Covered recipient · General Payments record

JONATHAN SPENCER

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1538163241
CMS profile: 205688
Location: LINCOLN, NE

General Payments · PY2019–2025

$8,617.77

Reported across 427 records
CMS publication 2026-06-30

Latest program year · PY2025

$2,485.16

147 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

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$2,359.09	144
Education	$126.07	3

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
JAZZ PHARMACEUTICALS INC.	$463.74	17
Acerta Pharma LLC	$357.51	14
HARMONY BIOSCIENCES LLC	$304.63	24
GlaxoSmithKline, LLC.	$253.86	25
Axsome Therapeutics, Inc.	$198.75	11
Avadel CNS Pharmaceuticals, LLC	$196.47	15
Insmed, Inc.	$159.33	14
Inspire Medical Systems, Inc.	$72.51	1
GENZYME CORPORATION	$54.25	3
ResMed Corp	$48.15	1
Amgen Inc.	$45.22	3
Verona Pharma, Inc.	$39.43	2
Regeneron Healthcare Solutions, Inc.	$39.07	2
Grifols USA, LLC	$37.27	2
TACTILE SYSTEMS TECHNOLOGY INC	$35.07	1
Mallinckrodt Hospital Products Inc.	$34.03	2
3B Medical, Inc.	$30.03	2
BAXTER HEALTHCARE	$26.38	1
Electromed, Inc.	$23.95	3
Viatris Specialty LLC	$17.58	1
Philips Electronics North America Corporation	$17.37	1
Lilly USA, LLC	$16.87	1
Takeda Pharmaceuticals U.S.A., Inc.	$13.69	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$691.23	56
PY2020	$164.96	11
PY2021	$13.92	1
PY2022	$663.52	27
PY2023	$2,224.78	90
PY2024	$2,374.20	95
PY2025	$2,485.16	147

Payment records · PY2025 (147)

