Healthcare provider profile · identity verified

James E Spicher, MD

Internal Medicine · LANCASTER, PA · NPI 1275571887

Profile state: partd only 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

We did not find matching Open Payments records for this doctor in 2025.

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

Payment overview · 2025

General Payments

We did not find matching Open Payments records for this doctor in the selected program year.

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.

Analysis 1 · Payment-linked products

Products named in Open Payments records

No payment-linked product analysis is available because no matching General Payment records were found for the selected year.

Public prescribing for products named in payments

There is no explicit payment-product set available for a Part D comparison.

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.

There is no payer-company set available for this comparison.

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	795	186
Levothyroxine Sodium	Levothyroxine Sodium	642	128
Amlodipine Besylate	Amlodipine Besylate	564	147
Losartan Potassium	Losartan Potassium	519	114
Eliquis	Apixaban	515	84
Metoprolol Succinate	Metoprolol Succinate	464	90
Rosuvastatin Calcium	Rosuvastatin Calcium	463	114
Sertraline Hcl	Sertraline Hcl	413	70
Gabapentin	Gabapentin	409	72
Lisinopril	Lisinopril	370	84
Furosemide	Furosemide	355	64
Omeprazole	Omeprazole	305	81
Mirtazapine	Mirtazapine	242	36
Lorazepam	Lorazepam	239	63
Spironolactone	Spironolactone	237	29
Tamsulosin Hcl	Tamsulosin Hcl	237	54
Carvedilol	Carvedilol	232	48
Famotidine	Famotidine	232	42
Pantoprazole Sodium	Pantoprazole Sodium	217	41
Jantoven	Warfarin Sodium	210	suppressed
Metoprolol Tartrate	Metoprolol Tartrate	206	33
Duloxetine Hcl	Duloxetine Hcl	199	42
Metformin Hcl	Metformin Hcl	199	53
Simvastatin	Simvastatin	186	50
Finasteride	Finasteride	167	28
Potassium Chloride	Potassium Chloride	167	29
Escitalopram Oxalate	Escitalopram Oxalate	157	39
Fluticasone Propionate	Fluticasone Propionate	141	50
Trazodone Hcl	Trazodone Hcl	138	28
Tramadol Hcl	Tramadol Hcl	137	42
Pravastatin Sodium	Pravastatin Sodium	136	32
Ozempic	Semaglutide	132	21
Quetiapine Fumarate	Quetiapine Fumarate	126	24
Hydrochlorothiazide	Hydrochlorothiazide	123	35
Isosorbide Mononitrate Er	Isosorbide Mononitrate	114	17
Metformin Hcl Er	Metformin Hcl	111	32
Torsemide	Torsemide	110	14
Jardiance	Empagliflozin	109	24
Donepezil Hcl	Donepezil Hcl	101	17
Alprazolam	Alprazolam	100	21
Alendronate Sodium	Alendronate Sodium	97	25
Losartan-Hydrochlorothiazide	Losartan/Hydrochlorothiazide	96	26
Latanoprost	Latanoprost	90	15
Oxycodone Hcl	Oxycodone Hcl	90	23
Allopurinol	Allopurinol	86	22
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	82	23
Triamcinolone Acetonide	Triamcinolone Acetonide	82	41
Carbidopa-Levodopa	Carbidopa/Levodopa	81	12
Clopidogrel	Clopidogrel Bisulfate	77	21
Memantine Hcl	Memantine Hcl	74	12
Ezetimibe	Ezetimibe	72	20
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	71	18
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	70	19
Fluoxetine Hcl	Fluoxetine Hcl	69	15
Synthroid	Levothyroxine Sodium	68	18
Venlafaxine Hcl Er	Venlafaxine Hcl	67	19
Montelukast Sodium	Montelukast Sodium	66	17
