Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Christopher Spencer

Radiation Oncology Rolla, MO Medical Doctor

NPI 1568775567 CMS profile 635738

1060 W 10Th St, Rolla, MO 65401

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General payments

$70,496

122 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Through program year 2025, Christopher Spencer of Rolla, MO is reported in the CMS Open Payments database as having received $70,496 across 122 general payments and $0 in research payments paid to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 98th percentile of Radiation Oncology profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $535 26
2024 General $417 22
2023 General $37,439 17
2022 General $31,398 16
2021 General $137 7
2020 General $74 5
2019 General $496 29

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Christopher Spencer
  • Radiation Oncology median
  • Middle half of Radiation Oncology
  • National median

In program year 2025, general payments to Christopher Spencer were reported at $535. Among 3,409 Radiation Oncology profiles paid that year, the median was $172 and the middle half received between $61 and $514.

Show as a table
Year Christopher Spencer Radiation Oncology median Middle half National median
2019 $496 $138 $48–$462 $163
2020 $74 $79 $26–$262 $114
2021 $137 $119 $37–$358 $132
2022 $31,398 $139 $43–$424 $149
2023 $37,439 $167 $57–$473 $160
2024 $417 $168 $56–$541 $164
2025 $535 $172 $61–$514 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Blue Earth Diagnostics Limited $68,524 16 payments
  2. Novartis Pharmaceuticals Corporation $249 15 payments
  3. Janssen Biotech, Inc. $228 10 payments
  4. Daiichi Sankyo Inc. $123 6 payments
  5. AstraZeneca Pharmaceuticals LP $101 6 payments
  6. Jazz Pharmaceuticals Inc. $81 3 payments
  7. Eisai Inc. $80 4 payments
  8. E.R. Squibb & Sons, L.L.C. $77 5 payments
  9. Merck Sharp & Dohme Corporation $75 4 payments
  10. Genzyme Corporation $72 4 payments
  11. Other $885 49 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Consulting Fee $67,490 13 payments
  2. Food and Beverage $2,162 108 payments
  3. Travel and Lodging $843 1 payment
Products named General payments · program years 2019–2025
  1. Axumin $68,511 15 payments
  2. IMBRUVICA $101 3 payments
  3. KISQALI $94 6 payments
  4. CARVYKTI $82 4 payments
  5. ZEPZELCA $81 3 payments
  6. KEYTRUDA $75 4 payments
  7. LIBTAYO $69 3 payments
  8. PLUVICTO $68 3 payments
  9. Lenvima $67 3 payments
  10. INJECTAFER $60 3 payments
  11. Other $1,680 100 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 5 drugs

Part D claims

109

Median for Radiation Oncology: 65

Drug cost

$3,064

Median for Radiation Oncology: $978

Branded share of claims

25.7%

Median for Radiation Oncology: 7.7%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Oxycodone Hcl Generic 53 $2,169
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 13 $686
Pregabalin Generic 16 $108
Tramadol Hcl Generic 12 $69
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim Brand 15 $32

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 3,680 Part D prescribers listed as Radiation Oncology; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 25 billing codes

Paid by Medicare

$141,814

Medicare's payments for the services billed

Medicare patients

127

Average age 74

Services billed

2,146

62 women, 65 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Cancer 75%
Arthritis 50%
Ischemic heart disease 43%
COPD 41%
Chronic kidney disease 38%
Diabetes 35%
Heart failure 28%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

First 5 of 21 products · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
CARVYKTI
  • Janssen Biotech, Inc. $40
$40 — —
INJECTAFER
  • Daiichi Sankyo Inc. $38
$38 — —
KRAZATI
  • Mirati Therapeutics, Inc. $34
$34 — —
KISQALI
  • Novartis Pharmaceuticals Corporation $33
$33 — —
LIBTAYO
  • Regeneron Healthcare Solutions, Inc. $26
$26 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

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Records

122 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Radiation Oncology in Missouri

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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