Payment overview · 2025
General Payments
$2,754.31
129 reported records · 27 companies
Healthcare provider profile · identity verified
Thomas Spence, MD
Allopathic & Osteopathic Physicians|Internal Medicine|Pulmonary Disease · SAINT LOUIS, MO · NPI 1447221379
Verified facts
What the public records show
CMS Open Payments records show Thomas Spence, MD received $2,754.31 in general payments during 2025 across 129 reported records.
GlaxoSmithKline, LLC. accounted for 15.3% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 39 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Trelegy Ellipta.
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 SYMBICORT as an associated drug or biological on 71 records involving 51 distinct recipient NPIs. Public Medicare Part D data also shows 53 claims for Symbicort by this doctor in 2024.
Boehringer Ingelheim Pharmaceuticals, 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 OFEV as an associated drug or biological on 14236 records involving 6873 distinct recipient NPIs. Public Medicare Part D data also shows 21 claims for Ofev 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 638 claims for Trelegy Ellipta 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 19 claims for Eliquis 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 |
|---|---|---|---|---|---|
| GlaxoSmithKline, LLC. | Unresolved — no canonical attribution shown | $422.59 | 15.3% | 28 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $416.06 | 15.1% | 19 | 2025 |
| Inspire Medical Systems, Inc. | Unresolved — no canonical attribution shown | $242.78 | 8.8% | 3 | 2025 |
| Insmed, Inc. | Unresolved — no canonical attribution shown | $204.74 | 7.4% | 12 | 2025 |
| Philips North America LLC | Unresolved — no canonical attribution shown | $121.42 | 4.4% | 6 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $112.54 | 4.1% | 5 | 2025 |
| GENZYME CORPORATION | Unresolved — no canonical attribution shown | $107.72 | 3.9% | 5 | 2025 |
| United Therapeutics Corporation | Unresolved — no canonical attribution shown | $103.91 | 3.8% | 4 | 2025 |
| HARMONY BIOSCIENCES LLC | Unresolved — no canonical attribution shown | $99.05 | 3.6% | 3 | 2025 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $98.50 | 3.6% | 4 | 2025 |
| Actelion Pharmaceuticals US, Inc. | Unresolved — no canonical attribution shown | $97.62 | 3.5% | 3 | 2025 |
| Regeneron Healthcare Solutions, Inc. | Unresolved — no canonical attribution shown | $87.10 | 3.2% | 3 | 2025 |
| Viatris Specialty LLC | Unresolved — no canonical attribution shown | $83.78 | 3.0% | 4 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $70.70 | 2.6% | 4 | 2025 |
| Grifols USA, LLC | Unresolved — no canonical attribution shown | $59.81 | 2.2% | 2 | 2025 |
| Verona Pharma, Inc. | Unresolved — no canonical attribution shown | $56.61 | 2.1% | 3 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $55.28 | 2.0% | 2 | 2025 |
| Takeda Pharmaceuticals U.S.A., Inc. | Unresolved — no canonical attribution shown | $52.45 | 1.9% | 2 | 2025 |
| Lilly USA, LLC | Unresolved — no canonical attribution shown | $43.69 | 1.6% | 2 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $38.26 | 1.4% | 2 | 2025 |
| Electromed, Inc. | Unresolved — no canonical attribution shown | $33.99 | 1.2% | 6 | 2025 |
| Fisher & Paykel Healthcare Inc | Unresolved — no canonical attribution shown | $31.53 | 1.1% | 2 | 2025 |
| Baxter Healthcare | Unresolved — no canonical attribution shown | $30.15 | 1.1% | 1 | 2025 |
| Itamar Medical Inc | Unresolved — no canonical attribution shown | $24.70 | 0.9% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $24.01 | 0.9% | 1 | 2025 |
| ADMA BioManufacturing LLC | Unresolved — no canonical attribution shown | $17.69 | 0.6% | 1 | 2025 |
| Azurity Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $17.63 | 0.6% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,736.62 | 128 |
| Consulting Fee | $17.69 | 1 |
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 |
|---|---|---|---|---|---|
| TRELEGY ELLIPTA Normalized: trelegy ellipta |
Drug | GlaxoSmithKline, LLC. | $267.08 | 16 | 2025 |
Source payment records
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| INSPIRE Normalized: inspire |
Device | Inspire Medical Systems, Inc. | $242.78 | 3 | 2025 |
Source payment records
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| Arikayce Normalized: arikayce |
Drug | Insmed, Inc. | $204.74 | 12 | 2025 |
Source payment records
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| DUPIXENT Normalized: dupixent |
Biological | GENZYME CORPORATION, Regeneron Healthcare Solutions, Inc. | $194.82 | 8 | 2025 |
