IndustryPayments
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

JOSHUA A SPENCER

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1659597169
CMS profile
347941
Location
WILMINGTON, NC

General Payments · PY2018–2024

$5,485.91

  • Reported across 124 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,378.84

55 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.

Related groups: Cardiovascular Disease NC All categories

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $1,232.68 4
Food and Beverage $1,146.16 51

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Abbott Laboratories $1,368.34 8
BOSTON SCIENTIFIC CORPORATION $609.73 42
HEARTFLOW, INC. $290.75 3
CVRx Inc. $100.60 1
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $9.42 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,304.61 7
PY2019 $295.65 4
PY2021 $189.79 10
PY2022 $629.39 24
PY2023 $687.63 24
PY2024 $2,378.84 55

Payment records · PY2024 (55)

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

Program year 2024 20182019202120222023 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 $1,102.08 03/04/2024 Travel and Lodging Undisputed 01/23/2026 1125424687 CMS
Abbott Laboratories $9.02 03/04/2024 Travel and Lodging Undisputed 01/23/2026 1125424693 CMS
Abbott Laboratories $29.00 03/07/2024 Travel and Lodging Undisputed 01/23/2026 1125424691 CMS
Abbott Laboratories $92.58 03/13/2024 Travel and Lodging Undisputed 01/23/2026 1125424689 CMS
Abbott Laboratories $92.73 03/14/2024 Food and Beverage Undisputed 01/23/2026 1125175762 CMS
Abbott Laboratories $7.99 03/14/2024 Food and Beverage Undisputed 01/23/2026 1125175764 CMS
Abbott Laboratories $16.42 06/02/2024 Food and Beverage Undisputed 01/23/2026 1125175766 CMS
Abbott Laboratories $18.52 09/09/2024 Food and Beverage Undisputed 01/23/2026 1125175768 CMS
Boston Scientific Corporation $15.71 01/10/2024 Food and Beverage Undisputed 01/23/2026 1092371129 CMS
Boston Scientific Corporation $3.68 01/16/2024 Food and Beverage Undisputed 01/23/2026 1092370733 CMS
Boston Scientific Corporation $10.23 01/16/2024 Food and Beverage Undisputed 01/23/2026 1092370737 CMS
Boston Scientific Corporation $15.50 01/24/2024 Food and Beverage Undisputed 01/23/2026 1092370749 CMS
Boston Scientific Corporation $15.97 02/07/2024 Food and Beverage Undisputed 01/23/2026 1092371131 CMS
Boston Scientific Corporation $15.68 02/21/2024 Food and Beverage Undisputed 01/23/2026 1092371127 CMS
Boston Scientific Corporation $16.01 03/06/2024 Food and Beverage Undisputed 01/23/2026 1092371133 CMS
Boston Scientific Corporation $16.20 03/13/2024 Food and Beverage Undisputed 01/23/2026 1092371137 CMS
Boston Scientific Corporation $6.70 03/19/2024 Food and Beverage Undisputed 01/23/2026 1092370735 CMS
Boston Scientific Corporation $16.20 03/27/2024 Food and Beverage Undisputed 01/23/2026 1092371139 CMS
Boston Scientific Corporation $16.13 04/10/2024 Food and Beverage Undisputed 01/23/2026 1092371135 CMS
Boston Scientific Corporation $0.83 04/17/2024 Food and Beverage Undisputed 01/23/2026 1092370727 CMS
Boston Scientific Corporation $10.31 04/17/2024 Food and Beverage Undisputed 01/23/2026 1092370739 CMS
Boston Scientific Corporation $16.20 04/24/2024 Food and Beverage Undisputed 01/23/2026 1092371141 CMS
Boston Scientific Corporation $1.81 05/01/2024 Food and Beverage Undisputed 01/23/2026 1092370731 CMS
