Payment overview · 2025
General Payments
$33.93
2 reported records · 2 companies
Healthcare provider profile · identity verified
William Scott Spence, MD
Allopathic & Osteopathic Physicians|Family Medicine · ST MARIES, ID · NPI 1255351458
Verified facts
What the public records show
CMS Open Payments records show William Scott Spence, MD received $33.93 in general payments during 2025 across 2 reported records.
Dexcom, Inc. accounted for 57.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Ozempic.
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 57 claims for Ozempic by this doctor in 2024.
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 |
|---|---|---|---|---|---|
| Dexcom, Inc. | Unresolved — no canonical attribution shown | $19.35 | 57.0% | 1 | 2025 |
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $14.58 | 43.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $33.93 | 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 |
|---|---|---|---|---|---|
| Dexcom G6 Transmitter Normalized: dexcom g6 transmitter |
Medical Supply | Dexcom, Inc. | $19.35 | 1 | 2025 |
Source payment records
|
|||||
| Ozempic Normalized: ozempic |
Drug | Novo Nordisk Inc | $14.58 | 1 | 2025 |
Source payment records
|
|||||
| Rybelsus Normalized: rybelsus |
Drug | Novo Nordisk Inc | $14.58 | 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
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| Ozempic ozempic |
2025 | Ozempic | 2024 | 57 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 company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
57 | suppressed by CMS |
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 |
|---|---|---|---|
| Lisinopril | Lisinopril | 367 | 102 |
| Atorvastatin Calcium | Atorvastatin Calcium | 332 | 101 |
| Amlodipine Besylate | Amlodipine Besylate | 330 | 88 |
| Levothyroxine Sodium | Levothyroxine Sodium | 307 | 77 |
| Omeprazole | Omeprazole | 294 | 70 |
| Metformin Hcl | Metformin Hcl | 271 | 85 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 262 | 49 |
| Losartan Potassium | Losartan Potassium | 237 | 76 |
| Gabapentin | Gabapentin | 234 | 55 |
| Hydrochlorothiazide | Hydrochlorothiazide | 196 | 58 |
| Metoprolol Succinate | Metoprolol Succinate | 185 | 58 |
| Potassium Chloride | Potassium Chloride | 160 | 34 |
| Pantoprazole Sodium | Pantoprazole Sodium | 158 | 38 |
| Tamsulosin Hcl | Tamsulosin Hcl | 150 | 43 |
| Trazodone Hcl | Trazodone Hcl | 136 | 29 |
| Simvastatin | Simvastatin | 117 | 41 |
| Jardiance | Empagliflozin | 112 | 25 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 106 | 41 |
| Carvedilol | Carvedilol | 100 | 24 |
| Synthroid | Levothyroxine Sodium | 100 | 28 |
| Allopurinol | Allopurinol | 95 | 27 |
| Duloxetine Hcl | Duloxetine Hcl | 94 | 20 |
| Metoprolol Tartrate | Metoprolol Tartrate | 94 | 27 |
| Citalopram Hbr | Citalopram Hydrobromide | 91 | 20 |
| Quetiapine Fumarate | Quetiapine Fumarate | 91 | 15 |
| Clopidogrel | Clopidogrel Bisulfate | 89 | 25 |
| Lovastatin | Lovastatin | 87 | 23 |
| Famotidine | Famotidine | 84 | 22 |
| Furosemide | Furosemide | 80 | 31 |
| Buspirone Hcl | Buspirone Hcl | 79 | 16 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 71 | 21 |
| Enalapril Maleate | Enalapril Maleate | 69 | 17 |
| Warfarin Sodium | Warfarin Sodium | 67 | 16 |
| Eliquis | Apixaban | 65 | 21 |
| Fluticasone Propionate | Fluticasone Propionate | 65 | 23 |
| Pravastatin Sodium | Pravastatin Sodium | 65 | 18 |
| Tramadol Hcl | Tramadol Hcl | 62 | 21 |
| Ozempic | Semaglutide | 57 | suppressed |
| Escitalopram Oxalate | Escitalopram Oxalate | 56 | 13 |
| Montelukast Sodium | Montelukast Sodium | 54 | 16 |
| Ventolin Hfa | Albuterol Sulfate | 53 | 18 |
| Sertraline Hcl | Sertraline Hcl | 48 | 14 |
| Tizanidine Hcl | Tizanidine Hcl | 48 | 17 |
| Alendronate Sodium | Alendronate Sodium | 47 | 14 |
| Prednisone | Prednisone | 47 | 18 |
| Glimepiride | Glimepiride | 45 | 11 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 45 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 45 | 13 |
| Pregabalin | Pregabalin | 43 | 11 |
| Testosterone Cypionate | Testosterone Cypionate | 43 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 41 | suppressed |
| Lorazepam | Lorazepam | 40 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 39 | 14 |
| Doxazosin Mesylate | Doxazosin Mesylate | 38 | 13 |
| Donepezil Hcl | Donepezil Hcl | 36 | suppressed |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 33 | suppressed |
