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

KAREN S SPENCER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1922313063
CMS profile
10477752
Location
SAN ANTONIO, TX

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 · PY2022 · Entire year

$2,015.01

115 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

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,015.01 115

By paying entity

PY2022 · entire year · sorted by reported total

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

115 matching records · $2,015.01 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 115 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 115.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
ABBVIE INC. $8.1412/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232491 CMS
Janssen Biotech, Inc. $16.2012/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026964350077 CMS
ABBVIE INC. $14.5012/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232487 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.3311/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959825619 CMS
ABBVIE INC. $14.8811/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232483 CMS
ABBVIE INC. $13.8011/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232479 CMS
ABBVIE INC. $4.8910/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232475 CMS
ABBVIE INC. $124.1910/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232471 CMS
Janssen Biotech, Inc. $15.3310/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026886657233 CMS
ABBVIE INC. $12.6610/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232467 CMS
RedHill Biopharma Inc. $11.8810/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902971361 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.6210/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959778899 CMS
AstraZeneca Pharmaceuticals LP $20.6710/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915035189 CMS
RedHill Biopharma Inc. $8.9109/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902963935 CMS
Evoke Pharma, Inc. $12.5409/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026913802609 CMS
ABBVIE INC. $4.1809/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232463 CMS
Janssen Biotech, Inc. $17.2909/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026886657229 CMS
ABBVIE INC. $14.1609/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232459 CMS
RedHill Biopharma Inc. $15.0009/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902963931 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.0709/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959481011 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $14.9509/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959794419 CMS
ABBVIE INC. $15.3708/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232451 CMS
ABBVIE INC. $14.6708/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232455 CMS
ABBVIE INC. $12.2608/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232447 CMS
RedHill Biopharma Inc. $9.8308/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902963929 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.4608/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026960029607 CMS
Braintree Laboratories, Inc. $18.0608/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026898425305 CMS
RedHill Biopharma Inc. $14.2508/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902963923 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.4608/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959774937 CMS
Gilead Sciences, Inc. $12.3608/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929584431 CMS
RedHill Biopharma Inc. $14.2508/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902963919 CMS
ABBVIE INC. $15.6308/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232443 CMS
ABBVIE INC. $16.2908/02/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232441 CMS
Janssen Biotech, Inc. $16.1107/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026886657239 CMS
ABBVIE INC. $19.4707/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232437 CMS
RedHill Biopharma Inc. $8.3907/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902963917 CMS
Gilead Sciences, Inc. $12.9807/25/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929584435 CMS
ABBVIE INC. $14.3207/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232433 CMS
ABBVIE INC. $124.9807/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232429 CMS
ABBVIE INC. $14.3607/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232425 CMS
Janssen Biotech, Inc. $23.0007/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026886657221 CMS
RedHill Biopharma Inc. $12.3907/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026902963913 CMS
ABBVIE INC. $14.9907/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232421 CMS
Shield Therapeutics Inc $15.0407/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026946414621 CMS
Janssen Pharmaceuticals, Inc $15.2707/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026886946563 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $17.7306/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959805385 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $18.9406/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026959979545 CMS
ABBVIE INC. $14.7306/29/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232417 CMS
ABBVIE INC. $22.1606/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232413 CMS
ABBVIE INC. $15.0506/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026894232409 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $2,007.01 99
PY2022 $2,015.01 115
PY2023 $258.13 19
PY2024 $33.58 2
PY2025 $91.69 1

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.

Cite this record.

Plain
KAREN S SPENCER, NPI 1922313063. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1922313063.
APA 7
IndustryPayments. (2026). KAREN S SPENCER, NPI 1922313063 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1922313063
Bluebook
KAREN S SPENCER, NPI 1922313063, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1922313063.

Source: Centers for Medicare & Medicaid Services, Open Payments.