Abby Spexarth, PA
Physician Assistant · North Kansas City, MONPI 1508489089
Payments from drug & device makers
Across 84 payments — averaging $27.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Procept Biorobotics Corporation$562
- Teleflex LLC$244
- Johnson & Johnson$227
- Sumitomo Pharma America, Inc.$219
- Antares Pharma, Inc.$136
- Progenics Pharmaceuticals, Inc.$124
- plus $838 from 21 others
What the payments were for
- Food & beverage$2,349100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Procept Biorobotics Corporation | 7 | $562 |
| Teleflex LLC | 7 | $244 |
| Johnson & Johnson | 11 | $227 |
| Sumitomo Pharma America, Inc. | 7 | $219 |
| Antares Pharma, Inc. | 3 | $136 |
| Progenics Pharmaceuticals, Inc. | 5 | $124 |
| AbbVie | 7 | $108 |
| Boston Scientific | 4 | $74 |
| Coloplast | 4 | $72 |
| Urogen Pharma, Inc. | 2 | $60 |
| 180 Medical, Inc. | 2 | $51 |
| Urovant Sciences Inc | 3 | $48 |
| Amgen | 3 | $48 |
| Hollister Incorporated | 1 | $45 |
| Endo Pharmaceuticals Inc. | 2 | $44 |
| Clarus Therapeutics Inc. | 3 | $42 |
| Astellas Pharma US Inc | 2 | $42 |
| Eisai Inc. | 2 | $26 |
| Merck | 1 | $24 |
| Bayer | 1 | $24 |
| Olympus America Inc. | 1 | $22 |
| Tempus AI, Inc | 1 | $21 |
| Blue Earth Diagnostics | 1 | $19 |
| Tolmar Pharmaceuticals, Inc. | 1 | $19 |
| KARL Storz Endoscopy-america | 1 | $19 |
| Alnylam Pharmaceuticals Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- AquaBeam Robotic System$422
- UroLift$142
- GEMTESA$119
- XYOSTED$103
How this compares
$2,349 in reported general payments places this provider in the 85th percentile of 1,380 physician assistant providers in Missouri.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tamsulosin Hcl | 11 | $81 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $68 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in North Kansas City
- Jennifer DavissonKansas City$343K
- Andrew BergLees Summit$245K
- Sileen DowisKansas City$117K
- Daniel BeckSikeston$114K
- Amee RozancO Fallon$101K
- Autumn WillsCape Girardeau$37K
- Kimberly BrownSaint Louis$28K
- Marc ReitznerSpringfield$24K
- Justin AllphinOzark$23K
- Jacqueline CastagnoWentzville$19K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.