Boston Scientific Corporation $12.26 05/01/2024 Food and Beverage Undisputed 01/23/2026 1092370741 CMS
Boston Scientific Corporation $16.20 05/08/2024 Food and Beverage Undisputed 01/23/2026 1092371143 CMS
Boston Scientific Corporation $1.52 05/15/2024 Food and Beverage Undisputed 01/23/2026 1092370729 CMS
Boston Scientific Corporation $12.26 05/15/2024 Food and Beverage Undisputed 01/23/2026 1092370743 CMS
Boston Scientific Corporation $16.31 06/05/2024 Food and Beverage Undisputed 01/23/2026 1092371147 CMS
Boston Scientific Corporation $16.31 06/12/2024 Food and Beverage Undisputed 01/23/2026 1092371149 CMS
Boston Scientific Corporation $14.37 07/03/2024 Food and Beverage Undisputed 01/23/2026 1092370745 CMS
Boston Scientific Corporation $16.31 07/10/2024 Food and Beverage Undisputed 01/23/2026 1092371151 CMS
Boston Scientific Corporation $16.31 07/17/2024 Food and Beverage Undisputed 01/23/2026 1092371153 CMS
Boston Scientific Corporation $16.31 07/24/2024 Food and Beverage Undisputed 01/23/2026 1092371155 CMS
Boston Scientific Corporation $15.47 07/31/2024 Food and Beverage Undisputed 01/23/2026 1092370747 CMS
Boston Scientific Corporation $16.31 08/07/2024 Food and Beverage Undisputed 01/23/2026 1092371157 CMS
Boston Scientific Corporation $16.31 08/14/2024 Food and Beverage Undisputed 01/23/2026 1092371159 CMS
Boston Scientific Corporation $16.53 08/21/2024 Food and Beverage Undisputed 01/23/2026 1092371161 CMS
Boston Scientific Corporation $29.95 08/22/2024 Food and Beverage Undisputed 01/23/2026 1092371183 CMS
Boston Scientific Corporation $16.20 09/10/2024 Food and Beverage Undisputed 01/23/2026 1092371145 CMS
Boston Scientific Corporation $15.67 09/11/2024 Food and Beverage Undisputed 01/23/2026 1092371125 CMS
Boston Scientific Corporation $16.53 09/18/2024 Food and Beverage Undisputed 01/23/2026 1092371163 CMS
Boston Scientific Corporation $16.53 10/02/2024 Food and Beverage Undisputed 01/23/2026 1092371165 CMS
Boston Scientific Corporation $16.53 10/16/2024 Food and Beverage Undisputed 01/23/2026 1092371167 CMS
Boston Scientific Corporation $16.71 10/23/2024 Food and Beverage Undisputed 01/23/2026 1092371171 CMS
Boston Scientific Corporation $16.71 10/30/2024 Food and Beverage Undisputed 01/23/2026 1092371173 CMS
Boston Scientific Corporation $18.24 10/31/2024 Food and Beverage Undisputed 01/23/2026 1092371181 CMS
Boston Scientific Corporation $16.71 11/06/2024 Food and Beverage Undisputed 01/23/2026 1092371175 CMS
Boston Scientific Corporation $16.71 11/20/2024 Food and Beverage Undisputed 01/23/2026 1092371177 CMS
Boston Scientific Corporation $16.59 12/04/2024 Food and Beverage Undisputed 01/23/2026 1092371169 CMS
Boston Scientific Corporation $16.71 12/18/2024 Food and Beverage Undisputed 01/23/2026 1092371179 CMS
CVRx, Inc. $100.60 07/02/2024 Food and Beverage Undisputed 01/23/2026 1138615551 CMS
HEARTFLOW, INC. $26.25 10/23/2024 Food and Beverage Undisputed 01/23/2026 1154167040 CMS
HEARTFLOW, INC. $138.55 11/06/2024 Food and Beverage Undisputed 01/23/2026 1154167042 CMS
HEARTFLOW, INC. $125.95 11/06/2024 Food and Beverage Undisputed 01/23/2026 1154167048 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $9.42 08/09/2024 Food and Beverage Undisputed 01/23/2026 1080634674 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, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , 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.

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