Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

LAURA SPYCHE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1760511034
CMS profile
11250063
Location
CHEEKTOWAGA, NY

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2022 · Entire year

$8,932.12

49 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Honoraria $7,500.00 4
Food and Beverage $972.05 41
Travel and Lodging $460.07 4

By paying entity

PY2022 · entire year · sorted by reported total

Payment records · PY2022

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

49 matching records · $8,932.12 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 49 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–49 of 49.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Abbott Laboratories $14.9912/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026920652171 CMS
Lilly USA, LLC $17.9612/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918584133 CMS
AstraZeneca Pharmaceuticals LP $17.7212/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915429777 CMS
Vifor Pharma, Inc. $13.5411/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026896767019 CMS
Novo Nordisk Inc $12.4111/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899067765 CMS
AstraZeneca Pharmaceuticals LP $18.1811/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914858909 CMS
AstraZeneca Pharmaceuticals LP $20.0011/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914864763 CMS
VBI Vaccines (Delaware) Inc. $13.1111/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026911538415 CMS
Fresenius USA Marketing, Inc. $126.3710/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555917 CMS
Fresenius USA Marketing, Inc. $2,000.0010/27/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555947 CMS
Fresenius USA Marketing, Inc. $23.1210/27/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954597548 CMS
AstraZeneca Pharmaceuticals LP $18.6610/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914693885 CMS
Lilly USA, LLC $20.9310/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918584131 CMS
AstraZeneca Pharmaceuticals LP $17.5209/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915489877 CMS
AstraZeneca Pharmaceuticals LP $14.5409/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915870431 CMS
Amgen Inc. $14.1909/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939969625 CMS
Takeda Pharmaceuticals U.S.A., Inc. $19.6009/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026956194377 CMS
AstraZeneca Pharmaceuticals LP $16.9408/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914979543 CMS
Amgen Inc. $15.8807/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939969623 CMS
AstraZeneca Pharmaceuticals LP $16.9207/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915298035 CMS
Fresenius USA Marketing, Inc. $2.0407/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954597525 CMS
Fresenius USA Marketing, Inc. $16.7707/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954597537 CMS
AstraZeneca Pharmaceuticals LP $25.4307/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914837911 CMS
Otsuka Pharmaceutical Development & Commercialization, Inc. $20.8907/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026933759465 CMS
AstraZeneca Pharmaceuticals LP $19.8206/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914741905 CMS
Fresenius USA Marketing, Inc. $1,000.0006/16/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555935 CMS
AKEBIA THERAPEUTICS INC $16.8506/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885305821 CMS
AstraZeneca Pharmaceuticals LP $19.6106/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914813905 CMS
Fresenius USA Marketing, Inc. $30.7006/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555905 CMS
Fresenius USA Marketing, Inc. $201.2406/09/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555923 CMS
Fresenius USA Marketing, Inc. $211.1406/09/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555929 CMS
Fresenius USA Marketing, Inc. $2,500.0006/09/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555953 CMS
Vifor Pharma, Inc. $30.4805/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026896767021 CMS
Fresenius USA Marketing, Inc. $122.7005/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555911 CMS
Fresenius USA Marketing, Inc. $2,000.0005/12/2022 Honoraria No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954555941 CMS
Fresenius USA Marketing, Inc. $24.5705/12/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954597555 CMS
AKEBIA THERAPEUTICS INC $14.5704/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885305783 CMS
Novo Nordisk Inc $20.7304/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899101185 CMS
Lilly USA, LLC $18.6504/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026918570051 CMS
Fresenius USA Marketing, Inc. $1.2504/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954597519 CMS
Fresenius USA Marketing, Inc. $15.4404/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954597531 CMS
Novo Nordisk Inc $18.7903/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026899479217 CMS
Amgen Inc. $18.7703/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939969621 CMS
Amgen Inc. $78.6503/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939969619 CMS
AKEBIA THERAPEUTICS INC $13.8703/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885305781 CMS
Fresenius USA Marketing, Inc. $17.6602/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026954597543 CMS
AKEBIA THERAPEUTICS INC $13.7402/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885305779 CMS
Amgen Inc. $12.5001/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026939969617 CMS
AstraZeneca Pharmaceuticals LP $12.6801/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914752895 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $9,011.82 56
PY2022 $8,932.12 49
PY2023 $1,101.09 60
PY2024 $5,237.28 35
PY2025 $124.99 1

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023, 2024, 2025
Source files and profile matching
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

Cite this record.

Plain
LAURA SPYCHE, NPI 1760511034. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1760511034.
APA 7
IndustryPayments. (2026). LAURA SPYCHE, NPI 1760511034 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1760511034
Bluebook
LAURA SPYCHE, NPI 1760511034, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1760511034.

Source: Centers for Medicare & Medicaid Services, Open Payments.