Payment overview · 2025
General Payments
$101.15
5 reported records · 2 companies
Healthcare provider profile · identity verified
Patrick Spiering, M.D.
Allopathic & Osteopathic Physicians|Family Medicine · FRANKLIN, WI · NPI 1568578094
Verified facts
What the public records show
CMS Open Payments records show Patrick Spiering, M.D. received $101.15 in general payments during 2025 across 5 reported records.
Novo Nordisk Inc accounted for 58.8% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 2 associated products.
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 221 claims for Ozempic by this doctor in 2024.
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 Rybelsus as an associated drug or biological on 161257 records involving 55409 distinct recipient NPIs. Public Medicare Part D data also shows 12 claims for Rybelsus 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 |
|---|---|---|---|---|---|
| Novo Nordisk Inc | Unresolved — no canonical attribution shown | $59.48 | 58.8% | 3 | 2025 |
| Exact Sciences Corporation | Unresolved — no canonical attribution shown | $41.67 | 41.2% | 2 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $101.15 | 5 |
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 |
|---|---|---|---|---|---|
| Wegovy Normalized: wegovy |
Drug | Novo Nordisk Inc | $44.57 | 2 | 2025 |
Source payment records
|
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| Cologuard Collection Kit Normalized: cologuard collection kit |
Device | Exact Sciences Corporation | $41.67 | 2 | 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.
| 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 |
221 | 46 |
| Novo Nordisk Inc Exact reporting entity; no affiliate inference |
2025 | Rybelsus open payments reported associated product |
CMS Open Payments — General Payments 161257 supporting records · 55409 recipient NPIs · example record 1188130076 |
Rybelsus · 2024 Exact normalized brand match · 1 Part D row |
12 | 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 |
|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 755 | 203 |
| Amlodipine Besylate | Amlodipine Besylate | 519 | 151 |
| Losartan Potassium | Losartan Potassium | 362 | 99 |
| Levothyroxine Sodium | Levothyroxine Sodium | 361 | 99 |
| Metoprolol Succinate | Metoprolol Succinate | 357 | 101 |
| Metformin Hcl | Metformin Hcl | 244 | 65 |
| Hydrochlorothiazide | Hydrochlorothiazide | 238 | 67 |
| Simvastatin | Simvastatin | 236 | 61 |
| Pantoprazole Sodium | Pantoprazole Sodium | 230 | 63 |
| Ozempic | Semaglutide | 221 | 46 |
| Trazodone Hcl | Trazodone Hcl | 214 | 62 |
| Lisinopril | Lisinopril | 206 | 61 |
| Omeprazole | Omeprazole | 205 | 63 |
| Gabapentin | Gabapentin | 201 | 49 |
| Furosemide | Furosemide | 188 | 47 |
| Finasteride | Finasteride | 184 | 45 |
| Metformin Hcl Er | Metformin Hcl | 182 | 64 |
| Tamsulosin Hcl | Tamsulosin Hcl | 179 | 57 |
| Pregabalin | Pregabalin | 178 | 40 |
| Duloxetine Hcl | Duloxetine Hcl | 163 | 40 |
| Valsartan | Valsartan | 149 | 44 |
| Abrysvo | Rsv Vacc, Pref A And Pref B/Pf | 144 | 143 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 140 | 24 |
| Tramadol Hcl | Tramadol Hcl | 140 | 36 |
| Bupropion Xl | Bupropion Hcl | 136 | 39 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 126 | 38 |
| Memantine Hcl | Memantine Hcl | 122 | 22 |
| Escitalopram Oxalate | Escitalopram Oxalate | 121 | 31 |
| Eliquis | Apixaban | 113 | 26 |
| Sertraline Hcl | Sertraline Hcl | 113 | 30 |
| Mounjaro | Tirzepatide | 112 | 16 |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 108 | 28 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 107 | 55 |
| Alendronate Sodium | Alendronate Sodium | 104 | 27 |
| Celecoxib | Celecoxib | 104 | 38 |
| Naltrexone Hcl | Naltrexone Hcl | 100 | 30 |