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

Program year 2025 2019 2020 2021 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
3B Medical, Inc.	$29.50	06/21/2025	Food and Beverage	Undisputed	06/30/2026	1253250932	CMS
3B Medical, Inc.	$0.53	06/21/2025	Food and Beverage	Undisputed	06/30/2026	1253250936	CMS
Amgen Inc.	$14.23	02/17/2025	Food and Beverage	Undisputed	06/30/2026	1227158614	CMS
Amgen Inc.	$15.60	12/15/2025	Food and Beverage	Undisputed	06/30/2026	1228519966	CMS
Amgen Inc.	$15.39	12/18/2025	Food and Beverage	Undisputed	06/30/2026	1228519968	CMS
AstraZeneca Pharmaceuticals LP	$160.96	02/04/2025	Food and Beverage	Undisputed	06/30/2026	1206645785	CMS
AstraZeneca Pharmaceuticals LP	$14.74	03/18/2025	Food and Beverage	Undisputed	06/30/2026	1206466613	CMS
AstraZeneca Pharmaceuticals LP	$14.74	04/14/2025	Food and Beverage	Undisputed	06/30/2026	1206443147	CMS
AstraZeneca Pharmaceuticals LP	$14.28	05/20/2025	Food and Beverage	Undisputed	06/30/2026	1206485492	CMS
AstraZeneca Pharmaceuticals LP	$15.06	06/03/2025	Food and Beverage	Undisputed	06/30/2026	1206478037	CMS
AstraZeneca Pharmaceuticals LP	$15.17	06/16/2025	Food and Beverage	Undisputed	06/30/2026	1206871104	CMS
AstraZeneca Pharmaceuticals LP	$17.27	08/05/2025	Food and Beverage	Undisputed	06/30/2026	1206548131	CMS
AstraZeneca Pharmaceuticals LP	$14.97	08/06/2025	Food and Beverage	Undisputed	06/30/2026	1206428852	CMS
AstraZeneca Pharmaceuticals LP	$13.67	09/10/2025	Food and Beverage	Undisputed	06/30/2026	1207156387	CMS
AstraZeneca Pharmaceuticals LP	$14.06	10/02/2025	Food and Beverage	Undisputed	06/30/2026	1206401707	CMS
AstraZeneca Pharmaceuticals LP	$16.45	10/31/2025	Food and Beverage	Undisputed	06/30/2026	1206549678	CMS
AstraZeneca Pharmaceuticals LP	$15.55	11/06/2025	Food and Beverage	Undisputed	06/30/2026	1207107756	CMS
AstraZeneca Pharmaceuticals LP	$16.79	11/25/2025	Food and Beverage	Undisputed	06/30/2026	1207126974	CMS
AstraZeneca Pharmaceuticals LP	$13.80	11/27/2025	Food and Beverage	Undisputed	06/30/2026	1206386018	CMS
Avadel CNS Pharmaceuticals, LLC	$16.26	01/13/2025	Food and Beverage	Undisputed	06/30/2026	1208542426	CMS
Avadel CNS Pharmaceuticals, LLC	$19.61	02/26/2025	Food and Beverage	Undisputed	06/30/2026	1208542428	CMS
Avadel CNS Pharmaceuticals, LLC	$9.34	03/27/2025	Food and Beverage	Undisputed	06/30/2026	1208542430	CMS
Avadel CNS Pharmaceuticals, LLC	$7.06	04/15/2025	Food and Beverage	Undisputed	06/30/2026	1208542432	CMS
Avadel CNS Pharmaceuticals, LLC	$25.17	04/28/2025	Food and Beverage	Undisputed	06/30/2026	1208542434	CMS
Avadel CNS Pharmaceuticals, LLC	$9.56	04/30/2025	Food and Beverage	Undisputed	06/30/2026	1208542436	CMS
Avadel CNS Pharmaceuticals, LLC	$17.15	05/12/2025	Food and Beverage	Undisputed	06/30/2026	1208542438	CMS
Avadel CNS Pharmaceuticals, LLC	$7.43	06/04/2025	Food and Beverage	Undisputed	06/30/2026	1208542440	CMS
