Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

ANDREW JASON SPENCE

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1619511854
CMS profile
10578839
Location
QUINTON, VA

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.

General Payments · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$1,608.01

97 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,608.01 97

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $129.10 9
PY2022 $686.99 52
PY2023 $979.11 74
PY2024 $2,056.22 122
PY2025 $1,608.01 97

Payment records · PY2025 (97)

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

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
PFIZER INC. $12.60 12/30/2025 Food and Beverage No dispute reported 06/30/2026 1231142329 CMS
PFIZER INC. $20.62 12/23/2025 Food and Beverage No dispute reported 06/30/2026 1231139184 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.17 12/23/2025 Food and Beverage No dispute reported 06/30/2026 1232033715 CMS
ABBVIE INC. $8.11 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1203556800 CMS
ABBVIE INC. $7.01 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1203556794 CMS
Novo Nordisk Inc $17.69 12/01/2025 Food and Beverage No dispute reported 06/30/2026 1188467706 CMS
ABBVIE INC. $17.28 11/25/2025 Food and Beverage No dispute reported 06/30/2026 1203556788 CMS
Edwards Lifesciences Corporation $17.32 11/21/2025 Food and Beverage No dispute reported 06/30/2026 1225216341 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.89 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1225819430 CMS
Axsome Therapeutics, Inc. $18.58 11/11/2025 Food and Beverage No dispute reported 06/30/2026 1235623946 CMS
AstraZeneca Pharmaceuticals LP $17.00 11/10/2025 Food and Beverage No dispute reported 06/30/2026 1206371823 CMS
ABBVIE INC. $2.12 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1203556782 CMS
PFIZER INC. $13.64 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1231030618 CMS
ABBVIE INC. $12.29 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1203556777 CMS
Novo Nordisk Inc $30.86 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1188839387 CMS
Novo Nordisk Inc $15.28 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1188906989 CMS
Esperion Therapeutics, Inc. $13.51 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1243996055 CMS
PFIZER INC. $19.74 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1230765202 CMS
PFIZER INC. $0.67 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1230658066 CMS
ABBVIE INC. $2.24 10/22/2025 Food and Beverage No dispute reported 06/30/2026 1203556769 CMS
Axsome Therapeutics, Inc. $18.58 10/21/2025 Food and Beverage No dispute reported 06/30/2026 1235526522 CMS
ABBVIE INC. $23.16 10/16/2025 Food and Beverage No dispute reported 06/30/2026 1203556763 CMS
Lilly USA, LLC $18.81 10/06/2025 Food and Beverage No dispute reported 06/30/2026 1187074795 CMS
Exact Sciences Corporation $19.90 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1235497934 CMS
PFIZER INC. $18.78 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1230410357 CMS
ABBVIE INC. $5.04 09/23/2025 Food and Beverage No dispute reported 06/30/2026 1203556757 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.89 09/22/2025 Food and Beverage No dispute reported 06/30/2026 1225819425 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.15 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1222801453 CMS
Lilly USA, LLC $18.69 09/11/2025 Food and Beverage No dispute reported 06/30/2026 1186979596 CMS
Novo Nordisk Inc $27.01 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1188728415 CMS
PFIZER INC. $15.48 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1230783746 CMS
PFIZER INC. $13.99 08/26/2025 Food and Beverage No dispute reported 06/30/2026 1229687921 CMS
Axsome Therapeutics, Inc. $18.36 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1235484503 CMS
PFIZER INC. $17.59 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1229663393 CMS
PFIZER INC. $0.57 08/22/2025 Food and Beverage No dispute reported 06/30/2026 1229751800 CMS
ABBVIE INC. $13.06 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1203556751 CMS
Bayer Healthcare Pharmaceuticals Inc. $14.36 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1225819419 CMS
AstraZeneca Pharmaceuticals LP $14.28 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1207208629 CMS
Esperion Therapeutics, Inc. $13.87 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1243996053 CMS
ABBVIE INC. $10.95 08/12/2025 Food and Beverage No dispute reported 06/30/2026 1203556743 CMS
Lilly USA, LLC $22.70 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1186979594 CMS
Axsome Therapeutics, Inc. $18.87 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1235484406 CMS
Lilly USA, LLC $13.42 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1186947121 CMS
PFIZER INC. $19.34 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1229478626 CMS
PFIZER INC. $0.47 07/25/2025 Food and Beverage No dispute reported 06/30/2026 1229509010 CMS
Dexcom, Inc. $19.30 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1250543144 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.17 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1225819388 CMS
ABBVIE INC. $8.22 07/16/2025 Food and Beverage No dispute reported 06/30/2026 1203556735 CMS