| Potassium Chloride | Potassium Chloride | 99 | 26 |
| Quetiapine Fumarate | Quetiapine Fumarate | 98 | 12 |
| Metoprolol Tartrate | Metoprolol Tartrate | 90 | 22 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 89 | 14 |
| Allopurinol | Allopurinol | 87 | 25 |
| Clopidogrel | Clopidogrel Bisulfate | 85 | 23 |
| Lorazepam | Lorazepam | 83 | 21 |
| Montelukast Sodium | Montelukast Sodium | 83 | 20 |
| Myrbetriq | Mirabegron | 83 | 19 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 83 | 26 |
| Meloxicam | Meloxicam | 82 | 18 |
| Fluticasone Propionate | Fluticasone Propionate | 81 | 18 |
| Pravastatin Sodium | Pravastatin Sodium | 78 | 23 |
| Zolpidem Tartrate | Zolpidem Tartrate | 78 | 18 |
| Jardiance | Empagliflozin | 77 | 20 |
| Alprazolam | Alprazolam | 72 | 20 |
| Nebivolol Hcl | Nebivolol Hcl | 72 | 21 |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 67 | 24 |
| Carvedilol | Carvedilol | 66 | 16 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 66 | 21 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 64 | 18 |
| Lamotrigine | Lamotrigine | 63 | suppressed |
| Hydralazine Hcl | Hydralazine Hcl | 61 | 12 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 61 | 13 |
| Warfarin Sodium | Warfarin Sodium | 60 | 12 |
| Mirtazapine | Mirtazapine | 59 | 17 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 56 | suppressed |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 53 | 17 |
| Tresiba Flextouch U-200 | Insulin Degludec | 52 | 11 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 52 | 31 |
| Clonazepam | Clonazepam | 51 | suppressed |
| Fluoxetine Hcl | Fluoxetine Hcl | 51 | suppressed |
| Prednisone | Prednisone | 51 | 34 |
| Tizanidine Hcl | Tizanidine Hcl | 51 | 16 |
| Soliqua 100-33 | Insulin Glargine/Lixisenatide | 50 | suppressed |
| Trulicity | Dulaglutide | 49 | suppressed |
| Donepezil Hcl | Donepezil Hcl | 47 | suppressed |
| Spironolactone | Spironolactone | 47 | 20 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 45 | 15 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 45 | 15 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 42 | 15 |
| Bupropion Hcl Sr | Bupropion Hcl | 41 | 11 |
| Lovastatin | Lovastatin | 41 | suppressed |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 41 | 33 |
| Atenolol | Atenolol | 40 | 14 |
| Diazepam | Diazepam | 40 | suppressed |
| Amlodipine-Valsartan | Amlodipine Besylate/Valsartan | 39 | 13 |
| Citalopram Hbr | Citalopram Hydrobromide | 39 | suppressed |
| Irbesartan | Irbesartan | 39 | 11 |
| Olmesartan-Hydrochlorothiazide | Olmesartan/Hydrochlorothiazide | 38 | 12 |
| Xarelto | Rivaroxaban | 36 | suppressed |
| Cephalexin | Cephalexin | 34 | 29 |
| Eszopiclone | Eszopiclone | 33 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 32 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 32 | suppressed |
| Aripiprazole | Aripiprazole | 31 | suppressed |
| Diclofenac Sodium | Diclofenac Sodium | 31 | 11 |
| Ezetimibe | Ezetimibe | 31 | suppressed |
| Farxiga | Dapagliflozin Propanediol | 31 | suppressed |
| Ropinirole Hcl | Ropinirole Hcl | 31 | suppressed |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 30 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 30 | suppressed |
| Januvia | Sitagliptin Phosphate | 29 | suppressed |
| Solifenacin Succinate | Solifenacin Succinate | 29 | suppressed |
| Famotidine | Famotidine | 28 | suppressed |
| Triamterene-Hydrochlorothiazid | Triamterene/Hydrochlorothiazid | 28 | 11 |
| Amoxicillin | Amoxicillin | 27 | 19 |
| Terbinafine Hcl | Terbinafine Hcl | 27 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 26 | suppressed |
| Clonidine Hcl | Clonidine Hcl | 25 | suppressed |
| Ventolin Hfa | Albuterol Sulfate | 25 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 24 | suppressed |
