Jamie Spence, APRN
Adult Health · Ardmore, OKNPI 1861845190
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 93.7% of the total across 140 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 22.3% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $1,064 and has fallen 58.2% since, to $444 in 2025.
Across 140 payments — averaging $23.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$731
- Boston Scientific$530
- Vertos Medical, Inc.$342
- Spinal Simplicity, LLC$195
- Nevro Corp.$195
- AbbVie$160
- plus $1K from 22 others
What the payments were for
- Travel & lodging$2066%
- Food & beverage$3,06894%
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 |
|---|---|---|
| Abbott | 61 | $731 |
| Boston Scientific | 6 | $530 |
| Vertos Medical, Inc. | 4 | $342 |
| Spinal Simplicity, LLC | 2 | $195 |
| Nevro Corp. | 4 | $195 |
| AbbVie(2 entities) | 7 | $160 |
| Averitas Pharma Inc. | 7 | $153 |
| GRT US Holding, Inc. | 7 | $122 |
| SPR Therapeutics, Inc | 4 | $119 |
| Saluda Medical Americas, Inc. | 5 | $96 |
| Pacira Pharmaceuticals Incorporated | 4 | $75 |
| Collegium Pharmaceutical, Inc. | 4 | $72 |
| Vertex | 3 | $68 |
| Virtus Pharmaceuticals LLC | 4 | $58 |
| Amgen | 3 | $53 |
| Tonix Medicines, Inc. | 2 | $39 |
| Stryker | 1 | $35 |
| Bioventus LLC | 2 | $35 |
| Relievant Medsystems, Inc. | 1 | $34 |
| Nalu Medical, Inc. | 1 | $22 |
| Globus Medical | 1 | $22 |
| Organogenesis Inc. | 1 | $21 |
| Dexcom, Inc. | 1 | $19 |
| Ferring Pharmaceuticals Inc. | 1 | $18 |
| Scilex Pharmaceuticals Inc. | 1 | $16 |
| Teva Pharmaceuticals USA, Inc. | 1 | $15 |
| Azurity Pharmaceuticals, Inc. | 1 | $14 |
| Medtronic | 1 | $13 |
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.
- Intracept$351
- mild Device Kit$242
- HA MINUTEMAN G3-R$150
- Senza$135
How this compares
$3,274 in reported general payments places this provider in the 80th percentile of 117 adult health providers in Oklahoma.
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 |
|---|---|---|
| Gabapentin | 520 | $10,500 |
| Celecoxib | 97 | $1,822 |
| Tizanidine Hcl | 127 | $1,356 |
| Baclofen | 98 | $1,188 |
| Meloxicam | 150 | $976 |
| Methocarbamol | 35 | $620 |
| Cyclobenzaprine Hcl | 77 | $530 |
| Diclofenac Sodium | 38 | $392 |
| Duloxetine Hcl | 20 | $296 |
| Nortriptyline Hcl | 32 | $279 |
| Ibuprofen | 15 | $209 |
Paid to pharmacies, not to this prescriber.
Other adult health in Ardmore
- Cynthia CattaneoOklahoma City$45K
- Melinda MackeyEl Reno$18K
- Miki ThompsonOklahoma City$14K
- Georgianne TokarchikTulsa$12K
- Kellie RohwerOklahoma City$11K
- Terry GreenOklahoma City$9K
- Nissy PhilipOklahoma City$8K
- Kelli AndersonTulsa$7K
- Deborah MewbourneTulsa$7K
- Terri HerrianNorman$6K
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.