William Spangler
Pediatrics · Sonora, CANPI 1194701441
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 111 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by Supernus Pharmaceuticals, Inc. at 28.7% of the total. Reporting peaked in 2024 at $1,105 and has fallen 54.1% since, to $507 in 2025. Among pediatrics clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 111 payments — averaging $25.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supernus Pharmaceuticals, Inc.$815
- Merck$327
- Ironshore Pharmaceuticals Inc.$242
- GSK$228
- Pfizer$174
- Corium, LLC$172
- plus $878 from 16 others
What the payments were for
- Food & beverage$2,837100%
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 |
|---|---|---|
| Supernus Pharmaceuticals, Inc. | 8 | $815 |
| Merck | 22 | $327 |
| Ironshore Pharmaceuticals Inc. | 11 | $242 |
| GSK | 11 | $228 |
| Pfizer | 9 | $174 |
| Corium, LLC | 11 | $172 |
| Cranial Technologies, Inc | 6 | $122 |
| Collegium Pharmaceutical, Inc. | 5 | $114 |
| Sanofi-aventis U.S. LLC | 5 | $106 |
| Sobi, Inc | 1 | $104 |
| Sanofi Pasteur Inc. | 4 | $83 |
| Kaleo, Inc. | 5 | $81 |
| Alk-abello, Inc | 2 | $46 |
| Tris Pharma Inc | 2 | $37 |
| Biomerieux Inc | 1 | $31 |
| Seqirus USA Inc | 2 | $28 |
| Biomarin Pharmaceutical Inc. | 1 | $26 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $26 |
| Phadia US Inc. | 1 | $22 |
| Nestle Healthcare Nutrition Inc. | 1 | $21 |
| AstraZeneca | 1 | $17 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
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
$2,837 in reported general payments places this provider in the 95th percentile of 5,539 pediatrics providers in California.
Other pediatrics in Sonora
- Laurene MascolaLos Angeles$451K
- Tonya ChaffeeSan Francisco$359K
- Anthony PortaleSan Francisco$354K
- David KesslerSan Francisco$335K
- Lawrence SherRolling Hills Estates$297K
- Steven BlackOakland$228K
- Jonathan StroberSan Francisco$164K
- Hasmukh AminBakersfield$140K
- Colleen KraftNewport Beach$122K
- Lela BachrachOakland$119K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.