Payment overview · 2025
General Payments
$52.84
2 reported records · 2 companies
Healthcare provider profile · identity verified
Melissa E Spencer, NP
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · ROCHESTER, NY · NPI 1073111738
Verified facts
What the public records show
CMS Open Payments records show Melissa E Spencer, NP received $52.84 in general payments during 2025 across 2 reported records.
Orthofix Medical, Inc. accounted for 71.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
These records do not establish that a payment influenced prescribing or medical care.
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 company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Orthofix Medical, Inc. | Unresolved — no canonical attribution shown | $37.57 | 71.1% | 1 | 2025 |
| Boston Scientific Corporation | Unresolved — no canonical attribution shown | $15.27 | 28.9% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $52.84 | 2 |
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 product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Physio-Stim Normalized: physio stim |
Device | Orthofix Medical, Inc. | $37.57 | 1 | 2025 |
Source payment records
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| Orca Normalized: orca |
Device | Boston Scientific Corporation | $15.27 | 1 | 2025 |
Source payment records
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* 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 576 | 235 |
| Levothyroxine Sodium | Levothyroxine Sodium | 380 | 130 |
| Amlodipine Besylate | Amlodipine Besylate | 355 | 144 |
| Losartan Potassium | Losartan Potassium | 307 | 115 |
| Hydrochlorothiazide | Hydrochlorothiazide | 266 | 103 |
| Lisinopril | Lisinopril | 260 | 108 |
| Omeprazole | Omeprazole | 214 | 75 |
| Gabapentin | Gabapentin | 206 | 78 |
| Metoprolol Succinate | Metoprolol Succinate | 194 | 68 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 159 | 62 |
| Pantoprazole Sodium | Pantoprazole Sodium | 136 | 44 |
| Alprazolam | Alprazolam | 132 | 35 |
| Duloxetine Hcl | Duloxetine Hcl | 130 | 44 |
| Simvastatin | Simvastatin | 129 | 59 |
| Sertraline Hcl | Sertraline Hcl | 122 | 51 |
| Metformin Hcl | Metformin Hcl | 121 | 50 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 117 | 57 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 117 | 30 |
| Famotidine | Famotidine | 113 | 36 |
| Fluticasone Propionate | Fluticasone Propionate | 100 | 51 |
| Metformin Hcl Er | Metformin Hcl | 95 | 35 |
| Eliquis | Apixaban | 93 | 32 |
| Metoprolol Tartrate | Metoprolol Tartrate | 89 | 37 |
| Trazodone Hcl | Trazodone Hcl | 83 | 31 |
| Tamsulosin Hcl | Tamsulosin Hcl | 81 | 31 |
| Alendronate Sodium | Alendronate Sodium | 78 | 31 |
| Hydralazine Hcl | Hydralazine Hcl | 69 | 20 |
| Allopurinol | Allopurinol | 68 | 31 |
| Celecoxib | Celecoxib | 68 | 22 |
| Furosemide | Furosemide | 67 | 32 |
| Lorazepam | Lorazepam | 66 | 17 |
| Meloxicam | Meloxicam | 63 | 28 |
| Montelukast Sodium | Montelukast Sodium | 63 | 22 |
| Atenolol | Atenolol | 61 | 26 |
| Pregabalin | Pregabalin | 58 | 17 |
| Mirtazapine | Mirtazapine | 57 | 14 |
| Zolpidem Tartrate | Zolpidem Tartrate | 57 | 15 |
| Spironolactone | Spironolactone | 54 | 15 |
| Tramadol Hcl | Tramadol Hcl | 52 | 17 |
| Clonazepam | Clonazepam | 50 | 25 |
| Clopidogrel | Clopidogrel Bisulfate | 50 | 12 |
| Escitalopram Oxalate | Escitalopram Oxalate | 49 | 23 |
| Potassium Chloride | Potassium Chloride | 49 | 18 |
| Bupropion Xl | Bupropion Hcl | 48 | 15 |
| Carvedilol | Carvedilol | 47 | 20 |
| Valsartan | Valsartan | 46 | 18 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 42 | 18 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 42 | 11 |
| Oxycodone Hcl | Oxycodone Hcl | 42 | 15 |
| Citalopram Hbr | Citalopram Hydrobromide | 40 | 21 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 39 | 14 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 39 | 14 |
| Fluoxetine Hcl | Fluoxetine Hcl | 35 | 17 |
| Irbesartan | Irbesartan | 35 | 16 |
| Chlorthalidone | Chlorthalidone | 34 | 11 |
| Glimepiride | Glimepiride | 34 | 15 |
| Warfarin Sodium | Warfarin Sodium | 33 | 15 |
| Prednisone | Prednisone | 32 | 21 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 31 | 18 |