Avadel CNS Pharmaceuticals, LLC	$8.46	06/16/2025	Food and Beverage	Undisputed	06/30/2026	1208542442	CMS
Avadel CNS Pharmaceuticals, LLC	$9.60	08/06/2025	Food and Beverage	Undisputed	06/30/2026	1208542444	CMS
Avadel CNS Pharmaceuticals, LLC	$12.91	09/08/2025	Food and Beverage	Undisputed	06/30/2026	1208542446	CMS
Avadel CNS Pharmaceuticals, LLC	$13.73	10/08/2025	Food and Beverage	Undisputed	06/30/2026	1208542448	CMS
Avadel CNS Pharmaceuticals, LLC	$13.19	10/13/2025	Food and Beverage	Undisputed	06/30/2026	1208542450	CMS
Avadel CNS Pharmaceuticals, LLC	$18.08	11/05/2025	Food and Beverage	Undisputed	06/30/2026	1208542452	CMS
Avadel CNS Pharmaceuticals, LLC	$8.92	11/26/2025	Food and Beverage	Undisputed	06/30/2026	1208542454	CMS
Axsome Therapeutics, Inc.	$27.90	01/15/2025	Food and Beverage	Undisputed	06/30/2026	1235338678	CMS
Axsome Therapeutics, Inc.	$27.38	04/15/2025	Food and Beverage	Undisputed	06/30/2026	1235604330	CMS
Axsome Therapeutics, Inc.	$13.39	05/08/2025	Food and Beverage	Undisputed	06/30/2026	1235721866	CMS
Axsome Therapeutics, Inc.	$23.14	05/21/2025	Food and Beverage	Undisputed	06/30/2026	1235721886	CMS
Axsome Therapeutics, Inc.	$9.90	06/12/2025	Food and Beverage	Undisputed	06/30/2026	1235739167	CMS
Axsome Therapeutics, Inc.	$20.96	06/17/2025	Food and Beverage	Undisputed	06/30/2026	1235739155	CMS
Axsome Therapeutics, Inc.	$11.40	10/27/2025	Food and Beverage	Undisputed	06/30/2026	1235581699	CMS
Axsome Therapeutics, Inc.	$23.62	10/29/2025	Food and Beverage	Undisputed	06/30/2026	1235581703	CMS
Axsome Therapeutics, Inc.	$23.64	11/13/2025	Food and Beverage	Undisputed	06/30/2026	1235581751	CMS
Axsome Therapeutics, Inc.	$6.37	12/17/2025	Food and Beverage	Undisputed	06/30/2026	1235641970	CMS
Axsome Therapeutics, Inc.	$11.05	12/23/2025	Food and Beverage	Undisputed	06/30/2026	1235641934	CMS
Baxter Healthcare	$26.38	04/22/2025	Food and Beverage	Undisputed	06/30/2026	1181558311	CMS
Electromed, Inc.	$1.64	05/12/2025	Food and Beverage	Undisputed	06/30/2026	1224585473	CMS
Electromed, Inc.	$7.77	05/12/2025	Food and Beverage	Undisputed	06/30/2026	1224585477	CMS
Electromed, Inc.	$14.54	12/16/2025	Food and Beverage	Undisputed	06/30/2026	1224585470	CMS
GENZYME CORPORATION	$14.64	05/15/2025	Food and Beverage	Undisputed	06/30/2026	1233323806	CMS
GENZYME CORPORATION	$16.20	09/10/2025	Food and Beverage	Undisputed	06/30/2026	1233323854	CMS
GENZYME CORPORATION	$23.41	11/23/2025	Food and Beverage	Undisputed	06/30/2026	1233323892	CMS
GlaxoSmithKline, LLC.	$25.18	01/02/2025	Food and Beverage	Undisputed	06/30/2026	1191545630	CMS
GlaxoSmithKline, LLC.	$6.48	01/09/2025	Food and Beverage	Undisputed	06/30/2026	1190447937	CMS
GlaxoSmithKline, LLC.	$17.32	01/13/2025	Food and Beverage	Undisputed	06/30/2026	1191080966	CMS
GlaxoSmithKline, LLC.	$12.49	01/30/2025	Food and Beverage	Undisputed	06/30/2026	1191178693	CMS
GlaxoSmithKline, LLC.	$16.16	02/24/2025	Food and Beverage	Undisputed	06/30/2026	1190411161	CMS
