Covered recipient · General Payments record

ANDREW H SPANGLER

Allopathic & Osteopathic Physicians Internal Medicine Nephrology

NPI: 1578944013
CMS profile: 8292115
Location: WINSTON SALEM, NC

General Payments · PY2020–2024

$7,306.99

Reported across 363 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,013.97

112 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 payment	Amount	Records
Food and Beverage	$2,013.97	112

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$198.62	11
Otsuka America Pharmaceutical, Inc.	$197.61	12
Retrophin, Inc.	$180.16	9
ANI Pharmaceuticals, Inc.	$173.75	9
Novo Nordisk AS	$169.47	12
Boehringer Ingelheim Pharmaceuticals, Inc.	$143.58	8
NOVARTIS PHARMACEUTICALS CORPORATION	$136.71	9
Mallinckrodt Hospital Products Inc.	$132.52	7
Amgen Inc.	$114.16	5
Alexion Pharmaceuticals, Inc.	$98.00	6
Ardelyx, Inc.	$79.07	5
Lilly USA, LLC	$66.64	4
SHIELD THERAPEUTICS INC	$47.77	3
Relypsa, Inc.	$43.28	2
Aurinia Pharma U.S., Inc.	$40.09	1
Fresenius USA Marketing, Inc.	$34.63	2
Daiichi Sankyo Inc.	$26.77	1
Takeda Pharmaceuticals U.S.A., Inc.	$25.40	1
CorMedix Inc.	$24.28	1
Outset Medical Inc	$23.66	1
BAXTER HEALTHCARE	$22.09	1
AKEBIA THERAPEUTICS INC	$19.01	1
Bayer HealthCare Pharmaceuticals Inc.	$16.70	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2020	$79.85	5
PY2021	$904.78	40
PY2022	$2,181.68	103
PY2023	$2,126.71	103
PY2024	$2,013.97	112

Payment records · PY2024 (112)

