Healthcare provider profile · identity verified

Alan J Spanel, MD

Allopathic & Osteopathic Physicians|Internal Medicine · NORFOLK, NE · NPI 1023508892

Profile state: payments and partd Open Payments: 2025 Medicare Part D: 2024 Last identity check: 2026-08-10 Page data build: 2026-08-12

Verified facts

What the public records show

CMS Open Payments records show Alan J Spanel, MD received $646.64 in general payments during 2025 across 37 reported records.

ABBVIE INC. accounted for 21.6% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 20 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Jardiance, Ozempic, Rybelsus, Zenpep.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 19 claims for Synthroid by this doctor in 2024.

ABBVIE INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported VRAYLAR as an associated drug or biological on 377741 records involving 62704 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Vraylar by this doctor in 2024.

Aimmune Therapeutics, Inc. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ZENPEP as an associated drug or biological on 32144 records involving 12432 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Zenpep by this doctor in 2024.

Astellas Pharma US Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Myrbetriq as an associated drug or biological on 16 records involving 16 distinct recipient NPIs. Public Medicare Part D data also shows 61 claims for Myrbetriq by this doctor in 2024.

AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported FARXIGA as an associated drug or biological on 106133 records involving 42906 distinct recipient NPIs. Public Medicare Part D data also shows 31 claims for Farxiga by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported JARDIANCE as an associated drug or biological on 47708 records involving 23833 distinct recipient NPIs. Public Medicare Part D data also shows 182 claims for Jardiance by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported MOUNJARO as an associated drug or biological on 186719 records involving 66436 distinct recipient NPIs. Public Medicare Part D data also shows 59 claims for Mounjaro by this doctor in 2024.

Lilly USA, LLC reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 51 claims for Trulicity by this doctor in 2024.

Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Ozempic as an associated drug or biological on 261625 records involving 77793 distinct recipient NPIs. Public Medicare Part D data also shows 62 claims for Ozempic by this doctor in 2024.

Novo Nordisk Inc reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 17 claims for Rybelsus by this doctor in 2024.

PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported ELIQUIS as an associated drug or biological on 87112 records involving 36032 distinct recipient NPIs. Public Medicare Part D data also shows 134 claims for Eliquis by this doctor in 2024.

PFIZER INC. reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported PAXLOVID as an associated drug or biological on 24465 records involving 15715 distinct recipient NPIs. Public Medicare Part D data also shows 13 claims for Paxlovid by this doctor in 2024.

These records do not establish that a payment influenced prescribing or medical care.

Payment overview · 2025

General Payments

$646.64

37 reported records · 15 companies

Separate record types

Research & Ownership

Research Payments (direct recipient): not present in the loaded data

Associated Research Funding (for example, named PI): not present in the loaded data

Ownership / Investment: not present in the loaded data

These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.

Who paid this doctor?

Companies in 2025 General Payments

Reported companyCanonical companyAmountShareRecordsYear
ABBVIE INC. Unresolved — no canonical attribution shown $139.6021.6%72025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $119.7518.5%82025
Novo Nordisk Inc Unresolved — no canonical attribution shown $73.3911.3%42025
SANOFI-AVENTIS U.S. LLC Unresolved — no canonical attribution shown $60.119.3%12025
Lundbeck LLC Unresolved — no canonical attribution shown $40.466.3%22025
PFIZER INC. Unresolved — no canonical attribution shown $35.575.5%22025
Phathom Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $35.315.5%52025
Abbott Laboratories Unresolved — no canonical attribution shown $23.753.7%12025
Lilly USA, LLC Unresolved — no canonical attribution shown $21.043.2%12025
Mallinckrodt Hospital Products Inc. Unresolved — no canonical attribution shown $18.862.9%12025
Amgen Inc. Unresolved — no canonical attribution shown $17.402.7%12025
Otsuka America Pharmaceutical, Inc. Unresolved — no canonical attribution shown $16.202.5%12025
Xeris Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $15.532.4%12025
Astellas Pharma US Inc Unresolved — no canonical attribution shown $15.222.4%12025
Aimmune Therapeutics, Inc. Unresolved — no canonical attribution shown $14.452.2%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$646.6437

A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.

