Amy Spizuoco, DO
Dermatology · New York, NYNPI 1285952515
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $930,093 of the $1,286,193 with a category attached, or 72.3%. It is spread thinly across 43 manufacturers, the largest accounting for just 16.0%. 2025 is the largest year on record at $355,278, 3.9 times the $90,087 reported in 2019. Among dermatology clinicians in NY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 2,499 payments — averaging $514.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Regeneron Healthcare Solutions, Inc.$205K
- Sanofi$174K
- Galderma Laboratories, L.p.$166K
- Amgen$150K
- Arcutis Biotherapeutics, Inc.$140K
- E.r. Squibb & Sons, L.L.C.$107K
- plus $344K from 37 others
Across 2 payments — averaging $3993.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Eli Lilly$8K
What the payments were for
- Consulting fees$200,87616%
- Speaking & faculty fees$930,09372%
- Travel & lodging$76,0556%
- Food & beverage$78,5216%
- Education$6480%
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.
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.
How this compares
$1,286,193 in reported general payments places this provider in the 95th percentile of 1,151 dermatology providers in New York.
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 |
|---|---|---|
| Dupixent PenDupilumab | 14 | $50,657 |
Paid to pharmacies, not to this prescriber.
Other dermatology in New York
- Alexandra GolantNew York$3.6M
- David CohenNew York$3M
- Michael CameronNew York$2.6M
- Saakshi KhattriNew York$2.4M
- Amy WechslerNew York$2.4M
- Joshua ZeichnerNew York$2.1M
- Emma GuttmanNew York$1.7M
- George HanNew York$1.6M
- Andrew AlexisNew York$834K
- Mark LebwohlNew York$733K
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.