Albuterol Sulfate Hfa	Albuterol Sulfate	64	34
Myrbetriq	Mirabegron	64	15
Nifedipine Er	Nifedipine	64	11
Pregabalin	Pregabalin	61	15
Citalopram Hbr	Citalopram Hydrobromide	58	15
Clonazepam	Clonazepam	57	suppressed
Prednisone	Prednisone	57	35
Oseltamivir Phosphate	Oseltamivir Phosphate	55	38
Ropinirole Hcl	Ropinirole Hcl	54	suppressed
Diclofenac Sodium	Diclofenac Sodium	53	19
Timolol Maleate	Timolol Maleate	51	suppressed
Warfarin Sodium	Warfarin Sodium	49	14
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	48	12
Bumetanide	Bumetanide	48	suppressed
Ondansetron Odt	Ondansetron	48	12
Xarelto	Rivaroxaban	48	suppressed
Ketoconazole	Ketoconazole	46	18
Atenolol	Atenolol	42	12
Buspirone Hcl	Buspirone Hcl	42	suppressed
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	42	suppressed
Doxycycline Hyclate	Doxycycline Hyclate	42	suppressed
Novolog Flexpen	Insulin Aspart	42	11
Ultra-Fine Mini Pen Needle	Pen Needle, Diabetic	42	13
Arexvy	Rsvpref3 Antigen/As01e/Pf	39	39
Tresiba Flextouch U-100	Insulin Degludec	38	suppressed
Valsartan	Valsartan	37	suppressed
Anastrozole	Anastrozole	36	suppressed
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	36	suppressed
Amoxicillin	Amoxicillin	35	21
Autoshield Duo Pen Needle	Pen Needle,dual Safety,diabetc	35	suppressed
Zolpidem Tartrate	Zolpidem Tartrate	35	13
Budesonide	Budesonide	34	suppressed
Trulicity	Dulaglutide	34	suppressed
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	33	21
Bupropion Xl	Bupropion Hcl	32	11
Glimepiride	Glimepiride	31	12
Hydralazine Hcl	Hydralazine Hcl	31	suppressed
Levetiracetam	Levetiracetam	31	suppressed
Ondansetron Hcl	Ondansetron Hcl	31	16
Raloxifene Hcl	Raloxifene Hcl	31	suppressed
Albuterol Sulfate	Albuterol Sulfate	29	suppressed
Verapamil Er	Verapamil Hcl	29	suppressed
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	28	20
Combivent Respimat	Ipratropium/Albuterol Sulfate	28	suppressed
Farxiga	Dapagliflozin Propanediol	28	suppressed
Shingrix	Varicella-Zoster Ge/As01b/Pf	28	24
Soliqua 100-33	Insulin Glargine/Lixisenatide	28	suppressed
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	28	suppressed
Cephalexin	Cephalexin	27	24
Esomeprazole Magnesium	Esomeprazole Magnesium	27	11
Lansoprazole	Lansoprazole	27	suppressed
Ultra-Fine Short Pen Needle	Pen Needle, Diabetic	27	11
Clotrimazole-Betamethasone	Clotrimazole/Betamethasone Dip	26	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	26	12
Celecoxib	Celecoxib	25	suppressed
Januvia	Sitagliptin Phosphate	25	suppressed
Morphine Sulfate Er	Morphine Sulfate	25	suppressed
Mounjaro	Tirzepatide	25	suppressed
Paxlovid	Nirmatrelvir/Ritonavir	25	25
Amitriptyline Hcl	Amitriptyline Hcl	24	suppressed
Bupropion Hcl Sr	Bupropion Hcl	24	suppressed
Doxazosin Mesylate	Doxazosin Mesylate	24	suppressed
Glipizide Er	Glipizide	24	suppressed
Humalog	Insulin Lispro	24	suppressed
Restasis	Cyclosporine	24	suppressed
Baclofen	Baclofen	23	suppressed
Benazepril Hcl	Benazepril Hcl	23	suppressed
Divalproex Sodium	Divalproex Sodium	23	suppressed
Paroxetine Hcl	Paroxetine Hcl	23	suppressed
Pioglitazone Hcl	Pioglitazone Hcl	23	suppressed
Varenicline Tartrate	Varenicline Tartrate	23	suppressed
Breo Ellipta	Fluticasone/Vilanterol	22	suppressed
