Payment overview · 2025
General Payments
$139.40
2 reported records · 2 companies
Healthcare provider profile · identity verified
Steven Lee Spalding, MD
Allopathic & Osteopathic Physicians|Family Medicine · LOUISVILLE, KY · NPI 1740248806
Verified facts
What the public records show
CMS Open Payments records show Steven Lee Spalding, MD received $139.40 in general payments during 2025 across 2 reported records.
PFIZER INC. accounted for 79.6% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 3 associated products.
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 91 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 |
|---|---|---|---|---|---|
| PFIZER INC. | Unresolved — no canonical attribution shown | $110.94 | 79.6% | 1 | 2025 |
| Vanda Pharmaceuticals Inc. | Unresolved — no canonical attribution shown | $28.46 | 20.4% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $139.40 | 2 |
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 |
|---|---|---|---|---|---|
| NURTEC ODT Normalized: nurtec odt |
Drug | PFIZER INC. | $110.94 | 1 | 2025 |
Source payment records
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| FANAPT Normalized: fanapt |
Drug | Vanda Pharmaceuticals Inc. | $28.46 | 1 | 2025 |
Source payment records
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| HETLIOZ Normalized: hetlioz |
Drug | Vanda Pharmaceuticals Inc. | $28.46 | 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.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| 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 |
91 | 24 |
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 | 621 | 199 |
| Levothyroxine Sodium | Levothyroxine Sodium | 510 | 133 |
| Amlodipine Besylate | Amlodipine Besylate | 351 | 103 |
| Lisinopril | Lisinopril | 334 | 99 |
| Metoprolol Succinate | Metoprolol Succinate | 303 | 90 |
| Omeprazole | Omeprazole | 240 | 66 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 237 | 53 |
| Pantoprazole Sodium | Pantoprazole Sodium | 217 | 66 |
| Alprazolam | Alprazolam | 191 | 41 |
| Losartan Potassium | Losartan Potassium | 180 | 53 |
| Gabapentin | Gabapentin | 178 | 57 |
| Montelukast Sodium | Montelukast Sodium | 178 | 55 |
| Furosemide | Furosemide | 169 | 64 |
| Simvastatin | Simvastatin | 159 | 42 |
| Escitalopram Oxalate | Escitalopram Oxalate | 152 | 45 |
| Meloxicam | Meloxicam | 143 | 45 |
| Zolpidem Tartrate | Zolpidem Tartrate | 135 | 27 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 134 | 36 |
| Tamsulosin Hcl | Tamsulosin Hcl | 133 | 40 |
| Hydrochlorothiazide | Hydrochlorothiazide | 128 | 38 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 117 | 22 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 110 | 32 |
| Glimepiride | Glimepiride | 108 | 31 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 106 | 27 |
| Potassium Chloride | Potassium Chloride | 106 | 36 |
| Fluticasone Propionate | Fluticasone Propionate | 105 | 35 |
| Allopurinol | Allopurinol | 103 | 29 |
| Prednisone | Prednisone | 100 | 73 |
| Metformin Hcl | Metformin Hcl | 99 | 27 |
| Metformin Hcl Er | Metformin Hcl | 99 | 31 |
| Ezetimibe | Ezetimibe | 97 | 28 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 97 | 29 |
| Eliquis | Apixaban | 91 | 24 |
| Doxepin Hcl | Doxepin Hcl | 87 | 28 |
| Clopidogrel | Clopidogrel Bisulfate | 82 | 24 |
| Duloxetine Hcl | Duloxetine Hcl | 82 | 33 |
| Pravastatin Sodium | Pravastatin Sodium | 80 | 23 |
| Carvedilol | Carvedilol | 77 | 26 |
| Ozempic | Semaglutide | 77 | 16 |
| Sertraline Hcl | Sertraline Hcl | 70 | 23 |
| Terazosin Hcl | Terazosin Hcl | 69 | 20 |
| Atenolol | Atenolol | 66 | 18 |
| Clonazepam | Clonazepam | 66 | 17 |
| Synthroid | Levothyroxine Sodium | 66 | 14 |
| Tramadol Hcl | Tramadol Hcl | 66 | 14 |
| Baclofen | Baclofen | 65 | 26 |
| Bupropion Hcl Sr | Bupropion Hcl | 62 | 13 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 62 | 17 |
| Trazodone Hcl | Trazodone Hcl | 62 | 27 |
| Metoprolol Tartrate | Metoprolol Tartrate | 61 | 21 |
| Citalopram Hbr | Citalopram Hydrobromide | 60 | 14 |
| Mirtazapine | Mirtazapine | 60 | 15 |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 60 | 15 |
| Amitriptyline Hcl | Amitriptyline Hcl | 56 | 20 |
| Doxycycline Hyclate | Doxycycline Hyclate | 56 | 39 |
| Valsartan-Hydrochlorothiazide | Valsartan/Hydrochlorothiazide | 54 | 15 |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 52 | 17 |
| Fluconazole | Fluconazole | 50 | 25 |
| Ondansetron Hcl | Ondansetron Hcl | 50 | 23 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 49 | 27 |
| Promethazine Hcl | Promethazine Hcl | 48 | 14 |
| Tizanidine Hcl | Tizanidine Hcl | 48 | 11 |
| Valacyclovir | Valacyclovir Hcl | 47 | 17 |
