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

NATHAN S SPRENGEL

Allopathic & Osteopathic Physicians General Practice

NPI
1912260597
CMS profile
474755
Location
NEW MADRID, MO

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.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2025 · Entire year

$1,218.80

57 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

PY2025 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,199.95 56
Education $18.85 1

By paying entity

PY2025 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 57 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

NATHAN S SPRENGEL

NPI 1912260597 · CMS profile ID 474755

Allopathic & Osteopathic Physicians / General Practice

NEW MADRID, MO

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, PY2025; 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 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1912260597?year=2025&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e

Cite these filtered records

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

Plain
NATHAN S SPRENGEL, NPI 1912260597, CMS profile ID 474755. General Payments, PY2025; 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 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1912260597?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
APA 7
IndustryPayments. (2026). NATHAN S SPRENGEL, NPI 1912260597, CMS profile ID 474755. General Payments, PY2025; 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 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1912260597?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
Bluebook
NATHAN S SPRENGEL, NPI 1912260597, CMS profile ID 474755, IndustryPayments, General Payments, PY2025; 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 2; records 1–50 of 57 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/provider/npi-1912260597?year=2025&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 · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

57 matching records · $1,218.80 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 57 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 57.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Merck Sharp & Dohme LLC $14.8912/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238012694 CMS
ABBVIE INC. $31.8812/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1204382885 CMS
Radius Health, Inc. $18.2912/11/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518795 CMS
AstraZeneca Pharmaceuticals LP $20.7212/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206443329 CMS
Radius Health, Inc. $16.1011/21/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518793 CMS
Viatris Specialty LLC $17.5511/20/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238476687 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $7.8911/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952353 CMS
Otsuka America Pharmaceutical, Inc. $20.8411/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227503128 CMS
AstraZeneca Pharmaceuticals LP $21.2911/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206468460 CMS
Otsuka America Pharmaceutical, Inc. $19.9310/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227503125 CMS
Radius Health, Inc. $10.4310/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518791 CMS
Bayer Healthcare Pharmaceuticals Inc. $15.4710/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225820686 CMS
Dexcom, Inc. $16.9210/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250511228 CMS
Novo Nordisk Inc $20.8510/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188441468 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $8.6309/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952351 CMS
Otsuka America Pharmaceutical, Inc. $19.2009/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227503121 CMS
Radius Health, Inc. $11.4909/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518789 CMS
Viatris Specialty LLC $14.2809/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238467273 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $14.4109/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952349 CMS
Radius Health, Inc. $12.6608/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518787 CMS
Bayer Healthcare Pharmaceuticals Inc. $22.5208/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1225820682 CMS
AstraZeneca Pharmaceuticals LP $19.6708/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206794063 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $7.9208/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952345 CMS
Novo Nordisk Inc $21.4708/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188369898 CMS
Radius Health, Inc. $11.6708/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518785 CMS
Viatris Specialty LLC $22.3207/21/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238508553 CMS
Novo Nordisk Inc $19.1007/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1188471611 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.9707/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952343 CMS
Seqirus USA Inc $31.0606/17/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1201090670 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $24.7206/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952347 CMS
Viatris Specialty LLC $16.1706/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238505813 CMS
Radius Health, Inc. $18.2805/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518783 CMS
AstraZeneca Pharmaceuticals LP $13.9305/19/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206180244 CMS
Lilly USA, LLC $18.1405/13/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1186791349 CMS
Dexcom, Inc. $14.0605/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1250511226 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.8905/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952341 CMS
Radius Health, Inc. $7.6605/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518781 CMS
Viatris Specialty LLC $17.6004/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238502311 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $7.9404/16/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1222952339 CMS
Verona Pharma, Inc. $14.8904/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1233797092 CMS
ABBVIE INC. $19.3404/04/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1204382882 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $18.8503/28/2025 Education No dispute reported Delay: No
Change: NEW
06/30/2026 1222952337 CMS
Radius Health, Inc. $20.1703/28/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1249518779 CMS
Otsuka America Pharmaceutical, Inc. $22.9103/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227503117 CMS
Viatris Specialty LLC $17.9003/14/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238496277 CMS
Phathom Pharmaceuticals, Inc. $197.5003/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1219386675 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $20.0202/26/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1241406297 CMS
AstraZeneca Pharmaceuticals LP $17.9202/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1206684504 CMS
Otsuka America Pharmaceutical, Inc. $22.3702/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227503113 CMS
Merck Sharp & Dohme LLC $15.0602/06/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1238065636 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
PY2025 $1,218.80 57

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 and profile matching
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.