Spence Harper, DPM
Foot & Ankle Surgery · Heber City, UTNPI 1851394803
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 19 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 13 manufacturers, the largest accounting for just 19.3% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for foot & ankle surgery clinicians in UT, where the typical reported total is $3,480.
Across 19 payments — averaging $18.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paratek Pharmaceuticals, Inc.$69
- Stryker$59
- Solventum Corporation$42
- Organogenesis Inc.$36
- Biocomposites Inc$24
- Amgen$21
- plus $105 from 7 others
What the payments were for
- Food & beverage$356100%
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 |
|---|---|---|
| Paratek Pharmaceuticals, Inc. | 4 | $69 |
| Stryker(2 entities) | 2 | $59 |
| Solventum Corporation | 2 | $42 |
| Organogenesis Inc. | 2 | $36 |
| Biocomposites Inc | 1 | $24 |
| Amgen | 1 | $21 |
| Arthrosurface Incorporated | 1 | $19 |
| Treace Medical Concepts, Inc. | 1 | $17 |
| Polynovo North America LLC | 1 | $16 |
| Medtronic | 1 | $16 |
| Melinta Therapeutics, LLC | 1 | $14 |
| Tactile Systems Technology Inc | 1 | $12 |
| Smith+Nephew | 1 | $12 |
How this compares
$356 in reported general payments places this provider in the 5th percentile of 104 foot & ankle surgery providers in Utah.
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 |
|---|---|---|
| Terbinafine Hcl | 16 | $281 |
| Meloxicam | 30 | $180 |
| Cephalexin | 15 | $128 |
| Amitriptyline Hcl | 13 | $85 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Heber City
- Gregory AndersonSalt Lake City$1.6M
- Ryan RigbyLogan$975K
- Florian NickischSalt Lake City$474K
- Brian LiljenquistSalt Lake City$263K
- Douglas TooleSalt Lake City$258K
- Francis ClarkWest Jordan$125K
- David SeegmillerSalt Lake City$120K
- Scott ClarkWest Jordan$74K
- Riley RamptonProvidence$49K
- Gregory CookLogan$34K
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.