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

PAUL SPIRO

Allopathic & Osteopathic Physicians Family Medicine

NPI
1578548939
CMS profile
25412
Location
BUCKINGHAM, PA

General Payments · PY2018–2024

$2,303.30

  • Reported across 140 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$512.63

25 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 $512.63 25

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $468.09 35
PY2019 $414.23 28
PY2020 $147.32 10
PY2022 $349.07 20
PY2023 $411.96 22
PY2024 $512.63 25

Payment records · PY2024 (25)

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

Program year 2024 20182019202020222023 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
Bausch Health US, LLC $23.92 07/10/2024 Food and Beverage Undisputed 01/23/2026 1148023065 CMS
Bausch Health US, LLC $19.39 11/06/2024 Food and Beverage Undisputed 01/23/2026 1148023067 CMS
Daiichi Sankyo Inc. $28.56 04/18/2024 Food and Beverage Undisputed 01/23/2026 1089485964 CMS
Daiichi Sankyo Inc. $26.73 07/30/2024 Food and Beverage Undisputed 01/23/2026 1089485966 CMS
E.R. Squibb & Sons, L.L.C. $16.82 04/16/2024 Food and Beverage Undisputed 01/23/2026 1101828957 CMS
Exact Sciences Corporation $20.58 01/18/2024 Food and Beverage Undisputed 01/23/2026 1114913616 CMS
Exact Sciences Corporation $16.71 03/21/2024 Food and Beverage Undisputed 01/23/2026 1114913630 CMS
Exact Sciences Corporation $17.84 08/07/2024 Food and Beverage Undisputed 01/23/2026 1114913635 CMS
Exact Sciences Corporation $21.08 10/23/2024 Food and Beverage Undisputed 01/23/2026 1114913649 CMS
Exact Sciences Corporation $20.32 12/11/2024 Food and Beverage Undisputed 01/23/2026 1114913657 CMS
GlaxoSmithKline, LLC. $14.29 02/22/2024 Food and Beverage Undisputed 01/23/2026 1116481013 CMS
GlaxoSmithKline, LLC. $24.66 09/19/2024 Food and Beverage Undisputed 01/23/2026 1116046670 CMS
Inspire Medical Systems, Inc. $23.70 11/27/2024 Food and Beverage Undisputed 01/23/2026 1148114174 CMS
Lilly USA, LLC $22.03 08/26/2024 Food and Beverage Undisputed 01/23/2026 1135312201 CMS
Merck Sharp & Dohme LLC $14.99 02/06/2024 Food and Beverage Undisputed 01/23/2026 1141713132 CMS
Merck Sharp & Dohme LLC $17.72 07/18/2024 Food and Beverage Undisputed 01/23/2026 1141874504 CMS
Merck Sharp & Dohme LLC $16.48 10/24/2024 Food and Beverage Undisputed 01/23/2026 1141713134 CMS
ModernaTX, Inc. $35.91 09/30/2024 Food and Beverage Undisputed 01/23/2026 1152558776 CMS
Novo Nordisk Inc $20.28 02/01/2024 Food and Beverage Undisputed 01/23/2026 1096896799 CMS
Novo Nordisk Inc $19.08 03/01/2024 Food and Beverage Undisputed 01/23/2026 1097412244 CMS
PFIZER INC. $17.37 02/28/2024 Food and Beverage Undisputed 01/23/2026 1131615244 CMS
PFIZER INC. $20.88 04/04/2024 Food and Beverage Undisputed 01/23/2026 1131615240 CMS
PFIZER INC. $19.95 07/24/2024 Food and Beverage Undisputed 01/23/2026 1131616066 CMS
Phathom Pharmaceuticals, Inc. $15.76 11/12/2024 Food and Beverage Undisputed 01/23/2026 1151129247 CMS
Xeris Pharmaceuticals, Inc. $17.58 03/05/2024 Food and Beverage Undisputed 01/23/2026 1144608749 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, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , 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.