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

Program year 2024 2020 2021 2022 2023 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
AKEBIA THERAPEUTICS INC	$19.01	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1145830847	CMS
Alexion Pharmaceuticals, Inc.	$15.52	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1093971409	CMS
Alexion Pharmaceuticals, Inc.	$15.52	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1094049692	CMS
Alexion Pharmaceuticals, Inc.	$13.90	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1094014818	CMS
Alexion Pharmaceuticals, Inc.	$17.06	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1093900136	CMS
Alexion Pharmaceuticals, Inc.	$15.13	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1094028685	CMS
Alexion Pharmaceuticals, Inc.	$20.87	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1093916231	CMS
Amgen Inc.	$25.28	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1111714236	CMS
Amgen Inc.	$27.37	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1111714240	CMS
Amgen Inc.	$24.97	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1111714238	CMS
Amgen Inc.	$16.79	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1117388838	CMS
Amgen Inc.	$19.75	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1117388840	CMS
ANI Pharmaceuticals, Inc.	$13.65	01/02/2024	Food and Beverage	Undisputed	01/23/2026	1091153236	CMS
ANI Pharmaceuticals, Inc.	$13.65	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1091149468	CMS
ANI Pharmaceuticals, Inc.	$13.68	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1091158582	CMS
ANI Pharmaceuticals, Inc.	$14.59	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1091169322	CMS
ANI Pharmaceuticals, Inc.	$14.61	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1091171314	CMS
ANI Pharmaceuticals, Inc.	$14.95	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1091135153	CMS
ANI Pharmaceuticals, Inc.	$14.54	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1091162836	CMS
ANI Pharmaceuticals, Inc.	$59.11	11/14/2024	Food and Beverage	Undisputed	01/23/2026	1091157830	CMS
ANI Pharmaceuticals, Inc.	$14.97	12/31/2024	Food and Beverage	Undisputed	01/23/2026	1091140904	CMS
Ardelyx, Inc.	$17.76	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1146709120	CMS
Ardelyx, Inc.	$15.21	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1146709122	CMS
Ardelyx, Inc.	$14.93	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1146709124	CMS
Ardelyx, Inc.	$15.28	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1146709126	CMS
Ardelyx, Inc.	$15.89	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1146709128	CMS
AstraZeneca Pharmaceuticals LP	$17.28	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1104467938	CMS
AstraZeneca Pharmaceuticals LP	$17.98	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1104274957	CMS
AstraZeneca Pharmaceuticals LP	$15.79	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1105332054	CMS
AstraZeneca Pharmaceuticals LP	$18.62	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1105755357	CMS
AstraZeneca Pharmaceuticals LP	$15.92	06/03/2024	Food and Beverage	Undisputed	01/23/2026	1105604124	CMS
AstraZeneca Pharmaceuticals LP	$16.26	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1105614105	CMS
AstraZeneca Pharmaceuticals LP	$15.75	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1105461402	CMS
AstraZeneca Pharmaceuticals LP	$17.22	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1105893940	CMS
AstraZeneca Pharmaceuticals LP	$31.96	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1104601218	CMS
AstraZeneca Pharmaceuticals LP	$16.53	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1105864670	CMS
AstraZeneca Pharmaceuticals LP	$15.31	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1104516338	CMS
Aurinia Pharma U.S., Inc.	$40.09	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1150692590	CMS
Baxter Healthcare	$22.09	01/13/2024	Food and Beverage	Undisputed	01/23/2026	1120646958	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.70	01/23/2024	Food and Beverage	Undisputed	01/23/2026	1086130496	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.99	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1118067741	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.67	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1118067739	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.98	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1118067745	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.04	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1118067743	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$21.08	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1118067751	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.21	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1118067747	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.16	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1118067737	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.45	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1118067749	CMS
CorMedix Inc.	$24.28	12/25/2024	Food and Beverage	Undisputed	01/23/2026	1082025998	CMS
Daiichi Sankyo Inc.	$26.77	04/23/2024	Food and Beverage	Undisputed	01/23/2026	1089485646	CMS
Fresenius USA Marketing, Inc.	$18.23	04/02/2024	Food and Beverage	Undisputed	01/23/2026	1154212306	CMS
Fresenius USA Marketing, Inc.	$16.40	10/07/2024	Food and Beverage	Undisputed	01/23/2026	1154212304	CMS
Lilly USA, LLC	$17.53	03/26/2024	Food and Beverage	Undisputed	01/23/2026	1136038971	CMS
Lilly USA, LLC	$15.30	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1136035414	CMS
Lilly USA, LLC	$13.64	05/28/2024	Food and Beverage	Undisputed	01/23/2026	1136038261	CMS
Lilly USA, LLC	$20.17	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1136038865	CMS
