Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

GREGORY L SPANGLER

Allopathic & Osteopathic Physicians Internal Medicine Geriatric Medicine

NPI: 1780606046
CMS profile: 262737
Location: KOKOMO, IN

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.

General Payments · PY2019–2025

CMS publication 2026-06-30

Latest program year · PY2025

$6,806.25

316 records · 0 disputed

“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.
Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$6,800.70	315
Education	$5.55	1

By paying entity

PY2025 · sorted by reported total

Paying entity	Amount	Records
Novo Nordisk AS	$746.94	35
Acerta Pharma LLC	$725.80	22
ABBVIE INC.	$697.31	41
PFIZER INC.	$689.51	47
Vanda Pharmaceuticals Inc.	$566.59	17
Otsuka America Pharmaceutical, Inc.	$453.24	21
Axsome Therapeutics, Inc.	$427.76	16
Bayer HealthCare Pharmaceuticals Inc.	$376.47	20
ITI, Inc.	$359.92	12
Neurocrine BioSciences, Inc.	$229.43	10
Lilly USA, LLC	$215.21	13
Supernus Pharmaceuticals, Inc.	$187.11	8
Corcept Therapeutics	$176.57	7
Alkermes, Inc.	$139.80	4
Inspire Medical Systems, Inc.	$138.73	3
Phathom Pharmaceuticals, Inc.	$118.88	11
Boehringer Ingelheim Pharmaceuticals, Inc.	$106.71	6
Lundbeck LLC	$69.31	3
DEXCOM, INC.	$67.64	3
Abbott Laboratories	$61.76	3
Teva Pharmaceuticals USA, Inc.	$57.21	3
Amgen Inc.	$32.76	2
Janssen Pharmaceuticals, Inc	$29.70	1
Antares Pharma, Inc.	$29.19	2
Esperion Therapeutics, Inc.	$28.17	2
Ardelyx, Inc.	$23.15	1
Takeda Pharmaceuticals U.S.A., Inc.	$19.90	1
Viatris Specialty LLC	$17.64	1
Astellas Pharma US Inc	$13.84	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$3,445.48	164
PY2020	$2,068.66	62
PY2021	$3,196.22	49
PY2022	$4,569.19	211
PY2023	$5,512.06	286
PY2024	$5,700.58	263
PY2025	$6,806.25	316

Payment records · PY2025 (316)

