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

MELISSA SPEARS

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

NPI
1790911469
CMS profile
11198488
Location
JOHNSON CITY, TN

General Payments · PY2021–2024

$7,581.65

  • Reported across 273 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$4,627.95

161 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 paymentAmountRecords
Food and Beverage $3,250.59 158
Travel and Lodging $1,377.36 3

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $51.76 3
PY2022 $236.27 12
PY2023 $2,665.67 97
PY2024 $4,627.95 161

Payment records · PY2024 (161)

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

Program year 2024 202120222023 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
ABBVIE INC. $12.22 01/23/2024 Food and Beverage Undisputed 01/23/2026 1108236794 CMS
ABBVIE INC. $18.99 02/19/2024 Food and Beverage Undisputed 01/23/2026 1108236796 CMS
ABBVIE INC. $3.89 03/11/2024 Food and Beverage Undisputed 01/23/2026 1108236798 CMS
ABBVIE INC. $20.28 04/22/2024 Food and Beverage Undisputed 01/23/2026 1108236800 CMS
ABBVIE INC. $23.13 06/24/2024 Food and Beverage Undisputed 01/23/2026 1108236802 CMS
ABBVIE INC. $7.06 06/26/2024 Food and Beverage Undisputed 01/23/2026 1108236804 CMS
ABBVIE INC. $3.81 07/17/2024 Food and Beverage Undisputed 01/23/2026 1108236806 CMS
ABBVIE INC. $14.29 07/24/2024 Food and Beverage Undisputed 01/23/2026 1108236808 CMS
ABBVIE INC. $19.53 08/19/2024 Food and Beverage Undisputed 01/23/2026 1108236810 CMS
ABBVIE INC. $4.76 08/21/2024 Food and Beverage Undisputed 01/23/2026 1108236812 CMS
ABBVIE INC. $17.28 09/03/2024 Food and Beverage Undisputed 01/23/2026 1108236814 CMS
ABBVIE INC. $17.90 10/01/2024 Food and Beverage Undisputed 01/23/2026 1108236816 CMS
ABBVIE INC. $18.32 10/14/2024 Food and Beverage Undisputed 01/23/2026 1108236818 CMS
Alkermes, Inc. $14.05 05/23/2024 Food and Beverage Undisputed 01/23/2026 1120601624 CMS
Alkermes, Inc. $17.06 07/23/2024 Food and Beverage Undisputed 01/23/2026 1120601626 CMS
Alkermes, Inc. $17.38 10/17/2024 Food and Beverage Undisputed 01/23/2026 1120601628 CMS
Alkermes, Inc. $16.76 11/27/2024 Food and Beverage Undisputed 01/23/2026 1120601630 CMS
Almatica Pharma LLC $6.15 01/03/2024 Food and Beverage Undisputed 01/23/2026 1137618145 CMS
Almatica Pharma LLC $5.78 01/22/2024 Food and Beverage Undisputed 01/23/2026 1137618150 CMS
Almatica Pharma LLC $6.63 02/06/2024 Food and Beverage Undisputed 01/23/2026 1137618154 CMS
Almatica Pharma LLC $16.81 02/12/2024 Food and Beverage Undisputed 01/23/2026 1137618158 CMS
Almatica Pharma LLC $6.21 02/20/2024 Food and Beverage Undisputed 01/23/2026 1137618163 CMS
Almatica Pharma LLC $7.01 03/05/2024 Food and Beverage Undisputed 01/23/2026 1137618167 CMS
Almatica Pharma LLC $7.64 03/11/2024 Food and Beverage Undisputed 01/23/2026 1137618171 CMS
Almatica Pharma LLC $6.57 04/01/2024 Food and Beverage Undisputed 01/23/2026 1137618175 CMS
Almatica Pharma LLC $17.36 05/14/2024 Food and Beverage Undisputed 01/23/2026 1137618180 CMS
Almatica Pharma LLC $7.94 06/03/2024 Food and Beverage Undisputed 01/23/2026 1137618184 CMS
Almatica Pharma LLC $6.87 07/15/2024 Food and Beverage Undisputed 01/23/2026 1137618189 CMS
Almatica Pharma LLC $6.98 08/05/2024 Food and Beverage Undisputed 01/23/2026 1137618193 CMS
Almatica Pharma LLC $6.94 09/03/2024 Food and Beverage Undisputed 01/23/2026 1137618197 CMS
