Leonard Spillert, MD
General Practice · St Augustine, FLNPI 1326007139
Payments from drug & device makers
Across 68 payments — averaging $982.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$66K
- Merz North America, Inc.$709
What the payments were for
- Speaking & faculty fees$65,83398%
- Food & beverage$1,0032%
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 |
|---|---|---|
| AbbVie(2 entities) | 64 | $66,127 |
| Merz North America, Inc. | 4 | $709 |
How this compares
$66,836 in reported general payments places this provider in the 95th percentile of 6,901 general practice providers in Florida.
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 |
|---|---|---|
| Temazepam | 24 | $3,421 |
| Lorazepam | 272 | $2,608 |
| Buspirone Hcl | 84 | $2,145 |
| Divalproex Sodium | 51 | $1,072 |
| Mirtazapine | 25 | $988 |
| Escitalopram Oxalate | 71 | $968 |
| Quetiapine Fumarate | 27 | $928 |
| Alprazolam | 76 | $857 |
| Duloxetine Hcl | 13 | $641 |
| Trazodone Hcl | 76 | $620 |
| Sertraline Hcl | 48 | $458 |
| Clonazepam | 23 | $244 |
| Donepezil Hcl | 29 | $229 |
| Lidocaine-PrilocaineLidocaine/Prilocaine | 17 | $164 |
| ValacyclovirValacyclovir Hcl | 32 | $154 |
Paid to pharmacies, not to this prescriber.
Other general practice in St Augustine
- Jose CardonaMiami$71M
- Lawrence GalitzMiami Gardens$42.5M
- Armando AcevedoMiami$15.2M
- Jorge AmayaMiami$14.2M
- Frank AlvarezHialeah$13.6M
- Hector RodriguezMiami$12.8M
- Eddie ArmasSouth Miami$12.4M
- Idalia AcostaMiami$11.4M
- Lilia Rodriguez AblesMiami$10.7M
- Jorge Monroy AvellaOcoee$10.6M
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.