Covered recipient · General Payments record

ANDREW JASON SPENCE

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI: 1619511854
CMS profile: 10578839
Location: QUINTON, VA

General Payments · PY2021–2024

$3,851.42

Reported across 257 records
CMS publication 2026-01-23

Latest program year · PY2024

$2,056.22

122 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	$2,056.22	122

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
PFIZER INC.	$360.17	32
Novo Nordisk AS	$310.88	17
ABBVIE INC.	$229.72	21
SHIELD THERAPEUTICS INC	$199.37	4
Acerta Pharma LLC	$150.34	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$90.77	5
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$78.27	4
Bayer HealthCare Pharmaceuticals Inc.	$70.19	5
GlaxoSmithKline, LLC.	$63.95	4
Lilly USA, LLC	$60.00	3
Otsuka America Pharmaceutical, Inc.	$51.13	2
Phathom Pharmaceuticals, Inc.	$48.83	2
NOVARTIS PHARMACEUTICALS CORPORATION	$45.20	3
ITI, Inc.	$36.93	2
BOSTON SCIENTIFIC CORPORATION	$23.40	1
Sumitomo Pharma America, Inc.	$21.91	1
Alexion Pharmaceuticals, Inc.	$21.27	1
Phadia US Inc.	$21.16	1
Antares Pharma, Inc.	$19.94	1
Edwards Lifesciences Corporation	$18.93	1
Philips Electronics North America Corporation	$18.82	1
Abbott Laboratories	$18.79	1
DEXCOM, INC.	$18.17	1
Axsome Therapeutics, Inc.	$17.36	1
Astellas Pharma US Inc	$16.99	1
Janssen Pharmaceuticals, Inc	$15.68	1
Amgen Inc.	$14.58	1
Ardelyx, Inc.	$13.47	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2021	$129.10	9
PY2022	$686.99	52
PY2023	$979.11	74
PY2024	$2,056.22	122

Payment records · PY2024 (122)

