Healthcare provider profile · identity verified

Megan Spiller

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family · NAPLES, FL · NPI 1104284454

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 Megan Spiller received $1,938.37 in general payments during 2025 across 94 reported records.

ABBVIE INC. accounted for 24.5% of that reported general-payment amount.

The Open Payments records used for this analysis explicitly named 32 associated products.

A separate comparison found the same explicitly named product in public Medicare Part D data: Eliquis, Ozempic, Paxlovid, Qulipta, Synthroid, Trelegy Ellipta.

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 QULIPTA as an associated drug or biological on 298617 records involving 58957 distinct recipient NPIs. Public Medicare Part D data also shows 11 claims for Qulipta 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 SYNTHROID as an associated drug or biological on 10655 records involving 4881 distinct recipient NPIs. Public Medicare Part D data also shows 44 claims for Synthroid 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 20 claims for Myrbetriq by this doctor in 2024.

GlaxoSmithKline, 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 TRELEGY ELLIPTA as an associated drug or biological on 131532 records involving 37148 distinct recipient NPIs. Public Medicare Part D data also shows 24 claims for Trelegy Ellipta 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 24 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 TRULICITY as an associated drug or biological on 71 records involving 57 distinct recipient NPIs. Public Medicare Part D data also shows 13 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 83 claims for Ozempic 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 45 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 27 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

$1,938.37

94 reported records · 18 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 $474.8224.5%192025
AstraZeneca Pharmaceuticals LP Unresolved — no canonical attribution shown $250.9612.9%132025
PFIZER INC. Unresolved — no canonical attribution shown $242.8212.5%112025
Bayer Healthcare Pharmaceuticals Inc. Unresolved — no canonical attribution shown $206.7610.7%82025
Novo Nordisk Inc Unresolved — no canonical attribution shown $186.749.6%92025
Amgen Inc. Unresolved — no canonical attribution shown $177.149.1%112025
Astellas Pharma US Inc Unresolved — no canonical attribution shown $136.357.0%72025
Phathom Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $47.622.5%42025
Exact Sciences Corporation Unresolved — no canonical attribution shown $33.831.8%22025
Lilly USA, LLC Unresolved — no canonical attribution shown $31.951.6%22025
Paratek Pharmaceuticals, Inc. Unresolved — no canonical attribution shown $20.331.1%12025
GlaxoSmithKline, LLC. Unresolved — no canonical attribution shown $19.991.0%12025
Inspire Medical Systems, Inc. Unresolved — no canonical attribution shown $19.611.0%12025
Philips North America LLC Unresolved — no canonical attribution shown $19.201.0%12025
Boston Scientific Corporation Unresolved — no canonical attribution shown $18.971.0%12025
Axsome Therapeutics, Inc. Unresolved — no canonical attribution shown $18.691.0%12025
Esperion Therapeutics, Inc. Unresolved — no canonical attribution shown $18.020.9%12025
Takeda Pharmaceuticals U.S.A., Inc. Unresolved — no canonical attribution shown $14.570.8%12025

What were the payments for?