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

Program year 2025 2019 2020 2021 2022 2023 2024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
PFIZER INC.	$22.06	12/21/2025	Food and Beverage	No dispute reported	06/30/2026	1229933643	CMS
Vanda Pharmaceuticals Inc.	$14.00	12/19/2025	Food and Beverage	No dispute reported	06/30/2026	1233005736	CMS
Bayer Healthcare Pharmaceuticals Inc.	$31.84	12/18/2025	Food and Beverage	No dispute reported	06/30/2026	1225818206	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.16	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1222922997	CMS
Novo Nordisk Inc	$2.91	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1189167613	CMS
Otsuka America Pharmaceutical, Inc.	$9.63	12/17/2025	Food and Beverage	No dispute reported	06/30/2026	1227502241	CMS
Novo Nordisk Inc	$14.30	12/16/2025	Food and Beverage	No dispute reported	06/30/2026	1189064796	CMS
ABBVIE INC.	$11.68	12/15/2025	Food and Beverage	No dispute reported	06/30/2026	1204372709	CMS
PFIZER INC.	$16.38	12/12/2025	Food and Beverage	No dispute reported	06/30/2026	1229850925	CMS
ABBVIE INC.	$8.77	12/11/2025	Food and Beverage	No dispute reported	06/30/2026	1204372705	CMS
Axsome Therapeutics, Inc.	$32.10	12/08/2025	Food and Beverage	No dispute reported	06/30/2026	1235656734	CMS
AstraZeneca Pharmaceuticals LP	$18.34	12/05/2025	Food and Beverage	No dispute reported	06/30/2026	1206507359	CMS
Axsome Therapeutics, Inc.	$30.22	12/05/2025	Food and Beverage	No dispute reported	06/30/2026	1235656722	CMS
Novo Nordisk Inc	$2.30	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1188282506	CMS
PFIZER INC.	$10.15	12/04/2025	Food and Beverage	No dispute reported	06/30/2026	1229887619	CMS
AstraZeneca Pharmaceuticals LP	$18.66	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1207119100	CMS
Otsuka America Pharmaceutical, Inc.	$27.32	12/03/2025	Food and Beverage	No dispute reported	06/30/2026	1227502237	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.21	12/02/2025	Food and Beverage	No dispute reported	06/30/2026	1241405394	CMS
Amgen Inc.	$15.83	12/01/2025	Food and Beverage	No dispute reported	06/30/2026	1228432468	CMS
PFIZER INC.	$21.89	11/25/2025	Food and Beverage	No dispute reported	06/30/2026	1229388049	CMS
ABBVIE INC.	$9.05	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1204372701	CMS
Novo Nordisk Inc	$9.82	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1188973653	CMS
Vanda Pharmaceuticals Inc.	$24.65	11/24/2025	Food and Beverage	No dispute reported	06/30/2026	1233005734	CMS
Vanda Pharmaceuticals Inc.	$11.30	11/21/2025	Food and Beverage	No dispute reported	06/30/2026	1233005732	CMS
Bayer Healthcare Pharmaceuticals Inc.	$32.27	11/20/2025	Food and Beverage	No dispute reported	06/30/2026	1225818198	CMS
Novo Nordisk Inc	$24.81	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1189036124	CMS
Otsuka America Pharmaceutical, Inc.	$9.45	11/19/2025	Food and Beverage	No dispute reported	06/30/2026	1227502233	CMS
Novo Nordisk Inc	$14.43	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1188988801	CMS
Novo Nordisk Inc	$2.67	11/18/2025	Food and Beverage	No dispute reported	06/30/2026	1189097165	CMS
ABBVIE INC.	$16.21	11/14/2025	Food and Beverage	No dispute reported	06/30/2026	1204372697	CMS
AstraZeneca Pharmaceuticals LP	$19.21	11/13/2025	Food and Beverage	No dispute reported	06/30/2026	1207196453	CMS
PFIZER INC.	$19.86	11/12/2025	Food and Beverage	No dispute reported	06/30/2026	1229527431	CMS
PFIZER INC.	$5.23	11/11/2025	Food and Beverage	No dispute reported	06/30/2026	1229352144	CMS
Corcept Therapeutics	$9.85	11/10/2025	Food and Beverage	No dispute reported	06/30/2026	1214157962	CMS
Neurocrine BioSciences, Inc.	$25.09	11/10/2025	Food and Beverage	No dispute reported	06/30/2026	1243004899	CMS
ABBVIE INC.	$12.25	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1204372692	CMS
PFIZER INC.	$21.65	11/05/2025	Food and Beverage	No dispute reported	06/30/2026	1229324121	CMS
Corcept Therapeutics	$118.80	11/04/2025	Food and Beverage	No dispute reported	06/30/2026	1214157846	CMS
Axsome Therapeutics, Inc.	$28.67	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1235600425	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$25.51	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1241405388	CMS
Otsuka America Pharmaceutical, Inc.	$19.00	11/03/2025	Food and Beverage	No dispute reported	06/30/2026	1227502229	CMS
Vanda Pharmaceuticals Inc.	$20.46	10/29/2025	Food and Beverage	No dispute reported	06/30/2026	1233005730	CMS
Corcept Therapeutics	$10.81	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1214157948	CMS
PFIZER INC.	$24.97	10/28/2025	Food and Beverage	No dispute reported	06/30/2026	1229795601	CMS
