Physician profile
William Scott Spence
NPI 1255351458
$411.36
in general payments reported to CMS, 2019-2025
10 companies · $33.93 in 2025
The $33.93 reported for 2025 was less than what a typical Family Medicine provider received nationally (typical 2025 total: $153).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $311 · 2020: $32.74 · 2024: $34.05 · 2025: $33.93.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $67.98.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $67.98 |
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 |
|---|---|---|---|
| Astellas Pharma US INC | $92.82 | 2019 | |
| Sanofi-Aventis U.S. LLC | $86.79 | 2019 | |
| Novartis Pharmaceuticals Corporation | $64.54 | 2019 | |
| Novo Nordisk INC | $56.68 | 2019-2025 | Ozempic, Rybelsus |
| Pfizer INC. | $25.32 | 2019 | |
| Dexcom, INC. | $19.35 | 2025 | Dexcom G6 Transmitter |
| Otsuka America Pharmaceutical, INC. | $19.01 | 2024 | Rexulti |
| Horizon Therapeutics Plc | $17.82 | 2020 | |
| Glaxosmithkline, LLC. | $14.92 | 2020 | |
| Ucb, INC. | $14.11 | 2019 |
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 William Spence 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.