Carbidopa-Levodopa-Entacapone	Carbidopa/Levodopa/Entacapone	22	suppressed
Diazepam	Diazepam	22	suppressed
Methadone Hcl	Methadone Hcl	22	suppressed
Azathioprine	Azathioprine	21	suppressed
Insulin Syringe	Syringe And Needle,insulin,1ml	20	suppressed
Lamotrigine	Lamotrigine	20	suppressed
Rasagiline Mesylate	Rasagiline Mesylate	20	suppressed
Enalapril Maleate	Enalapril Maleate	19	suppressed
Primidone	Primidone	19	suppressed
Propranolol Hcl	Propranolol Hcl	19	suppressed
Valacyclovir	Valacyclovir Hcl	19	14
Ventolin Hfa	Albuterol Sulfate	19	11
Acitretin	Acitretin	18	suppressed
Amiodarone Hcl	Amiodarone Hcl	18	suppressed
Azithromycin	Azithromycin	18	18
Boostrix Tdap	Diphth,pertuss(Acell),tet Vac	18	18
Ipratropium-Albuterol	Ipratropium/Albuterol Sulfate	18	suppressed
Nystatin	Nystatin	18	suppressed
Rhopressa	Netarsudil Mesylate	18	suppressed
Tdvax	Tetanus, Diphtheria Tox,adult	18	18
Clonidine Hcl	Clonidine Hcl	17	suppressed
Fluticasone Propionate Hfa	Fluticasone Propionate	17	suppressed
Hydrocortisone	Hydrocortisone	17	suppressed
Hydromorphone Hcl	Hydromorphone Hcl	17	suppressed
Midodrine Hcl	Midodrine Hcl	17	suppressed
Terazosin Hcl	Terazosin Hcl	17	suppressed
Tresiba Flextouch U-200	Insulin Degludec	17	suppressed
Aripiprazole	Aripiprazole	16	suppressed
Gemfibrozil	Gemfibrozil	16	suppressed
Ipratropium Bromide	Ipratropium Bromide	16	suppressed
Lacosamide	Lacosamide	16	suppressed
Novolog	Insulin Aspart	16	suppressed
Oxybutynin Chloride	Oxybutynin Chloride	16	suppressed
Ramipril	Ramipril	16	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	16	suppressed
Verapamil Hcl	Verapamil Hcl	16	suppressed
Alfuzosin Hcl Er	Alfuzosin Hcl	15	suppressed
Azelastine Hcl	Azelastine Hcl	15	suppressed
Nitroglycerin	Nitroglycerin	15	11
Temazepam	Temazepam	15	suppressed
Topiramate	Topiramate	15	suppressed
Entacapone	Entacapone	14	suppressed
Lantus	Insulin Glargine,hum.Rec.Anlog	14	suppressed
Lovastatin	Lovastatin	14	suppressed
Nano 2nd Gen Pen Needle	Pen Needle, Diabetic	14	suppressed
Vancomycin Hcl	Vancomycin Hcl	14	suppressed
Bisoprolol Fumarate	Bisoprolol Fumarate	13	suppressed
Irbesartan	Irbesartan	13	suppressed
Memantine Hcl Er	Memantine Hcl	13	suppressed
Methenamine Hippurate	Methenamine Hippurate	13	suppressed
Methimazole	Methimazole	13	suppressed
Metolazone	Metolazone	13	suppressed
Nebivolol Hcl	Nebivolol Hcl	13	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	13	suppressed
Trandolapril	Trandolapril	13	suppressed
Amantadine	Amantadine Hcl	12	suppressed
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	12	suppressed
Estradiol	Estradiol	12	suppressed
Methylphenidate Er	Methylphenidate Hcl	12	suppressed
Nuplazid	Pimavanserin Tartrate	12	suppressed
Prednisolone Acetate	Prednisolone Acetate	12	suppressed
Premarin	Estrogens, Conjugated	12	suppressed
Ramelteon	Ramelteon	12	suppressed
Tafluprost	Tafluprost/Pf	12	suppressed
Zolpidem Tartrate Er	Zolpidem Tartrate	12	suppressed
Acyclovir	Acyclovir	11	suppressed
Ciprofloxacin Hcl	Ciprofloxacin Hcl	11	suppressed
Eplerenone	Eplerenone	11	suppressed
Rybelsus	Semaglutide	11	suppressed
Telmisartan	Telmisartan	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	—	—	—	—	—
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

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