Jessica Speir, NP
Adult Health · Tacoma, WANPI 1225241334
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (52.6%), food and beverage and education — rather than concentrated in one kind of arrangement. Medtronic accounts for 65.8% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $1,014, more than ten times the $64 reported in 2021.
Across 33 payments — averaging $42.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$927
- Progenics Pharmaceuticals, Inc.$175
- Urogen Pharma, Inc.$77
- C. R. Bard, Inc. & Subsidiaries$54
- Tolmar, Inc.$49
- AstraZeneca$35
- plus $91 from 5 others
What the payments were for
- Travel & lodging$74053%
- Food & beverage$60643%
- Education$624%
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 |
|---|---|---|
| Medtronic | 17 | $927 |
| Progenics Pharmaceuticals, Inc. | 4 | $175 |
| Urogen Pharma, Inc. | 2 | $77 |
| C. R. Bard, Inc. & Subsidiaries | 2 | $54 |
| Tolmar, Inc. | 2 | $49 |
| AstraZeneca | 1 | $35 |
| Endo USA, Inc. | 1 | $26 |
| 180 Medical, Inc. | 1 | $20 |
| Myriad Genetic Laboratories, Inc. | 1 | $18 |
| Accord Healthcare, Inc. | 1 | $14 |
| Boston Scientific | 1 | $12 |
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
$1,408 in reported general payments places this provider in the 80th percentile of 252 adult health providers in Washington.
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 |
|---|---|---|
| MyrbetriqMirabegron | 93 | $53,859 |
| Tamsulosin Hcl | 277 | $5,502 |
| Finasteride | 137 | $2,313 |
| Potassium Citrate ErPotassium Citrate | 17 | $2,088 |
| Estradiol | 13 | $1,744 |
| Solifenacin Succinate | 21 | $893 |
| Oxybutynin Chloride ErOxybutynin Chloride | 56 | $696 |
| Alfuzosin Hcl ErAlfuzosin Hcl | 35 | $636 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 18 | $593 |
| Oxybutynin Chloride | 37 | $593 |
| Cefdinir | 40 | $484 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 70 | $443 |
| Testosterone Cypionate | 15 | $342 |
| Ciprofloxacin Hcl | 35 | $172 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $131 |
Paid to pharmacies, not to this prescriber.
Other adult health in Tacoma
- Ming Chi HsiaoTacoma$46K
- Kelly PetersonTacoma$4K
- Suzette Gagnon BaileyTacoma$3K
- Soo YoonTacoma$3K
- Risha SextonTacoma$2K
- Corinne GilletteTacoma$2K
- Stephanie SnyderTacoma$1K
- Gagandeep KaurTacoma$887
- Brittany Klaassen van OorschotTacoma$868
- George BaxterSeattle$868K
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.