GlaxoSmithKline, LLC.	$26.12	03/07/2025	Food and Beverage	Undisputed	06/30/2026	1190894773	CMS
GlaxoSmithKline, LLC.	$4.74	03/25/2025	Food and Beverage	Undisputed	06/30/2026	1190705450	CMS
GlaxoSmithKline, LLC.	$13.73	06/02/2025	Food and Beverage	Undisputed	06/30/2026	1191260773	CMS
GlaxoSmithKline, LLC.	$9.67	06/23/2025	Food and Beverage	Undisputed	06/30/2026	1190950865	CMS
GlaxoSmithKline, LLC.	$5.39	07/09/2025	Food and Beverage	Undisputed	06/30/2026	1190644597	CMS
GlaxoSmithKline, LLC.	$1.30	07/29/2025	Food and Beverage	Undisputed	06/30/2026	1190397152	CMS
GlaxoSmithKline, LLC.	$7.29	07/29/2025	Food and Beverage	Undisputed	06/30/2026	1190770330	CMS
GlaxoSmithKline, LLC.	$8.51	08/21/2025	Food and Beverage	Undisputed	06/30/2026	1190467392	CMS
GlaxoSmithKline, LLC.	$12.11	09/08/2025	Food and Beverage	Undisputed	06/30/2026	1191830144	CMS
GlaxoSmithKline, LLC.	$7.47	10/01/2025	Food and Beverage	Undisputed	06/30/2026	1190725702	CMS
GlaxoSmithKline, LLC.	$8.90	10/01/2025	Food and Beverage	Undisputed	06/30/2026	1191039603	CMS
GlaxoSmithKline, LLC.	$21.50	10/06/2025	Food and Beverage	Undisputed	06/30/2026	1190617254	CMS
GlaxoSmithKline, LLC.	$6.14	10/09/2025	Food and Beverage	Undisputed	06/30/2026	1190786234	CMS
GlaxoSmithKline, LLC.	$9.34	10/09/2025	Food and Beverage	Undisputed	06/30/2026	1191072561	CMS
GlaxoSmithKline, LLC.	$9.06	10/22/2025	Food and Beverage	Undisputed	06/30/2026	1190607809	CMS
GlaxoSmithKline, LLC.	$5.81	11/18/2025	Food and Beverage	Undisputed	06/30/2026	1190999445	CMS
GlaxoSmithKline, LLC.	$3.62	11/25/2025	Food and Beverage	Undisputed	06/30/2026	1190524071	CMS
GlaxoSmithKline, LLC.	$4.42	11/25/2025	Food and Beverage	Undisputed	06/30/2026	1190528936	CMS
GlaxoSmithKline, LLC.	$2.29	12/05/2025	Food and Beverage	Undisputed	06/30/2026	1190733722	CMS
GlaxoSmithKline, LLC.	$8.82	12/05/2025	Food and Beverage	Undisputed	06/30/2026	1191183525	CMS
Grifols USA, LLC	$21.06	10/01/2025	Food and Beverage	Undisputed	06/30/2026	1249547002	CMS
Grifols USA, LLC	$16.21	10/15/2025	Food and Beverage	Undisputed	06/30/2026	1249546996	CMS
HARMONY BIOSCIENCES LLC	$33.25	01/14/2025	Food and Beverage	Undisputed	06/30/2026	1222392798	CMS
HARMONY BIOSCIENCES LLC	$6.95	01/14/2025	Food and Beverage	Undisputed	06/30/2026	1222399938	CMS
HARMONY BIOSCIENCES LLC	$15.72	01/22/2025	Food and Beverage	Undisputed	06/30/2026	1222402480	CMS
HARMONY BIOSCIENCES LLC	$4.06	02/03/2025	Food and Beverage	Undisputed	06/30/2026	1222402648	CMS
HARMONY BIOSCIENCES LLC	$21.28	02/04/2025	Food and Beverage	Undisputed	06/30/2026	1222393158	CMS
HARMONY BIOSCIENCES LLC	$16.05	03/17/2025	Food and Beverage	Undisputed	06/30/2026	1222393774	CMS
HARMONY BIOSCIENCES LLC	$15.61	03/17/2025	Food and Beverage	Undisputed	06/30/2026	1222400824	CMS
HARMONY BIOSCIENCES LLC	$1.54	04/14/2025	Food and Beverage	Undisputed	06/30/2026	1222401680	CMS
HARMONY BIOSCIENCES LLC	$6.15	04/14/2025	Food and Beverage	Undisputed	06/30/2026	1222401686	CMS
