Spencer Meier, PA
Medical · Las Vegas, NVNPI 1306103148
Payments from drug & device makers
Across 932 payments — averaging $25.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$5K
- Pfizer$3K
- Johnson & Johnson$2K
- Arcutis Biotherapeutics, Inc.$2K
- UCB, Inc.$1K
- Lilly USA, LLC$1K
- plus $10K from 29 others
What the payments were for
- Consulting fees$4,61019%
- Speaking & faculty fees$1,1105%
- Food & beverage$17,57673%
- Education$8584%
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 |
|---|---|---|
| AbbVie | 133 | $4,566 |
| Pfizer | 69 | $2,877 |
| Johnson & Johnson | 103 | $2,292 |
| Arcutis Biotherapeutics, Inc. | 83 | $2,104 |
| UCB, Inc. | 62 | $1,354 |
| Lilly USA, LLC | 22 | $1,114 |
| Sun Pharmaceutical Industries Inc. | 39 | $942 |
| Incyte Corporation | 7 | $909 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 10 | $871 |
| E.r. Squibb & Sons, L.L.C. | 109 | $803 |
| Sanofi | 36 | $718 |
| Regeneron Healthcare Solutions, Inc. | 29 | $718 |
| LEO Pharma Inc. | 33 | $693 |
| Novartis | 32 | $672 |
| Galderma Laboratories, L.p. | 22 | $577 |
| Dermavant Sciences, Inc. | 38 | $570 |
| Amgen | 35 | $473 |
| Journey Medical Corporation | 9 | $376 |
| Organogenesis Inc. | 9 | $336 |
| Biofrontera Inc. | 11 | $283 |
| Organon | 11 | $221 |
| VYNE Pharmaceuticals Inc. | 5 | $156 |
| Hill Dermaceuticals, Inc. | 3 | $136 |
| Boehringer Ingelheim | 6 | $136 |
| Helsinn Therapeutics (U.S.), Inc. | 3 | $47 |
| Botanix SB Inc | 2 | $42 |
| Almirall LLC | 2 | $28 |
| Boston Scientific | 2 | $26 |
| Mayne Pharma Commercial LLC | 1 | $21 |
| Verrica Pharmaceuticals Inc. | 1 | $19 |
| Janssen Scientific Affairs, LLC | 1 | $19 |
| EPI Health, LLC | 1 | $16 |
| Dermira, Inc. | 1 | $15 |
| Mimedx Group, Inc. | 1 | $14 |
| Biodermis LLC | 1 | $12 |
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
$24,154 in reported general payments places this provider in the 95th percentile of 250 medical providers in Nevada.
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 |
|---|---|---|
| Cosentyx Sensoready (2 Pens)Secukinumab | 11 | $81,914 |
| Dupixent SyringeDupilumab | 18 | $75,864 |
| Dupixent PenDupilumab | 13 | $47,393 |
| Tacrolimus | 21 | $2,278 |
| Clobetasol Propionate | 47 | $2,138 |
| Triamcinolone Acetonide | 186 | $1,641 |
| Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc | 54 | $1,514 |
| Tretinoin | 17 | $1,332 |
| Clindamycin Phosphate | 37 | $1,100 |
| Mometasone Furoate | 56 | $1,023 |
| Ketoconazole | 72 | $914 |
| Minocycline Hcl | 16 | $572 |
| Doxycycline Hyclate | 21 | $530 |
| ValacyclovirValacyclovir Hcl | 12 | $501 |
| Doxycycline Monohydrate | 23 | $470 |
Paid to pharmacies, not to this prescriber.
Other medical in Las Vegas
- John NotabartoloLas Vegas$284K
- Rachel BowersLas Vegas$29K
- Megan WieselLas Vegas$19K
- Tai PhamLas Vegas$16K
- Eric HilmesLas Vegas$15K
- Wardon OjedapoLas Vegas$12K
- Melchor GochiocoLas Vegas$11K
- Keesha KaplanLas Vegas$11K
- Adelbert WadsworthLas Vegas$11K
- Isaac TunnellLas Vegas$10K
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.