Analysis 1 · Payment-linked products

Products named in Open Payments records

Reported productTypeReported companyRelated amount*RecordsYear
UBRELVY
Normalized: ubrelvy
Drug ABBVIE INC. $111.02 6 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $87.10 5 2025
Source payment records
TZIELD
Normalized: tzield
Biological SANOFI-AVENTIS U.S. LLC $60.11 1 2025
Source payment records
REXULTI
Normalized: rexulti
Drug Lundbeck LLC, Otsuka America Pharmaceutical, Inc. $56.66 3 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $54.73 3 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $42.58 3 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $35.57 2 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $35.57 2 2025
Source payment records
VOQUEZNA
Normalized: voquezna
Drug Phathom Pharmaceuticals, Inc. $35.31 5 2025
Source payment records
BOTOX
Normalized: botox
Biological ABBVIE INC. $28.58 1 2025
Source payment records
FREESTYLE LIBRE 3
Normalized: freestyle libre 3
Device Abbott Laboratories $23.75 1 2025
Source payment records
JARDIANCE
Normalized: jardiance
Drug Lilly USA, LLC $21.04 1 2025
Source payment records
ACTHAR
Normalized: acthar
Biological Mallinckrodt Hospital Products Inc. $18.86 1 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $18.66 1 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $18.66 1 2025
Source payment records
EVENITY
Normalized: evenity
Biological Amgen Inc. $17.40 1 2025
Source payment records
PROLIA
Normalized: prolia
Biological Amgen Inc. $17.40 1 2025
Source payment records
GVOKE HYPOPEN
Normalized: gvoke hypopen
Drug Xeris Pharmaceuticals, Inc. $15.53 1 2025
Source payment records
Veozah
Normalized: veozah
Drug Astellas Pharma US Inc $15.22 1 2025
Source payment records
ZENPEP
Normalized: zenpep
Drug Aimmune Therapeutics, Inc. $14.45 1 2025
Source payment records

* Product-associated amounts are non-additive because one payment record may name more than one product.

These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.

Public prescribing for products named in payments

Open Payments productPayment yearPart D brandPart D yearClaimsMatch methodSource
JARDIANCE
jardiance
2025 Jardiance 2024 182 exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 62 exact normalized Medicare Part D
Rybelsus
rybelsus
2025 Rybelsus 2024 17
Beneficiary count suppressed
exact normalized Medicare Part D
ZENPEP
zenpep
2025 Zenpep 2024 12
Beneficiary count suppressed
exact normalized Medicare Part D

The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.

Analysis 2 · Same-company prescribing overlap

Drugs reported in other payments from the same company that also appear in Medicare Part D

This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.

