Robert Spear, DO
Pain Medicine · Virginia Beach, VANPI 1497783153
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,293 of the $3,591 with a category attached, or 63.8%. 22 manufacturers reported payments, led by Abbott at 33.0% of the total. 2025 is the largest year on record at $1,752, 2.4 times the $723 reported in 2019.
Across 106 payments — averaging $33.88 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$1K
- AbbVie$860
- Medtronic$484
- Lundbeck LLC$140
- Globus Medical$119
- Bioventus LLC$113
- plus $691 from 16 others
What the payments were for
- Travel & lodging$1,29836%
- Food & beverage$2,29364%
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 |
|---|---|---|
| Abbott | 13 | $1,184 |
| AbbVie(2 entities) | 48 | $860 |
| Medtronic(2 entities) | 2 | $484 |
| Lundbeck LLC | 5 | $140 |
| Globus Medical | 2 | $119 |
| Bioventus LLC | 4 | $113 |
| Lilly USA, LLC | 4 | $105 |
| Merz Pharmaceuticals, LLC | 3 | $78 |
| Fidia Pharma USA Inc. | 4 | $72 |
| Scilex Pharmaceuticals Inc. | 3 | $53 |
| Curonix LLC | 2 | $46 |
| Merz North America, Inc. | 1 | $45 |
| Nevro Corp. | 2 | $44 |
| Azurity Pharmaceuticals, Inc. | 2 | $41 |
| Averitas Pharma Inc. | 2 | $39 |
| Vertex | 2 | $33 |
| Pacira Therapeutics, Inc. | 1 | $28 |
| Electronic Waveform Lab, Inc. | 2 | $27 |
| Fortis Surgical, LLC | 1 | $22 |
| Avanos Medical | 1 | $22 |
| SPR Therapeutics, Inc | 1 | $21 |
| Biodelivery Sciences International, Inc. | 1 | $14 |
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.
- PROCLAIM$793
- ADAPTIVESTIM$448
- ETERNA$163
How this compares
$3,591 in reported general payments places this provider in the 65th percentile of 150 pain medicine providers in Virginia.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 94 | $1,590 |
| Gabapentin | 79 | $1,500 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 47 | $1,136 |
| Tramadol Hcl | 103 | $1,048 |
| Levetiracetam | 35 | $618 |
| Celecoxib | 16 | $588 |
| Cyclobenzaprine Hcl | 41 | $415 |
| Tizanidine Hcl | 32 | $395 |
| Duloxetine Hcl | 20 | $377 |
| Oxycodone Hcl | 23 | $332 |
| Pregabalin | 15 | $326 |
| Prednisone | 14 | $139 |
| Meloxicam | 15 | $30 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Virginia Beach
- Steven GershonVirginia Beach$78K
- Victor TsengVirginia Beach$13K
- Chheany UngRoanoke$198K
- Daniel KendallMc Lean$100K
- Jared DavisFishersville$45K
- Nameer HaiderWoodbridge$36K
- Lynn KohanCharlottesville$30K
- George BaylorSalem$24K
- Jasmit BrarLansdowne$18K
- Christina ShinCharlottesville$18K
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.