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

KACI SPENCER

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1982063624
CMS profile
11134596
Location
SAINT LOUIS, MO

General Payments · PY2021–2024

$1,325.76

  • Reported across 73 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$444.60

23 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 $444.60 23

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $352.28 21
PY2022 $113.50 8
PY2023 $415.38 21
PY2024 $444.60 23

Payment records · PY2024 (23)

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
Abbott Laboratories $19.16 03/05/2024 Food and Beverage Undisputed 01/23/2026 1125368060 CMS
Amgen Inc. $16.31 06/24/2024 Food and Beverage Undisputed 01/23/2026 1117389248 CMS
Amgen Inc. $19.81 07/29/2024 Food and Beverage Undisputed 01/23/2026 1117389250 CMS
Amgen Inc. $17.33 09/30/2024 Food and Beverage Undisputed 01/23/2026 1117389252 CMS
Amgen Inc. $15.29 12/02/2024 Food and Beverage Undisputed 01/23/2026 1117389254 CMS
AstraZeneca Pharmaceuticals LP $19.99 10/23/2024 Food and Beverage Undisputed 01/23/2026 1104513312 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.37 02/13/2024 Food and Beverage Undisputed 01/23/2026 1118259395 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.24 07/08/2024 Food and Beverage Undisputed 01/23/2026 1118259391 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.00 07/18/2024 Food and Beverage Undisputed 01/23/2026 1118259393 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.28 10/28/2024 Food and Beverage Undisputed 01/23/2026 1118259397 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.28 11/25/2024 Food and Beverage Undisputed 01/23/2026 1118259399 CMS
E.R. Squibb & Sons, L.L.C. $15.47 02/28/2024 Food and Beverage Undisputed 01/23/2026 1101263359 CMS
Grifols USA, LLC $19.61 09/17/2024 Food and Beverage Undisputed 01/23/2026 1124730007 CMS
Janssen Pharmaceuticals, Inc $14.63 07/17/2024 Food and Beverage Undisputed 01/23/2026 1078060724 CMS
Merck Sharp & Dohme LLC $21.43 07/09/2024 Food and Beverage Undisputed 01/23/2026 1141780635 CMS
Merck Sharp & Dohme LLC $18.16 10/09/2024 Food and Beverage Undisputed 01/23/2026 1141896697 CMS
Novartis Pharmaceuticals Corporation $19.10 02/07/2024 Food and Beverage Undisputed 01/23/2026 1087308859 CMS
Novartis Pharmaceuticals Corporation $20.91 07/30/2024 Food and Beverage Undisputed 01/23/2026 1087308869 CMS
Novartis Pharmaceuticals Corporation $23.90 10/29/2024 Food and Beverage Undisputed 01/23/2026 1087308879 CMS
PFIZER INC. $22.16 01/10/2024 Food and Beverage Undisputed 01/23/2026 1130981130 CMS
PFIZER INC. $17.11 02/20/2024 Food and Beverage Undisputed 01/23/2026 1131077350 CMS
PFIZER INC. $17.31 07/16/2024 Food and Beverage Undisputed 01/23/2026 1131679565 CMS
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) $17.75 12/04/2024 Food and Beverage Undisputed 01/23/2026 1080636680 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.