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

Program year 2024 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
Abbott Laboratories	$18.79	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1125155751	CMS
ABBVIE INC.	$7.69	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1108237658	CMS
ABBVIE INC.	$16.03	01/16/2024	Food and Beverage	Undisputed	01/23/2026	1108237660	CMS
ABBVIE INC.	$9.79	01/18/2024	Food and Beverage	Undisputed	01/23/2026	1108237662	CMS
ABBVIE INC.	$11.34	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1108237664	CMS
ABBVIE INC.	$8.39	02/09/2024	Food and Beverage	Undisputed	01/23/2026	1108237666	CMS
ABBVIE INC.	$10.12	02/20/2024	Food and Beverage	Undisputed	01/23/2026	1108237668	CMS
ABBVIE INC.	$18.83	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1108237670	CMS
ABBVIE INC.	$9.25	03/22/2024	Food and Beverage	Undisputed	01/23/2026	1108237672	CMS
ABBVIE INC.	$12.62	03/25/2024	Food and Beverage	Undisputed	01/23/2026	1108237674	CMS
ABBVIE INC.	$6.57	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1108237676	CMS
ABBVIE INC.	$9.28	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1108237678	CMS
ABBVIE INC.	$8.94	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1108237680	CMS
ABBVIE INC.	$16.16	06/11/2024	Food and Beverage	Undisputed	01/23/2026	1108237682	CMS
ABBVIE INC.	$4.30	06/20/2024	Food and Beverage	Undisputed	01/23/2026	1108237684	CMS
ABBVIE INC.	$7.15	06/25/2024	Food and Beverage	Undisputed	01/23/2026	1108237686	CMS
ABBVIE INC.	$10.75	07/02/2024	Food and Beverage	Undisputed	01/23/2026	1108237688	CMS
ABBVIE INC.	$14.73	07/25/2024	Food and Beverage	Undisputed	01/23/2026	1108237690	CMS
ABBVIE INC.	$5.86	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1108237692	CMS
ABBVIE INC.	$16.72	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1108237694	CMS
ABBVIE INC.	$6.01	10/21/2024	Food and Beverage	Undisputed	01/23/2026	1108237696	CMS
ABBVIE INC.	$19.19	11/25/2024	Food and Beverage	Undisputed	01/23/2026	1108237698	CMS
Alexion Pharmaceuticals, Inc.	$21.27	06/28/2024	Food and Beverage	Undisputed	01/23/2026	1094008265	CMS
Amgen Inc.	$14.58	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1117690520	CMS
Antares Pharma, Inc.	$19.94	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1146523693	CMS
Ardelyx, Inc.	$13.47	07/30/2024	Food and Beverage	Undisputed	01/23/2026	1146746547	CMS
Astellas Pharma US Inc	$16.99	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1139472328	CMS
AstraZeneca Pharmaceuticals LP	$99.67	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1105349286	CMS
AstraZeneca Pharmaceuticals LP	$15.89	03/12/2024	Food and Beverage	Undisputed	01/23/2026	1105817861	CMS
AstraZeneca Pharmaceuticals LP	$16.55	04/15/2024	Food and Beverage	Undisputed	01/23/2026	1104253587	CMS
AstraZeneca Pharmaceuticals LP	$18.23	05/07/2024	Food and Beverage	Undisputed	01/23/2026	1104275845	CMS
Axsome Therapeutics, Inc.	$17.36	06/14/2024	Food and Beverage	Undisputed	01/23/2026	1148335577	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.27	01/04/2024	Food and Beverage	Undisputed	01/23/2026	1086290826	CMS
Bayer Healthcare Pharmaceuticals Inc.	$14.10	04/27/2024	Food and Beverage	Undisputed	01/23/2026	1086307231	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.56	08/01/2024	Food and Beverage	Undisputed	01/23/2026	1086295704	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.30	10/15/2024	Food and Beverage	Undisputed	01/23/2026	1086307863	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.96	12/20/2024	Food and Beverage	Undisputed	01/23/2026	1086273848	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.13	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1118082406	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.14	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1118082408	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$19.20	08/05/2024	Food and Beverage	Undisputed	01/23/2026	1118082412	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.55	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1118082410	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.75	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1118082414	CMS
Boston Scientific Corporation	$23.40	04/10/2024	Food and Beverage	Undisputed	01/23/2026	1092345068	CMS
Dexcom, Inc.	$18.17	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1153348758	CMS
Edwards Lifesciences Corporation	$18.93	06/04/2024	Food and Beverage	Undisputed	01/23/2026	1138830610	CMS
GlaxoSmithKline, LLC.	$15.18	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1116543394	CMS
GlaxoSmithKline, LLC.	$13.42	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1116651339	CMS
GlaxoSmithKline, LLC.	$17.30	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1116548547	CMS
GlaxoSmithKline, LLC.	$18.05	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1116355028	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$23.52	10/01/2024	Food and Beverage	Undisputed	01/23/2026	1143608374	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$13.41	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1143608376	CMS
Janssen Pharmaceuticals, Inc	$15.68	04/22/2024	Food and Beverage	Undisputed	01/23/2026	1078241541	CMS
Lilly USA, LLC	$15.19	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1135533395	CMS
Lilly USA, LLC	$23.76	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1135528031	CMS
Lilly USA, LLC	$21.05	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1135528033	CMS
Novartis Pharmaceuticals Corporation	$14.95	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1087202075	CMS
Novartis Pharmaceuticals Corporation	$14.87	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1087202081	CMS
Novartis Pharmaceuticals Corporation	$15.38	09/12/2024	Food and Beverage	Undisputed	01/23/2026	1087202093	CMS
Novo Nordisk Inc	$14.04	01/12/2024	Food and Beverage	Undisputed	01/23/2026	1100610458	CMS
