Covered recipient · General Payments record

ROMAN SPIVAK

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI: 1780889493
CMS profile: 727725
Location: ANSONIA, CT

General Payments · PY2018–2024

$136,898.95

Reported across 598 records
CMS publication 2026-01-23

Latest program year · PY2024

$6,756.27

97 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 payment	Amount	Records
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$4,225.00	2
Food and Beverage	$1,714.93	89
Travel and Lodging	$554.80	4
Education	$261.54	2

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
GlaxoSmithKline, LLC.	$4,684.54	33
Medtronic, Inc.	$729.33	9
Acerta Pharma LLC	$370.12	15
ResMed Corp	$176.55	1
BAXTER HEALTHCARE	$121.53	6
Takeda Pharmaceuticals U.S.A., Inc.	$94.33	6
SANOFI-AVENTIS U.S. LLC	$84.99	1
Mylan Specialty L.P.	$76.64	4
Boehringer Ingelheim Pharmaceuticals, Inc.	$75.34	3
GENZYME CORPORATION	$60.69	3
Genentech USA, Inc.	$54.39	2
Amgen Inc.	$53.85	3
Regeneron Healthcare Solutions, Inc.	$53.75	3
Electromed, Inc.	$50.07	4
Pulmonx Corporation	$19.32	1
Mallinckrodt Hospital Products Inc.	$18.99	1
Insmed, Inc.	$16.59	1
Merck Sharp & Dohme Corporation	$15.25	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$607.13	37
PY2019	$1,170.20	73
PY2020	$9,690.50	73
PY2021	$26,225.87	94
PY2022	$38,795.35	103
PY2023	$53,653.63	121
PY2024	$6,756.27	97