Source payment records
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| TEZSPIRE Normalized: tezspire |
Biological | Amgen Inc., AstraZeneca Pharmaceuticals LP | $185.17 | 8 | 2025 |
Source payment records
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| NUCALA Normalized: nucala |
Biological | GlaxoSmithKline, LLC. | $155.51 | 12 | 2025 |
Source payment records
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| AIRSUPRA Normalized: airsupra |
Drug | AstraZeneca Pharmaceuticals LP | $154.02 | 6 | 2025 |
Source payment records
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| FASENRA Normalized: fasenra |
Biological | AstraZeneca Pharmaceuticals LP | $111.08 | 4 | 2025 |
Source payment records
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| Tyvaso Normalized: tyvaso |
Drug | United Therapeutics Corporation | $103.91 | 4 | 2025 |
Source payment records
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| WAKIX Normalized: wakix |
Drug | HARMONY BIOSCIENCES LLC | $99.05 | 3 | 2025 |
Source payment records
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| UPTRAVI Normalized: uptravi |
Drug | Actelion Pharmaceuticals US, Inc. | $97.62 | 3 | 2025 |
Source payment records
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| YUPELRI Normalized: yupelri |
Drug | Viatris Specialty LLC | $83.78 | 4 | 2025 |
Source payment records
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| OPSUMIT Normalized: opsumit |
Drug | Actelion Pharmaceuticals US, Inc. | $71.75 | 2 | 2025 |
Source payment records
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| Encore Normalized: encore |
Device | Philips North America LLC | $67.51 | 3 | 2025 |
Source payment records
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| Prolastin-C Liquid Normalized: prolastin c liquid |
Biological | Grifols USA, LLC | $59.81 | 2 | 2025 |
Source payment records
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| Ohtuvayre Normalized: ohtuvayre |
Drug | Verona Pharma, Inc. | $56.61 | 3 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $55.28 | 2 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $55.28 | 2 | 2025 |
Source payment records
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| Vest Therapy Und Normalized: vest therapy und |
Device | Philips North America LLC | $53.91 | 3 | 2025 |
Source payment records
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| GLASSIA Normalized: glassia |
Biological | Takeda Pharmaceuticals U.S.A., Inc. | $52.45 | 2 | 2025 |
Source payment records
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| ZERBAXA Normalized: zerbaxa |
Drug | Merck Sharp & Dohme LLC | $51.27 | 2 | 2025 |
Source payment records
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| JASCAYD Normalized: jascayd |
Drug | Boehringer Ingelheim Pharmaceuticals, Inc. | $46.15 | 2 | 2025 |
Source payment records
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| WINREVAIR Normalized: winrevair |
Biological | Merck Sharp & Dohme LLC | $46.13 | 2 | 2025 |
Source payment records
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| ZEPBOUND Normalized: zepbound |
Drug | Lilly USA, LLC | $43.69 | 2 | 2025 |
Source payment records
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| AREXVY Normalized: arexvy |
Biological | GlaxoSmithKline, LLC. | $38.96 | 2 | 2025 |
Source payment records
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| OCTAGAM IMMUNE GLOBULIN (HUMAN) Normalized: octagam immune globulin human |
Drug | PFIZER INC. | $38.26 | 2 | 2025 |
Source payment records
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| PANZYGA Normalized: panzyga |
Biological | PFIZER INC. | $38.26 | 2 | 2025 |
Source payment records
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| BREZTRI Normalized: breztri |
Drug | AstraZeneca Pharmaceuticals LP | $38.22 | 2 | 2025 |
Source payment records
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| SMARTVEST Normalized: smartvest |
Device | Electromed, Inc. | $33.99 | 6 | 2025 |
Source payment records
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| FISHER & PAYKEL HEALTHCARE Normalized: fisher paykel healthcare |
Device | Fisher & Paykel Healthcare Inc | $31.53 | 2 | 2025 |
Source payment records
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| Hillrom - Vest System Model 105 Home Care Normalized: hillrom vest system model 105 home care |
Device | Baxter Healthcare | $30.15 | 1 | 2025 |
Source payment records
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| OPSYNVI Normalized: opsynvi |
Drug | Actelion Pharmaceuticals US, Inc. | $25.87 | 1 | 2025 |