Novo Nordisk Inc	$18.25	10/27/2025	Food and Beverage	No dispute reported	06/30/2026	1188463311	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$15.50	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1222922995	CMS
PFIZER INC.	$21.92	10/22/2025	Food and Beverage	No dispute reported	06/30/2026	1229850903	CMS
ABBVIE INC.	$7.49	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1204372688	CMS
Bayer Healthcare Pharmaceuticals Inc.	$1.64	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1225818187	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.12	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1225818194	CMS
PFIZER INC.	$4.64	10/21/2025	Food and Beverage	No dispute reported	06/30/2026	1229971436	CMS
Otsuka America Pharmaceutical, Inc.	$19.25	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1227502226	CMS
PFIZER INC.	$16.19	10/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229852115	CMS
ABBVIE INC.	$16.02	10/16/2025	Food and Beverage	No dispute reported	06/30/2026	1204372684	CMS
AstraZeneca Pharmaceuticals LP	$19.03	10/16/2025	Food and Beverage	No dispute reported	06/30/2026	1207142538	CMS
Bayer Healthcare Pharmaceuticals Inc.	$121.18	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1225818202	CMS
Novo Nordisk Inc	$16.70	10/15/2025	Food and Beverage	No dispute reported	06/30/2026	1188780482	CMS
Lilly USA, LLC	$19.26	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1186591368	CMS
Lilly USA, LLC	$4.23	10/14/2025	Food and Beverage	No dispute reported	06/30/2026	1186601776	CMS
Neurocrine BioSciences, Inc.	$26.14	10/13/2025	Food and Beverage	No dispute reported	06/30/2026	1243001230	CMS
Vanda Pharmaceuticals Inc.	$26.44	10/10/2025	Food and Beverage	No dispute reported	06/30/2026	1233005728	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$30.23	10/09/2025	Food and Beverage	No dispute reported	06/30/2026	1241405385	CMS
Janssen Pharmaceuticals, Inc	$29.70	10/08/2025	Food and Beverage	No dispute reported	06/30/2026	1174475202	CMS
Corcept Therapeutics	$10.02	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1214157960	CMS
Novo Nordisk Inc	$24.35	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1189034451	CMS
Otsuka America Pharmaceutical, Inc.	$19.00	10/07/2025	Food and Beverage	No dispute reported	06/30/2026	1227502223	CMS
ABBVIE INC.	$13.73	10/06/2025	Food and Beverage	No dispute reported	06/30/2026	1204372678	CMS
Phathom Pharmaceuticals, Inc.	$12.48	10/03/2025	Food and Beverage	No dispute reported	06/30/2026	1219259781	CMS
PFIZER INC.	$15.62	10/02/2025	Food and Beverage	No dispute reported	06/30/2026	1229875131	CMS
ABBVIE INC.	$9.36	10/01/2025	Food and Beverage	No dispute reported	06/30/2026	1204372674	CMS
Axsome Therapeutics, Inc.	$121.18	09/30/2025	Food and Beverage	No dispute reported	06/30/2026	1235783951	CMS
Inspire Medical Systems, Inc.	$13.47	09/29/2025	Food and Beverage	No dispute reported	06/30/2026	1251511172	CMS
ABBVIE INC.	$13.56	09/26/2025	Food and Beverage	No dispute reported	06/30/2026	1204372671	CMS
AstraZeneca Pharmaceuticals LP	$5.55	09/25/2025	Education	No dispute reported	06/30/2026	1206827017	CMS
PFIZER INC.	$1.84	09/25/2025	Food and Beverage	No dispute reported	06/30/2026	1229502394	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$16.39	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1222922993	CMS
Otsuka America Pharmaceutical, Inc.	$6.94	09/24/2025	Food and Beverage	No dispute reported	06/30/2026	1227502219	CMS
Bayer Healthcare Pharmaceuticals Inc.	$3.71	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1225818183	CMS
Bayer Healthcare Pharmaceuticals Inc.	$13.20	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1225818190	CMS
Otsuka America Pharmaceutical, Inc.	$4.01	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1227502215	CMS
Supernus Pharmaceuticals, Inc.	$8.17	09/23/2025	Food and Beverage	No dispute reported	06/30/2026	1244895156	CMS
Vanda Pharmaceuticals Inc.	$23.13	09/22/2025	Food and Beverage	No dispute reported	06/30/2026	1233005726	CMS
ABBVIE INC.	$9.64	09/20/2025	Food and Beverage	No dispute reported	06/30/2026	1204372668	CMS
ABBVIE INC.	$0.49	09/19/2025	Food and Beverage	No dispute reported	06/30/2026	1204372665	CMS
AstraZeneca Pharmaceuticals LP	$19.03	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1206196196	CMS
PFIZER INC.	$21.22	09/18/2025	Food and Beverage	No dispute reported	06/30/2026	1229077382	CMS
Corcept Therapeutics	$10.11	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1214157932	CMS
PFIZER INC.	$18.99	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1229847393	CMS
Vanda Pharmaceuticals Inc.	$119.70	09/16/2025	Food and Beverage	No dispute reported	06/30/2026	1233005724	CMS
Novo Nordisk Inc	$20.69	09/15/2025	Food and Beverage	No dispute reported	06/30/2026	1189089910	CMS
Lilly USA, LLC	$16.23	09/12/2025	Food and Beverage	No dispute reported	06/30/2026	1186591366	CMS