| Lorazepam | Lorazepam | 46 | suppressed |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 44 | 38 |
| Famotidine | Famotidine | 41 | 14 |
| Azithromycin | Azithromycin | 40 | 37 |
| Clonidine Hcl | Clonidine Hcl | 39 | 13 |
| Fluoxetine Hcl | Fluoxetine Hcl | 39 | 11 |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 38 | 11 |
| Valsartan | Valsartan | 37 | 12 |
| Hydralazine Hcl | Hydralazine Hcl | 36 | 13 |
| Dicyclomine Hcl | Dicyclomine Hcl | 34 | 13 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 34 | 25 |
| Amoxicillin | Amoxicillin | 33 | 29 |
| Bupropion Xl | Bupropion Hcl | 33 | suppressed |
| Cefdinir | Cefdinir | 33 | 27 |
| Januvia | Sitagliptin Phosphate | 33 | suppressed |
| Buspirone Hcl | Buspirone Hcl | 32 | 11 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 31 | suppressed |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 31 | 27 |
| Diclofenac Sodium | Diclofenac Sodium | 30 | 13 |
| Ropinirole Hcl | Ropinirole Hcl | 30 | suppressed |
| Pioglitazone Hcl | Pioglitazone Hcl | 28 | suppressed |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 27 | 25 |
| Clindamycin Hcl | Clindamycin Hcl | 25 | 21 |
| Paroxetine Hcl | Paroxetine Hcl | 25 | suppressed |
| Benazepril Hcl | Benazepril Hcl | 24 | suppressed |
| Warfarin Sodium | Warfarin Sodium | 24 | suppressed |
| Amlodipine Besylate-Benazepril | Amlodipine Besylate/Benazepril | 23 | suppressed |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 23 | suppressed |
| Spironolactone | Spironolactone | 23 | suppressed |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 23 | suppressed |
| Ultra-Fine Mini Pen Needle | Pen Needle, Diabetic | 23 | suppressed |
| Celecoxib | Celecoxib | 21 | suppressed |
| Vitamin D2 | Ergocalciferol (Vitamin D2) | 21 | suppressed |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 20 | suppressed |
| Linzess | Linaclotide | 20 | suppressed |
| Mounjaro | Tirzepatide | 20 | suppressed |
| Breo Ellipta | Fluticasone/Vilanterol | 19 | suppressed |
| Colchicine | Colchicine | 19 | suppressed |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 19 | suppressed |
| Risperidone | Risperidone | 19 | suppressed |
| Estradiol | Estradiol | 18 | suppressed |
| Guanfacine Hcl | Guanfacine Hcl | 18 | suppressed |
| Levofloxacin | Levofloxacin | 18 | 12 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 17 | suppressed |
| Diazepam | Diazepam | 17 | suppressed |
| Jardiance | Empagliflozin | 17 | suppressed |
| Nortriptyline Hcl | Nortriptyline Hcl | 17 | suppressed |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 17 | suppressed |
| Tresiba Flextouch U-200 | Insulin Degludec | 17 | suppressed |
| Colesevelam Hcl | Colesevelam Hcl | 16 | suppressed |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 16 | suppressed |
| Propranolol Hcl | Propranolol Hcl | 16 | suppressed |
| Fenofibrate | Fenofibrate | 15 | suppressed |
| Ibu | Ibuprofen | 15 | suppressed |
| Diltiazem 24hr Er | Diltiazem Hcl | 14 | suppressed |
| Doxazosin Mesylate | Doxazosin Mesylate | 14 | suppressed |
| Hydrocortisone | Hydrocortisone | 14 | suppressed |
| Ondansetron Odt | Ondansetron | 14 | suppressed |
| Quetiapine Fumarate | Quetiapine Fumarate | 14 | suppressed |
| Sumatriptan Succinate | Sumatriptan Succinate | 14 | suppressed |
| Alendronate Sodium | Alendronate Sodium | 13 | suppressed |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 13 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 13 | suppressed |
| Xarelto | Rivaroxaban | 13 | suppressed |
| Atomoxetine Hcl | Atomoxetine Hcl | 12 | suppressed |
| Dextroamphetamine-Amphetamine | Dextroamphetamine/Amphetamine | 12 | suppressed |
| Fenofibrate | Fenofibrate Nanocrystallized | 12 | suppressed |
| Levetiracetam | Levetiracetam | 12 | suppressed |
| Naproxen | Naproxen | 12 | suppressed |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 12 | suppressed |
| Testosterone Cypionate | Testosterone Cypionate | 12 | suppressed |
| Tresiba Flextouch U-100 | Insulin Degludec | 12 | suppressed |
| Aripiprazole | Aripiprazole | 11 | suppressed |
| Cephalexin | Cephalexin | 11 | suppressed |
| Finasteride | Finasteride | 11 | suppressed |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 11 | suppressed |
| Lamotrigine | Lamotrigine | 11 | suppressed |
| Lovastatin | Lovastatin | 11 | suppressed |
| Oxazepam | Oxazepam | 11 | suppressed |
| Oxybutynin Chloride | Oxybutynin Chloride | 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 | $139.40 · 2 records | PFIZER INC. | FANAPT, HETLIOZ, NURTEC ODT | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- How do you evaluate evidence when you have a financial relationship with PFIZER 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