Physician profile

Nicholas Ray Spear

Physician Assistant · Poway, CA

NPI 1144985128

$611.97

in general payments reported to CMS, 2019-2025

20 companies · none reported in 2025

See the full distribution for Physician Assistant

Payments by year

General payments by program year, as reported to CMS.

What the payments were for

Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.

View as a table
Payment typeAmount (2023-2025)
Food and Beverage$426.03
Education$185.94

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.

CompanyGeneral paymentsYearsTop products
Takeda Pharmaceuticals U.S.A., INC. $127.65 2023 Alunbrig
Incyte Corporation $110.67 2023 Jakafi
Seagen INC. $34.47 2023 Adcetris
Beigene USA, INC. $26.00 2023 Brukinsa
Celgene Corporation $25.74 2023 Reblozyl
Octapharma USA, INC. $24.89 2023 Panzyga
Janssen Biotech, INC. $24.27 2023
Adaptive Biotechnologies Corporation $23.27 2023 Clonoseq
Puma Biotechnology, INC. $22.83 2023
Stemline Therapeutics INC. $22.58 2023 Orserdu
Astrazeneca Pharmaceuticals LP $22.48 2023 Imfinzi
Sobi, INC $22.43 2023
Tolmar, INC. $18.53 2023
Pfizer INC. $17.64 2024
Daiichi Sankyo INC. $15.86 2023 Injectafer
Show all 20 companies
CompanyGeneral paymentsYearsTop products
Merck Sharp & Dohme LLC $15.31 2023 Keytruda, Lynparza
Lilly USA, LLC $15.11 2023 Retevmo, Verzenio
Bayer Healthcare Pharmaceuticals INC. $14.88 2023
Sumitomo Pharma America, INC. $13.73 2023 Orgovyx
Heron Therapeutics, INC. $13.63 2023 Sustol

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.

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Payment summary

Nicholas Ray Spear

$611.97

in general payments reported 2019-2025

Years
2023-2024
Top company
Takeda Pharmaceuticals U.S.A., INC.

https://glasscript.com/doctor/11265730/nicholas-ray-spear

Source: CMS Open Payments, program years 2019-2025. Payments are legal and often routine.

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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.