Payment categories

CategoryAmountRecords
Food and Beverage$1,938.3794

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. $387.83 13 2025
Source payment records
QULIPTA
Normalized: qulipta
Drug ABBVIE INC. $281.70 9 2025
Source payment records
NURTEC ODT
Normalized: nurtec odt
Drug PFIZER INC. $219.38 10 2025
Source payment records
Kerendia
Normalized: kerendia
Drug Bayer Healthcare Pharmaceuticals Inc. $206.76 8 2025
Source payment records
ELIQUIS
Normalized: eliquis
Drug PFIZER INC. $178.84 8 2025
Source payment records
AIRSUPRA
Normalized: airsupra
Drug AstraZeneca Pharmaceuticals LP $152.58 7 2025
Source payment records
BREZTRI
Normalized: breztri
Drug AstraZeneca Pharmaceuticals LP $146.36 7 2025
Source payment records
Veozah
Normalized: veozah
Drug Astellas Pharma US Inc $136.35 7 2025
Source payment records
REPATHA
Normalized: repatha
Biological Amgen Inc. $102.67 7 2025
Source payment records
VRAYLAR
Normalized: vraylar
Drug ABBVIE INC. $86.99 6 2025
Source payment records
EVENITY
Normalized: evenity
Biological Amgen Inc. $74.47 4 2025
Source payment records
OTEZLA
Normalized: otezla
Drug Amgen Inc. $69.80 4 2025
Source payment records
Ozempic
Normalized: ozempic
Drug Novo Nordisk Inc $56.74 3 2025
Source payment records
Rybelsus
Normalized: rybelsus
Drug Novo Nordisk Inc $56.74 3 2025
Source payment records
SYNTHROID
Normalized: synthroid
Drug ABBVIE INC. $49.41 2 2025
Source payment records
VOQUEZNA
Normalized: voquezna
Drug Phathom Pharmaceuticals, Inc. $47.62 4 2025
Source payment records
ZAVZPRET
Normalized: zavzpret
Drug PFIZER INC. $40.54 2 2025
Source payment records
Wegovy
Normalized: wegovy
Drug Novo Nordisk Inc $37.43 2 2025
Source payment records
The Cologuard Plus Collection Kit
Normalized: the cologuard plus collection kit
Device Exact Sciences Corporation $33.83 2 2025
Source payment records
PAXLOVID
Normalized: paxlovid
Drug PFIZER INC. $23.44 1 2025
Source payment records
NUZYRA
Normalized: nuzyra
Drug Paratek Pharmaceuticals, Inc. $20.33 1 2025
Source payment records
XHANCE
Normalized: xhance
Drug Paratek Pharmaceuticals, Inc. $20.33 1 2025
Source payment records
TRELEGY ELLIPTA
Normalized: trelegy ellipta
Drug GlaxoSmithKline, LLC. $19.99 1 2025
Source payment records
INSPIRE
Normalized: inspire
Device Inspire Medical Systems, Inc. $19.61 1 2025
Source payment records
Vest Therapy Und
Normalized: vest therapy und
Device Philips North America LLC $19.20 1 2025
Source payment records
WATCHMAN FLX
Normalized: watchman flx
Device Boston Scientific Corporation $18.97 1 2025
Source payment records
Auvelity
Normalized: auvelity
Drug Axsome Therapeutics, Inc. $18.69 1 2025
Source payment records
NEXLETOL
Normalized: nexletol
Drug Esperion Therapeutics, Inc. $18.02 1 2025
Source payment records
MOUNJARO
Normalized: mounjaro
Drug Lilly USA, LLC $16.29 1 2025
Source payment records
ZEPBOUND
Normalized: zepbound
Drug Lilly USA, LLC $16.29 1 2025
Source payment records
KISUNLA
Normalized: kisunla
Drug Lilly USA, LLC $15.66 1 2025
Source payment records
TRINTELLIX
Normalized: trintellix
Drug Takeda Pharmaceuticals U.S.A., Inc. $14.57 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
ELIQUIS
eliquis
2025 Eliquis 2024 45 exact normalized Medicare Part D
Ozempic
ozempic
2025 Ozempic 2024 83 exact normalized Medicare Part D
PAXLOVID
paxlovid
2025 Paxlovid 2024 27 exact normalized Medicare Part D
QULIPTA
qulipta
2025 Qulipta 2024 11
Beneficiary count suppressed
exact normalized Medicare Part D
SYNTHROID
synthroid
2025 Synthroid 2024 44 exact normalized Medicare Part D
TRELEGY ELLIPTA
trelegy ellipta
2025 Trelegy Ellipta 2024 24
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 QULIPTA
open payments reported associated product
CMS Open Payments — General Payments
298617 supporting records · 58957 recipient NPIs · example record 1201352530
Qulipta · 2024
Exact normalized brand match · 1 Part D row
11 suppressed by CMS
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
44 12
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
20 suppressed by CMS
GlaxoSmithKline, LLC.
Exact reporting entity; no affiliate inference
2025 TRELEGY ELLIPTA
open payments reported associated product
CMS Open Payments — General Payments
131532 supporting records · 37148 recipient NPIs · example record 1190332369
Trelegy Ellipta · 2024
Exact normalized brand match · 1 Part D row
24 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
24 suppressed by CMS
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
13 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
83 14
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
45 14
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
27 26

