Payment overview · 2025
General Payments
$16.74
1 reported records · 1 companies
Healthcare provider profile · identity verified
Ryan Michael Spurlin, PA-C
Physician Assistants & Advanced Practice Nursing Providers|Physician Assistant · FOREST CITY, NC · NPI 1508372137
Verified facts
What the public records show
CMS Open Payments records show Ryan Michael Spurlin, PA-C received $16.74 in general payments during 2025 across 1 reported records.
Exact Sciences Corporation accounted for 100.0% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 1 associated product.
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 |
|---|---|---|---|---|---|
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $16.74 | 100.0% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $16.74 | 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 |
|---|---|---|---|---|---|
| The Cologuard Plus Collection Kit Normalized: the cologuard plus collection kit |
Device | Exact Sciences Corporation | $16.74 | 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
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
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.
None of this doctor’s payer companies has same-entity product evidence that passes the publication threshold. The site does not infer company ownership, affiliates, or generic manufacturers.
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 | 320 | 96 |
| Clonazepam | Clonazepam | 216 | 55 |
| Lorazepam | Lorazepam | 216 | 64 |
| Pantoprazole Sodium | Pantoprazole Sodium | 188 | 59 |
| Levothyroxine Sodium | Levothyroxine Sodium | 184 | 56 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 182 | 74 |
| Alprazolam | Alprazolam | 178 | 43 |
| Lisinopril | Lisinopril | 175 | 49 |
| Omeprazole | Omeprazole | 156 | 42 |
| Losartan Potassium | Losartan Potassium | 140 | 38 |
| Gabapentin | Gabapentin | 139 | 42 |
| Zolpidem Tartrate | Zolpidem Tartrate | 134 | 36 |
| Amlodipine Besylate | Amlodipine Besylate | 130 | 42 |
| Prednisone | Prednisone | 130 | 99 |
| Azithromycin | Azithromycin | 129 | 115 |
| Tramadol Hcl | Tramadol Hcl | 118 | 54 |
| Trazodone Hcl | Trazodone Hcl | 117 | 39 |
| Montelukast Sodium | Montelukast Sodium | 110 | 32 |
| Alendronate Sodium | Alendronate Sodium | 92 | 24 |
| Meloxicam | Meloxicam | 91 | 39 |
| Metformin Hcl | Metformin Hcl | 86 | 24 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 81 | 32 |
| Tizanidine Hcl | Tizanidine Hcl | 80 | 37 |
| Metoprolol Succinate | Metoprolol Succinate | 78 | 22 |
| Tamsulosin Hcl | Tamsulosin Hcl | 76 | 37 |
| Famotidine | Famotidine | 73 | 18 |
| Furosemide | Furosemide | 67 | 31 |
| Fluoxetine Hcl | Fluoxetine Hcl | 66 | 18 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 64 | 57 |
| Jardiance | Empagliflozin | 62 | 18 |
| Allopurinol | Allopurinol | 57 | 18 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 57 | 48 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 56 | 26 |
| Fluconazole | Fluconazole | 56 | 39 |
| Glipizide Er | Glipizide | 54 | 19 |
| Amoxicillin | Amoxicillin | 53 | 47 |
| Ezetimibe | Ezetimibe | 51 | 16 |
| Escitalopram Oxalate | Escitalopram Oxalate | 50 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 50 | 13 |
| Simvastatin | Simvastatin | 50 | 16 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 50 | 13 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 49 | 16 |
| Clopidogrel | Clopidogrel Bisulfate | 48 | 12 |
| Pravastatin Sodium | Pravastatin Sodium | 48 | 14 |
| Potassium Chloride | Potassium Chloride | 46 | 16 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 46 | 12 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 45 | 36 |
| Sertraline Hcl | Sertraline Hcl | 44 | 11 |
| Oxycodone Hcl | Oxycodone Hcl | 43 | 14 |
| Pregabalin | Pregabalin | 43 | 16 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 43 | suppressed |
| Eliquis | Apixaban | 40 | 11 |
| Xarelto | Rivaroxaban | 40 | suppressed |
| Bupropion Xl | Bupropion Hcl | 38 | 11 |
| Glipizide | Glipizide | 38 | suppressed |
| Ozempic | Semaglutide | 38 | 12 |
| Levofloxacin | Levofloxacin | 37 | 31 |
| Carvedilol | Carvedilol | 36 | 12 |
| Temazepam | Temazepam | 34 | suppressed |
| Meclizine Hcl | Meclizine Hcl | 33 | 13 |
| Spironolactone | Spironolactone | 33 | suppressed |