Almatica Pharma LLC $7.67 10/22/2024 Food and Beverage Undisputed 01/23/2026 1137618202 CMS
Almatica Pharma LLC $16.89 11/17/2024 Food and Beverage Undisputed 01/23/2026 1137618206 CMS
Axsome Therapeutics, Inc. $18.62 03/12/2024 Food and Beverage Undisputed 01/23/2026 1148392777 CMS
Axsome Therapeutics, Inc. $121.82 03/18/2024 Food and Beverage Undisputed 01/23/2026 1148392805 CMS
Axsome Therapeutics, Inc. $7.05 03/25/2024 Food and Beverage Undisputed 01/23/2026 1148392779 CMS
Axsome Therapeutics, Inc. $20.72 04/10/2024 Food and Beverage Undisputed 01/23/2026 1148392783 CMS
Axsome Therapeutics, Inc. $21.09 05/08/2024 Food and Beverage Undisputed 01/23/2026 1148392781 CMS
Axsome Therapeutics, Inc. $23.62 06/05/2024 Food and Beverage Undisputed 01/23/2026 1148392787 CMS
Axsome Therapeutics, Inc. $4.38 06/18/2024 Food and Beverage Undisputed 01/23/2026 1148392785 CMS
Axsome Therapeutics, Inc. $17.28 07/02/2024 Food and Beverage Undisputed 01/23/2026 1148392789 CMS
Axsome Therapeutics, Inc. $24.25 07/11/2024 Food and Beverage Undisputed 01/23/2026 1148392795 CMS
Axsome Therapeutics, Inc. $8.23 07/30/2024 Food and Beverage Undisputed 01/23/2026 1148392791 CMS
Axsome Therapeutics, Inc. $1.37 07/30/2024 Food and Beverage Undisputed 01/23/2026 1148392793 CMS
Axsome Therapeutics, Inc. $1.65 07/30/2024 Food and Beverage Undisputed 01/23/2026 1148392797 CMS
Axsome Therapeutics, Inc. $16.71 08/21/2024 Food and Beverage Undisputed 01/23/2026 1148392801 CMS
Axsome Therapeutics, Inc. $86.59 09/16/2024 Food and Beverage Undisputed 01/23/2026 1148392799 CMS
Axsome Therapeutics, Inc. $6.64 09/24/2024 Food and Beverage Undisputed 01/23/2026 1148392803 CMS
Axsome Therapeutics, Inc. $15.01 12/10/2024 Food and Beverage Undisputed 01/23/2026 1148392807 CMS
Corium, LLC $31.71 02/05/2024 Food and Beverage Undisputed 01/23/2026 1100073297 CMS
Corium, LLC $22.98 03/04/2024 Food and Beverage Undisputed 01/23/2026 1100088466 CMS
Corium, LLC $27.35 04/08/2024 Food and Beverage Undisputed 01/23/2026 1100078969 CMS
Corium, LLC $27.16 05/06/2024 Food and Beverage Undisputed 01/23/2026 1100079265 CMS
Corium, LLC $22.38 06/03/2024 Food and Beverage Undisputed 01/23/2026 1100090272 CMS
Corium, LLC $26.05 08/05/2024 Food and Beverage Undisputed 01/23/2026 1100193870 CMS
Corium, LLC $23.28 09/09/2024 Food and Beverage Undisputed 01/23/2026 1100187284 CMS
Corium, LLC $27.66 10/07/2024 Food and Beverage Undisputed 01/23/2026 1100196902 CMS
Corium, LLC $29.82 11/21/2024 Food and Beverage Undisputed 01/23/2026 1100200547 CMS
E.R. Squibb & Sons, L.L.C. $18.48 12/16/2024 Food and Beverage Undisputed 01/23/2026 1101461107 CMS
IRONSHORE PHARMACEUTICALS INC. $14.96 01/31/2024 Food and Beverage Undisputed 01/23/2026 1146253493 CMS
IRONSHORE PHARMACEUTICALS INC. $15.45 03/21/2024 Food and Beverage Undisputed 01/23/2026 1146253377 CMS
IRONSHORE PHARMACEUTICALS INC. $15.44 04/16/2024 Food and Beverage Undisputed 01/23/2026 1146253199 CMS
IRONSHORE PHARMACEUTICALS INC. $25.42 07/15/2024 Food and Beverage Undisputed 01/23/2026 1146308995 CMS
IRONSHORE PHARMACEUTICALS INC. $18.98 08/13/2024 Food and Beverage Undisputed 01/23/2026 1146309053 CMS
