Physician profile
Thomas H Spence
NPI 1447221379
$17,289.07
in general payments reported to CMS, 2019-2025
50 companies · $2,754 in 2025
The $2,754 reported for 2025 was more than what 81% of Pulmonary Disease providers received nationally (typical 2025 total: $500).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $2,096 · 2020: $2,090 · 2021: $2,296 · 2022: $2,494 · 2023: $2,483 · 2024: $3,076 · 2025: $2,754.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $7,704 · Travel and Lodging: $592 · Consulting Fee: $17.69.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $7,703.74 |
| Travel and Lodging | $591.96 |
| Consulting Fee | $17.69 |
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 |
|---|---|---|---|
| Glaxosmithkline, LLC. | $3,171.00 | 2019-2025 | Trelegy Ellipta, Arexvy, Nucala |
| Astrazeneca Pharmaceuticals LP | $2,407.94 | 2019-2025 | Airsupra, Tezspire, Fasenra |
| Boehringer Ingelheim Pharmaceuticals, INC. | $2,353.25 | 2019-2025 | Ofev, Spiriva Respimat, Stiolto Respimat |
| Actelion Pharmaceuticals US, INC. | $1,147.71 | 2019-2025 | Uptravi, Opsumit, Opsynvi |
| Insmed, INC. | $1,032.20 | 2019-2025 | Arikayce, Brinsupri |
| Inspire Medical Systems, INC. | $834.74 | 2024-2025 | Inspire |
| Regeneron Healthcare Solutions, INC. | $643.95 | 2019-2025 | Dupixent |
| Grifols USA, LLC | $612.44 | 2019-2025 | Prolastin-C Liquid |
| Genzyme Corporation | $587.12 | 2019-2025 | |
| Philips North America LLC | $453.82 | 2019-2025 | (8874) Incourage, Encore, Vest Therapy Und |
| Electromed, INC. | $422.11 | 2019-2025 | Smartvest |
| Amgen INC. | $310.54 | 2022-2025 | Tezspire, Tavneos |
| United Therapeutics Corporation | $294.14 | 2019-2025 | Tyvaso, Tyvaso |
| Merck Sharp & Dohme LLC | $255.24 | 2019-2025 | Zerbaxa, Winrevair, Keytruda |
| Harmony Biosciences LLC | $232.88 | 2021-2025 |
Show all 50 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $220.20 | 2019-2022 | |
| Bayer Healthcare Pharmaceuticals INC. | $208.77 | 2019-2023 | |
| Tactile Systems Technology INC | $189.25 | 2024-2025 | Flexitouch Plus, Entre Plus, Nimbl |
| Mylan Specialty L.P. | $160.47 | 2019-2024 | Yupelri |
| Sunovion Pharmaceuticals INC. | $151.86 | 2019 | |
| Takeda Pharmaceuticals U.S.A., INC. | $146.99 | 2020-2025 | Glassia |
| Pfizer INC. | $145.88 | 2019-2025 | |
| Advanced Respiratory, INC | $118.26 | 2019-2021 | |
| Jazz Pharmaceuticals INC. | $109.09 | 2019-2022 | |
| Viatris Specialty LLC | $83.78 | 2025 | Yupelri |
| Axsome Therapeutics, INC. | $81.92 | 2023-2024 | Sunosi |
| Fisher & Paykel Healthcare INC | $81.15 | 2020-2025 | Fisher & Paykel Healthcare |
| Abbvie INC. | $72.71 | 2024-2025 | |
| Baxter Healthcare | $66.27 | 2023-2025 | Hillrom - Life 2000 Ventilation System, Hillrom - Vest System Model 105 Home Care |
| Novartis Pharmaceuticals Corporation | $62.04 | 2019-2023 | |
| Ani Pharmaceuticals, INC. | $60.35 | 2024 | Purified Cortrophin Gel |
| Circassia INC. | $60.33 | 2019 | |
| Janssen Pharmaceuticals, INC | $56.86 | 2020-2022 | |
| Verona Pharma, INC. | $56.61 | 2025 | Ohtuvayre |
| Lilly USA, LLC | $43.69 | 2025 | Zepbound |
| Gilead Sciences, INC. | $42.28 | 2019 | |
| Ceribell, INC. | $38.53 | 2024 | Pocket Eeg Device |
| 3b Medical, INC. | $31.71 | 2024 | Luna |
| Genentech USA, INC. | $31.68 | 2019 | |
| Paratek Pharmaceuticals, INC. | $27.85 | 2023 | Nuzyra |
| Cumberland Pharmaceuticals, INC. | $24.78 | 2019-2020 | |
| Itamar Medical INC | $24.70 | 2025 | Watchpatone |
| Sanofi-Aventis U.S. LLC | $23.78 | 2021 | |
| Adma Biomanufacturing LLC | $17.69 | 2025 | |
| Azurity Pharmaceuticals, INC. | $17.63 | 2025 | Alvesco |
| Shire North American Group INC | $15.36 | 2019 | |
| Pulmonx Corporation | $14.62 | 2023 | Zephyr Delivery Catheter, Pulmonx Chartis Tablet Console, Zephyr Endobronchial Valve |
| Apria Healthcare LLC | $14.46 | 2021 | |
| Resmed Corp | $14.34 | 2019 | |
| Inari Medical, INC. | $14.10 | 2023 | Flowtriever Catheter, S, Ct Thrombectomy System Kit |
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 Thomas 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.