| Trulicity | Dulaglutide | 29 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 28 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 28 | suppressed |
| Nystatin | Nystatin | 28 | 12 |
| Ibuprofen | Ibuprofen | 27 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 27 | 21 |
| Jardiance | Empagliflozin | 26 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 25 | 11 |
| Doxycycline Hyclate | Doxycycline Hyclate | 25 | 24 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 25 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 25 | 14 |
| Azelastine Hcl | Azelastine Hcl | 24 | suppressed |
| Ezetimibe | Ezetimibe | 24 | 12 |
| Fenofibrate | Fenofibrate Nanocrystallized | 24 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 24 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 24 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 24 | 13 |
| Paroxetine Hcl | Paroxetine Hcl | 23 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 23 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 22 | 22 |
| Ozempic | Semaglutide | 22 | suppressed |
| Rybelsus | Semaglutide | 22 | 13 |
| Hydrocortisone | Hydrocortisone | 21 | suppressed |
| Cephalexin | Cephalexin | 20 | 20 |
| Pravastatin Sodium | Pravastatin Sodium | 20 | suppressed |
| Torsemide | Torsemide | 20 | 12 |
| Amitriptyline Hcl | Amitriptyline Hcl | 19 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 19 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 19 | suppressed |
| Tizanidine Hcl | Tizanidine Hcl | 19 | suppressed |
| Acyclovir | Acyclovir | 18 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 18 | suppressed |
| Azithromycin | Azithromycin | 18 | 15 |
| Glipizide | Glipizide | 18 | suppressed |
| Labetalol Hcl | Labetalol Hcl | 18 | suppressed |
| Qvar Redihaler | Beclomethasone Dipropionate | 18 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 18 | 11 |
| Digoxin | Digoxin | 17 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 17 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 17 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 16 | suppressed |
| Naloxone Hcl | Naloxone Hcl | 16 | 15 |
| Ropinirole Hcl | Ropinirole Hcl | 16 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 15 | suppressed |
| Verapamil Er | Verapamil Hcl | 15 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 14 | suppressed |
| Clotrimazole | Clotrimazole | 14 | suppressed |
| Diazepam | Diazepam | 14 | 11 |
| Metronidazole | Metronidazole | 14 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 14 | suppressed |
| Baclofen | Baclofen | 13 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 13 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 13 | suppressed |
| Lovastatin | Lovastatin | 13 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 13 | suppressed |
| Nifedipine Er | Nifedipine | 13 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 13 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 12 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 12 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 12 | suppressed |
| Glipizide Er | Glipizide | 12 | suppressed |
| Januvia | Sitagliptin Phosphate | 12 | suppressed |
| Lidocaine | Lidocaine | 12 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 12 | suppressed |
| Sildenafil Citrate | Sildenafil Citrate | 12 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 11 | suppressed |
| Amoxicillin | Amoxicillin | 11 | suppressed |
| Aripiprazole | Aripiprazole | 11 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 11 | 11 |
| Incruse Ellipta | Umeclidinium Bromide | 11 | suppressed |
| Ketoconazole | Ketoconazole | 11 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 11 | suppressed |
| Terazosin Hcl | Terazosin Hcl | 11 | suppressed |
| Xarelto | Rivaroxaban | 11 | suppressed |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 11 | suppressed |
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.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $52.84 · 2 records | Orthofix Medical, Inc. | Orca, Physio-Stim | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| 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 |
Full methodology · Questions & answers · Report a possible error