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

ADAM J SPIEGEL

Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

NPI
1639317993
CMS profile
164622
Location
WYOMISSING, PA

General Payments · PY2018–2024

$2,971.31

  • Reported across 188 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$473.70

32 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 $473.70 32

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $265.42 22
Ipsen Biopharmaceuticals, Inc $85.05 4
Takeda Pharmaceuticals U.S.A., Inc. $36.17 1
Celgene Corporation $32.91 2
Daiichi Sankyo Inc. $26.73 1
Lilly USA, LLC $14.27 1
PFIZER INC. $13.15 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $615.60 36
PY2019 $650.67 45
PY2020 $77.81 5
PY2021 $592.48 27
PY2022 $270.11 21
PY2023 $290.94 22
PY2024 $473.70 32

Payment records · PY2024 (32)

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

Program year 2024 201820192020202120222023 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
ABBVIE INC. $12.07 01/29/2024 Food and Beverage Undisputed 01/23/2026 1106147047 CMS
ABBVIE INC. $6.66 01/30/2024 Food and Beverage Undisputed 01/23/2026 1106147049 CMS
ABBVIE INC. $12.98 03/06/2024 Food and Beverage Undisputed 01/23/2026 1106147051 CMS
ABBVIE INC. $5.41 03/14/2024 Food and Beverage Undisputed 01/23/2026 1106147053 CMS
ABBVIE INC. $12.07 03/28/2024 Food and Beverage Undisputed 01/23/2026 1106147055 CMS
ABBVIE INC. $11.49 04/04/2024 Food and Beverage Undisputed 01/23/2026 1106147057 CMS
ABBVIE INC. $14.63 04/16/2024 Food and Beverage Undisputed 01/23/2026 1106147059 CMS
ABBVIE INC. $6.96 05/01/2024 Food and Beverage Undisputed 01/23/2026 1106147061 CMS
ABBVIE INC. $12.49 06/05/2024 Food and Beverage Undisputed 01/23/2026 1106147063 CMS
ABBVIE INC. $14.77 06/25/2024 Food and Beverage Undisputed 01/23/2026 1106147065 CMS
ABBVIE INC. $13.73 07/17/2024 Food and Beverage Undisputed 01/23/2026 1106147067 CMS
ABBVIE INC. $9.19 08/06/2024 Food and Beverage Undisputed 01/23/2026 1106147069 CMS
ABBVIE INC. $9.85 09/07/2024 Food and Beverage Undisputed 01/23/2026 1106147071 CMS
ABBVIE INC. $8.78 09/11/2024 Food and Beverage Undisputed 01/23/2026 1106147073 CMS
ABBVIE INC. $12.97 09/16/2024 Food and Beverage Undisputed 01/23/2026 1106147075 CMS
ABBVIE INC. $14.87 09/23/2024 Food and Beverage Undisputed 01/23/2026 1106147077 CMS
ABBVIE INC. $12.97 10/14/2024 Food and Beverage Undisputed 01/23/2026 1106147079 CMS
ABBVIE INC. $5.53 10/21/2024 Food and Beverage Undisputed 01/23/2026 1106147081 CMS
ABBVIE INC. $16.68 10/28/2024 Food and Beverage Undisputed 01/23/2026 1106147083 CMS
ABBVIE INC. $30.12 11/18/2024 Food and Beverage Undisputed 01/23/2026 1106147085 CMS
ABBVIE INC. $14.64 12/04/2024 Food and Beverage Undisputed 01/23/2026 1106147087 CMS
ABBVIE INC. $6.56 12/11/2024 Food and Beverage Undisputed 01/23/2026 1106147089 CMS
Celgene Corporation $17.29 05/03/2024 Food and Beverage Undisputed 01/23/2026 1101108338 CMS
Celgene Corporation $15.62 08/22/2024 Food and Beverage Undisputed 01/23/2026 1101108352 CMS
Daiichi Sankyo Inc. $26.73 12/18/2024 Food and Beverage Undisputed 01/23/2026 1089485880 CMS
Ipsen Biopharmaceuticals, Inc $19.69 01/25/2024 Food and Beverage Undisputed 01/23/2026 1091970413 CMS
Ipsen Biopharmaceuticals, Inc $18.20 05/02/2024 Food and Beverage Undisputed 01/23/2026 1091970411 CMS
Ipsen Biopharmaceuticals, Inc $23.71 07/31/2024 Food and Beverage Undisputed 01/23/2026 1091970415 CMS
Ipsen Biopharmaceuticals, Inc $23.45 10/17/2024 Food and Beverage Undisputed 01/23/2026 1091970417 CMS
Lilly USA, LLC $14.27 01/23/2024 Food and Beverage Undisputed 01/23/2026 1136007575 CMS
PFIZER INC. $13.15 03/18/2024 Food and Beverage Undisputed 01/23/2026 1131265127 CMS
Takeda Pharmaceuticals U.S.A., Inc. $36.17 04/15/2024 Food and Beverage Undisputed 01/23/2026 1137680637 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, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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