AstraZeneca Pharmaceuticals LP $15.19 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1206436654 CMS
PFIZER INC. $26.22 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1229734518 CMS
Novo Nordisk Inc $15.35 10/14/2025 Food and Beverage No dispute reported 06/30/2026 1188422769 CMS
Lilly USA, LLC $25.64 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1186774262 CMS
Novo Nordisk Inc $26.43 10/07/2025 Food and Beverage No dispute reported 06/30/2026 1188142354 CMS
AstraZeneca Pharmaceuticals LP $16.95 09/17/2025 Food and Beverage No dispute reported 06/30/2026 1206351723 CMS
Novo Nordisk Inc $1,065.00 09/16/2025 Consulting Fee No dispute reported 06/30/2026 1188224558 CMS
Novo Nordisk Inc $1,065.00 09/15/2025 Consulting Fee No dispute reported 06/30/2026 1188861654 CMS
Novo Nordisk Inc $16.53 09/03/2025 Food and Beverage No dispute reported 06/30/2026 1188169632 CMS
Lilly USA, LLC $7.75 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1186797275 CMS
Novo Nordisk Inc $17.61 08/06/2025 Food and Beverage No dispute reported 06/30/2026 1188192548 CMS
Amgen Inc. $24.66 08/04/2025 Food and Beverage No dispute reported 06/30/2026 1228320083 CMS
AstraZeneca Pharmaceuticals LP $17.66 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1206953843 CMS
Novo Nordisk Inc $17.04 07/15/2025 Food and Beverage No dispute reported 06/30/2026 1188422326 CMS
Novo Nordisk Inc $18.25 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1188575451 CMS
Intra-Sana Laboratories $17.01 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1251418973 CMS
Lilly USA, LLC $19.01 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1186757591 CMS
Novo Nordisk Inc $87.14 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1188173341 CMS
Novo Nordisk Inc $19.81 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1188429388 CMS
AstraZeneca Pharmaceuticals LP $17.40 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1207241287 CMS
PFIZER INC. $24.15 05/20/2025 Food and Beverage No dispute reported 06/30/2026 1231294391 CMS
Novo Nordisk Inc $19.82 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1188161949 CMS
Novo Nordisk Inc $18.86 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1188868915 CMS
Exact Sciences Corporation $15.00 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1235293817 CMS
Lilly USA, LLC $21.18 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1186818246 CMS
AstraZeneca Pharmaceuticals LP $17.33 04/09/2025 Food and Beverage No dispute reported 06/30/2026 1206211495 CMS
Amgen Inc. $16.69 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1228320085 CMS
Novo Nordisk Inc $29.22 04/05/2025 Food and Beverage No dispute reported 06/30/2026 1188170943 CMS
Lilly USA, LLC $26.34 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1186830078 CMS
Novo Nordisk Inc $16.73 04/03/2025 Food and Beverage No dispute reported 06/30/2026 1188653128 CMS
GlaxoSmithKline, LLC. $24.88 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1191786691 CMS
Lilly USA, LLC $123.70 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1186780901 CMS
Lilly USA, LLC $7.40 03/20/2025 Food and Beverage No dispute reported 06/30/2026 1186818244 CMS
Axsome Therapeutics, Inc. $24.28 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1235519389 CMS
Intra-Sana Laboratories $16.40 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1251418971 CMS
Phadia US Inc. $29.71 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1161493122 CMS
Axsome Therapeutics, Inc. $29.31 02/24/2025 Food and Beverage No dispute reported 06/30/2026 1235395012 CMS
Novo Nordisk Inc $11.82 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1188470226 CMS
Janssen Pharmaceuticals, Inc $45.00 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1174292713 CMS
PFIZER INC. $26.35 02/04/2025 Food and Beverage No dispute reported 06/30/2026 1231558623 CMS
Lilly USA, LLC $20.84 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1186830076 CMS
AstraZeneca Pharmaceuticals LP $14.88 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1206238701 CMS
Amgen Inc. $15.86 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1228320081 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $860.49 38
PY2020 $470.27 29
PY2021 $473.85 11
PY2022 $957.57 30
PY2023 $2,434.70 56
PY2024 $1,260.25 47
PY2025 $3,164.58 45

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
NICOLE K ALEXANDER-SPENCER, NPI 1528175395. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1528175395.
APA 7
IndustryPayments. (2026). NICOLE K ALEXANDER-SPENCER, NPI 1528175395 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1528175395
Bluebook
NICOLE K ALEXANDER-SPENCER, NPI 1528175395, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1528175395.

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