| Fluticasone Propionate | Fluticasone Propionate | 31 | 14 |
| Tresiba Flextouch U-100 | Insulin Degludec | 29 | suppressed |
| Ondansetron Hcl | Ondansetron Hcl | 28 | 16 |
| Celecoxib | Celecoxib | 27 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 26 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 26 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 23 | suppressed |
| Lantus | Insulin Glargine,hum.Rec.Anlog | 23 | suppressed |
| Primidone | Primidone | 23 | suppressed |
| Atenolol | Atenolol | 22 | suppressed |
| Fenofibrate | Fenofibrate,micronized | 22 | suppressed |
| Ibuprofen | Ibuprofen | 22 | suppressed |
| Nitroglycerin | Nitroglycerin | 22 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 21 | suppressed |
| Cefuroxime | Cefuroxime Axetil | 21 | 21 |
| Fenofibrate | Fenofibrate Nanocrystallized | 21 | suppressed |
| Metformin Hcl Er | Metformin Hcl | 21 | suppressed |
| Metoprolol Tartrate | Metoprolol Tartrate | 21 | suppressed |
| Paxlovid | Nirmatrelvir/Ritonavir | 21 | 21 |
| Breo Ellipta | Fluticasone/Vilanterol | 20 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 20 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 20 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 20 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 20 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 19 | suppressed |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 19 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 18 | suppressed |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 18 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 18 | 11 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 18 | suppressed |
| Metronidazole | Metronidazole | 18 | 16 |
| Premarin | Estrogens, Conjugated | 18 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 18 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 18 | 17 |
| Buspirone Hcl | Buspirone Hcl | 17 | suppressed |
| Diltiazem Hcl | Diltiazem Hcl | 17 | suppressed |
| Memantine Hcl | Memantine Hcl | 17 | suppressed |
| Nystatin | Nystatin | 17 | 12 |
| Sucralfate | Sucralfate | 17 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 17 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 17 | suppressed |
| Aripiprazole | Aripiprazole | 16 | suppressed |
| Butalbital-Acetaminophen-Caffe | Butalb/Acetaminophen/Caffeine | 16 | suppressed |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 16 | suppressed |
| Lovastatin | Lovastatin | 16 | suppressed |
| Methocarbamol | Methocarbamol | 16 | suppressed |
| Mirtazapine | Mirtazapine | 16 | suppressed |
| Valsartan | Valsartan | 16 | suppressed |
| Estradiol | Estradiol | 15 | suppressed |
| Fenofibrate | Fenofibrate | 15 | suppressed |
| Trulicity | Dulaglutide | 15 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 15 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 14 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 14 | 14 |
| Lamotrigine | Lamotrigine | 14 | suppressed |
| Mounjaro | Tirzepatide | 14 | suppressed |
| Ondansetron Odt | Ondansetron | 14 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 14 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 13 | suppressed |
| Clobetasol Propionate | Clobetasol Propionate | 13 | suppressed |
| Doxepin Hcl | Doxepin Hcl | 13 | suppressed |
| Finasteride | Finasteride | 13 | suppressed |
| Levetiracetam | Levetiracetam | 13 | suppressed |
| Loperamide | Loperamide Hcl | 13 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 13 | 11 |
| Bumetanide | Bumetanide | 12 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 12 | suppressed |
| Lacosamide | Lacosamide | 12 | suppressed |
| Synthroid | Levothyroxine Sodium | 12 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 11 | suppressed |
| Methylprednisolone | Methylprednisolone | 11 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 11 | suppressed |
| Promethazine Hcl | Promethazine Hcl | 11 | suppressed |
| Tolterodine Tartrate | Tolterodine 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 | $16.74 · 1 records | Exact Sciences Corporation | The Cologuard Plus Collection Kit | — | — |
| 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 |
Full methodology · Questions & answers · Report a possible error