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

JULIE A SPEARS

Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Acute Care

NPI
1720388846
CMS profile
11237321
Location
TULSA, OK

General Payments · PY2021–2024

$4,076.35

  • Reported across 151 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,424.33

56 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 $1,271.05 49
Education $153.28 7

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $728.68 25
PY2022 $571.15 28
PY2023 $1,352.19 42
PY2024 $1,424.33 56

Payment records · PY2024 (56)

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
ABBVIE INC. $15.67 04/11/2024 Food and Beverage Undisputed 01/23/2026 1108236704 CMS
Alexion Pharmaceuticals, Inc. $21.23 05/07/2024 Food and Beverage Undisputed 01/23/2026 1093914505 CMS
Astellas Pharma US Inc $21.47 10/17/2024 Food and Beverage Undisputed 01/23/2026 1139542032 CMS
AstraZeneca Pharmaceuticals LP $123.12 04/25/2024 Food and Beverage Undisputed 01/23/2026 1105222610 CMS
AstraZeneca Pharmaceuticals LP $17.72 07/30/2024 Food and Beverage Undisputed 01/23/2026 1105687825 CMS
AstraZeneca Pharmaceuticals LP $62.97 10/08/2024 Food and Beverage Undisputed 01/23/2026 1105328439 CMS
AstraZeneca Pharmaceuticals LP $122.04 10/15/2024 Food and Beverage Undisputed 01/23/2026 1105796098 CMS
Aveo Pharmaceuticals, Inc. $22.81 03/20/2024 Food and Beverage Undisputed 01/23/2026 1143494477 CMS
Bayer Healthcare Pharmaceuticals Inc. $25.31 01/26/2024 Food and Beverage Undisputed 01/23/2026 1086319940 CMS
Bayer Healthcare Pharmaceuticals Inc. $13.22 08/14/2024 Food and Beverage Undisputed 01/23/2026 1086309251 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.58 02/28/2024 Food and Beverage Undisputed 01/23/2026 1118128261 CMS
Daiichi Sankyo Inc. $22.57 03/25/2024 Food and Beverage Undisputed 01/23/2026 1089485696 CMS
Daiichi Sankyo Inc. $22.32 05/06/2024 Food and Beverage Undisputed 01/23/2026 1089485700 CMS
Daiichi Sankyo Inc. $13.94 09/17/2024 Food and Beverage Undisputed 01/23/2026 1089485692 CMS
Daiichi Sankyo Inc. $13.95 10/02/2024 Food and Beverage Undisputed 01/23/2026 1089485694 CMS
E.R. Squibb & Sons, L.L.C. $13.23 05/29/2024 Food and Beverage Undisputed 01/23/2026 1101541966 CMS
Eisai Inc. $20.58 09/10/2024 Food and Beverage Undisputed 01/23/2026 1110807168 CMS
Eisai Inc. $13.14 12/10/2024 Food and Beverage Undisputed 01/23/2026 1110807170 CMS
Genmab U.S., Inc. $33.16 03/12/2024 Food and Beverage Undisputed 01/23/2026 1126836646 CMS
GENZYME CORPORATION $30.74 10/17/2024 Food and Beverage Undisputed 01/23/2026 1139834150 CMS
Geron Corporation $14.96 12/19/2024 Food and Beverage Undisputed 01/23/2026 1126533744 CMS
Gilead Sciences, Inc. $15.73 06/29/2024 Food and Beverage Undisputed 01/23/2026 1133705310 CMS
Gilead Sciences, Inc. $16.41 12/05/2024 Food and Beverage Undisputed 01/23/2026 1133705312 CMS
GlaxoSmithKline, LLC. $15.62 04/23/2024 Food and Beverage Undisputed 01/23/2026 1116252639 CMS
