SPENCER DUANE ELMER
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Psychiatric/Mental Health WEST DES MOINES, IA NPI 1750156741
Browse related groups: Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Psychiatric/Mental Health IA Tris Pharma Inc All categories
General Payments — all program years on this page
$800.45
- Category: General Payments
- Program years: PY2023–2024
- Record count: 27
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $509.39 across 24 records · disputed records: 0
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How this figure is 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
Latest program year (PY2024) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $509.39 | 24 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Tris Pharma Inc | $201.74 | 11 |
| Neos Therapeutics, LP | $90.05 | 5 |
| Neuronetics, Inc. | $80.09 | 1 |
| Corium, Inc. | $65.23 | 3 |
| Almatica Pharma Inc. | $26.66 | 2 |
| Itamar Medical Inc | $23.38 | 1 |
| Novo Nordisk AS | $22.24 | 1 |
By program year
Records — PY2024 (24)
Provenance & corrections
- Dataset: CMS Open Payments — General Payments
- Source: CMS Open Payments dataset (bulk file)
- Publisher of source data: Centers for Medicare & Medicaid Services
- 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.