Paying companyPayment yearDrug reported by same entityOpen Payments evidencePart DClaimsBeneficiaries
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 SYNTHROID
open payments reported associated product
CMS Open Payments — General Payments
10655 supporting records · 4881 recipient NPIs · example record 1201352636
Synthroid · 2024
Exact normalized brand match · 1 Part D row
19 suppressed by CMS
ABBVIE INC.
Exact reporting entity; no affiliate inference
2025 VRAYLAR
open payments reported associated product
CMS Open Payments — General Payments
377741 supporting records · 62704 recipient NPIs · example record 1201352550
Vraylar · 2024
Exact normalized brand match · 1 Part D row
11 suppressed by CMS
Aimmune Therapeutics, Inc.
Exact reporting entity; no affiliate inference
2025 ZENPEP
open payments reported associated product
CMS Open Payments — General Payments
32144 supporting records · 12432 recipient NPIs · example record 1249641927
Zenpep · 2024
Exact normalized brand match · 1 Part D row
12 suppressed by CMS
Astellas Pharma US Inc
Exact reporting entity; no affiliate inference
2025 Myrbetriq
open payments reported associated product
CMS Open Payments — General Payments
16 supporting records · 16 recipient NPIs · example record 1238599014
Myrbetriq · 2024
Exact normalized brand match · 1 Part D row
61 suppressed by CMS
AstraZeneca Pharmaceuticals LP
Exact reporting entity; no affiliate inference
2025 FARXIGA
open payments reported associated product
CMS Open Payments — General Payments
106133 supporting records · 42906 recipient NPIs · example record 1206131362
Farxiga · 2024
Exact normalized brand match · 1 Part D row
31 suppressed by CMS
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 JARDIANCE
open payments reported associated product
CMS Open Payments — General Payments
47708 supporting records · 23833 recipient NPIs · example record 1186464557
Jardiance · 2024
Exact normalized brand match · 1 Part D row
182 25
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 MOUNJARO
open payments reported associated product
CMS Open Payments — General Payments
186719 supporting records · 66436 recipient NPIs · example record 1186464455
Mounjaro · 2024
Exact normalized brand match · 1 Part D row
59 12
Lilly USA, LLC
Exact reporting entity; no affiliate inference
2025 TRULICITY
open payments reported associated product
CMS Open Payments — General Payments
71 supporting records · 57 recipient NPIs · example record 1186464601
Trulicity · 2024
Exact normalized brand match · 1 Part D row
51 suppressed by CMS
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Ozempic
open payments reported associated product
CMS Open Payments — General Payments
261625 supporting records · 77793 recipient NPIs · example record 1188130076
Ozempic · 2024
Exact normalized brand match · 1 Part D row
62 12
Novo Nordisk Inc
Exact reporting entity; no affiliate inference
2025 Rybelsus
open payments reported associated product
CMS Open Payments — General Payments
161257 supporting records · 55409 recipient NPIs · example record 1188130076
Rybelsus · 2024
Exact normalized brand match · 1 Part D row
17 suppressed by CMS
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 ELIQUIS
open payments reported associated product
CMS Open Payments — General Payments
87112 supporting records · 36032 recipient NPIs · example record 1228794063
Eliquis · 2024
Exact normalized brand match · 1 Part D row
134 32
PFIZER INC.
Exact reporting entity; no affiliate inference
2025 PAXLOVID
open payments reported associated product
CMS Open Payments — General Payments
24465 supporting records · 15715 recipient NPIs · example record 1228794432
Paxlovid · 2024
Exact normalized brand match · 1 Part D row
13 13

These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.