GlaxoSmithKline, LLC. $13.50 07/18/2024 Food and Beverage Undisputed 01/23/2026 1116586009 CMS
GlaxoSmithKline, LLC. $14.72 10/16/2024 Food and Beverage Undisputed 01/23/2026 1116387116 CMS
Incyte Corporation $19.98 06/19/2024 Food and Beverage Undisputed 01/23/2026 1141187828 CMS
Incyte Corporation $83.99 10/23/2024 Education Undisputed 01/23/2026 1141303935 CMS
Janssen Biotech, Inc. $22.95 04/10/2024 Food and Beverage Undisputed 01/23/2026 1078532789 CMS
Janssen Biotech, Inc. $147.60 04/16/2024 Food and Beverage Undisputed 01/23/2026 1078534574 CMS
Janssen Biotech, Inc. $22.82 07/08/2024 Food and Beverage Undisputed 01/23/2026 1078533167 CMS
Janssen Biotech, Inc. $19.24 10/16/2024 Food and Beverage Undisputed 01/23/2026 1078532865 CMS
Janssen Biotech, Inc. $17.45 11/04/2024 Food and Beverage Undisputed 01/23/2026 1078533151 CMS
JAZZ PHARMACEUTICALS INC. $13.88 09/18/2024 Food and Beverage Undisputed 01/23/2026 1151312717 CMS
Lilly USA, LLC $17.75 05/15/2024 Food and Beverage Undisputed 01/23/2026 1135731270 CMS
Merck Sharp & Dohme LLC $14.28 04/17/2024 Food and Beverage Undisputed 01/23/2026 1141657764 CMS
Merck Sharp & Dohme LLC $27.41 05/15/2024 Food and Beverage Undisputed 01/23/2026 1141657766 CMS
Merck Sharp & Dohme LLC $14.91 07/24/2024 Food and Beverage Undisputed 01/23/2026 1141657762 CMS
Merck Sharp & Dohme LLC $20.28 08/28/2024 Food and Beverage Undisputed 01/23/2026 1141858040 CMS
Merck Sharp & Dohme LLC $16.64 11/21/2024 Food and Beverage Undisputed 01/23/2026 1141858038 CMS
Mirati Therapeutics, Inc. $18.99 01/25/2024 Food and Beverage Undisputed 01/23/2026 1117171387 CMS
PFIZER INC. $11.88 02/15/2024 Education Undisputed 01/23/2026 1131585784 CMS
PFIZER INC. $9.66 02/15/2024 Education Undisputed 01/23/2026 1131585792 CMS
PFIZER INC. $16.01 02/15/2024 Education Undisputed 01/23/2026 1131594524 CMS
PFIZER INC. $18.94 04/19/2024 Food and Beverage Undisputed 01/23/2026 1131471721 CMS
PFIZER INC. $25.53 05/02/2024 Food and Beverage Undisputed 01/23/2026 1131554696 CMS
PFIZER INC. $11.88 08/15/2024 Education Undisputed 01/23/2026 1131585563 CMS
PFIZER INC. $7.98 08/15/2024 Education Undisputed 01/23/2026 1131616386 CMS
PFIZER INC. $18.22 08/21/2024 Food and Beverage Undisputed 01/23/2026 1131355767 CMS
PFIZER INC. $11.88 09/06/2024 Education Undisputed 01/23/2026 1131586645 CMS
PFIZER INC. $0.62 10/23/2024 Food and Beverage Undisputed 01/23/2026 1131361620 CMS
PFIZER INC. $2.91 12/18/2024 Food and Beverage Undisputed 01/23/2026 1131414067 CMS
PFIZER INC. $8.64 12/19/2024 Food and Beverage Undisputed 01/23/2026 1131412631 CMS
RECORDATI_RARE_DISEASES_INC. $23.54 07/31/2024 Food and Beverage Undisputed 01/23/2026 1139170889 CMS
Regeneron Healthcare Solutions, Inc. $19.67 11/21/2024 Food and Beverage Undisputed 01/23/2026 1114376149 CMS
TerSera Therapeutics LLC $17.09 03/13/2024 Food and Beverage Undisputed 01/23/2026 1144721827 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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