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 Sodium374120
Atorvastatin CalciumAtorvastatin Calcium313101
AlprazolamAlprazolam23793
Amlodipine BesylateAmlodipine Besylate21872
MethylprednisoloneMethylprednisolone202173
Losartan PotassiumLosartan Potassium19262
OmeprazoleOmeprazole19169
AzithromycinAzithromycin171153
Metoprolol SuccinateMetoprolol Succinate15750
Rosuvastatin CalciumRosuvastatin Calcium15451
LisinoprilLisinopril14345
Escitalopram OxalateEscitalopram Oxalate13755
Metformin HclMetformin Hcl13148
SimvastatinSimvastatin12837
HydrochlorothiazideHydrochlorothiazide11838
Pantoprazole SodiumPantoprazole Sodium11244
GabapentinGabapentin10447
Montelukast SodiumMontelukast Sodium8826
Zolpidem TartrateZolpidem Tartrate8851
Ciprofloxacin HclCiprofloxacin Hcl8372
OzempicSemaglutide8314
Sertraline HclSertraline Hcl7726
MeloxicamMeloxicam7525
Trazodone HclTrazodone Hcl7328
ClonazepamClonazepam7119
Pravastatin SodiumPravastatin Sodium6621
Fluticasone PropionateFluticasone Propionate5740
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst5340
Fluoxetine HclFluoxetine Hcl5020
LorazepamLorazepam4918
FurosemideFurosemide4823
EstradiolEstradiol4624
Tamsulosin HclTamsulosin Hcl4617
Albuterol Sulfate HfaAlbuterol Sulfate4523
Bupropion XlBupropion Hcl4518
EliquisApixaban4514
Citalopram HbrCitalopram Hydrobromide4414
Duloxetine HclDuloxetine Hcl4414
SynthroidLevothyroxine Sodium4412
EzetimibeEzetimibe4214
CarvedilolCarvedilol3911
ClopidogrelClopidogrel Bisulfate3612
Metoprolol TartrateMetoprolol Tartrate3513
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav3431
ValacyclovirValacyclovir Hcl3327
AllopurinolAllopurinol32suppressed
XareltoRivaroxaban3211
Doxycycline HyclateDoxycycline Hyclate3028
Alendronate SodiumAlendronate Sodium29suppressed
Cyclobenzaprine HclCyclobenzaprine Hcl2820
PrednisonePrednisone2821
AmoxicillinAmoxicillin2724
AtenololAtenolol27suppressed
NystatinNystatin2711
PaxlovidNirmatrelvir/Ritonavir2726
Propranolol HclPropranolol Hcl27suppressed
AcyclovirAcyclovir25suppressed
CelecoxibCelecoxib25suppressed
JardianceEmpagliflozin24suppressed
Potassium ChloridePotassium Chloride2411
Trelegy ElliptaFluticasone/Umeclidin/Vilanter24suppressed
Triamterene-HydrochlorothiazidTriamterene/Hydrochlorothiazid24suppressed
FamotidineFamotidine2312
Oxybutynin Chloride ErOxybutynin Chloride2313
Raloxifene HclRaloxifene Hcl23suppressed
FluconazoleFluconazole2218
Bupropion Hcl SrBupropion Hcl21suppressed
RamiprilRamipril21suppressed
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim2118
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen2011
LamotrigineLamotrigine20suppressed
MyrbetriqMirabegron20suppressed
Paroxetine HclParoxetine Hcl20suppressed
HydrocortisoneHydrocortisone19suppressed
Losartan-HydrochlorothiazideLosartan/Hydrochlorothiazide19suppressed
Meclizine HclMeclizine Hcl1911
SpironolactoneSpironolactone19suppressed
Sumatriptan SuccinateSumatriptan Succinate19suppressed
ValsartanValsartan19suppressed
JanuviaSitagliptin Phosphate18suppressed
Ondansetron OdtOndansetron1813
Azelastine HclAzelastine Hcl17suppressed
Lisinopril-HydrochlorothiazideLisinopril/Hydrochlorothiazide17suppressed
Terbinafine HclTerbinafine Hcl16suppressed
ProgesteroneProgesterone, Micronized15suppressed
Tramadol HclTramadol Hcl15suppressed
Venlafaxine Hcl ErVenlafaxine Hcl15suppressed
Breo ElliptaFluticasone/Vilanterol14suppressed
DiazepamDiazepam14suppressed
Diltiazem 24hr Er (Cd)Diltiazem Hcl14suppressed
MupirocinMupirocin14suppressed
Amitriptyline HclAmitriptyline Hcl13suppressed
IrbesartanIrbesartan13suppressed
KetoconazoleKetoconazole13suppressed
TrulicityDulaglutide13suppressed
Warfarin SodiumWarfarin Sodium13suppressed
GlimepirideGlimepiride12suppressed
Metformin Hcl ErMetformin Hcl12suppressed
Diclofenac SodiumDiclofenac Sodium11suppressed
Esomeprazole MagnesiumEsomeprazole Magnesium11suppressed
Propranolol Hcl ErPropranolol Hcl11suppressed
QuliptaAtogepant11suppressed
RizatriptanRizatriptan Benzoate11suppressed

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 $1,938.37 · 94 records ABBVIE INC. AIRSUPRA, Auvelity, BREZTRI, ELIQUIS, EVENITY, INSPIRE, KISUNLA, Kerendia, MOUNJARO, NEXLETOL, NURTEC ODT, NUZYRA, OTEZLA, Ozempic, PAXLOVID, QULIPTA, REPATHA, Rybelsus, SYNTHROID, TRELEGY ELLIPTA, TRINTELLIX, The Cologuard Plus Collection Kit, UBRELVY, VOQUEZNA, VRAYLAR, Veozah, Vest Therapy Und, WATCHMAN FLX, Wegovy, XHANCE, ZAVZPRET, ZEPBOUND 9
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