John Spivey
Pediatric Pulmonology · Saint Louis, MONPI 1922023183
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.5% of the total across 178 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by AstraZeneca at 24.9% of the total. Reporting peaked in 2019 at $944 and has fallen 74.8% since, to $238 in 2025. Among pediatric pulmonology clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 178 payments — averaging $22.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$1K
- GSK$485
- Regeneron Healthcare Solutions, Inc.$377
- Jazz Pharmaceuticals Inc.$366
- Sanofi$283
- Chiesi USA, Inc.$243
- plus $1K from 15 others
What the payments were for
- Food & beverage$3,96498%
- Education$251%
- Gifts$762%
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 | 44 | $1,011 |
| GSK | 27 | $485 |
| Regeneron Healthcare Solutions, Inc. | 17 | $377 |
| Jazz Pharmaceuticals Inc. | 10 | $366 |
| Sanofi | 11 | $283 |
| Chiesi USA, Inc. | 5 | $243 |
| AbbVie | 13 | $227 |
| Philips North America LLC | 9 | $188 |
| Genentech USA, Inc. | 5 | $180 |
| Baxter Healthcare | 5 | $118 |
| Kaleo, Inc. | 7 | $110 |
| Novartis | 7 | $99 |
| Amgen | 4 | $86 |
| Fisher & Paykel Healthcare Inc | 3 | $67 |
| Boehringer Ingelheim | 3 | $65 |
| Resmed Corp | 2 | $47 |
| Electromed, Inc. | 2 | $26 |
| Nestle Healthcare Nutrition Inc. | 1 | $24 |
| Harmony Biosciences LLC | 1 | $23 |
| Sobi, Inc | 1 | $22 |
| Teva Pharmaceuticals USA, Inc. | 1 | $19 |
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
$4,066 in reported general payments places this provider in the 90th percentile of 36 pediatric pulmonology providers in Missouri.
Other pediatric pulmonology in Saint Louis
- Katherine Rivera SpoljaricSaint Louis$61K
- Lee Choo-KangSaint Louis$10K
- Gayln PerrySaint Louis$8K
- Michael SmileySaint Louis$3K
- Leena StemlerSaint Louis$2K
- Mohannad MannaaSaint Louis$242
- Courtney KaarSaint Louis$206
- Jeffrey StokesSaint Louis$206
- James KempSaint Louis$193
- Andrea CoverstoneSaint Louis$91
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.