IRONSHORE PHARMACEUTICALS INC. $16.79 09/24/2024 Food and Beverage Undisputed 01/23/2026 1146324755 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.33 01/10/2024 Food and Beverage Undisputed 01/23/2026 1143608250 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $10.95 01/11/2024 Food and Beverage Undisputed 01/23/2026 1143608252 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.83 02/01/2024 Food and Beverage Undisputed 01/23/2026 1143608254 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $7.54 04/10/2024 Food and Beverage Undisputed 01/23/2026 1143608256 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $24.84 04/17/2024 Food and Beverage Undisputed 01/23/2026 1143608258 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $21.98 05/08/2024 Food and Beverage Undisputed 01/23/2026 1143608260 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.74 05/16/2024 Food and Beverage Undisputed 01/23/2026 1143608262 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $92.26 06/13/2024 Food and Beverage Undisputed 01/23/2026 1143608264 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.29 06/25/2024 Food and Beverage Undisputed 01/23/2026 1143608266 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.15 07/22/2024 Food and Beverage Undisputed 01/23/2026 1143608268 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $27.02 08/08/2024 Food and Beverage Undisputed 01/23/2026 1143608270 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $120.36 09/10/2024 Food and Beverage Undisputed 01/23/2026 1143608272 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $25.02 09/19/2024 Food and Beverage Undisputed 01/23/2026 1143608274 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $23.23 10/17/2024 Food and Beverage Undisputed 01/23/2026 1143608276 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $4.27 10/29/2024 Food and Beverage Undisputed 01/23/2026 1143608278 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $26.44 11/12/2024 Food and Beverage Undisputed 01/23/2026 1143608280 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $5.36 11/14/2024 Food and Beverage Undisputed 01/23/2026 1143608282 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $4.60 11/20/2024 Food and Beverage Undisputed 01/23/2026 1143608284 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $26.44 12/12/2024 Food and Beverage Undisputed 01/23/2026 1143608286 CMS
Janssen Pharmaceuticals, Inc $30.89 02/28/2024 Food and Beverage Undisputed 01/23/2026 1078184189 CMS
Janssen Pharmaceuticals, Inc $33.24 03/21/2024 Food and Beverage Undisputed 01/23/2026 1078184285 CMS
Janssen Pharmaceuticals, Inc $150.00 04/11/2024 Food and Beverage Undisputed 01/23/2026 1078184323 CMS
Janssen Pharmaceuticals, Inc $40.00 04/12/2024 Food and Beverage Undisputed 01/23/2026 1078184179 CMS
Janssen Pharmaceuticals, Inc $618.11 04/12/2024 Travel and Lodging Undisputed 01/23/2026 1078184193 CMS
Janssen Pharmaceuticals, Inc $64.77 04/12/2024 Travel and Lodging Undisputed 01/23/2026 1078184347 CMS
Janssen Pharmaceuticals, Inc $11.20 04/12/2024 Food and Beverage Undisputed 01/23/2026 1078184361 CMS
Janssen Pharmaceuticals, Inc $694.48 04/12/2024 Travel and Lodging Undisputed 01/23/2026 1078184529 CMS
Janssen Pharmaceuticals, Inc $24.19 05/17/2024 Food and Beverage Undisputed 01/23/2026 1078184213 CMS
Janssen Pharmaceuticals, Inc $27.80 05/21/2024 Food and Beverage Undisputed 01/23/2026 1078184257 CMS
Janssen Pharmaceuticals, Inc $32.04 06/20/2024 Food and Beverage Undisputed 01/23/2026 1078184191 CMS
Janssen Pharmaceuticals, Inc $33.84 08/28/2024 Food and Beverage Undisputed 01/23/2026 1078184201 CMS
