Stuart Spalding, MD
Family Medicine · Louisville, KYNPI 1184680068
Payments from drug & device makers
Across 292 payments — averaging $14.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$485
- Amgen$439
- Pfizer$433
- Lilly USA, LLC$393
- AstraZeneca$337
- AbbVie$335
- plus $2K from 25 others
What the payments were for
- Food & beverage$4,249100%
- Education$60%
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 |
|---|---|---|
| Novo Nordisk | 36 | $485 |
| Amgen | 31 | $439 |
| Pfizer | 37 | $433 |
| Lilly USA, LLC | 29 | $393 |
| AstraZeneca | 15 | $337 |
| AbbVie(2 entities) | 22 | $335 |
| GSK | 24 | $332 |
| Sanofi-aventis U.S. LLC | 16 | $228 |
| Boehringer Ingelheim | 12 | $174 |
| Bayer | 9 | $149 |
| Amarin Pharma, Inc. | 9 | $126 |
| Astellas Pharma US Inc | 7 | $98 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $93 |
| Medtronic | 3 | $80 |
| Merck | 5 | $74 |
| Dynavax Technologies Corporation | 4 | $57 |
| Abbott | 3 | $47 |
| Idorsia Pharmaceuticals US Inc | 3 | $45 |
| Exact Sciences | 3 | $42 |
| Phathom Pharmaceuticals, Inc. | 2 | $40 |
| Otsuka America Pharmaceutical, Inc. | 2 | $34 |
| Novartis | 2 | $31 |
| Kowa Pharmaceuticals America, Inc. | 2 | $30 |
| E.r. Squibb & Sons, L.L.C. | 2 | $30 |
| Boston Scientific | 2 | $28 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $24 |
| Esperion Therapeutics, Inc. | 1 | $18 |
| Insulet Corporation | 1 | $15 |
| Dexcom, Inc. | 1 | $14 |
| Sanofi Pasteur Inc. | 1 | $14 |
| Shire North American Group Inc | 1 | $12 |
How this compares
$4,255 in reported general payments places this provider in the 80th percentile of 1,559 family medicine providers in Kentucky.
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 |
|---|---|---|
| EliquisApixaban | 180 | $186,594 |
| OzempicSemaglutide | 103 | $118,155 |
| XareltoRivaroxaban | 60 | $85,028 |
| JanuviaSitagliptin Phosphate | 58 | $84,500 |
| JardianceEmpagliflozin | 58 | $79,185 |
| MounjaroTirzepatide | 47 | $50,825 |
| TrulicityDulaglutide | 21 | $48,156 |
| InvokanaCanagliflozin | 22 | $36,807 |
| FarxigaDapagliflozin Propanediol | 23 | $35,697 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 26 | $25,688 |
| Bydureon BciseExenatide Microspheres | 20 | $24,802 |
| Tresiba Flextouch U-200Insulin Degludec | 29 | $22,538 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 16 | $14,417 |
| XadagoSafinamide Mesylate | 12 | $13,452 |
| MyrbetriqMirabegron | 16 | $12,999 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| PfizerEliquis, Paxlovid | $433 | $189,453203 claims |
| Novo NordiskOzempic | $485 | $118,155103 claims |
| Lilly USA, LLCMounjaro, Trulicity | $393 | $98,98168 claims |
| Boehringer IngelheimJardiance, Spiriva Respimat | $174 | $86,96869 claims |
| MerckJanuvia | $74 | $84,50058 claims |
| AstraZenecaFarxiga, Breztri Aerosphere, Symbicort | $337 | $55,40554 claims |
| GSKTrelegy Ellipta, Breo Ellipta | $332 | $33,64046 claims |
| Astellas Pharma US IncMyrbetriq | $98 | $12,99916 claims |
| AbbVieSynthroid | $335 | $2,97273 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 80th percentile of 1,559 family medicine providers in Kentucky.
Other family medicine in Louisville
- Christopher RhyneLouisville$1M
- Michael LovelaceLouisville$244K
- Suraj GathaniLouisville$69K
- Mandy WhittLouisville$38K
- Michael PendletonLouisville$29K
- Rajanbhai AminLouisville$26K
- James WrightLouisville$18K
- Rosenberg ReyesLouisville$18K
- Dennis GrayLouisville$14K
- Vincent LangLouisville$12K
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.