Carl Spirazza, DO
Family Medicine · Boynton Beach, FLNPI 1881784833
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (59.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 54 manufacturers reported payments, led by Otsuka America Pharmaceutical, Inc. at 27.5% of the total. Reporting peaked in 2019 at $12,817 and has fallen 87.7% since, to $1,571 in 2025. Among family medicine clinicians in FL 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 677 payments — averaging $34.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$6K
- Teva Pharmaceuticals USA, Inc.$4K
- AbbVie$1K
- Novo Nordisk$1K
- Lilly USA, LLC$1K
- AstraZeneca$947
- plus $8K from 48 others
What the payments were for
- Consulting fees$8,05134%
- Travel & lodging$1,3946%
- Food & beverage$13,94860%
- Education$240%
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.
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.
- AJOVY$3,993
- JYNARQUE$3,314
- SAMSCA$2,815
- Intracept$563
- Ozempic$125
- VRAYLAR$123
- Tresiba$122
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$121
- Leqembi$121
- Repatha$120
- VIVAER STYLUS$117
- RHINAER STYLUS$117
- RYBELSUS$115
- Synthroid$104
How this compares
$23,417 in reported general payments places this provider in the 95th percentile of 7,282 family medicine providers in Florida.
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 |
|---|---|---|
| MounjaroTirzepatide | 158 | $194,808 |
| JardianceEmpagliflozin | 34 | $49,608 |
| FarxigaDapagliflozin Propanediol | 51 | $49,236 |
| OzempicSemaglutide | 45 | $38,878 |
| EliquisApixaban | 26 | $35,943 |
| XareltoRivaroxaban | 24 | $26,031 |
| TradjentaLinagliptin | 23 | $25,181 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 23 | $24,979 |
| Repatha SureclickEvolocumab | 25 | $24,781 |
| JanuviaSitagliptin Phosphate | 19 | $19,210 |
| TrulicityDulaglutide | 15 | $19,171 |
| Breo ElliptaFluticasone/Vilanterol | 24 | $15,075 |
| Rosuvastatin Calcium | 632 | $8,091 |
| Ezetimibe | 276 | $6,921 |
| SynthroidLevothyroxine Sodium | 56 | $5,309 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $1,289 | $213,978173 claims |
| Boehringer IngelheimJardiance, Tradjenta | $586 | $74,78957 claims |
| AstraZenecaFarxiga | $947 | $49,23651 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $725 | $40,05347 claims |
| Novo NordiskOzempic | $1,341 | $38,87845 claims |
| PfizerEliquis | $701 | $35,94326 claims |
| Johnson & JohnsonXarelto | $146 | $26,03124 claims |
| MerckJanuvia | $322 | $19,21019 claims |
| AbbVieSynthroid | $1,497 | $5,30956 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 7,282 family medicine providers in Florida.
Other family medicine in Boynton Beach
- Noah LeeOakland Park$1.2M
- Angela RosselotBelle Isle$977K
- Richard LappOrlando$702K
- Hal BrownVero Beach$477K
- Lisa EvansBoca Raton$473K
- Giovana Rene CrooksBoca Raton$407K
- Edward BraunSt Petersburg$364K
- Samuel GreenleePensacola$235K
- Kevin FitzgeraldStuart$198K
- Louis KuritzkyGainesville$186K
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.