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

CHRISTAL ELISE SPEARS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1639737026
CMS profile
10828767
Location
JUPITER, FL

General Payments · PY2021–2024

$1,719.03

  • Reported across 84 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$393.04

18 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 $393.04 18

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,048.68 51
PY2022 $13.07 1
PY2023 $264.24 14
PY2024 $393.04 18

Payment records · PY2024 (18)

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

Program year 2024 202120222023 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 $42.58 10/15/2024 Food and Beverage Undisputed 01/23/2026 1125167730 CMS
Amgen Inc. $17.82 01/10/2024 Food and Beverage Undisputed 01/23/2026 1116145148 CMS
Amgen Inc. $16.52 06/12/2024 Food and Beverage Undisputed 01/23/2026 1116145154 CMS
Amgen Inc. $21.90 12/10/2024 Food and Beverage Undisputed 01/23/2026 1116145160 CMS
AstraZeneca Pharmaceuticals LP $15.79 04/11/2024 Food and Beverage Undisputed 01/23/2026 1104463904 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.23 08/14/2024 Food and Beverage Undisputed 01/23/2026 1118092238 CMS
Boston Scientific Corporation $15.67 07/03/2024 Food and Beverage Undisputed 01/23/2026 1092430269 CMS
E.R. Squibb & Sons, L.L.C. $32.00 08/28/2024 Food and Beverage Undisputed 01/23/2026 1101245800 CMS
Janssen Pharmaceuticals, Inc $18.41 02/08/2024 Food and Beverage Undisputed 01/23/2026 1077973716 CMS
Janssen Pharmaceuticals, Inc $19.22 08/21/2024 Food and Beverage Undisputed 01/23/2026 1077973796 CMS
Merck Sharp & Dohme LLC $23.14 07/17/2024 Food and Beverage Undisputed 01/23/2026 1141895137 CMS
Merck Sharp & Dohme LLC $20.59 10/31/2024 Food and Beverage Undisputed 01/23/2026 1141771786 CMS
Novartis Pharmaceuticals Corporation $17.01 04/11/2024 Food and Beverage Undisputed 01/23/2026 1087203025 CMS
Novartis Pharmaceuticals Corporation $15.92 05/15/2024 Food and Beverage Undisputed 01/23/2026 1087203027 CMS
Novartis Pharmaceuticals Corporation $21.29 09/11/2024 Food and Beverage Undisputed 01/23/2026 1087203035 CMS
Novo Nordisk Inc $21.60 06/18/2024 Food and Beverage Undisputed 01/23/2026 1100277966 CMS
Novo Nordisk Inc $21.71 07/23/2024 Food and Beverage Undisputed 01/23/2026 1100401494 CMS
SANOFI-AVENTIS U.S. LLC $27.64 03/13/2024 Food and Beverage Undisputed 01/23/2026 1139651059 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

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.