Mallinckrodt Hospital Products Inc.	$17.42	02/19/2024	Food and Beverage	Undisputed	01/23/2026	1145141064	CMS
Mallinckrodt Hospital Products Inc.	$22.61	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1145141068	CMS
Mallinckrodt Hospital Products Inc.	$0.76	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1145141072	CMS
Mallinckrodt Hospital Products Inc.	$26.68	05/09/2024	Food and Beverage	Undisputed	01/23/2026	1145141076	CMS
Mallinckrodt Hospital Products Inc.	$13.67	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1145141081	CMS
Mallinckrodt Hospital Products Inc.	$24.55	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1145141085	CMS
Mallinckrodt Hospital Products Inc.	$26.83	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1145141089	CMS
Novartis Pharmaceuticals Corporation	$15.76	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1087181373	CMS
Novartis Pharmaceuticals Corporation	$17.94	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1087181379	CMS
Novartis Pharmaceuticals Corporation	$5.02	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1087181381	CMS
Novartis Pharmaceuticals Corporation	$17.48	10/03/2024	Food and Beverage	Undisputed	01/23/2026	1087181383	CMS
Novartis Pharmaceuticals Corporation	$16.89	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1087181393	CMS
Novartis Pharmaceuticals Corporation	$2.77	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1087181397	CMS
Novartis Pharmaceuticals Corporation	$18.30	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1087181407	CMS
Novartis Pharmaceuticals Corporation	$14.50	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1087181409	CMS
Novartis Pharmaceuticals Corporation	$28.05	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1087181411	CMS
Novo Nordisk Inc	$16.79	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1096961341	CMS
Novo Nordisk Inc	$16.52	02/27/2024	Food and Beverage	Undisputed	01/23/2026	1097254821	CMS
Novo Nordisk Inc	$16.36	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1097034154	CMS
Novo Nordisk Inc	$19.21	04/25/2024	Food and Beverage	Undisputed	01/23/2026	1097165851	CMS
Novo Nordisk Inc	$15.39	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1096965977	CMS
Novo Nordisk Inc	$16.88	05/21/2024	Food and Beverage	Undisputed	01/23/2026	1097462934	CMS
Novo Nordisk Inc	$9.47	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1096860053	CMS
Novo Nordisk Inc	$0.50	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1097572526	CMS
Novo Nordisk Inc	$2.22	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1097655549	CMS
Novo Nordisk Inc	$17.53	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1096920042	CMS
Novo Nordisk Inc	$19.96	09/09/2024	Food and Beverage	Undisputed	01/23/2026	1096890336	CMS
Novo Nordisk Inc	$18.64	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1096728829	CMS
Otsuka America Pharmaceutical, Inc.	$23.32	01/31/2024	Food and Beverage	Undisputed	01/23/2026	1118986742	CMS
Otsuka America Pharmaceutical, Inc.	$5.91	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1118986744	CMS
Otsuka America Pharmaceutical, Inc.	$21.38	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1118986746	CMS
Otsuka America Pharmaceutical, Inc.	$0.54	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1118986748	CMS
Otsuka America Pharmaceutical, Inc.	$5.88	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1118986750	CMS
Otsuka America Pharmaceutical, Inc.	$23.32	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1118986752	CMS
Otsuka America Pharmaceutical, Inc.	$6.10	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1118986754	CMS
Otsuka America Pharmaceutical, Inc.	$1.04	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1118986756	CMS
Otsuka America Pharmaceutical, Inc.	$26.66	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1118986758	CMS
Otsuka America Pharmaceutical, Inc.	$29.49	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1118986760	CMS
Otsuka America Pharmaceutical, Inc.	$23.97	11/11/2024	Food and Beverage	Undisputed	01/23/2026	1118986762	CMS
Otsuka America Pharmaceutical, Inc.	$30.00	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1118986764	CMS
Outset Medical Inc	$23.66	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1138611494	CMS
SHIELD THERAPEUTICS INC	$17.16	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1150123075	CMS
SHIELD THERAPEUTICS INC	$16.27	07/15/2024	Food and Beverage	Undisputed	01/23/2026	1150137929	CMS
SHIELD THERAPEUTICS INC	$14.34	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1150145724	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$25.40	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1137680343	CMS
Travere Therapeutics, Inc.	$18.62	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1149922958	CMS
Travere Therapeutics, Inc.	$16.43	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1149922985	CMS
Travere Therapeutics, Inc.	$23.62	03/05/2024	Food and Beverage	Undisputed	01/23/2026	1149922981	CMS
Travere Therapeutics, Inc.	$20.57	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1149922973	CMS
Travere Therapeutics, Inc.	$20.22	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1149922969	CMS
Travere Therapeutics, Inc.	$18.08	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1149922954	CMS
Travere Therapeutics, Inc.	$19.50	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1149922962	CMS
Travere Therapeutics, Inc.	$23.26	10/17/2024	Food and Beverage	Undisputed	01/23/2026	1149922977	CMS
Travere Therapeutics, Inc.	$19.86	12/18/2024	Food and Beverage	Undisputed	01/23/2026	1149922966	CMS
Vifor Pharma, Inc.	$18.18	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1124043039	CMS
Vifor Pharma, Inc.	$25.10	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1124058138	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: 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.