| Bupropion Xl | Bupropion Hcl | 32 | suppressed |
| Spironolactone | Spironolactone | 32 | 11 |
| Sumatriptan Succinate | Sumatriptan Succinate | 32 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 31 | suppressed |
| Estradiol | Estradiol | 31 | 11 |
| Fluoxetine Hcl | Fluoxetine Hcl | 31 | suppressed |
| Meloxicam | Meloxicam | 31 | suppressed |
| Naproxen | Naproxen | 31 | suppressed |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 29 | suppressed |
| Torsemide | Torsemide | 29 | suppressed |
| Olanzapine | Olanzapine | 28 | suppressed |
| Baclofen | Baclofen | 27 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 27 | 18 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 26 | suppressed |
| Azithromycin | Azithromycin | 25 | 23 |
| Morphine Sulfate Er | Morphine Sulfate | 25 | suppressed |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 25 | suppressed |
| Atenolol | Atenolol | 24 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 24 | suppressed |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 23 | suppressed |
| Nystatin | Nystatin | 23 | 15 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 23 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 22 | 16 |
| Amitriptyline Hcl | Amitriptyline Hcl | 21 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 21 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 21 | suppressed |
| Ezetimibe | Ezetimibe | 21 | suppressed |
| Bupropion Hcl Sr | Bupropion Hcl | 20 | suppressed |
| Dilt-Xr | Diltiazem Hcl | 20 | suppressed |
| Glipizide | Glipizide | 19 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 19 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 19 | suppressed |
| Topiramate | Topiramate | 17 | suppressed |
| Autoshield Duo Pen Needle | Pen Needle,dual Safety,diabetc | 16 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | suppressed |
| Liothyronine Sodium | Liothyronine Sodium | 16 | suppressed |
| Novolin N | Insulin Nph Human Isophane | 16 | suppressed |
| Ondansetron Odt | Ondansetron | 16 | 12 |
| Venlafaxine Hcl | Venlafaxine Hcl | 16 | suppressed |
| Alprazolam | Alprazolam | 15 | suppressed |
| Novolog Flexpen | Insulin Aspart | 15 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 15 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 15 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 14 | suppressed |
| Ibuprofen | Ibuprofen | 14 | suppressed |
| Mirtazapine | Mirtazapine | 14 | suppressed |
| Novolin 70-30 Flexpen | Insulin Nph Hum/Reg Insulin Hm | 14 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 14 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 13 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 13 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 13 | suppressed |
| Humulin N Kwikpen | Insulin Nph Human Isophane | 13 | suppressed |
| Percocet | Oxycodone Hcl/Acetaminophen | 13 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 12 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 12 | suppressed |
| Cephalexin | Cephalexin | 12 | 12 |
| Chlorthalidone | Chlorthalidone | 12 | suppressed |
| Diazepam | Diazepam | 12 | suppressed |
| Invega Sustenna | Paliperidone Palmitate | 12 | suppressed |
| Linzess | Linaclotide | 12 | suppressed |
| Lithium Carbonate | Lithium Carbonate | 12 | suppressed |
| Myrbetriq | Mirabegron | 12 | suppressed |
| Propranolol Hcl Er | Propranolol Hcl | 12 | suppressed |
| Rabeprazole Sodium | Rabeprazole Sodium | 12 | suppressed |
| Sucralfate | Sucralfate | 12 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 12 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 12 | suppressed |
| Trihexyphenidyl Hcl | Trihexyphenidyl Hcl | 12 | suppressed |
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 11 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 11 | suppressed |
| Fludrocortisone Acetate | Fludrocortisone Acetate | 11 | suppressed |
| Gemfibrozil | Gemfibrozil | 11 | suppressed |
| Lamotrigine | Lamotrigine | 11 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 11 | suppressed |
| Xarelto | Rivaroxaban | 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 | $33.93 · 2 records | Dexcom, Inc. | Dexcom G6 Transmitter, Ozempic, Rybelsus | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Ozempic play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with Novo Nordisk Inc?
- 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