Public Medicare Part D data

Provider-and-drug rows loaded for 2024

BrandGenericClaimsBeneficiaries
Levothyroxine SodiumLevothyroxine Sodium45381
Atorvastatin CalciumAtorvastatin Calcium36985
Losartan PotassiumLosartan Potassium30175
Pantoprazole SodiumPantoprazole Sodium28962
Rosuvastatin CalciumRosuvastatin Calcium23952
Amlodipine BesylateAmlodipine Besylate23160
GabapentinGabapentin19545
JardianceEmpagliflozin18225
FurosemideFurosemide14633
Sertraline HclSertraline Hcl13632
Potassium ChloridePotassium Chloride13536
EliquisApixaban13432
OmeprazoleOmeprazole12432
MirtazapineMirtazapine12024
LisinoprilLisinopril11734
Escitalopram OxalateEscitalopram Oxalate11326
Metformin HclMetformin Hcl10524
Trelegy ElliptaFluticasone/Umeclidin/Vilanter9917
Montelukast SodiumMontelukast Sodium9720
FamotidineFamotidine9216
AllopurinolAllopurinol8713
Metoprolol TartrateMetoprolol Tartrate8721
SimvastatinSimvastatin8315
Trazodone HclTrazodone Hcl8215
Donepezil HclDonepezil Hcl8116
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide8119
AlprazolamAlprazolam7817
Memantine HclMemantine Hcl7716
Pravastatin SodiumPravastatin Sodium7720
CarvedilolCarvedilol7618
Tramadol HclTramadol Hcl7327
Duloxetine HclDuloxetine Hcl7018
HydrochlorothiazideHydrochlorothiazide6819
Fluticasone PropionateFluticasone Propionate6430
Lantus SolostarInsulin Glargine,hum.Rec.Anlog6214
Metoprolol SuccinateMetoprolol Succinate6224
OzempicSemaglutide6212
MyrbetriqMirabegron61suppressed
MounjaroTirzepatide5912
Buspirone HclBuspirone Hcl5616
JanuviaSitagliptin Phosphate56suppressed
Fluoxetine HclFluoxetine Hcl55suppressed
Quetiapine FumarateQuetiapine Fumarate55suppressed
TrulicityDulaglutide51suppressed
Enalapril MaleateEnalapril Maleate50suppressed
Metformin Hcl ErMetformin Hcl5016
Amitriptyline HclAmitriptyline Hcl4913
Tamsulosin HclTamsulosin Hcl4812
LamotrigineLamotrigine46suppressed
Alendronate SodiumAlendronate Sodium4413
LorazepamLorazepam4415
Novolog FlexpenInsulin Aspart4311
Bupropion XlBupropion Hcl4211
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav4133
Ondansetron HclOndansetron Hcl41suppressed
Citalopram HbrCitalopram Hydrobromide40suppressed
BumetanideBumetanide39suppressed
MeloxicamMeloxicam38suppressed
PrednisonePrednisone3817
Albuterol Sulfate HfaAlbuterol Sulfate3621
Oxycodone HclOxycodone Hcl3516
Bupropion Hcl SrBupropion Hcl34suppressed
PregabalinPregabalin34suppressed
Repatha SureclickEvolocumab34suppressed
AripiprazoleAripiprazole33suppressed
AtenololAtenolol33suppressed
Ropinirole HclRopinirole Hcl32suppressed
SpironolactoneSpironolactone32suppressed
ClopidogrelClopidogrel Bisulfate3111
FarxigaDapagliflozin Propanediol31suppressed
Zolpidem TartrateZolpidem Tartrate31suppressed
Warfarin SodiumWarfarin Sodium30suppressed
CephalexinCephalexin2914
Doxazosin MesylateDoxazosin Mesylate28suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide2811
VascepaIcosapent Ethyl28suppressed
Hydralazine HclHydralazine Hcl27suppressed
Doxycycline HyclateDoxycycline Hyclate2621
KerendiaFinerenone26suppressed
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst2622
Carbidopa-LevodopaCarbidopa/Levodopa25suppressed
ClonazepamClonazepam25suppressed
FenofibrateFenofibrate25suppressed
IbuprofenIbuprofen25suppressed
Midodrine HclMidodrine Hcl23suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim2318
Triamcinolone AcetonideTriamcinolone Acetonide2318
EzetimibeEzetimibe22suppressed
Glipizide ErGlipizide22suppressed
Paroxetine HclParoxetine Hcl22suppressed
TopiramateTopiramate22suppressed
CelecoxibCelecoxib21suppressed
Humalog Kwikpen U-100Insulin Lispro21suppressed
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen2011
XareltoRivaroxaban20suppressed
Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog19suppressed
LoperamideLoperamide Hcl1912
SynthroidLevothyroxine Sodium19suppressed
Tresiba Flextouch U-100Insulin Degludec19suppressed
Tresiba Flextouch U-200Insulin Degludec19suppressed
Venlafaxine Hcl ErVenlafaxine Hcl19suppressed
RisperidoneRisperidone18suppressed
Spiriva RespimatTiotropium Bromide18suppressed
Amiodarone HclAmiodarone Hcl17suppressed
AzithromycinAzithromycin1715
NystatinNystatin1711
RybelsusSemaglutide17suppressed
TemazepamTemazepam17suppressed
Ventolin HfaAlbuterol Sulfate17suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl16suppressed
Dicyclomine HclDicyclomine Hcl16suppressed
FluconazoleFluconazole1611
IbuIbuprofen16suppressed
Icosapent EthylIcosapent Ethyl16suppressed
MupirocinMupirocin16suppressed
PrimidonePrimidone16suppressed
CholestyramineCholestyramine (With Sugar)15suppressed
Cholestyramine LightCholestyramine15suppressed
Diclofenac SodiumDiclofenac Sodium15suppressed
Folic AcidFolic Acid15suppressed
LevetiracetamLevetiracetam15suppressed
Ondansetron OdtOndansetron15suppressed
Ultra-Fine Nano Pen NeedlePen Needle, Diabetic15suppressed
ChlorthalidoneChlorthalidone14suppressed
Divalproex SodiumDivalproex Sodium14suppressed
Glucagon Emergency KitGlucagon14suppressed
Pramipexole DihydrochloridePramipexole Di-Hcl14suppressed
Propranolol HclPropranolol Hcl14suppressed
TrulancePlecanatide14suppressed
Colestipol HclColestipol Hcl13suppressed
LatanoprostLatanoprost13suppressed
Methenamine HippurateMethenamine Hippurate13suppressed
Methylphenidate HclMethylphenidate Hcl13suppressed
NyamycNystatin13suppressed
PaxlovidNirmatrelvir/Ritonavir1313
Raloxifene HclRaloxifene Hcl13suppressed
Trospium ChlorideTrospium Chloride13suppressed
Acetaminophen-CodeineAcetaminophen With Codeine12suppressed
AmoxicillinAmoxicillin12suppressed
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr12suppressed
Azelastine HclAzelastine Hcl12suppressed
Doxepin HclDoxepin Hcl12suppressed
Isosorbide Mononitrate ErIsosorbide Mononitrate12suppressed
MetolazoneMetolazone12suppressed
QuviviqDaridorexant Hcl12suppressed
ZenpepLipase/Protease/Amylase12suppressed
GemfibrozilGemfibrozil11suppressed
Insulin Aspart FlexpenInsulin Aspart11suppressed
IrbesartanIrbesartan11suppressed
PropylthiouracilPropylthiouracil11suppressed
Sevelamer CarbonateSevelamer Carbonate11suppressed
VraylarCariprazine Hcl11suppressed

