Physician profile

Michael Spezia

Family Medicine · Saint Louis, MO

NPI 1316928369

$26,413.96

in general payments reported to CMS, 2019-2025

57 companies · $3,766 in 2025

The $3,766 reported for 2025 was more than what 98% of Family Medicine providers received nationally (typical 2025 total: $153).

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$11,416.92
Education$104.62

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
Astrazeneca Pharmaceuticals LP $5,952.47 2019-2025 Farxiga, Airsupra, Breztri
Glaxosmithkline, LLC. $1,992.05 2019-2025 Trelegy Ellipta, Arexvy, Shingrix
Abbvie INC. $1,798.18 2019-2025 Ubrelvy, Vraylar, Qulipta
Novo Nordisk INC $1,649.19 2019-2025 Ozempic, Rybelsus
Pfizer INC. $1,527.76 2019-2025
Otsuka America Pharmaceutical, INC. $1,369.30 2020-2025 Rexulti, Jynarque
Lilly USA, LLC $1,289.30 2019-2025 Mounjaro, Jardiance, Zepbound
Merck Sharp & Dohme LLC $1,033.84 2019-2025 Verquvo, Belsomra, Steglatro
Astellas Pharma US INC $640.77 2019-2025 Veozah, Myrbetriq
Novartis Pharmaceuticals Corporation $602.83 2019-2025
Bayer Healthcare Pharmaceuticals INC. $552.51 2022-2025
Janssen Pharmaceuticals, INC $546.75 2019-2023 Xarelto
Biohaven Pharmaceutical Holding Company LTD. $524.14 2022
Amarin Pharma, INC. $520.31 2019-2021
Dexcom, INC. $447.05 2021-2025 Dexcom G7 Gss (161), Dexcom G6 Transmitter
Show all 57 companies
CompanyGeneral paymentsYearsTop products
Biohaven Pharmaceuticals, INC. $426.07 2020-2021
Salix Pharmaceuticals, A Division of Bausch Health US, LLC $370.17 2019-2025 Xifaxan, Ibschek
Nevro Corp. $366.49 2023-2024 Senza
Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) $356.08 2024-2025 Caplyta
Sanofi-Aventis U.S. LLC $344.43 2019-2023
Phathom Pharmaceuticals, INC. $340.70 2024-2025 Voquezna
Boehringer Ingelheim Pharmaceuticals, INC. $329.06 2019-2022
Allergan, INC. $317.25 2019-2020
Aimmune Therapeutics, INC. $307.66 2024-2025 Zenpep
Nestle Healthcare Nutrition INC. $267.24 2020-2023
Exact Sciences Corporation $263.49 2023-2025 Cologuard Collection Kit, The Cologuard Plus Collection Kit
Sunovion Pharmaceuticals INC. $212.99 2019-2021
Kowa Pharmaceuticals America, INC. $206.45 2024-2025 Zoryve
Biosense Webster, INC. $196.56 2022
Melinta Therapeutics, LLC $145.84 2019
Gilead Sciences, INC. $141.74 2019
Sumitomo Pharma America, INC. $131.97 2023-2025 Aptiom, Gemtesa
Sk Life Science, INC. $124.65 2024 Xcopri
Vbi Vaccine (Delaware) INC. $96.87 2022-2023 Prehevbrio
Lundbeck LLC $90.67 2021-2025 Rexulti
Travere Therapeutics, INC. $88.18 2023
Amgen INC. $82.55 2020-2024 Repatha, Otezla
Ardelyx, INC. $82.09 2024-2025 Ibsrela
Abbott Laboratories $75.90 2022-2025 Freestyle Libre 3
Globus Medical, INC. $61.27 2025 Senza
Takeda Pharmaceuticals U.S.A., INC. $56.03 2019-2021
Hikma Pharmaceuticals USA $53.75 2020-2021
Arbor Pharmaceuticals, INC. $50.71 2019-2021
Paratek Pharmaceuticals, INC. $48.18 2021-2025 Xhance, Nuzyra
Heron Therapeutics, INC. $46.37 2022
Medtronic Minimed, INC. $43.82 2020
Eyevance Pharmaceuticals LLC $38.30 2021
Averitas Pharma INC. $33.74 2025 Qutenza
Ironwood Pharmaceuticals, INC $33.51 2023 Linzess
Lexicon Pharmaceuticals, INC. $24.54 2024
Esperion Therapeutics, INC. $21.36 2020
Xeris Pharmaceuticals, INC. $19.75 2021
Shield Therapeutics INC $16.19 2022
Neurocrine Biosciences, INC. $15.07 2025
Medtronic, INC. $13.44 2021
Elite Orthopedics, LLC $13.35 2019
Vanda Pharmaceuticals INC. $13.03 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.

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Payment summary

Michael Spezia

$26,413.96

in general payments reported 2019-2025

Years
2019-2025
Top company
Astrazeneca Pharmaceuticals LP
Context
The $3,766 reported for 2025 was more than what 98% of Family Medicine providers received nationally (typical 2025 total: $153).

https://glasscript.com/doctor/241538/michael-spezia

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.