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

SPENCER CARTER

Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

NPI
1740676238
CMS profile
5706141
Location
DALLAS, TX

General Payments · PY2018–2024

$55,518.31

  • Reported across 32 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$6,385.33

16 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

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
PFIZER INC. $4,768.22 2
Alexion Pharmaceuticals, Inc. $1,452.27 12
Alnylam Pharmaceuticals Inc. $164.84 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $110.85 1
PY2019 $228.97 3
PY2020 $37,500.00 2
PY2021 $10,136.07 2
PY2022 $501.56 3
PY2023 $655.53 5
PY2024 $6,385.33 16

Payment records · PY2024 (16)

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
Alexion Pharmaceuticals, Inc. $567.23 07/05/2024 Travel and Lodging Undisputed 01/23/2026 1093910814 CMS
Alexion Pharmaceuticals, Inc. $25.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1093889276 CMS
Alexion Pharmaceuticals, Inc. $25.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1093917520 CMS
Alexion Pharmaceuticals, Inc. $163.52 09/19/2024 Travel and Lodging Undisputed 01/23/2026 1093920930 CMS
Alexion Pharmaceuticals, Inc. $30.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1093921412 CMS
Alexion Pharmaceuticals, Inc. $25.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1094008506 CMS
Alexion Pharmaceuticals, Inc. $50.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1094014211 CMS
Alexion Pharmaceuticals, Inc. $135.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1094015341 CMS
Alexion Pharmaceuticals, Inc. $163.52 09/19/2024 Travel and Lodging Undisputed 01/23/2026 1094025665 CMS
Alexion Pharmaceuticals, Inc. $30.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1094026825 CMS
Alexion Pharmaceuticals, Inc. $188.00 09/19/2024 Travel and Lodging Undisputed 01/23/2026 1094040992 CMS
Alexion Pharmaceuticals, Inc. $50.00 09/19/2024 Food and Beverage Undisputed 01/23/2026 1094041558 CMS
Alnylam Pharmaceuticals Inc. $118.12 05/14/2024 Food and Beverage Undisputed 01/23/2026 1125854871 CMS
Alnylam Pharmaceuticals Inc. $46.72 05/15/2024 Food and Beverage Undisputed 01/23/2026 1125854737 CMS
PFIZER INC. $268.22 04/05/2024 Food and Beverage Undisputed 01/23/2026 1131588023 CMS
PFIZER INC. $4,500.00 05/01/2024 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program Undisputed 01/23/2026 1132064987 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

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.