Janssen Pharmaceuticals, Inc $34.38 10/23/2024 Food and Beverage Undisputed 01/23/2026 1078184483 CMS
Janssen Pharmaceuticals, Inc $28.58 11/12/2024 Food and Beverage Undisputed 01/23/2026 1078184283 CMS
Lundbeck LLC $3.65 02/12/2024 Food and Beverage Undisputed 01/23/2026 1146092975 CMS
Lundbeck LLC $28.92 02/20/2024 Food and Beverage Undisputed 01/23/2026 1146092977 CMS
Lundbeck LLC $4.95 03/11/2024 Food and Beverage Undisputed 01/23/2026 1146092979 CMS
Lundbeck LLC $6.88 03/19/2024 Food and Beverage Undisputed 01/23/2026 1146092981 CMS
Lundbeck LLC $21.99 03/19/2024 Food and Beverage Undisputed 01/23/2026 1146092983 CMS
Lundbeck LLC $7.32 04/16/2024 Food and Beverage Undisputed 01/23/2026 1146092985 CMS
Lundbeck LLC $27.50 04/23/2024 Food and Beverage Undisputed 01/23/2026 1146092987 CMS
Lundbeck LLC $19.65 09/18/2024 Food and Beverage Undisputed 01/23/2026 1146092989 CMS
Lundbeck LLC $14.20 11/13/2024 Food and Beverage Undisputed 01/23/2026 1146092991 CMS
Lundbeck LLC $24.30 11/14/2024 Food and Beverage Undisputed 01/23/2026 1146092993 CMS
Merck Sharp & Dohme LLC $20.03 01/23/2024 Food and Beverage Undisputed 01/23/2026 1141676107 CMS
Merck Sharp & Dohme LLC $21.68 03/05/2024 Food and Beverage Undisputed 01/23/2026 1141676105 CMS
Merck Sharp & Dohme LLC $28.56 12/03/2024 Food and Beverage Undisputed 01/23/2026 1141676099 CMS
Merck Sharp & Dohme LLC $23.33 12/16/2024 Food and Beverage Undisputed 01/23/2026 1141861772 CMS
Neos Therapeutics, LP $13.93 05/22/2024 Food and Beverage Undisputed 01/23/2026 1082669389 CMS
Neos Therapeutics, LP $15.71 09/30/2024 Food and Beverage Undisputed 01/23/2026 1082674233 CMS
Neurocrine Biosciences, Inc. $22.91 05/30/2024 Food and Beverage Undisputed 01/23/2026 1150964347 CMS
Neurocrine Biosciences, Inc. $26.31 07/18/2024 Food and Beverage Undisputed 01/23/2026 1150950351 CMS
Neurocrine Biosciences, Inc. $13.24 10/23/2024 Food and Beverage Undisputed 01/23/2026 1151010209 CMS
Neurocrine Biosciences, Inc. $27.00 12/18/2024 Food and Beverage Undisputed 01/23/2026 1150947908 CMS
Noven Therapeutics, LLC $23.97 04/02/2024 Food and Beverage Undisputed 01/23/2026 1084835920 CMS
Noven Therapeutics, LLC $24.18 10/08/2024 Food and Beverage Undisputed 01/23/2026 1084835922 CMS
Noven Therapeutics, LLC $22.36 11/06/2024 Food and Beverage Undisputed 01/23/2026 1084835924 CMS
Otsuka America Pharmaceutical, Inc. $17.79 01/09/2024 Food and Beverage Undisputed 01/23/2026 1119190736 CMS
Otsuka America Pharmaceutical, Inc. $20.21 02/06/2024 Food and Beverage Undisputed 01/23/2026 1119190738 CMS
Otsuka America Pharmaceutical, Inc. $17.31 03/05/2024 Food and Beverage Undisputed 01/23/2026 1119190740 CMS
Otsuka America Pharmaceutical, Inc. $97.27 04/01/2024 Food and Beverage Undisputed 01/23/2026 1119190742 CMS
Otsuka America Pharmaceutical, Inc. $21.64 04/09/2024 Food and Beverage Undisputed 01/23/2026 1119190744 CMS
Otsuka America Pharmaceutical, Inc. $17.95 06/04/2024 Food and Beverage Undisputed 01/23/2026 1119190746 CMS
Otsuka America Pharmaceutical, Inc. $7.00 07/09/2024 Food and Beverage Undisputed 01/23/2026 1119190748 CMS
Otsuka America Pharmaceutical, Inc. $10.82 08/06/2024 Food and Beverage Undisputed 01/23/2026 1119190750 CMS
Otsuka America Pharmaceutical, Inc. $12.06 09/10/2024 Food and Beverage Undisputed 01/23/2026 1119190752 CMS
