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

MELISSA SPEARS

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

NPI
1790911469
CMS profile
11198488
Location
KNOXVILLE, TN

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 · PY2024 · Entire year

$4,627.95

161 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

PY2024 · entire year · 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 · entire year · sorted by reported total

Page 1 of 4; records 1–50 of 161 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

MELISSA SPEARS

NPI 1790911469 · CMS profile ID 11198488

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

KNOXVILLE, TN

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.

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.

General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 4; records 1–50 of 161 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1790911469?year=2024&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
MELISSA SPEARS, NPI 1790911469, CMS profile ID 11198488. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 4; records 1–50 of 161 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1790911469?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
APA 7
IndustryPayments. (2026). MELISSA SPEARS, NPI 1790911469, CMS profile ID 11198488. General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 4; records 1–50 of 161 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1790911469?year=2024&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff.
Bluebook
MELISSA SPEARS, NPI 1790911469, CMS profile ID 11198488, IndustryPayments, General Payments, PY2024; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 4; records 1–50 of 161 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/e6b17c6a-2534-4207-a4a1-6746a14911ff. https://industrypayments.org/provider/npi-1790911469?year=2024&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

161 matching records · $4,627.95 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 161 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 1–50 of 161.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Neurocrine Biosciences, Inc. $27.0012/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1150947908 CMS
E.R. Squibb & Sons, L.L.C. $18.4812/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1101461107 CMS
Merck Sharp & Dohme LLC $23.3312/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1141861772 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $26.4412/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608286 CMS
Axsome Therapeutics, Inc. $15.0112/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148392807 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.9212/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137827455 CMS
Merck Sharp & Dohme LLC $28.5612/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1141676099 CMS
Alkermes, Inc. $16.7611/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1120601630 CMS
Corium, LLC $29.8211/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100200547 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $4.6011/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608284 CMS
Almatica Pharma LLC $16.8911/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137618206 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $5.3611/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608282 CMS
Lundbeck LLC $24.3011/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146092993 CMS
Lundbeck LLC $14.2011/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146092991 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $26.4411/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608280 CMS
Janssen Pharmaceuticals, Inc $28.5811/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1078184283 CMS
Noven Therapeutics, LLC $22.3611/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1084835924 CMS
Tris Pharma Inc $21.2411/05/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1147206991 CMS
Takeda Pharmaceuticals U.S.A., Inc. $11.4510/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137827453 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $4.2710/29/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608278 CMS
Janssen Pharmaceuticals, Inc $34.3810/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1078184483 CMS
Neurocrine Biosciences, Inc. $13.2410/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1151010209 CMS
Almatica Pharma LLC $7.6710/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137618202 CMS
Alkermes, Inc. $17.3810/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1120601628 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $23.2310/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608276 CMS
Tris Pharma Inc $17.9110/15/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1147206989 CMS
ABBVIE INC. $18.3210/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1108236818 CMS
Noven Therapeutics, LLC $24.1810/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1084835922 CMS
Corium, LLC $27.6610/07/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100196902 CMS
Otsuka America Pharmaceutical, Inc. $17.8010/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1119190756 CMS
Otsuka America Pharmaceutical, Inc. $17.2010/02/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1119190754 CMS
ABBVIE INC. $17.9010/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1108236816 CMS
Neos Therapeutics, LP $15.7109/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1082674233 CMS
Axsome Therapeutics, Inc. $6.6409/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148392803 CMS
IRONSHORE PHARMACEUTICALS INC. $16.7909/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146324755 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.1009/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137827451 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $25.0209/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608274 CMS
Lundbeck LLC $19.6509/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1146092989 CMS
Axsome Therapeutics, Inc. $86.5909/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148392799 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $120.3609/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1143608272 CMS
Otsuka America Pharmaceutical, Inc. $12.0609/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1119190752 CMS
Corium, LLC $23.2809/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1100187284 CMS
ABBVIE INC. $17.2809/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1108236814 CMS
Almatica Pharma LLC $6.9409/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137618197 CMS
Janssen Pharmaceuticals, Inc $33.8408/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1078184201 CMS
ABBVIE INC. $4.7608/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1108236812 CMS
Axsome Therapeutics, Inc. $16.7108/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1148392801 CMS
Vanda Pharmaceuticals Inc. $119.9908/21/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1133970966 CMS
ABBVIE INC. $19.5308/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1108236810 CMS
Takeda Pharmaceuticals U.S.A., Inc. $13.4108/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 1137827449 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $51.76 3
PY2022 $236.27 12
PY2023 $2,826.41 105
PY2024 $4,627.95 161
PY2025 $4,100.05 121

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.