PFIZER INC. $17.49 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1229550893 CMS
GlaxoSmithKline, LLC. $23.05 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1191442472 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.39 07/08/2025 Food and Beverage No dispute reported 06/30/2026 1232033713 CMS
PFIZER INC. $15.61 07/01/2025 Food and Beverage No dispute reported 06/30/2026 1229514757 CMS
PFIZER INC. $19.39 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1229332364 CMS
PFIZER INC. $0.55 06/27/2025 Food and Beverage No dispute reported 06/30/2026 1229333295 CMS
Novo Nordisk Inc $29.12 06/26/2025 Food and Beverage No dispute reported 06/30/2026 1188253838 CMS
ABBVIE INC. $11.34 06/24/2025 Food and Beverage No dispute reported 06/30/2026 1203556731 CMS
ABBVIE INC. $13.59 06/23/2025 Food and Beverage No dispute reported 06/30/2026 1203556725 CMS
Lilly USA, LLC $24.76 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1186979592 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.17 06/06/2025 Food and Beverage No dispute reported 06/30/2026 1225819401 CMS
Merck Sharp & Dohme LLC $32.49 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1238022332 CMS
PFIZER INC. $8.24 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1229352965 CMS
Novo Nordisk Inc $16.79 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1188671262 CMS
Dexcom, Inc. $18.10 05/27/2025 Food and Beverage No dispute reported 06/30/2026 1250543142 CMS
ABBVIE INC. $14.25 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1203556719 CMS
Novo Nordisk Inc $3.12 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1188918066 CMS
Novo Nordisk Inc $6.69 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1188953519 CMS
AstraZeneca Pharmaceuticals LP $18.07 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1206441614 CMS
GlaxoSmithKline, LLC. $16.50 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1191682924 CMS
ABBVIE INC. $4.81 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1203556712 CMS
PFIZER INC. $14.43 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1229141927 CMS
Novo Nordisk Inc $29.12 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1188703348 CMS
Otsuka America Pharmaceutical, Inc. $21.47 04/29/2025 Food and Beverage No dispute reported 06/30/2026 1227994602 CMS
GlaxoSmithKline, LLC. $15.88 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1191520568 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.17 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1225819408 CMS
Amneal Pharmaceuticals LLC $19.01 04/15/2025 Food and Beverage No dispute reported 06/30/2026 1220565759 CMS
Lilly USA, LLC $17.09 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1187074793 CMS
Novo Nordisk Inc $17.20 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1189070765 CMS
SHIELD THERAPEUTICS INC $42.36 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1249612256 CMS
PFIZER INC. $12.53 04/08/2025 Food and Beverage No dispute reported 06/30/2026 1229268655 CMS
PFIZER INC. $16.66 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1229181623 CMS
ABBVIE INC. $14.40 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1203556706 CMS
Dexcom, Inc. $18.84 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1250543140 CMS
PFIZER INC. $18.94 03/27/2025 Food and Beverage No dispute reported 06/30/2026 1229045175 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $14.92 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1241681886 CMS
Lilly USA, LLC $16.33 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1186979590 CMS
PFIZER INC. $17.43 02/14/2025 Food and Beverage No dispute reported 06/30/2026 1229862829 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.17 02/13/2025 Food and Beverage No dispute reported 06/30/2026 1225819413 CMS
PFIZER INC. $17.34 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1229041106 CMS
PFIZER INC. $0.58 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1229244098 CMS
SHIELD THERAPEUTICS INC $47.31 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1249604268 CMS
ABBVIE INC. $4.79 01/29/2025 Food and Beverage No dispute reported 06/30/2026 1203556701 CMS
PFIZER INC. $16.94 01/28/2025 Food and Beverage No dispute reported 06/30/2026 1229086818 CMS
AstraZeneca Pharmaceuticals LP $100.59 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1207260885 CMS
ABBVIE INC. $15.32 01/21/2025 Food and Beverage No dispute reported 06/30/2026 1203556695 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.17 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1225819395 CMS
PFIZER INC. $19.22 01/03/2025 Food and Beverage No dispute reported 06/30/2026 1228960802 CMS
PFIZER INC. $0.65 01/03/2025 Food and Beverage No dispute reported 06/30/2026 1229248988 CMS

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
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · 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 JASON SPENCE, NPI 1619511854. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1619511854.
APA 7
IndustryPayments. (2026). ANDREW JASON SPENCE, NPI 1619511854 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1619511854
Bluebook
ANDREW JASON SPENCE, NPI 1619511854, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1619511854.

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