Healthcare provider profile · identity verified

Denise Spence, MD

Internal Medicine · AMHERST, MA · NPI 1447358106

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	482	149
Levothyroxine Sodium	Levothyroxine Sodium	464	128
Amlodipine Besylate	Amlodipine Besylate	369	98
Lisinopril	Lisinopril	291	89
Valsartan	Valsartan	191	61
Metoprolol Succinate	Metoprolol Succinate	171	51
Omeprazole	Omeprazole	165	60
Gabapentin	Gabapentin	160	49
Furosemide	Furosemide	155	55
Rosuvastatin Calcium	Rosuvastatin Calcium	152	46
Atenolol	Atenolol	137	40
Trazodone Hcl	Trazodone Hcl	135	41
Fluticasone Propionate	Fluticasone Propionate	131	59
Lorazepam	Lorazepam	124	54
Losartan Potassium	Losartan Potassium	123	41
Metformin Hcl	Metformin Hcl	123	38
Simvastatin	Simvastatin	114	32
Citalopram Hbr	Citalopram Hydrobromide	112	28
Escitalopram Oxalate	Escitalopram Oxalate	108	28
Albuterol Sulfate Hfa	Albuterol Sulfate	106	49
Bupropion Xl	Bupropion Hcl	98	23
Oxycodone Hcl	Oxycodone Hcl	95	25
Eliquis	Apixaban	93	24
Sertraline Hcl	Sertraline Hcl	92	31
Hydrochlorothiazide	Hydrochlorothiazide	86	30
Allopurinol	Allopurinol	85	20
Zolpidem Tartrate	Zolpidem Tartrate	78	17
Tramadol Hcl	Tramadol Hcl	71	26
Pravastatin Sodium	Pravastatin Sodium	68	22
Fluoxetine Hcl	Fluoxetine Hcl	67	18
Pantoprazole Sodium	Pantoprazole Sodium	67	19
Triamterene-Hydrochlorothiazid	Triamterene/Hydrochlorothiazid	66	20
Olmesartan Medoxomil	Olmesartan Medoxomil	65	23
Alprazolam	Alprazolam	63	14
Clonazepam	Clonazepam	62	14
Duloxetine Hcl	Duloxetine Hcl	58	20
Prednisone	Prednisone	57	47
Synthroid	Levothyroxine Sodium	57	15
Doxycycline Monohydrate	Doxycycline Monohydrate	56	44
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	56	suppressed
Valacyclovir	Valacyclovir Hcl	55	29
Diltiazem 24hr Er (Cd)	Diltiazem Hcl	52	18
Famotidine	Famotidine	52	23
Meloxicam	Meloxicam	52	16
Metoprolol Tartrate	Metoprolol Tartrate	52	16
Metformin Hcl Er	Metformin Hcl	49	14
Tamsulosin Hcl	Tamsulosin Hcl	48	16
Montelukast Sodium	Montelukast Sodium	47	11
Lovastatin	Lovastatin	43	suppressed
Sumatriptan Succinate	Sumatriptan Succinate	41	suppressed
Butalbital-Acetaminophen-Caffe	Butalb/Acetaminophen/Caffeine	40	suppressed
Labetalol Hcl	Labetalol Hcl	40	11
Jardiance	Empagliflozin	37	suppressed
Estradiol	Estradiol	36	18
Triamcinolone Acetonide	Triamcinolone Acetonide	35	26
Ventolin Hfa	Albuterol Sulfate	35	11
Diazepam	Diazepam	34	suppressed
Diclofenac Sodium	Diclofenac Sodium	33	11
Breo Ellipta	Fluticasone/Vilanterol	32	suppressed
Paxlovid	Nirmatrelvir/Ritonavir	32	32
Xarelto	Rivaroxaban	32	suppressed
Bupropion Hcl Sr	Bupropion Hcl	31	suppressed
Irbesartan	Irbesartan	31	suppressed
Carvedilol	Carvedilol	30	12
Clopidogrel	Clopidogrel Bisulfate	29	suppressed
Pregabalin	Pregabalin	29	suppressed
Wixela Inhub	Fluticasone Propion/Salmeterol	29	14
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	28	suppressed
Venlafaxine Hcl Er	Venlafaxine Hcl	27	suppressed
Amoxicillin	Amoxicillin	26	20
Baclofen	Baclofen	26	suppressed
Celecoxib	Celecoxib	26	12
