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

ANDREW H SPANGLER

Allopathic & Osteopathic Physicians Internal Medicine Nephrology

NPI
1578944013
CMS profile
8292115
Location
WINSTON SALEM, NC

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.

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General Payments · PY2025 · Entire year

$2,102.42

112 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.

Provider summaries generated . 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 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,102.42 112

By paying entity

PY2025 · entire year · sorted by reported total

Payment records · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

112 matching records · $2,102.42 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 112 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 112.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Lilly USA, LLC $15.0912/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261186503659 CMS
Novartis Pharmaceuticals Corporation $19.3512/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200424949 CMS
Amgen Inc. $20.3512/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261228514870 CMS
Travere Therapeutics, Inc. $27.1612/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244435080 CMS
Amgen Inc. $15.7412/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261228514868 CMS
AstraZeneca Pharmaceuticals LP $15.7311/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206184166 CMS
Novartis Pharmaceuticals Corporation $23.5611/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200424945 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.4711/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261222807519 CMS
Amgen Inc. $15.9611/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261228514866 CMS
Travere Therapeutics, Inc. $25.8111/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244435078 CMS
Apellis Pharmaceuticals, Inc. $17.0511/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261253189258 CMS
Vifor Pharma, Inc. $34.7711/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261172031779 CMS
Mallinckrodt Hospital Products Inc. $14.5311/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261212001222 CMS
Alexion Pharmaceuticals, Inc. $23.6411/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261202976110 CMS
Novo Nordisk Inc $15.6611/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261189155609 CMS
GlaxoSmithKline, LLC. $18.6811/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261191306594 CMS
Genentech USA, Inc. $18.0710/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261211493368 CMS
AstraZeneca Pharmaceuticals LP $15.7310/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206285033 CMS
Travere Therapeutics, Inc. $21.1710/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244435074 CMS
Novartis Pharmaceuticals Corporation $20.2710/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200422988 CMS
Travere Therapeutics, Inc. $24.1510/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244435076 CMS
AstraZeneca Pharmaceuticals LP $16.8710/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261207198908 CMS
Aurinia Pharma U.S., Inc. $22.8310/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261249415118 CMS
AKEBIA THERAPEUTICS INC $19.2509/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261241821986 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.5209/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261225818113 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.1409/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261222807517 CMS
Travere Therapeutics, Inc. $20.5709/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244435072 CMS
Novartis Pharmaceuticals Corporation $5.2909/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200422984 CMS
Novartis Pharmaceuticals Corporation $23.5409/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200422986 CMS
GlaxoSmithKline, LLC. $16.5609/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261191417222 CMS
AstraZeneca Pharmaceuticals LP $15.7308/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206155206 CMS
Mallinckrodt Hospital Products Inc. $13.0308/27/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261212001220 CMS
Vifor Pharma, Inc. $29.4808/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261172031761 CMS
Apellis Pharmaceuticals, Inc. $17.2208/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261253189256 CMS
Travere Therapeutics, Inc. $17.3408/21/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244435060 CMS
Novo Nordisk Inc $26.0708/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261188507989 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $17.4608/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261222807515 CMS
AstraZeneca Pharmaceuticals LP $13.9308/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206316302 CMS
Alexion Pharmaceuticals, Inc. $20.8608/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261202975444 CMS
ANI Pharmaceuticals, Inc. $13.9408/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261248584621 CMS
Teleflex LLC $18.8708/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261242455770 CMS
Travere Therapeutics, Inc. $16.9107/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261244435058 CMS
Calliditas Therapeutics US Inc. $26.2907/22/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261235008579 CMS
Mallinckrodt Hospital Products Inc. $13.4007/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261212001218 CMS
Novartis Pharmaceuticals Corporation $7.8607/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200422980 CMS
Novartis Pharmaceuticals Corporation $21.5307/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261200422982 CMS
Apellis Pharmaceuticals, Inc. $17.2207/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261253189260 CMS
AstraZeneca Pharmaceuticals LP $14.4107/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206239627 CMS
AstraZeneca Pharmaceuticals LP $20.0507/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261206853574 CMS
Takeda Pharmaceuticals U.S.A., Inc. $28.0007/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261223912680 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2020 $79.85 5
PY2021 $904.78 40
PY2022 $2,181.68 103
PY2023 $2,126.71 103
PY2024 $2,031.90 113
PY2025 $2,102.42 112

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
2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · 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.

Cite this record.

Plain
ANDREW H SPANGLER, NPI 1578944013. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1578944013.
APA 7
IndustryPayments. (2026). ANDREW H SPANGLER, NPI 1578944013 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1578944013
Bluebook
ANDREW H SPANGLER, NPI 1578944013, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1578944013.

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