Jeffrey Ispirescu, MD
Pain Medicine · Sandpoint, IDNPI 1952345241
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 119 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Nevro Corp. at 34.8% of the total. That places this record below the midpoint for pain medicine clinicians in ID, where the typical reported total is $4,838.
Across 119 payments — averaging $21.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$885
- Globus Medical$354
- Boston Scientific$247
- AbbVie$204
- Abbott$176
- Medtronic$149
- plus $528 from 12 others
What the payments were for
- Food & beverage$2,543100%
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 |
|---|---|---|
| Nevro Corp. | 42 | $885 |
| Globus Medical | 13 | $354 |
| Boston Scientific | 12 | $247 |
| AbbVie(2 entities) | 12 | $204 |
| Abbott | 6 | $176 |
| Medtronic(2 entities) | 8 | $149 |
| Si-bone, Inc. | 6 | $137 |
| Nalu Medical, Inc. | 3 | $69 |
| Pfizer | 4 | $61 |
| Saluda Medical Americas, Inc. | 2 | $59 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $34 |
| Biodelivery Sciences International, Inc. | 2 | $34 |
| Lilly USA, LLC | 2 | $31 |
| Pacira Therapeutics, Inc. | 1 | $26 |
| Relievant Medsystems, Inc. | 1 | $24 |
| Averitas Pharma Inc. | 1 | $19 |
| Biohaven Pharmaceuticals, Inc. | 1 | $17 |
| Bioventus LLC | 1 | $16 |
How this compares
$2,543 in reported general payments places this provider in the 40th percentile of 32 pain medicine providers in Idaho.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $954 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $698 |
| Morphine Sulfate ErMorphine Sulfate | 18 | $359 |
| Oxycodone Hcl | 14 | $287 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Sandpoint
- Jessica JamesonPost Falls$261K
- Jason WilliamsBoise$177K
- Sandra ThompsonBoise$58K
- Christopher VaughanBoise$26K
- Daniel SmithIdaho Falls$11K
- Jason PostonIdaho Falls$11K
- Tyler RoeBurley$10K
- Daric RussellIdaho Falls$10K
- Richard RunyanPocatello$10K
- Scott MagnusonCoeur D Alene$9K
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.