HARMONY BIOSCIENCES LLC	$6.36	04/15/2025	Food and Beverage	Undisputed	06/30/2026	1222403864	CMS
HARMONY BIOSCIENCES LLC	$15.18	04/30/2025	Food and Beverage	Undisputed	06/30/2026	1222404217	CMS
HARMONY BIOSCIENCES LLC	$4.17	04/30/2025	Food and Beverage	Undisputed	06/30/2026	1222404221	CMS
HARMONY BIOSCIENCES LLC	$17.80	05/19/2025	Food and Beverage	Undisputed	06/30/2026	1222404597	CMS
HARMONY BIOSCIENCES LLC	$5.33	06/02/2025	Food and Beverage	Undisputed	06/30/2026	1222410769	CMS
HARMONY BIOSCIENCES LLC	$21.10	06/17/2025	Food and Beverage	Undisputed	06/30/2026	1222405085	CMS
HARMONY BIOSCIENCES LLC	$6.10	06/26/2025	Food and Beverage	Undisputed	06/30/2026	1222405283	CMS
HARMONY BIOSCIENCES LLC	$10.59	06/30/2025	Food and Beverage	Undisputed	06/30/2026	1222395814	CMS
HARMONY BIOSCIENCES LLC	$6.72	08/08/2025	Food and Beverage	Undisputed	06/30/2026	1222406086	CMS
HARMONY BIOSCIENCES LLC	$17.53	08/26/2025	Food and Beverage	Undisputed	06/30/2026	1222397486	CMS
HARMONY BIOSCIENCES LLC	$2.98	09/09/2025	Food and Beverage	Undisputed	06/30/2026	1222406640	CMS
HARMONY BIOSCIENCES LLC	$10.10	09/09/2025	Food and Beverage	Undisputed	06/30/2026	1222410771	CMS
HARMONY BIOSCIENCES LLC	$19.46	10/16/2025	Food and Beverage	Undisputed	06/30/2026	1222401920	CMS
HARMONY BIOSCIENCES LLC	$17.74	11/04/2025	Food and Beverage	Undisputed	06/30/2026	1222407701	CMS
HARMONY BIOSCIENCES LLC	$22.86	12/17/2025	Food and Beverage	Undisputed	06/30/2026	1222408613	CMS
Insmed, Inc.	$11.23	01/06/2025	Food and Beverage	Undisputed	06/30/2026	1186323432	CMS
Insmed, Inc.	$12.59	03/18/2025	Food and Beverage	Undisputed	06/30/2026	1186259068	CMS
Insmed, Inc.	$10.83	04/21/2025	Food and Beverage	Undisputed	06/30/2026	1186262405	CMS
Insmed, Inc.	$17.38	05/16/2025	Education	Undisputed	06/30/2026	1186254627	CMS
Insmed, Inc.	$17.21	05/22/2025	Food and Beverage	Undisputed	06/30/2026	1186262961	CMS
Insmed, Inc.	$10.29	05/28/2025	Food and Beverage	Undisputed	06/30/2026	1186262889	CMS
Insmed, Inc.	$9.53	09/17/2025	Food and Beverage	Undisputed	06/30/2026	1186275782	CMS
Insmed, Inc.	$7.83	10/30/2025	Food and Beverage	Undisputed	06/30/2026	1186296483	CMS
Insmed, Inc.	$21.11	10/30/2025	Food and Beverage	Undisputed	06/30/2026	1186300842	CMS
Insmed, Inc.	$9.41	11/04/2025	Food and Beverage	Undisputed	06/30/2026	1186254985	CMS
Insmed, Inc.	$10.14	11/11/2025	Food and Beverage	Undisputed	06/30/2026	1186284372	CMS
Insmed, Inc.	$2.94	12/17/2025	Food and Beverage	Undisputed	06/30/2026	1186301714	CMS
Insmed, Inc.	$2.54	12/17/2025	Food and Beverage	Undisputed	06/30/2026	1186301834	CMS
Insmed, Inc.	$16.30	12/17/2025	Food and Beverage	Undisputed	06/30/2026	1186301836	CMS
Inspire Medical Systems, Inc.	$72.51	11/05/2025	Food and Beverage	Undisputed	06/30/2026	1251511238	CMS
JAZZ PHARMACEUTICALS INC.	$32.15	01/14/2025	Food and Beverage	Undisputed	06/30/2026	1234320190	CMS
