Covered recipient · General Payments record

NATHAN S SPRENGEL

Allopathic & Osteopathic Physicians General Practice

NPI: 1912260597
CMS profile: 474755
Location: NEW MADRID, MO

General Payments · PY2018–2024

$7,258.63

Reported across 517 records
CMS publication 2026-01-23

Latest program year · PY2024

$832.44

51 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
Food and Beverage	$832.44	51

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Acerta Pharma LLC	$164.78	7
Novo Nordisk AS	$163.56	9
Boehringer Ingelheim Pharmaceuticals, Inc.	$131.14	14
Amgen Inc.	$94.63	5
NOVARTIS PHARMACEUTICALS CORPORATION	$64.29	4
Lilly USA, LLC	$52.90	3
Otsuka America Pharmaceutical, Inc.	$45.08	2
PFIZER INC.	$30.70	2
Mylan Specialty L.P.	$20.16	1
Phathom Pharmaceuticals, Inc.	$17.67	1
Takeda Pharmaceuticals U.S.A., Inc.	$16.96	1
ABBVIE INC.	$15.82	1
Radius Health, Inc.	$14.75	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$1,257.75	103
PY2019	$760.29	65
PY2020	$969.24	66
PY2021	$1,459.71	107
PY2022	$824.22	53
PY2023	$1,154.98	72
PY2024	$832.44	51

Payment records · PY2024 (51)

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
ABBVIE INC.	$15.82	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1106149399	CMS
Amgen Inc.	$15.62	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1117691110	CMS
Amgen Inc.	$16.53	01/29/2024	Food and Beverage	Undisputed	01/23/2026	1117691112	CMS
Amgen Inc.	$15.78	07/08/2024	Food and Beverage	Undisputed	01/23/2026	1117691114	CMS
Amgen Inc.	$28.02	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1116146412	CMS
Amgen Inc.	$18.68	12/05/2024	Food and Beverage	Undisputed	01/23/2026	1117691116	CMS
AstraZeneca Pharmaceuticals LP	$81.69	02/06/2024	Food and Beverage	Undisputed	01/23/2026	1105630523	CMS
AstraZeneca Pharmaceuticals LP	$13.15	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1105677917	CMS
AstraZeneca Pharmaceuticals LP	$14.27	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1104429891	CMS
AstraZeneca Pharmaceuticals LP	$13.95	05/20/2024	Food and Beverage	Undisputed	01/23/2026	1105581750	CMS
AstraZeneca Pharmaceuticals LP	$15.12	06/12/2024	Food and Beverage	Undisputed	01/23/2026	1104470562	CMS
AstraZeneca Pharmaceuticals LP	$13.15	07/22/2024	Food and Beverage	Undisputed	01/23/2026	1104197239	CMS
AstraZeneca Pharmaceuticals LP	$13.45	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1105725881	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$7.56	02/01/2024	Food and Beverage	Undisputed	01/23/2026	1118231678	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$9.38	03/07/2024	Food and Beverage	Undisputed	01/23/2026	1118231686	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$18.86	03/14/2024	Food and Beverage	Undisputed	01/23/2026	1118231690	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$7.33	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1118231676	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$7.98	04/17/2024	Food and Beverage	Undisputed	01/23/2026	1118231680	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$4.33	07/10/2024	Food and Beverage	Undisputed	01/23/2026	1118231670	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$23.34	07/17/2024	Food and Beverage	Undisputed	01/23/2026	1118231692	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$5.95	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1118231674	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$5.57	08/29/2024	Food and Beverage	Undisputed	01/23/2026	1118231672	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$3.04	09/20/2024	Food and Beverage	Undisputed	01/23/2026	1118231666	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$17.02	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1118231688	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$8.34	10/23/2024	Food and Beverage	Undisputed	01/23/2026	1118231684	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$4.23	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1118231668	CMS
Boehringer Ingelheim Pharmaceuticals, Inc.	$8.21	12/19/2024	Food and Beverage	Undisputed	01/23/2026	1118231682	CMS
Lilly USA, LLC	$17.48	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1135266607	CMS
Lilly USA, LLC	$14.34	08/26/2024	Food and Beverage	Undisputed	01/23/2026	1135221477	CMS
Lilly USA, LLC	$21.08	09/02/2024	Food and Beverage	Undisputed	01/23/2026	1135283233	CMS
Mylan Specialty L.P.	$20.16	11/02/2024	Food and Beverage	Undisputed	01/23/2026	1147354707	CMS
Novartis Pharmaceuticals Corporation	$18.43	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1087173353	CMS
Novartis Pharmaceuticals Corporation	$18.12	03/11/2024	Food and Beverage	Undisputed	01/23/2026	1087173357	CMS
Novartis Pharmaceuticals Corporation	$13.92	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1087173365	CMS
Novartis Pharmaceuticals Corporation	$13.82	08/19/2024	Food and Beverage	Undisputed	01/23/2026	1087173377	CMS
Novo Nordisk Inc	$12.15	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1097501012	CMS
Novo Nordisk Inc	$20.72	04/04/2024	Food and Beverage	Undisputed	01/23/2026	1096626804	CMS
Novo Nordisk Inc	$20.37	05/23/2024	Food and Beverage	Undisputed	01/23/2026	1097141212	CMS
Novo Nordisk Inc	$5.53	06/26/2024	Food and Beverage	Undisputed	01/23/2026	1097755868	CMS
Novo Nordisk Inc	$19.29	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1097068116	CMS
Novo Nordisk Inc	$23.16	08/20/2024	Food and Beverage	Undisputed	01/23/2026	1097789619	CMS
Novo Nordisk Inc	$15.02	10/11/2024	Food and Beverage	Undisputed	01/23/2026	1097789237	CMS
Novo Nordisk Inc	$24.47	10/29/2024	Food and Beverage	Undisputed	01/23/2026	1097775015	CMS
Novo Nordisk Inc	$22.85	12/10/2024	Food and Beverage	Undisputed	01/23/2026	1096614764	CMS
Otsuka America Pharmaceutical, Inc.	$20.95	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1118987284	CMS
Otsuka America Pharmaceutical, Inc.	$24.13	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1118987286	CMS
PFIZER INC.	$15.14	06/27/2024	Food and Beverage	Undisputed	01/23/2026	1131698567	CMS
PFIZER INC.	$15.56	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1131793881	CMS
Phathom Pharmaceuticals, Inc.	$17.67	11/06/2024	Food and Beverage	Undisputed	01/23/2026	1151129279	CMS
Radius Health, Inc.	$14.75	11/18/2024	Food and Beverage	Undisputed	01/23/2026	1089979174	CMS
Takeda Pharmaceuticals U.S.A., Inc.	$16.96	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1137680855	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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