| Amitriptyline Hcl | Amitriptyline Hcl | 23 | suppressed |
| Ipratropium Bromide | Ipratropium Bromide | 23 | suppressed |
| Linzess | Linaclotide | 23 | suppressed |
| Olanzapine | Olanzapine | 23 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 22 | 18 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 22 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 22 | suppressed |
| Phenytoin Sodium Extended | Phenytoin Sodium Extended | 22 | suppressed |
| Fenofibrate | Fenofibrate | 21 | suppressed |
| Sucralfate | Sucralfate | 21 | suppressed |
| Synthroid | Levothyroxine Sodium | 21 | suppressed |
| Glimepiride | Glimepiride | 20 | suppressed |
| Digoxin | Digoxin | 19 | suppressed |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 18 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 18 | suppressed |
| Fluconazole | Fluconazole | 18 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 18 | suppressed |
| Azithromycin | Azithromycin | 17 | 15 |
| Divalproex Sodium | Divalproex Sodium | 17 | suppressed |
| Ibuprofen | Ibuprofen | 17 | suppressed |
| Risperidone | Risperidone | 17 | suppressed |
| Topiramate | Topiramate | 17 | suppressed |
| Amiodarone Hcl | Amiodarone Hcl | 16 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 16 | suppressed |
| Hydrocortisone | Hydrocortisone | 16 | suppressed |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 16 | suppressed |
| Paroxetine Hcl | Paroxetine Hcl | 16 | suppressed |
| Sulindac | Sulindac | 16 | suppressed |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 16 | suppressed |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 15 | suppressed |
| Arnuity Ellipta | Fluticasone Furoate | 15 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 15 | suppressed |
| Divalproex Sodium Er | Divalproex Sodium | 15 | suppressed |
| Glipizide Er | Glipizide | 15 | suppressed |
| Invokana | Canagliflozin | 15 | suppressed |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 15 | suppressed |
| Metoclopramide Hcl | Metoclopramide Hcl | 15 | suppressed |
| Phenobarbital | Phenobarbital | 15 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 15 | suppressed |
| Belsomra | Suvorexant | 14 | suppressed |
| Chlorthalidone | Chlorthalidone | 14 | suppressed |
| Ondansetron Odt | Ondansetron | 14 | suppressed |
| Stiolto Respimat | Tiotropium Br/Olodaterol Hcl | 14 | suppressed |
| Anastrozole | Anastrozole | 13 | suppressed |
| Baclofen | Baclofen | 13 | suppressed |
| Carbidopa-Levodopa | Carbidopa/Levodopa | 13 | suppressed |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 13 | suppressed |
| Carisoprodol | Carisoprodol | 13 | suppressed |
| Colchicine | Colchicine | 13 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 13 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 13 | suppressed |
| Valacyclovir | Valacyclovir Hcl | 13 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 13 | suppressed |
| Ziprasidone Hcl | Ziprasidone Hcl | 13 | suppressed |
| Droplet Pen Needle | Pen Needle, Diabetic | 12 | suppressed |
| Exemestane | Exemestane | 12 | suppressed |
| Rybelsus | Semaglutide | 12 | suppressed |
| Semglee (Yfgn) | Insulin Glargine-Yfgn | 12 | suppressed |
| Toujeo Max Solostar | Insulin Glargine,hum.Rec.Anlog | 12 | suppressed |
| Amlodipine-Olmesartan | Amlodipine Bes/Olmesartan Med | 11 | suppressed |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 11 | suppressed |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 11 | suppressed |
| Modafinil | Modafinil | 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 | $101.15 · 5 records | Novo Nordisk Inc | Cologuard Collection Kit, Wegovy | 2 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- 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