Payment records · PY2024 (97)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2020 2021 2022 2023 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
Amgen Inc.	$17.23	03/15/2024	Food and Beverage	Undisputed	01/23/2026	1116146157	CMS
Amgen Inc.	$15.09	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1116146164	CMS
Amgen Inc.	$21.53	11/01/2024	Food and Beverage	Undisputed	01/23/2026	1116146171	CMS
AstraZeneca Pharmaceuticals LP	$16.59	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1105237953	CMS
AstraZeneca Pharmaceuticals LP	$20.88	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1104273319	CMS
AstraZeneca Pharmaceuticals LP	$24.65	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1104698882	CMS
AstraZeneca Pharmaceuticals LP	$107.07	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1104326108	CMS
AstraZeneca Pharmaceuticals LP	$23.82	03/13/2024	Food and Beverage	Undisputed	01/23/2026	1104603326	CMS
AstraZeneca Pharmaceuticals LP	$20.18	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1104609306	CMS
AstraZeneca Pharmaceuticals LP	$16.59	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1104216359	CMS
AstraZeneca Pharmaceuticals LP	$16.59	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1104345324	CMS
AstraZeneca Pharmaceuticals LP	$15.90	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1104741193	CMS
AstraZeneca Pharmaceuticals LP	$22.01	08/28/2024	Food and Beverage	Undisputed	01/23/2026	1105346342	CMS
AstraZeneca Pharmaceuticals LP	$18.80	08/30/2024	Food and Beverage	Undisputed	01/23/2026	1105532972	CMS
AstraZeneca Pharmaceuticals LP	$18.73	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1105518269	CMS
AstraZeneca Pharmaceuticals LP	$14.53	10/28/2024	Food and Beverage	Undisputed	01/23/2026	1105345942	CMS
AstraZeneca Pharmaceuticals LP	$17.73	10/30/2024	Food and Beverage	Undisputed	01/23/2026	1105699934	CMS
AstraZeneca Pharmaceuticals LP	$16.05	11/12/2024	Food and Beverage	Undisputed	01/23/2026	1104338450	CMS
Baxter Healthcare	$25.27	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1118298952	CMS
Baxter Healthcare	$25.57	05/22/2024	Food and Beverage	Undisputed	01/23/2026	1118298954	CMS
Baxter Healthcare	$18.79	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1118298956	CMS
Baxter Healthcare	$20.62	08/14/2024	Food and Beverage	Undisputed	01/23/2026	1118298958	CMS
Baxter Healthcare	$16.24	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1118298960	CMS
Baxter Healthcare	$15.04	12/06/2024	Food and Beverage	Undisputed	01/23/2026	1118298962	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.34	01/24/2024	Food and Beverage	Undisputed	01/23/2026	1118153723	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$28.57	03/20/2024	Food and Beverage	Undisputed	01/23/2026	1118153725	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.43	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1118153721	CMS
Electromed, Inc.	$10.81	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1137914234	CMS
Electromed, Inc.	$11.99	07/12/2024	Food and Beverage	Undisputed	01/23/2026	1137914236	CMS
Electromed, Inc.	$10.10	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1137914238	CMS
Electromed, Inc.	$17.17	12/15/2024	Food and Beverage	Undisputed	01/23/2026	1137914240	CMS
Genentech USA, Inc.	$21.17	02/16/2024	Food and Beverage	Undisputed	01/23/2026	1133101233	CMS
Genentech USA, Inc.	$33.22	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1133101237	CMS
GENZYME CORPORATION	$20.79	02/14/2024	Food and Beverage	Undisputed	01/23/2026	1139833650	CMS
GENZYME CORPORATION	$15.97	04/03/2024	Food and Beverage	Undisputed	01/23/2026	1139833658	CMS
GENZYME CORPORATION	$23.93	05/15/2024	Food and Beverage	Undisputed	01/23/2026	1139833678	CMS
GlaxoSmithKline, LLC.	$16.59	01/08/2024	Food and Beverage	Undisputed	01/23/2026	1116442341	CMS
GlaxoSmithKline, LLC.	$4.59	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1115956699	CMS
GlaxoSmithKline, LLC.	$29.03	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1116360010	CMS
GlaxoSmithKline, LLC.	$15.08	02/12/2024	Food and Beverage	Undisputed	01/23/2026	1116232463	CMS
GlaxoSmithKline, LLC.	$20.82	02/28/2024	Food and Beverage	Undisputed	01/23/2026	1116289365	CMS
GlaxoSmithKline, LLC.	$19.80	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1116576862	CMS
GlaxoSmithKline, LLC.	$17.80	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1116497094	CMS
GlaxoSmithKline, LLC.	$20.81	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1116296837	CMS
GlaxoSmithKline, LLC.	$12.48	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1116689052	CMS
GlaxoSmithKline, LLC.	$20.98	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1116527356	CMS
GlaxoSmithKline, LLC.	$16.86	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1116439907	CMS
GlaxoSmithKline, LLC.	$8.86	05/02/2024	Food and Beverage	Undisputed	01/23/2026	1116657945	CMS
GlaxoSmithKline, LLC.	$18.08	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1116327774	CMS