Neurocrine BioSciences, Inc.	$29.70	09/12/2025	Food and Beverage	No dispute reported	06/30/2026	1242988723	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.63	09/11/2025	Food and Beverage	No dispute reported	06/30/2026	1241405382	CMS
Otsuka America Pharmaceutical, Inc.	$16.45	09/10/2025	Food and Beverage	No dispute reported	06/30/2026	1227502211	CMS
Novo Nordisk Inc	$17.52	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1189080287	CMS
Phathom Pharmaceuticals, Inc.	$8.55	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1219259787	CMS
Phathom Pharmaceuticals, Inc.	$1.18	09/09/2025	Food and Beverage	No dispute reported	06/30/2026	1219259789	CMS
ABBVIE INC.	$8.00	09/08/2025	Food and Beverage	No dispute reported	06/30/2026	1204372662	CMS
Vanda Pharmaceuticals Inc.	$33.72	09/05/2025	Food and Beverage	No dispute reported	06/30/2026	1233005722	CMS
Lilly USA, LLC	$8.74	09/04/2025	Food and Beverage	No dispute reported	06/30/2026	1186601774	CMS
PFIZER INC.	$6.15	09/04/2025	Food and Beverage	No dispute reported	06/30/2026	1229137947	CMS
Bayer Healthcare Pharmaceuticals Inc.	$15.25	09/03/2025	Food and Beverage	No dispute reported	06/30/2026	1225818179	CMS
ABBVIE INC.	$8.52	09/02/2025	Food and Beverage	No dispute reported	06/30/2026	1204372658	CMS
Bayer Healthcare Pharmaceuticals Inc.	$18.07	08/31/2025	Food and Beverage	No dispute reported	06/30/2026	1225818171	CMS
AstraZeneca Pharmaceuticals LP	$16.22	08/29/2025	Food and Beverage	No dispute reported	06/30/2026	1207235250	CMS
Vanda Pharmaceuticals Inc.	$27.35	08/28/2025	Food and Beverage	No dispute reported	06/30/2026	1233005720	CMS
ABBVIE INC.	$99.82	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1204372654	CMS
Dexcom, Inc.	$22.03	08/27/2025	Food and Beverage	No dispute reported	06/30/2026	1250487733	CMS
Corcept Therapeutics	$12.12	08/26/2025	Food and Beverage	No dispute reported	06/30/2026	1214157922	CMS
Novo Nordisk Inc	$10.74	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1188210148	CMS
Novo Nordisk Inc	$7.13	08/25/2025	Food and Beverage	No dispute reported	06/30/2026	1188959166	CMS
Lundbeck LLC	$13.60	08/23/2025	Food and Beverage	No dispute reported	06/30/2026	1251849717	CMS
ABBVIE INC.	$7.83	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1204372649	CMS
AstraZeneca Pharmaceuticals LP	$21.68	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1206557867	CMS
Novo Nordisk Inc	$89.23	08/21/2025	Food and Beverage	No dispute reported	06/30/2026	1189108028	CMS
PFIZER INC.	$10.58	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229175104	CMS
PFIZER INC.	$0.57	08/20/2025	Food and Beverage	No dispute reported	06/30/2026	1229353312	CMS
PFIZER INC.	$22.49	08/19/2025	Food and Beverage	No dispute reported	06/30/2026	1229366663	CMS
ABBVIE INC.	$11.00	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1204372645	CMS
Corcept Therapeutics	$4.86	08/18/2025	Food and Beverage	No dispute reported	06/30/2026	1214157882	CMS
AstraZeneca Pharmaceuticals LP	$15.00	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1206332762	CMS
Neurocrine BioSciences, Inc.	$8.72	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1243051089	CMS
PFIZER INC.	$12.68	08/15/2025	Food and Beverage	No dispute reported	06/30/2026	1229260685	CMS
ABBVIE INC.	$5.86	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1204372642	CMS
Alkermes, Inc.	$109.65	08/14/2025	Food and Beverage	No dispute reported	06/30/2026	1222644248	CMS
Lilly USA, LLC	$25.57	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1186652445	CMS
Otsuka America Pharmaceutical, Inc.	$19.63	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1227502207	CMS
Phathom Pharmaceuticals, Inc.	$16.65	08/12/2025	Food and Beverage	No dispute reported	06/30/2026	1219259785	CMS
ABBVIE INC.	$7.02	08/11/2025	Food and Beverage	No dispute reported	06/30/2026	1204372638	CMS
Lundbeck LLC	$24.51	08/11/2025	Food and Beverage	No dispute reported	06/30/2026	1251849715	CMS
Alkermes, Inc.	$8.11	08/07/2025	Food and Beverage	No dispute reported	06/30/2026	1222644246	CMS
ABBVIE INC.	$8.84	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1204372633	CMS
Axsome Therapeutics, Inc.	$30.05	08/06/2025	Food and Beverage	No dispute reported	06/30/2026	1235466851	CMS
Novo Nordisk Inc	$15.65	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1189141627	CMS
PFIZER INC.	$7.39	08/05/2025	Food and Beverage	No dispute reported	06/30/2026	1229142474	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$25.56	08/04/2025	Food and Beverage	No dispute reported	06/30/2026	1241405377	CMS
ABBVIE INC.	$21.93	08/01/2025	Food and Beverage	No dispute reported	06/30/2026	1204372629	CMS
Novo Nordisk Inc	$17.27	07/31/2025	Food and Beverage	No dispute reported	06/30/2026	1189165375	CMS
Teva Pharmaceuticals USA, Inc.	$19.60	07/29/2025	Food and Beverage	No dispute reported	06/30/2026	1247288516	CMS
