Brian Spears
Emergency Medicine · San Antonio, TXNPI 1326366303
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 2 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Viiv Healthcare Company accounts for 89.5% of it on its own, with 1 other manufacturer making up the rest.
Across 2 payments — averaging $67.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Viiv Healthcare Company$122
- Johnson & Johnson$14
Across 115 payments — averaging $112,385 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.
- GSK$6.2M
- Viiv Healthcare Company$6.1M
- Emergent Biosolutions Inc.$379K
- Sanofi Pasteur Inc.$262K
What the payments were for
- Food & beverage$136100%
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 |
|---|---|---|
| Viiv Healthcare Company | 1 | $122 |
| Johnson & Johnson | 1 | $14 |
How this compares
$136 in reported general payments places this provider in the 70th percentile of 3,952 emergency medicine providers in Texas.
Other emergency medicine in San Antonio
- James WilliamsSan Antonio$360K
- Christine ZinkSan Antonio$27K
- Robert WigginsSan Antonio$21K
- Robert RyanSan Antonio$19K
- David MiramontesSan Antonio$11K
- Craig GoolsbySan Antonio$7K
- David StachniakSan Antonio$6K
- Gregory YuSan Antonio$6K
- John McKinneyTyler$1.9M
- William PeacockHouston$513K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.