Otsuka America Pharmaceutical, Inc. $17.20 10/02/2024 Food and Beverage Undisputed 01/23/2026 1119190754 CMS
Otsuka America Pharmaceutical, Inc. $17.80 10/03/2024 Food and Beverage Undisputed 01/23/2026 1119190756 CMS
Takeda Pharmaceuticals U.S.A., Inc. $7.49 02/07/2024 Food and Beverage Undisputed 01/23/2026 1137827431 CMS
Takeda Pharmaceuticals U.S.A., Inc. $9.31 03/06/2024 Food and Beverage Undisputed 01/23/2026 1137827433 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.09 04/03/2024 Food and Beverage Undisputed 01/23/2026 1137827435 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.33 04/30/2024 Food and Beverage Undisputed 01/23/2026 1137827437 CMS
Takeda Pharmaceuticals U.S.A., Inc. $10.94 05/02/2024 Food and Beverage Undisputed 01/23/2026 1137827439 CMS
Takeda Pharmaceuticals U.S.A., Inc. $6.19 05/08/2024 Food and Beverage Undisputed 01/23/2026 1137827441 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.92 05/28/2024 Food and Beverage Undisputed 01/23/2026 1137827443 CMS
Takeda Pharmaceuticals U.S.A., Inc. $15.71 06/06/2024 Food and Beverage Undisputed 01/23/2026 1137827445 CMS
Takeda Pharmaceuticals U.S.A., Inc. $12.56 07/16/2024 Food and Beverage Undisputed 01/23/2026 1137827447 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.41 08/14/2024 Food and Beverage Undisputed 01/23/2026 1137827449 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.10 09/23/2024 Food and Beverage Undisputed 01/23/2026 1137827451 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.45 10/30/2024 Food and Beverage Undisputed 01/23/2026 1137827453 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.92 12/04/2024 Food and Beverage Undisputed 01/23/2026 1137827455 CMS
Teva Pharmaceuticals USA, Inc. $13.78 03/26/2024 Food and Beverage Undisputed 01/23/2026 1151672779 CMS
Teva Pharmaceuticals USA, Inc. $15.57 06/18/2024 Food and Beverage Undisputed 01/23/2026 1151672878 CMS
Tris Pharma Inc $3.90 01/08/2024 Food and Beverage Undisputed 01/23/2026 1147206965 CMS
Tris Pharma Inc $6.65 01/08/2024 Food and Beverage Undisputed 01/23/2026 1147206971 CMS
Tris Pharma Inc $11.91 01/23/2024 Food and Beverage Undisputed 01/23/2026 1147206985 CMS
Tris Pharma Inc $9.69 01/31/2024 Food and Beverage Undisputed 01/23/2026 1147206979 CMS
Tris Pharma Inc $6.58 02/19/2024 Food and Beverage Undisputed 01/23/2026 1147206969 CMS
Tris Pharma Inc $10.50 02/21/2024 Food and Beverage Undisputed 01/23/2026 1147206983 CMS
Tris Pharma Inc $9.59 02/28/2024 Food and Beverage Undisputed 01/23/2026 1147206977 CMS
Tris Pharma Inc $9.18 03/07/2024 Food and Beverage Undisputed 01/23/2026 1147206975 CMS
Tris Pharma Inc $7.42 03/26/2024 Food and Beverage Undisputed 01/23/2026 1147206973 CMS
Tris Pharma Inc $6.12 04/02/2024 Food and Beverage Undisputed 01/23/2026 1147206967 CMS
Tris Pharma Inc $12.78 04/09/2024 Food and Beverage Undisputed 01/23/2026 1147206987 CMS
Tris Pharma Inc $9.83 05/06/2024 Food and Beverage Undisputed 01/23/2026 1147206981 CMS
Tris Pharma Inc $17.91 10/15/2024 Food and Beverage Undisputed 01/23/2026 1147206989 CMS
Tris Pharma Inc $21.24 11/05/2024 Food and Beverage Undisputed 01/23/2026 1147206991 CMS
Vanda Pharmaceuticals Inc. $119.99 08/21/2024 Food and Beverage Undisputed 01/23/2026 1133970966 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
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · 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.