Gayle Spelman
Physician Assistant · Lincoln, NHNPI 1033316658
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.6% of the total across 167 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 24 manufacturers reported payments, led by AstraZeneca at 39.8% of the total. Reporting peaked in 2024 at $1,237 and has fallen 89.2% since, to $134 in 2025. Among physician assistant clinicians in NH 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 167 payments — averaging $24.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$2K
- Novo Nordisk$571
- AbbVie$535
- GSK$402
- Pfizer$180
- Merck$117
- plus $683 from 18 others
What the payments were for
- Food & beverage$4,03298%
- Education$1002%
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 |
|---|---|---|
| AstraZeneca | 53 | $1,644 |
| Novo Nordisk | 20 | $571 |
| AbbVie | 18 | $535 |
| GSK | 24 | $402 |
| Pfizer | 10 | $180 |
| Merck | 7 | $117 |
| Astellas Pharma US Inc | 2 | $115 |
| Otsuka America Pharmaceutical, Inc. | 4 | $67 |
| Johnson & Johnson | 3 | $58 |
| Amgen | 3 | $53 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $50 |
| Boehringer Ingelheim | 3 | $47 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $43 |
| Indivior Inc. | 2 | $34 |
| Sanofi Pasteur Inc. | 2 | $28 |
| Collegium Pharmaceutical, Inc. | 1 | $25 |
| Biohaven Pharmaceuticals, Inc. | 2 | $24 |
| Echosens North America, Inc. | 2 | $23 |
| Exact Sciences | 1 | $22 |
| Teva Pharmaceuticals USA, Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $20 |
| Kyowa Kirin, Inc. | 1 | $19 |
| Baxter Healthcare | 1 | $18 |
| Abbott | 1 | $17 |
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
$4,132 in reported general payments places this provider in the 95th percentile of 782 physician assistant providers in New Hampshire.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| VraylarCariprazine Hcl | 15 | $23,902 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 29 | $23,228 |
| FarxigaDapagliflozin Propanediol | 20 | $15,668 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 23 | $14,091 |
| OzempicSemaglutide | 13 | $12,385 |
| EliquisApixaban | 13 | $11,531 |
| XareltoRivaroxaban | 13 | $6,995 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 65 | $2,432 |
| Bupropion XlBupropion Hcl | 12 | $2,204 |
| Dextroamphetamine-AmphetamineDextroamphetamine/Amphetamine | 47 | $1,520 |
| Gabapentin | 66 | $1,027 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 40 | $937 |
| Omeprazole | 47 | $902 |
| Oxycodone Hcl | 52 | $605 |
| Trazodone Hcl | 56 | $585 |
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 |
|---|---|---|
| AstraZenecaFarxiga, Breztri Aerosphere | $1,644 | $29,76043 claims |
| AbbVieVraylar | $535 | $23,90215 claims |
| GSKTrelegy Ellipta | $402 | $23,22829 claims |
| Novo NordiskOzempic | $571 | $12,38513 claims |
| PfizerEliquis | $180 | $11,53113 claims |
| Johnson & JohnsonXarelto | $58 | $6,99513 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 782 physician assistant providers in New Hampshire.
Other physician assistant in Lincoln
- Joseph ZucchiSalem$40K
- Lindsay OverkoConcord$29K
- Evelyn SteinPortsmouth$26K
- Shari AshtonManchester$24K
- Jacqueline WattsStratham$22K
- Ryan StrasserStratham$17K
- Karima PerettiManchester$14K
- Kelly RouleauPortsmouth$12K
- Joshua DugganDover$12K
- Joseph RivetManchester$11K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.