GlaxoSmithKline, LLC.	$19.58	05/08/2024	Food and Beverage	Undisputed	01/23/2026	1116295565	CMS
GlaxoSmithKline, LLC.	$8.22	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1116263606	CMS
GlaxoSmithKline, LLC.	$1.04	05/24/2024	Food and Beverage	Undisputed	01/23/2026	1116607994	CMS
GlaxoSmithKline, LLC.	$21.19	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1115975838	CMS
GlaxoSmithKline, LLC.	$16.44	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1115808674	CMS
GlaxoSmithKline, LLC.	$975.00	08/07/2024	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	1116674989	CMS
GlaxoSmithKline, LLC.	$15.43	08/08/2024	Food and Beverage	Undisputed	01/23/2026	1116048194	CMS
GlaxoSmithKline, LLC.	$13.16	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1116343424	CMS
GlaxoSmithKline, LLC.	$14.77	08/23/2024	Food and Beverage	Undisputed	01/23/2026	1116180911	CMS
GlaxoSmithKline, LLC.	$12.83	09/03/2024	Food and Beverage	Undisputed	01/23/2026	1116457927	CMS
GlaxoSmithKline, LLC.	$15.45	09/19/2024	Food and Beverage	Undisputed	01/23/2026	1116287388	CMS
GlaxoSmithKline, LLC.	$18.81	09/25/2024	Food and Beverage	Undisputed	01/23/2026	1116492881	CMS
GlaxoSmithKline, LLC.	$3.21	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1116333333	CMS
GlaxoSmithKline, LLC.	$16.10	10/18/2024	Food and Beverage	Undisputed	01/23/2026	1116667822	CMS
GlaxoSmithKline, LLC.	$8.02	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1116592680	CMS
GlaxoSmithKline, LLC.	$14.54	11/19/2024	Food and Beverage	Undisputed	01/23/2026	1116235696	CMS
GlaxoSmithKline, LLC.	$20.73	11/27/2024	Food and Beverage	Undisputed	01/23/2026	1116401429	CMS
GlaxoSmithKline, LLC.	$3,250.00	12/11/2024	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	1116339655	CMS
GlaxoSmithKline, LLC.	$5.50	12/17/2024	Food and Beverage	Undisputed	01/23/2026	1116724612	CMS
GlaxoSmithKline, LLC.	$12.74	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1115902998	CMS
Insmed, Inc.	$16.59	04/19/2024	Food and Beverage	Undisputed	01/23/2026	1089557212	CMS
Mallinckrodt Hospital Products Inc.	$18.99	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1145141206	CMS
Medtronic, Inc.	$34.25	05/31/2024	Travel and Lodging	Undisputed	01/23/2026	1119484294	CMS
Medtronic, Inc.	$391.59	05/31/2024	Travel and Lodging	Undisputed	01/23/2026	1119484296	CMS
Medtronic, Inc.	$2.63	07/09/2024	Food and Beverage	Undisputed	01/23/2026	1119484300	CMS
Medtronic, Inc.	$6.86	07/11/2024	Food and Beverage	Undisputed	01/23/2026	1119484298	CMS
Medtronic, Inc.	$14.94	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1119484302	CMS
Medtronic, Inc.	$27.25	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1119484304	CMS
Medtronic, Inc.	$44.96	07/18/2024	Travel and Lodging	Undisputed	01/23/2026	1119484306	CMS
Medtronic, Inc.	$122.85	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1119484308	CMS
Medtronic, Inc.	$84.00	07/20/2024	Travel and Lodging	Undisputed	01/23/2026	1112061832	CMS
Merck Sharp & Dohme LLC	$15.25	01/05/2024	Food and Beverage	Undisputed	01/23/2026	1141557418	CMS
Mylan Specialty L.P.	$20.75	04/05/2024	Food and Beverage	Undisputed	01/23/2026	1147340551	CMS
Mylan Specialty L.P.	$19.32	07/31/2024	Food and Beverage	Undisputed	01/23/2026	1147292735	CMS
Mylan Specialty L.P.	$17.29	09/06/2024	Food and Beverage	Undisputed	01/23/2026	1147300776	CMS
Mylan Specialty L.P.	$19.28	12/04/2024	Food and Beverage	Undisputed	01/23/2026	1147343169	CMS
Pulmonx Corporation	$19.32	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1087851322	CMS
Regeneron Healthcare Solutions, Inc.	$19.12	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1114189516	CMS
Regeneron Healthcare Solutions, Inc.	$16.59	06/05/2024	Food and Beverage	Undisputed	01/23/2026	1114189521	CMS
Regeneron Healthcare Solutions, Inc.	$18.04	10/04/2024	Food and Beverage	Undisputed	01/23/2026	1114189528	CMS
Resmed Corp	$176.55	05/31/2024	Education	Undisputed	01/23/2026	1140204471	CMS
SANOFI-AVENTIS U.S. LLC	$84.99	10/29/2024	Education	Undisputed	01/23/2026	1139833762	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$14.86	01/10/2024	Food and Beverage	Undisputed	01/23/2026	1137680779	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.69	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1137680781	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$13.07	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1137680783	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$19.33	08/16/2024	Food and Beverage	Undisputed	01/23/2026	1137680785	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.43	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1137680787	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$15.95	11/08/2024	Food and Beverage	Undisputed	01/23/2026	1137680789	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

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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.