Source payment records
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| WatchPATONE Normalized: watchpatone |
Device | Itamar Medical Inc | $24.70 | 1 | 2025 |
Source payment records
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| AVYCAZ Normalized: avycaz |
Drug | ABBVIE INC. | $24.01 | 1 | 2025 |
Source payment records
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| TEFLARO Normalized: teflaro |
Drug | ABBVIE INC. | $24.01 | 1 | 2025 |
Source payment records
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| TAVNEOS Normalized: tavneos |
Drug | Amgen Inc. | $22.66 | 1 | 2025 |
Source payment records
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| ALVESCO Normalized: alvesco |
Drug | Azurity Pharmaceuticals, Inc. | $17.63 | 1 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $15.14 | 1 | 2025 |
Source payment records
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| Brinsupri Normalized: brinsupri |
Drug | Insmed, Inc. | $12.52 | 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 |
|---|---|---|---|---|---|---|
| TRELEGY ELLIPTA trelegy ellipta |
2025 | Trelegy Ellipta | 2024 | 638 | 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 |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | SYMBICORT open payments reported associated product |
CMS Open Payments — General Payments 71 supporting records · 51 recipient NPIs · example record 1206132610 |
Symbicort · 2024 Exact normalized brand match · 1 Part D row |
53 | suppressed by CMS |
| Boehringer Ingelheim Pharmaceuticals, Inc. Exact reporting entity; no affiliate inference |
2025 | OFEV open payments reported associated product |
CMS Open Payments — General Payments 14236 supporting records · 6873 recipient NPIs · example record 1221811762 |
Ofev · 2024 Exact normalized brand match · 1 Part D row |
21 | 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 |
638 | 117 |
| 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 |
19 | 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 |
|---|---|---|---|
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 638 | 117 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 412 | 120 |
| Montelukast Sodium | Montelukast Sodium | 373 | 100 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 142 | 21 |
| Breo Ellipta | Fluticasone/Vilanterol | 142 | 26 |
| Azithromycin | Azithromycin | 141 | 40 |
| Prednisone | Prednisone | 118 | 72 |
| Fluticasone Propionate | Fluticasone Propionate | 82 | 32 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 59 | 15 |
| Symbicort | Budesonide/Formoterol Fumarate | 53 | suppressed |
| Alprazolam | Alprazolam | 52 | suppressed |
| Spiriva Respimat | Tiotropium Bromide | 51 | 12 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 47 | 15 |
| Ventolin Hfa | Albuterol Sulfate | 45 | 14 |
| Eszopiclone | Eszopiclone | 39 | suppressed |
| Incruse Ellipta | Umeclidinium Bromide | 38 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 32 | 12 |
| Clonazepam | Clonazepam | 31 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 26 | 24 |
| Ofev | Nintedanib Esylate | 21 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 19 | suppressed |
| Eliquis | Apixaban | 19 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 16 | suppressed |
| Pirfenidone | Pirfenidone | 16 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 15 | suppressed |
| Atrovent Hfa | Ipratropium Bromide | 14 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 14 | suppressed |
| Benzonatate | Benzonatate | 13 | suppressed |
| Levofloxacin | Levofloxacin | 13 | 13 |
| Spiriva Handihaler | Tiotropium Bromide | 13 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 12 | suppressed |
| Combivent Respimat | Ipratropium/Albuterol Sulfate | 11 | suppressed |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 11 | suppressed |
| Zolpidem Tartrate | 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 | $2,754.31 · 129 records | GlaxoSmithKline, LLC. | AIRSUPRA, ALVESCO, AREXVY, AVYCAZ, Arikayce, BREZTRI, Brinsupri, DUPIXENT, Encore, FASENRA, FISHER & PAYKEL HEALTHCARE, Flexitouch Plus, GLASSIA, Hillrom - Vest System Model 105 Home Care, INSPIRE, JASCAYD, KEYTRUDA, NUCALA, Nimbl, OCTAGAM IMMUNE GLOBULIN (HUMAN), OPSUMIT, OPSYNVI, Ohtuvayre, PANZYGA, Prolastin-C Liquid, SMARTVEST, TAVNEOS, TEFLARO, TEZSPIRE, TRELEGY ELLIPTA, Tyvaso, UPTRAVI, Vest Therapy Und, WAKIX, WINREVAIR, WatchPATONE, YUPELRI, ZEPBOUND, ZERBAXA | 4 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Trelegy Ellipta play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- 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