Physician profile
Thomas F Spence
NPI 1083687438
$1,638.18
in general payments reported to CMS, 2019-2025
22 companies · $93.21 in 2025
The $93.21 reported for 2025 was less than what a typical Pediatrics provider received nationally (typical 2025 total: $96.93).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $148 · 2020: $97.93 · 2021: $457 · 2022: $342 · 2023: $107 · 2024: $394 · 2025: $93.21.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $594.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $594.12 |
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 |
|---|---|---|---|
| Supernus Pharmaceuticals, INC. | $341.56 | 2021-2024 | Qelbree |
| Glaxosmithkline, LLC. | $208.84 | 2019-2025 | Bexsero |
| Takeda Pharmaceuticals U.S.A., INC. | $147.00 | 2021-2022 | |
| Sobi, INC | $143.01 | 2019-2022 | |
| Merck Sharp & Dohme LLC | $109.84 | 2021-2023 | Gardasil 9, Vaxneuvance, Vaxelis |
| Sanofi-Aventis U.S. LLC | $84.43 | 2024 | |
| Pfizer INC. | $82.76 | 2020-2025 | |
| Adlon Therapeutics L.P. | $73.82 | 2020-2021 | |
| Abbvie INC. | $66.79 | 2021-2022 | |
| Sanofi Pasteur INC. | $54.64 | 2021-2024 | |
| Tris Pharma INC | $52.67 | 2021-2022 | |
| Seqirus USA INC | $45.96 | 2020-2024 | Flucelvax |
| Corium, LLC | $38.54 | 2021-2025 | Azstarys |
| Cranial Technologies, INC | $27.95 | 2020-2022 | |
| Ironshore Pharmaceuticals INC. | $24.53 | 2019-2021 |
Show all 22 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Rhythm Pharmaceuticals, INC. | $24.24 | 2024 | Imcivree |
| Baxter Healthcare | $21.80 | 2022 | |
| Ultragenyx Pharmaceutical INC. | $20.64 | 2022 | |
| Alexion Pharmaceuticals, INC. | $18.85 | 2020 | |
| Astrazeneca Pharmaceuticals LP | $17.82 | 2021 | |
| Verrica Pharmaceuticals INC. | $17.48 | 2025 | Ycanth |
| Collegium Pharmaceutical, INC. | $15.01 | 2025 | Jornay Pm |
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.