Esperion Therapeutics, Inc.	$13.86	07/25/2025	Food and Beverage	No dispute reported	06/30/2026	1243976406	CMS
PFIZER INC.	$21.56	07/24/2025	Food and Beverage	No dispute reported	06/30/2026	1229116304	CMS
AstraZeneca Pharmaceuticals LP	$20.83	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1206513526	CMS
Supernus Pharmaceuticals, Inc.	$125.00	07/23/2025	Food and Beverage	No dispute reported	06/30/2026	1244895150	CMS
Bayer Healthcare Pharmaceuticals Inc.	$19.32	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1225818140	CMS
Bayer Healthcare Pharmaceuticals Inc.	$0.48	07/22/2025	Food and Beverage	No dispute reported	06/30/2026	1225818144	CMS
Dexcom, Inc.	$25.30	07/21/2025	Food and Beverage	No dispute reported	06/30/2026	1250487731	CMS
Otsuka America Pharmaceutical, Inc.	$21.66	07/21/2025	Food and Beverage	No dispute reported	06/30/2026	1227502203	CMS
PFIZER INC.	$14.34	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1229175109	CMS
Phathom Pharmaceuticals, Inc.	$10.99	07/18/2025	Food and Beverage	No dispute reported	06/30/2026	1219259783	CMS
Novo Nordisk Inc	$21.27	07/16/2025	Food and Beverage	No dispute reported	06/30/2026	1188920467	CMS
PFIZER INC.	$3.63	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1229026996	CMS
PFIZER INC.	$5.02	07/15/2025	Food and Beverage	No dispute reported	06/30/2026	1231700900	CMS
ABBVIE INC.	$7.88	07/14/2025	Food and Beverage	No dispute reported	06/30/2026	1204372626	CMS
Neurocrine BioSciences, Inc.	$9.56	07/11/2025	Food and Beverage	No dispute reported	06/30/2026	1243050241	CMS
Otsuka America Pharmaceutical, Inc.	$26.70	07/11/2025	Food and Beverage	No dispute reported	06/30/2026	1227502198	CMS
Axsome Therapeutics, Inc.	$27.54	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1235413960	CMS
Lilly USA, LLC	$24.67	07/10/2025	Food and Beverage	No dispute reported	06/30/2026	1186637505	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$14.70	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1222922991	CMS
Lilly USA, LLC	$4.96	07/09/2025	Food and Beverage	No dispute reported	06/30/2026	1186566644	CMS
Novo Nordisk Inc	$15.65	07/08/2025	Food and Beverage	No dispute reported	06/30/2026	1188536573	CMS
Ardelyx, Inc.	$23.15	07/07/2025	Food and Beverage	No dispute reported	06/30/2026	1247885606	CMS
Axsome Therapeutics, Inc.	$12.42	07/03/2025	Food and Beverage	No dispute reported	06/30/2026	1235438977	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$11.44	07/02/2025	Food and Beverage	No dispute reported	06/30/2026	1241405373	CMS
ABBVIE INC.	$5.53	07/01/2025	Food and Beverage	No dispute reported	06/30/2026	1204372621	CMS
Inspire Medical Systems, Inc.	$10.24	06/30/2025	Food and Beverage	No dispute reported	06/30/2026	1251511170	CMS
Phathom Pharmaceuticals, Inc.	$17.17	06/30/2025	Food and Beverage	No dispute reported	06/30/2026	1219373627	CMS
Vanda Pharmaceuticals Inc.	$3.02	06/30/2025	Food and Beverage	No dispute reported	06/30/2026	1233005718	CMS
Supernus Pharmaceuticals, Inc.	$9.70	06/25/2025	Food and Beverage	No dispute reported	06/30/2026	1244895154	CMS
Abbott Laboratories	$20.93	06/24/2025	Food and Beverage	No dispute reported	06/30/2026	1240949348	CMS
PFIZER INC.	$24.28	06/23/2025	Food and Beverage	No dispute reported	06/30/2026	1230090096	CMS
Axsome Therapeutics, Inc.	$30.38	06/21/2025	Food and Beverage	No dispute reported	06/30/2026	1235748384	CMS
AstraZeneca Pharmaceuticals LP	$18.18	06/19/2025	Food and Beverage	No dispute reported	06/30/2026	1207289286	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$17.94	06/17/2025	Food and Beverage	No dispute reported	06/30/2026	1241405369	CMS
Lilly USA, LLC	$21.58	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1186625609	CMS
PFIZER INC.	$2.97	06/13/2025	Food and Beverage	No dispute reported	06/30/2026	1228925575	CMS
ABBVIE INC.	$105.38	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1204372618	CMS
Neurocrine BioSciences, Inc.	$28.83	06/12/2025	Food and Beverage	No dispute reported	06/30/2026	1242990765	CMS
ABBVIE INC.	$21.50	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1204372613	CMS
Axsome Therapeutics, Inc.	$8.75	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1235748378	CMS
Otsuka America Pharmaceutical, Inc.	$21.55	06/11/2025	Food and Beverage	No dispute reported	06/30/2026	1227502195	CMS
Vanda Pharmaceuticals Inc.	$25.52	06/10/2025	Food and Beverage	No dispute reported	06/30/2026	1233005716	CMS
Novo Nordisk Inc	$16.70	06/09/2025	Food and Beverage	No dispute reported	06/30/2026	1188914527	CMS
ABBVIE INC.	$19.95	06/05/2025	Food and Beverage	No dispute reported	06/30/2026	1204372609	CMS
AstraZeneca Pharmaceuticals LP	$124.99	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1206296422	CMS
