Marjorie Spitznagel, MD
Internal Medicine · Mt Pleasant, SCNPI 1174198048
Payments from drug & device makers
Across 14 payments — averaging $18.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$57
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$37
- Sumitomo Pharma America, Inc.$29
- Shield Therapeutics Inc$21
- Amgen$18
- AbbVie$18
- plus $74 from 5 others
What the payments were for
- Food & beverage$254100%
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.
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 |
|---|---|---|
| Pfizer | 3 | $57 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $37 |
| Sumitomo Pharma America, Inc. | 1 | $29 |
| Shield Therapeutics Inc | 1 | $21 |
| Amgen | 1 | $18 |
| AbbVie | 1 | $18 |
| Otsuka America Pharmaceutical, Inc. | 1 | $17 |
| Esperion Therapeutics, Inc. | 1 | $15 |
| AstraZeneca | 1 | $15 |
| Medtronic | 1 | $14 |
| Exact Sciences | 1 | $14 |
How this compares
$254 in reported general payments places this provider in the 45th percentile of 1,498 internal medicine providers in South Carolina.
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 |
|---|---|---|
| Omeprazole | 11 | $483 |
| Atorvastatin Calcium | 13 | $117 |
Paid to pharmacies, not to this prescriber.
Other internal medicine in Mt Pleasant
- Rica SantiagoMt Pleasant$10.7M
- Richard MillsMt Pleasant$5.5M
- Susan DattaMt Pleasant$76K
- Yvonne DavisMount Pleasant$2.4M
- David BolsterSummerville$2.3M
- Colby GrossmanSummerville$1.4M
- Amit ShahIndian Land$1.4M
- Philip NicolMurrells Inlet$782K
- Carl SofleyAnderson$673K
- Carl MitchellColumbia$564K
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.