Physician profile
Sandra Spackman
NPI 1164892592
$463.44
in general payments reported to CMS, 2019-2025
10 companies · $124 in 2025
The $124 reported for 2025 was less than what a typical Acute Care (Nurse Practitioner) provider received nationally (typical 2025 total: $151).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2022: $113 · 2023: $60.61 · 2024: $166 · 2025: $124.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $350.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $350.49 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | $267.57 | 2022-2025 | |
| Pfizer INC. | $34.54 | 2025 | |
| Azurity Pharmaceuticals, INC. | $30.68 | 2024-2025 | Edarbyclor |
| Heartflow, INC. | $26.35 | 2024 | |
| Abbott Laboratories | $24.13 | 2022 | |
| Amgen INC. | $17.83 | 2022 | |
| Astrazeneca Pharmaceuticals LP | $17.66 | 2023 | Farxiga |
| Boston Scientific Corporation | $16.27 | 2024 | |
| Inspire Medical Systems, INC. | $14.87 | 2025 | Inspire |
| Amarin Pharma, INC. | $13.54 | 2022 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Sandra Spackman listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.