PFIZER INC.	$24.83	06/04/2025	Food and Beverage	No dispute reported	06/30/2026	1230084001	CMS
ABBVIE INC.	$15.04	06/03/2025	Food and Beverage	No dispute reported	06/30/2026	1204372606	CMS
Amgen Inc.	$16.93	06/02/2025	Food and Beverage	No dispute reported	06/30/2026	1228432470	CMS
Novo Nordisk Inc	$12.50	05/30/2025	Food and Beverage	No dispute reported	06/30/2026	1188777814	CMS
Novo Nordisk Inc	$5.80	05/30/2025	Food and Beverage	No dispute reported	06/30/2026	1189134860	CMS
Axsome Therapeutics, Inc.	$28.60	05/29/2025	Food and Beverage	No dispute reported	06/30/2026	1235748402	CMS
ABBVIE INC.	$14.50	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1204372601	CMS
Otsuka America Pharmaceutical, Inc.	$14.78	05/28/2025	Food and Beverage	No dispute reported	06/30/2026	1227502191	CMS
PFIZER INC.	$23.10	05/27/2025	Food and Beverage	No dispute reported	06/30/2026	1231524901	CMS
AstraZeneca Pharmaceuticals LP	$21.88	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1206603973	CMS
Lilly USA, LLC	$8.02	05/22/2025	Food and Beverage	No dispute reported	06/30/2026	1186591370	CMS
ABBVIE INC.	$9.21	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1204372598	CMS
Dexcom, Inc.	$20.31	05/21/2025	Food and Beverage	No dispute reported	06/30/2026	1250487729	CMS
Novo Nordisk Inc	$17.86	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1188827880	CMS
Supernus Pharmaceuticals, Inc.	$7.53	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1244895146	CMS
Supernus Pharmaceuticals, Inc.	$8.34	05/20/2025	Food and Beverage	No dispute reported	06/30/2026	1244895148	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$20.10	05/16/2025	Food and Beverage	No dispute reported	06/30/2026	1222922989	CMS
Lilly USA, LLC	$19.26	05/16/2025	Food and Beverage	No dispute reported	06/30/2026	1186625607	CMS
Axsome Therapeutics, Inc.	$9.17	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1235728554	CMS
Vanda Pharmaceuticals Inc.	$23.81	05/15/2025	Food and Beverage	No dispute reported	06/30/2026	1233005714	CMS
Bayer Healthcare Pharmaceuticals Inc.	$7.15	05/14/2025	Food and Beverage	No dispute reported	06/30/2026	1225818167	CMS
ABBVIE INC.	$17.97	05/13/2025	Food and Beverage	No dispute reported	06/30/2026	1204372594	CMS
PFIZER INC.	$27.49	05/13/2025	Food and Beverage	No dispute reported	06/30/2026	1231334422	CMS
PFIZER INC.	$14.35	05/09/2025	Food and Beverage	No dispute reported	06/30/2026	1231583642	CMS
Phathom Pharmaceuticals, Inc.	$8.23	05/09/2025	Food and Beverage	No dispute reported	06/30/2026	1219373703	CMS
Neurocrine BioSciences, Inc.	$20.12	05/08/2025	Food and Beverage	No dispute reported	06/30/2026	1243025506	CMS
Otsuka America Pharmaceutical, Inc.	$16.44	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1227502187	CMS
Teva Pharmaceuticals USA, Inc.	$19.49	05/07/2025	Food and Beverage	No dispute reported	06/30/2026	1247288464	CMS
ABBVIE INC.	$17.16	05/06/2025	Food and Beverage	No dispute reported	06/30/2026	1204372590	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.31	05/05/2025	Food and Beverage	No dispute reported	06/30/2026	1241405365	CMS
Abbott Laboratories	$24.93	05/02/2025	Food and Beverage	No dispute reported	06/30/2026	1240930451	CMS
Viatris Specialty LLC	$17.64	05/02/2025	Food and Beverage	No dispute reported	06/30/2026	1238500167	CMS
Novo Nordisk Inc	$2.54	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1189162520	CMS
Novo Nordisk Inc	$14.73	05/01/2025	Food and Beverage	No dispute reported	06/30/2026	1189166685	CMS
Bayer Healthcare Pharmaceuticals Inc.	$7.27	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1225818133	CMS
Novo Nordisk Inc	$15.59	04/30/2025	Food and Beverage	No dispute reported	06/30/2026	1189119224	CMS
Vanda Pharmaceuticals Inc.	$122.52	04/29/2025	Food and Beverage	No dispute reported	06/30/2026	1233005712	CMS
Axsome Therapeutics, Inc.	$14.54	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1235728588	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$126.49	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1241405362	CMS
PFIZER INC.	$20.04	04/28/2025	Food and Beverage	No dispute reported	06/30/2026	1229045464	CMS
AstraZeneca Pharmaceuticals LP	$17.80	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1206694766	CMS
Vanda Pharmaceuticals Inc.	$20.93	04/25/2025	Food and Beverage	No dispute reported	06/30/2026	1233005710	CMS
Antares Pharma, Inc.	$15.06	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1235898059	CMS
Otsuka America Pharmaceutical, Inc.	$121.83	04/23/2025	Food and Beverage	No dispute reported	06/30/2026	1227502183	CMS
Supernus Pharmaceuticals, Inc.	$11.51	04/22/2025	Food and Beverage	No dispute reported	06/30/2026	1244895140	CMS
ABBVIE INC.	$16.15	04/21/2025	Food and Beverage	No dispute reported	06/30/2026	1204372586	CMS
Otsuka America Pharmaceutical, Inc.	$19.84	04/21/2025	Food and Beverage	No dispute reported	06/30/2026	1227502179	CMS