JAZZ PHARMACEUTICALS INC.	$17.16	01/21/2025	Food and Beverage	Undisputed	06/30/2026	1234341308	CMS
JAZZ PHARMACEUTICALS INC.	$17.16	01/21/2025	Food and Beverage	Undisputed	06/30/2026	1234341312	CMS
JAZZ PHARMACEUTICALS INC.	$29.69	02/07/2025	Food and Beverage	Undisputed	06/30/2026	1234322899	CMS
JAZZ PHARMACEUTICALS INC.	$20.97	02/20/2025	Food and Beverage	Undisputed	06/30/2026	1234335465	CMS
JAZZ PHARMACEUTICALS INC.	$8.70	03/17/2025	Education	Undisputed	06/30/2026	1234347165	CMS
JAZZ PHARMACEUTICALS INC.	$23.09	03/19/2025	Food and Beverage	Undisputed	06/30/2026	1234332429	CMS
JAZZ PHARMACEUTICALS INC.	$25.98	05/03/2025	Food and Beverage	Undisputed	06/30/2026	1234327854	CMS
JAZZ PHARMACEUTICALS INC.	$99.99	06/04/2025	Education	Undisputed	06/30/2026	1234308894	CMS
JAZZ PHARMACEUTICALS INC.	$25.98	06/06/2025	Food and Beverage	Undisputed	06/30/2026	1234327860	CMS
JAZZ PHARMACEUTICALS INC.	$25.98	06/25/2025	Food and Beverage	Undisputed	06/30/2026	1234327858	CMS
JAZZ PHARMACEUTICALS INC.	$28.48	07/05/2025	Food and Beverage	Undisputed	06/30/2026	1234324385	CMS
JAZZ PHARMACEUTICALS INC.	$16.18	07/08/2025	Food and Beverage	Undisputed	06/30/2026	1234342672	CMS
JAZZ PHARMACEUTICALS INC.	$17.14	07/25/2025	Food and Beverage	Undisputed	06/30/2026	1234341342	CMS
JAZZ PHARMACEUTICALS INC.	$25.98	08/29/2025	Food and Beverage	Undisputed	06/30/2026	1234327864	CMS
JAZZ PHARMACEUTICALS INC.	$21.66	09/20/2025	Food and Beverage	Undisputed	06/30/2026	1234334447	CMS
JAZZ PHARMACEUTICALS INC.	$27.45	11/02/2025	Food and Beverage	Undisputed	06/30/2026	1234325787	CMS
Lilly USA, LLC	$16.87	06/18/2025	Food and Beverage	Undisputed	06/30/2026	1186746231	CMS
Mallinckrodt Hospital Products Inc.	$17.20	03/03/2025	Food and Beverage	Undisputed	06/30/2026	1212001264	CMS
Mallinckrodt Hospital Products Inc.	$16.83	10/07/2025	Food and Beverage	Undisputed	06/30/2026	1212001266	CMS
Philips North America LLC	$17.37	04/09/2025	Food and Beverage	Undisputed	06/30/2026	1232639225	CMS
Regeneron Healthcare Solutions, Inc.	$14.53	02/03/2025	Food and Beverage	Undisputed	06/30/2026	1213049119	CMS
Regeneron Healthcare Solutions, Inc.	$24.54	11/03/2025	Food and Beverage	Undisputed	06/30/2026	1213049121	CMS
Resmed Corp	$48.15	07/02/2025	Food and Beverage	Undisputed	06/30/2026	1214127642	CMS
Tactile Systems Technology Inc	$35.07	10/09/2025	Food and Beverage	Undisputed	06/30/2026	1180549688	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.69	03/17/2025	Food and Beverage	Undisputed	06/30/2026	1223811372	CMS
Verona Pharma, Inc.	$20.63	06/03/2025	Food and Beverage	Undisputed	06/30/2026	1233792049	CMS
Verona Pharma, Inc.	$18.80	11/05/2025	Food and Beverage	Undisputed	06/30/2026	1233791997	CMS
Viatris Specialty LLC	$17.58	07/01/2025	Food and Beverage	Undisputed	06/30/2026	1238514889	CMS

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: Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
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.