Timeline

Payment and prescribing data by year

Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.

YearGeneral PaymentsMain payerExplicit productsCompany overlapsPart D coverage
2025 $646.64 · 37 records ABBVIE INC. ACTHAR, AIRSUPRA, BOTOX, EVENITY, FREESTYLE LIBRE 3, GVOKE HYPOPEN, JARDIANCE, NURTEC ODT, Ozempic, PROLIA, QULIPTA, REXULTI, Rybelsus, TZIELD, UBRELVY, VOQUEZNA, Veozah, Wegovy, ZAVZPRET, ZENPEP 12
2024 Complete

Questions to ask

Questions you could discuss with your doctor

These are general questions generated from reviewed templates. They are not personalized medical advice.

Sources and limitations

How to read this page

Loaded source releases

DatasetYearPublicationSource
CMS Open Payments — General Payments 2025 2026-06-30 Original source
Medicare Part D Prescribers by Provider and Drug 2024 2026-05-06 Original source
NPPES Data Dissemination V2 current / reference data 2026-08-10 Original source

Methodology version: 2.1

Editorial template version: 2.4

Product contract version: 2.0

Schema version: 0.7.0

Page data build: 2026-08-12T23:34:59.370714+00:00

Publication policy: eligible for indexing after public-launch controls are enabled

Full methodology · Questions & answers · Report a possible error