Novo Nordisk Inc	$19.30	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1100396722	CMS
Novo Nordisk Inc	$15.52	01/26/2024	Food and Beverage	Undisputed	01/23/2026	1100591648	CMS
Novo Nordisk Inc	$17.26	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1100255724	CMS
Novo Nordisk Inc	$14.47	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1100246497	CMS
Novo Nordisk Inc	$22.02	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1100267748	CMS
Novo Nordisk Inc	$15.52	03/27/2024	Food and Beverage	Undisputed	01/23/2026	1100318292	CMS
Novo Nordisk Inc	$22.60	04/11/2024	Food and Beverage	Undisputed	01/23/2026	1100291706	CMS
Novo Nordisk Inc	$23.09	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1100451478	CMS
Novo Nordisk Inc	$15.03	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1100612050	CMS
Novo Nordisk Inc	$17.51	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1100283980	CMS
Novo Nordisk Inc	$15.03	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1100281744	CMS
Novo Nordisk Inc	$17.69	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1100531133	CMS
Novo Nordisk Inc	$22.64	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1100238458	CMS
Novo Nordisk Inc	$18.93	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1100544784	CMS
Novo Nordisk Inc	$14.28	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1100479571	CMS
Novo Nordisk Inc	$25.95	12/16/2024	Food and Beverage	Undisputed	01/23/2026	1100314712	CMS
Otsuka America Pharmaceutical, Inc.	$21.92	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1119190896	CMS
Otsuka America Pharmaceutical, Inc.	$29.21	04/16/2024	Food and Beverage	Undisputed	01/23/2026	1119190898	CMS
PFIZER INC.	$16.98	01/20/2024	Food and Beverage	Undisputed	01/23/2026	1130973004	CMS
PFIZER INC.	$0.61	01/20/2024	Food and Beverage	Undisputed	01/23/2026	1131531346	CMS
PFIZER INC.	$19.15	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1131281803	CMS
PFIZER INC.	$0.64	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1131587498	CMS
PFIZER INC.	$15.85	03/16/2024	Food and Beverage	Undisputed	01/23/2026	1131212822	CMS
PFIZER INC.	$13.54	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1131277541	CMS
PFIZER INC.	$15.63	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1131374808	CMS
PFIZER INC.	$0.63	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1131662610	CMS
PFIZER INC.	$21.19	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1131319794	CMS
PFIZER INC.	$15.96	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1131437133	CMS
PFIZER INC.	$0.56	05/17/2024	Food and Beverage	Undisputed	01/23/2026	1131596630	CMS
PFIZER INC.	$15.31	05/31/2024	Food and Beverage	Undisputed	01/23/2026	1131623474	CMS
PFIZER INC.	$0.68	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1131682291	CMS
PFIZER INC.	$17.09	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1131642095	CMS
PFIZER INC.	$15.32	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1131768222	CMS
PFIZER INC.	$16.14	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1131764770	CMS
PFIZER INC.	$0.62	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1131790159	CMS
PFIZER INC.	$0.69	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1131836458	CMS
PFIZER INC.	$17.59	08/15/2024	Food and Beverage	Undisputed	01/23/2026	1131867434	CMS
PFIZER INC.	$18.66	08/27/2024	Food and Beverage	Undisputed	01/23/2026	1131869244	CMS
PFIZER INC.	$0.67	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1131957739	CMS
PFIZER INC.	$18.52	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1131973569	CMS
PFIZER INC.	$15.86	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1132124405	CMS
PFIZER INC.	$13.45	10/02/2024	Food and Beverage	Undisputed	01/23/2026	1132094962	CMS
PFIZER INC.	$0.68	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1130882134	CMS
PFIZER INC.	$20.02	10/31/2024	Food and Beverage	Undisputed	01/23/2026	1132115875	CMS
PFIZER INC.	$9.82	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1131113913	CMS
PFIZER INC.	$13.83	11/13/2024	Food and Beverage	Undisputed	01/23/2026	1131115419	CMS
PFIZER INC.	$17.39	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1131110009	CMS
PFIZER INC.	$0.65	11/15/2024	Food and Beverage	Undisputed	01/23/2026	1131164127	CMS
PFIZER INC.	$13.69	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1131214903	CMS
PFIZER INC.	$12.75	12/09/2024	Food and Beverage	Undisputed	01/23/2026	1131170625	CMS
Phadia US Inc.	$21.16	05/12/2024	Food and Beverage	Undisputed	01/23/2026	1067575556	CMS
Phathom Pharmaceuticals, Inc.	$13.12	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1151207401	CMS
Phathom Pharmaceuticals, Inc.	$35.71	11/26/2024	Food and Beverage	Undisputed	01/23/2026	1151207403	CMS
Philips North America LLC	$18.82	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1146911298	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$16.73	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1153696265	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18.01	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1153638648	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$22.93	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1153555497	CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$20.60	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1153504611	CMS
SHIELD THERAPEUTICS INC	$21.26	04/09/2024	Food and Beverage	Undisputed	01/23/2026	1150126897	CMS
SHIELD THERAPEUTICS INC	$13.85	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1150129858	CMS
SHIELD THERAPEUTICS INC	$95.69	10/24/2024	Food and Beverage	Undisputed	01/23/2026	1150151222	CMS
SHIELD THERAPEUTICS INC	$68.57	11/21/2024	Food and Beverage	Undisputed	01/23/2026	1150155318	CMS
Sumitomo Pharma America, Inc.	$21.91	08/12/2024	Food and Beverage	Undisputed	01/23/2026	1148996880	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: 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · 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.