Astellas Pharma US Inc	$13.84	04/18/2025	Food and Beverage	No dispute reported	06/30/2026	1238637488	CMS
Phathom Pharmaceuticals, Inc.	$14.87	04/17/2025	Food and Beverage	No dispute reported	06/30/2026	1219373701	CMS
Axsome Therapeutics, Inc.	$9.65	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1235694710	CMS
Novo Nordisk Inc	$109.65	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1188810573	CMS
Vanda Pharmaceuticals Inc.	$23.81	04/16/2025	Food and Beverage	No dispute reported	06/30/2026	1233005708	CMS
Lilly USA, LLC	$26.29	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1186579582	CMS
Otsuka America Pharmaceutical, Inc.	$5.14	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1227502171	CMS
Otsuka America Pharmaceutical, Inc.	$6.86	04/15/2025	Food and Beverage	No dispute reported	06/30/2026	1227502175	CMS
ABBVIE INC.	$3.08	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1204372582	CMS
PFIZER INC.	$23.71	04/14/2025	Food and Beverage	No dispute reported	06/30/2026	1229239652	CMS
PFIZER INC.	$14.83	04/11/2025	Food and Beverage	No dispute reported	06/30/2026	1228824856	CMS
ABBVIE INC.	$18.90	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1204372578	CMS
Novo Nordisk Inc	$13.49	04/10/2025	Food and Beverage	No dispute reported	06/30/2026	1188376671	CMS
Alkermes, Inc.	$12.59	04/09/2025	Food and Beverage	No dispute reported	06/30/2026	1222644244	CMS
Neurocrine BioSciences, Inc.	$36.14	04/08/2025	Food and Beverage	No dispute reported	06/30/2026	1242976767	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.31	04/07/2025	Food and Beverage	No dispute reported	06/30/2026	1241405357	CMS
Axsome Therapeutics, Inc.	$17.96	04/04/2025	Food and Beverage	No dispute reported	06/30/2026	1235694663	CMS
PFIZER INC.	$10.42	04/03/2025	Food and Beverage	No dispute reported	06/30/2026	1228835134	CMS
Lundbeck LLC	$31.20	04/01/2025	Food and Beverage	No dispute reported	06/30/2026	1251849713	CMS
ABBVIE INC.	$21.77	03/31/2025	Food and Beverage	No dispute reported	06/30/2026	1204372573	CMS
Axsome Therapeutics, Inc.	$19.23	03/27/2025	Food and Beverage	No dispute reported	06/30/2026	1235694748	CMS
ABBVIE INC.	$7.32	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1204372570	CMS
Inspire Medical Systems, Inc.	$115.02	03/25/2025	Food and Beverage	No dispute reported	06/30/2026	1251511168	CMS
AstraZeneca Pharmaceuticals LP	$17.80	03/24/2025	Food and Beverage	No dispute reported	06/30/2026	1206760289	CMS
Novo Nordisk Inc	$22.13	03/24/2025	Food and Beverage	No dispute reported	06/30/2026	1188471760	CMS
PFIZER INC.	$13.31	03/21/2025	Food and Beverage	No dispute reported	06/30/2026	1231251451	CMS
PFIZER INC.	$4.13	03/20/2025	Food and Beverage	No dispute reported	06/30/2026	1231474473	CMS
Bayer Healthcare Pharmaceuticals Inc.	$29.63	03/19/2025	Food and Beverage	No dispute reported	06/30/2026	1225818153	CMS
Bayer Healthcare Pharmaceuticals Inc.	$2.45	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1225818156	CMS
Novo Nordisk Inc	$109.03	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1189164121	CMS
PFIZER INC.	$25.42	03/18/2025	Food and Beverage	No dispute reported	06/30/2026	1229685331	CMS
Otsuka America Pharmaceutical, Inc.	$22.02	03/17/2025	Food and Beverage	No dispute reported	06/30/2026	1227502168	CMS
Supernus Pharmaceuticals, Inc.	$8.61	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1244895142	CMS
Supernus Pharmaceuticals, Inc.	$8.25	03/11/2025	Food and Beverage	No dispute reported	06/30/2026	1244895144	CMS
Vanda Pharmaceuticals Inc.	$21.44	03/10/2025	Food and Beverage	No dispute reported	06/30/2026	1233005706	CMS
AstraZeneca Pharmaceuticals LP	$18.43	03/08/2025	Food and Beverage	No dispute reported	06/30/2026	1206305729	CMS
Phathom Pharmaceuticals, Inc.	$8.70	03/07/2025	Food and Beverage	No dispute reported	06/30/2026	1219373625	CMS
ABBVIE INC.	$16.51	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1204372566	CMS
PFIZER INC.	$2.44	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1231460726	CMS
PFIZER INC.	$5.73	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1231461202	CMS
Teva Pharmaceuticals USA, Inc.	$18.12	03/06/2025	Food and Beverage	No dispute reported	06/30/2026	1247288424	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.71	03/05/2025	Food and Beverage	No dispute reported	06/30/2026	1241405353	CMS
Bayer Healthcare Pharmaceuticals Inc.	$24.40	02/27/2025	Food and Beverage	No dispute reported	06/30/2026	1225818137	CMS
AstraZeneca Pharmaceuticals LP	$117.72	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1206350452	CMS
Phathom Pharmaceuticals, Inc.	$10.84	02/26/2025	Food and Beverage	No dispute reported	06/30/2026	1219373623	CMS
AstraZeneca Pharmaceuticals LP	$21.85	02/25/2025	Food and Beverage	No dispute reported	06/30/2026	1206260608	CMS
