John Spethman
Family Medicine · Fort Riley, KSNPI 1942239355
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 90.3% of the total across 85 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 19 manufacturers, the largest accounting for just 16.4% — the pattern of someone who eats at a lot of different presentations.
Across 85 payments — averaging $13.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$195
- Astellas Pharma US Inc$181
- GSK$144
- Lilly USA, LLC$126
- E.r. Squibb & Sons, L.L.C.$78
- Sanofi-aventis U.S. LLC$72
- plus $391 from 13 others
What the payments were for
- Food & beverage$1,07190%
- Education$11510%
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 |
|---|---|---|
| Novo Nordisk | 15 | $195 |
| Astellas Pharma US Inc | 10 | $181 |
| GSK | 12 | $144 |
| Lilly USA, LLC | 9 | $126 |
| E.r. Squibb & Sons, L.L.C. | 6 | $78 |
| Sanofi-aventis U.S. LLC | 5 | $72 |
| Amgen | 5 | $65 |
| Boehringer Ingelheim | 4 | $62 |
| Johnson & Johnson | 4 | $59 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $41 |
| AbbVie | 2 | $36 |
| Pfizer | 2 | $26 |
| Shire North American Group Inc | 2 | $24 |
| Ironwood Pharmaceuticals, Inc | 1 | $15 |
| Genentech USA, Inc. | 1 | $15 |
| Stryker | 1 | $13 |
| Kyowa Kirin, Inc. | 1 | $13 |
| AstraZeneca | 1 | $12 |
| Amarin Pharma, Inc. | 1 | $11 |
How this compares
$1,186 in reported general payments places this provider in the 65th percentile of 1,469 family medicine providers in Kansas.
Other family medicine in Fort Riley
- Bradley HarrisonManhattan$314K
- Mila MeansWichita$241K
- Scott AveryJunction City$195K
- Kent KiracofeManhattan$189K
- Terry McGeeneyLeawood$147K
- Cole GillenwaterWichita$62K
- David StricklandLawrence$53K
- Kyle PlatzManhattan$51K
- Eric AspinwallKansas City$28K
- Hai TruongWichita$25K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.