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

CHRISTOPHER R SPENCER

Allopathic & Osteopathic Physicians Radiology Radiation Oncology

NPI
1568775567
CMS profile
635738
Location
ROLLA, MO

General Payments · PY2018–2024

$70,496.03

  • Reported across 132 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$417.43

22 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 $417.43 22

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $535.25 36
PY2019 $495.50 29
PY2020 $73.94 5
PY2021 $137.13 7
PY2022 $31,397.88 16
PY2023 $37,438.90 17
PY2024 $417.43 22

Payment records · PY2024 (22)

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

Program year 2024 201820192020202120222023 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
AstraZeneca Pharmaceuticals LP $16.11 06/13/2024 Food and Beverage Undisputed 01/23/2026 1105218671 CMS
AstraZeneca Pharmaceuticals LP $21.40 07/23/2024 Food and Beverage Undisputed 01/23/2026 1104332934 CMS
Coherus Biosciences Inc. $13.45 05/16/2024 Food and Beverage Undisputed 01/23/2026 1147275458 CMS
Daiichi Sankyo Inc. $17.04 05/02/2024 Food and Beverage Undisputed 01/23/2026 1089485864 CMS
Daiichi Sankyo Inc. $22.24 07/25/2024 Food and Beverage Undisputed 01/23/2026 1089485866 CMS
Daiichi Sankyo Inc. $21.09 08/20/2024 Food and Beverage Undisputed 01/23/2026 1089485868 CMS
Dendreon Pharmaceuticals LLC $17.91 09/03/2024 Food and Beverage Undisputed 01/23/2026 1149324413 CMS
Genentech USA, Inc. $22.06 07/16/2024 Food and Beverage Undisputed 01/23/2026 1132990114 CMS
Genmab U.S., Inc. $18.04 06/20/2024 Food and Beverage Undisputed 01/23/2026 1126825465 CMS
Incyte Corporation $18.42 03/15/2024 Food and Beverage Undisputed 01/23/2026 1141318697 CMS
Janssen Biotech, Inc. $18.26 02/08/2024 Food and Beverage Undisputed 01/23/2026 1078791568 CMS
Janssen Biotech, Inc. $21.96 08/01/2024 Food and Beverage Undisputed 01/23/2026 1078791548 CMS
Merck Sharp & Dohme LLC $18.38 07/09/2024 Food and Beverage Undisputed 01/23/2026 1141729656 CMS
Mirati Therapeutics, Inc. $15.57 06/19/2024 Food and Beverage Undisputed 01/23/2026 1117177057 CMS
Mirati Therapeutics, Inc. $18.89 08/29/2024 Food and Beverage Undisputed 01/23/2026 1117177061 CMS
Novartis Pharmaceuticals Corporation $17.14 01/25/2024 Food and Beverage Undisputed 01/23/2026 1087295109 CMS
Novartis Pharmaceuticals Corporation $15.71 10/24/2024 Food and Beverage Undisputed 01/23/2026 1087295149 CMS
Novartis Pharmaceuticals Corporation $23.48 12/05/2024 Food and Beverage Undisputed 01/23/2026 1087295157 CMS
Regeneron Healthcare Solutions, Inc. $25.89 12/12/2024 Food and Beverage Undisputed 01/23/2026 1114188997 CMS
Stemline Therapeutics Inc. $20.83 09/26/2024 Food and Beverage Undisputed 01/23/2026 1142959062 CMS
TAIHO ONCOLOGY, INC. $15.93 03/12/2024 Food and Beverage Undisputed 01/23/2026 1137936005 CMS
Tempus AI, Inc $17.63 02/27/2024 Food and Beverage Undisputed 01/23/2026 1150175008 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.