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	26	20
Spironolactone	Spironolactone	26	suppressed
Pioglitazone Hcl	Pioglitazone Hcl	24	suppressed
Acyclovir	Acyclovir	23	suppressed
Potassium Chloride	Potassium Chloride	23	suppressed
Atenolol-Chlorthalidone	Atenolol/Chlorthalidone	22	suppressed
Doxepin Hcl	Doxepin Hcl	22	suppressed
Lisinopril-Hydrochlorothiazide	Lisinopril/Hydrochlorothiazide	22	suppressed
Ropinirole Hcl	Ropinirole Hcl	22	suppressed
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	22	20
Warfarin Sodium	Warfarin Sodium	21	suppressed
Alendronate Sodium	Alendronate Sodium	20	suppressed
Enalapril Maleate	Enalapril Maleate	20	suppressed
Ibuprofen	Ibuprofen	20	suppressed
Azithromycin	Azithromycin	19	19
Mirtazapine	Mirtazapine	19	suppressed
Ondansetron Hcl	Ondansetron Hcl	19	suppressed
Ozempic	Semaglutide	19	suppressed
Repaglinide	Repaglinide	19	suppressed
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	18	suppressed
Ipratropium Bromide	Ipratropium Bromide	18	suppressed
Nystatin	Nystatin	18	12
Raloxifene Hcl	Raloxifene Hcl	18	suppressed
Valsartan-Hydrochlorothiazide	Valsartan/Hydrochlorothiazide	18	suppressed
Farxiga	Dapagliflozin Propanediol	17	suppressed
Hydrocortisone	Hydrocortisone	17	suppressed
Jantoven	Warfarin Sodium	17	suppressed
Morphine Sulfate	Morphine Sulfate	17	suppressed
Mounjaro	Tirzepatide	17	suppressed
Temazepam	Temazepam	17	suppressed
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	17	suppressed
Cephalexin	Cephalexin	16	16
Ezetimibe	Ezetimibe	16	suppressed
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	16	suppressed
Carisoprodol	Carisoprodol	15	suppressed
Oxybutynin Chloride Er	Oxybutynin Chloride	15	suppressed
Terazosin Hcl	Terazosin Hcl	15	suppressed
Tizanidine Hcl	Tizanidine Hcl	15	suppressed
Epinephrine	Epinephrine	14	13
Eszopiclone	Eszopiclone	14	suppressed
Fluticasone-Salmeterol	Fluticasone Propion/Salmeterol	14	suppressed
Incruse Ellipta	Umeclidinium Bromide	14	suppressed
Lamotrigine	Lamotrigine	14	suppressed
Levocetirizine Dihydrochloride	Levocetirizine Dihydrochloride	14	suppressed
Symbicort	Budesonide/Formoterol Fumarate	14	suppressed
Yuvafem	Estradiol	14	suppressed
Divalproex Sodium Er	Divalproex Sodium	13	suppressed
Fenofibrate	Fenofibrate,micronized	13	suppressed
Nifedipine Er	Nifedipine	13	suppressed
Nitroglycerin	Nitroglycerin	13	suppressed
Amitriptyline Hcl	Amitriptyline Hcl	12	suppressed
Butalb-Acetaminoph-Caff-Codein	Butalbit/Acetamin/Caff/Codeine	12	suppressed
Clobetasol Propionate	Clobetasol Propionate	12	suppressed
Donepezil Hcl	Donepezil Hcl	12	suppressed
Lo-Zumandimine	Ethinyl Estradiol/Drospirenone	12	suppressed
Propranolol Hcl	Propranolol Hcl	12	suppressed
Cholestyramine	Cholestyramine (With Sugar)	11	suppressed
Liothyronine Sodium	Liothyronine Sodium	11	suppressed
Midodrine Hcl	Midodrine Hcl	11	suppressed
Modafinil	Modafinil	11	suppressed
Spiriva Handihaler	Tiotropium Bromide	11	suppressed
Torsemide	Torsemide	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

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