ABBVIE INC.	$23.49	02/24/2025	Food and Beverage	No dispute reported	06/30/2026	1204372562	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$22.86	02/21/2025	Food and Beverage	No dispute reported	06/30/2026	1222922987	CMS
Novo Nordisk Inc	$15.31	02/20/2025	Food and Beverage	No dispute reported	06/30/2026	1188715316	CMS
PFIZER INC.	$25.43	02/18/2025	Food and Beverage	No dispute reported	06/30/2026	1231548657	CMS
Abbott Laboratories	$15.90	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1240904046	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.90	02/17/2025	Food and Beverage	No dispute reported	06/30/2026	1223856435	CMS
AstraZeneca Pharmaceuticals LP	$17.39	02/15/2025	Food and Beverage	No dispute reported	06/30/2026	1206816876	CMS
PFIZER INC.	$4.31	02/14/2025	Food and Beverage	No dispute reported	06/30/2026	1231386845	CMS
PFIZER INC.	$10.66	02/14/2025	Food and Beverage	No dispute reported	06/30/2026	1231618300	CMS
Bayer Healthcare Pharmaceuticals Inc.	$8.71	02/13/2025	Food and Beverage	No dispute reported	06/30/2026	1225818148	CMS
Novo Nordisk Inc	$2.83	02/13/2025	Food and Beverage	No dispute reported	06/30/2026	1188450097	CMS
Novo Nordisk Inc	$14.44	02/13/2025	Food and Beverage	No dispute reported	06/30/2026	1189104209	CMS
AstraZeneca Pharmaceuticals LP	$35.52	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1206226330	CMS
Axsome Therapeutics, Inc.	$7.30	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1235377305	CMS
Otsuka America Pharmaceutical, Inc.	$25.74	02/12/2025	Food and Beverage	No dispute reported	06/30/2026	1227502164	CMS
Lilly USA, LLC	$18.06	02/11/2025	Food and Beverage	No dispute reported	06/30/2026	1186637503	CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.58	02/10/2025	Food and Beverage	No dispute reported	06/30/2026	1241405350	CMS
PFIZER INC.	$14.77	02/07/2025	Food and Beverage	No dispute reported	06/30/2026	1231388075	CMS
Vanda Pharmaceuticals Inc.	$24.79	02/06/2025	Food and Beverage	No dispute reported	06/30/2026	1233005704	CMS
Neurocrine BioSciences, Inc.	$19.89	02/05/2025	Food and Beverage	No dispute reported	06/30/2026	1243026584	CMS
ABBVIE INC.	$14.81	02/04/2025	Food and Beverage	No dispute reported	06/30/2026	1204372558	CMS
PFIZER INC.	$24.79	02/03/2025	Food and Beverage	No dispute reported	06/30/2026	1229168059	CMS
Bayer Healthcare Pharmaceuticals Inc.	$16.57	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1225818160	CMS
Bayer Healthcare Pharmaceuticals Inc.	$0.94	01/29/2025	Food and Beverage	No dispute reported	06/30/2026	1225818164	CMS
PFIZER INC.	$23.10	01/28/2025	Food and Beverage	No dispute reported	06/30/2026	1231257126	CMS
ABBVIE INC.	$20.17	01/26/2025	Food and Beverage	No dispute reported	06/30/2026	1204372553	CMS
PFIZER INC.	$2.38	01/24/2025	Food and Beverage	No dispute reported	06/30/2026	1231129244	CMS
Novo Nordisk Inc	$12.29	01/22/2025	Food and Beverage	No dispute reported	06/30/2026	1189018111	CMS
AstraZeneca Pharmaceuticals LP	$123.60	01/20/2025	Food and Beverage	No dispute reported	06/30/2026	1206419600	CMS
Esperion Therapeutics, Inc.	$14.31	01/17/2025	Food and Beverage	No dispute reported	06/30/2026	1243976404	CMS
ABBVIE INC.	$13.92	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1204372549	CMS
Novo Nordisk Inc	$16.36	01/16/2025	Food and Beverage	No dispute reported	06/30/2026	1189056075	CMS
Lilly USA, LLC	$18.34	01/14/2025	Food and Beverage	No dispute reported	06/30/2026	1186579580	CMS
Phathom Pharmaceuticals, Inc.	$9.22	01/13/2025	Food and Beverage	No dispute reported	06/30/2026	1219373621	CMS
Antares Pharma, Inc.	$14.13	01/10/2025	Food and Beverage	No dispute reported	06/30/2026	1235898057	CMS
AstraZeneca Pharmaceuticals LP	$17.09	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1206304833	CMS
Bayer Healthcare Pharmaceuticals Inc.	$7.27	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1225818175	CMS
Neurocrine BioSciences, Inc.	$25.24	01/08/2025	Food and Beverage	No dispute reported	06/30/2026	1243004375	CMS
Alkermes, Inc.	$9.45	01/07/2025	Food and Beverage	No dispute reported	06/30/2026	1222644242	CMS

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: 2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files: Dataset page · Bulk file · PY2019 , PY2020 , 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.

Permalink https://industrypayments.org/provider/npi-1780606046

Plain: GREGORY L SPANGLER, NPI 1780606046. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1780606046.
APA 7: IndustryPayments. (2026). GREGORY L SPANGLER, NPI 1780606046 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1780606046
Bluebook: GREGORY L SPANGLER, NPI 1780606046, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1780606046.

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