Elizabeth Spiers, MD
Dermatopathology · Doylestown, PANPI 1861470171
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $58,288 of the $65,124 with a category attached, or 89.5%. Galderma Laboratories, L.p. accounts for 98.5% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $29,228 and has fallen 89.4% since, to $3,088 in 2025. Among dermatopathology clinicians in PA 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 133 payments — averaging $489.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Galderma Laboratories, L.p.$64K
- Regeneron Healthcare Solutions, Inc.$425
- Johnson & Johnson$193
- Lilly USA, LLC$136
- Hologic Sales And Service, LLC$130
- LEO Pharma Inc.$43
- plus $79 from 5 others
What the payments were for
- Speaking & faculty fees$58,28890%
- Travel & lodging$3,8236%
- Food & beverage$2,9094%
- Education$1050%
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 |
|---|---|---|
| Galderma Laboratories, L.p. | 101 | $64,117 |
| Regeneron Healthcare Solutions, Inc. | 10 | $425 |
| Johnson & Johnson | 6 | $193 |
| Lilly USA, LLC | 3 | $136 |
| Hologic Sales And Service, LLC | 1 | $130 |
| LEO Pharma Inc. | 2 | $43 |
| Organon | 5 | $33 |
| Incyte Corporation | 1 | $17 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $14 |
| AbbVie | 1 | $13 |
| Prugen, Inc. Pharmaceuticals | 2 | $2 |
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.
- AKLIEF$54,251
- TWYNEO$33,213
- EPSOLAY$23,645
- ORACEA$23,645
- EPIDUO FORTE$9,200
- MYOSURE TISSUE REMOVAL DEVICE$130
- ACESSA PROVU SYSTEM$130
- DUPIXENT$124
How this compares
$65,124 in reported general payments places this provider in the 95th percentile of 27 dermatopathology providers in Pennsylvania.
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 |
|---|---|---|
| Enbrel SureclickEtanercept | 13 | $90,310 |
| Metronidazole | 54 | $4,070 |
| Tacrolimus | 30 | $2,943 |
| Fluorouracil | 59 | $2,852 |
| Clobetasol Propionate | 83 | $1,636 |
| Fluocinonide | 75 | $1,403 |
| ValacyclovirValacyclovir Hcl | 51 | $1,173 |
| Desonide | 59 | $1,006 |
| Triamcinolone Acetonide | 136 | $916 |
| Doxycycline Hyclate | 61 | $886 |
| Ketoconazole | 39 | $839 |
| Mupirocin | 43 | $245 |
Paid to pharmacies, not to this prescriber.
Other dermatopathology in Doylestown
- John SeykoraPhiladelphia$19K
- Christine StankoVillanova$5K
- Basil PatelYardley$4K
- Victoria Cirillo HylanBryn Mawr$4K
- Debra JihPhiladelphia$2K
- Howard AltmanAllentown$1K
- Stacey Englander TurnerBryn Mawr$984
- Jina ChungPhiladelphia$918
- Alexandra FlammHershey$517
- Farhaan HafeezEaston$506
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.