David Spiro
Pediatric Emergency Medicine Portland, OR Medical Doctor
NPI 1104809920 CMS profile 1220396
3181 Sw Sam Jackson Park Rd, Mail Code Cdw-Em, Portland, OR 97239
General payments
$5,400
Research payments
$0
Ownership & investment interest
$0
Research they led as principal investigator
$1,616
Through program year 2021, David Spiro of Portland, OR is reported in the CMS Open Payments database as having received $5,400 across 1 general payment and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $1,616 in research payments, paid to institutions rather than 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. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.
General payments for this record sit in the 97th percentile of Pediatric Emergency Medicine profiles with reported payments. Percentile describes the distribution, not the conduct.
By program year
1 row| Year | Kind | Relative to this record's peak year | Amount | Records |
|---|---|---|---|---|
| 2021 | General | $5,400 | 1 |
Beside peers
- David Spiro
- Pediatric Emergency Medicine median
- Middle half of Pediatric Emergency Medicine
- National median
In program year 2025, general payments to David Spiro were reported at $0. Among 239 Pediatric Emergency Medicine profiles paid that year, the median was $53 and the middle half received between $24 and $126.
Show as a table
| Year | David Spiro | Pediatric Emergency Medicine median | Middle half | National median |
|---|---|---|---|---|
| 2019 | $0 | $65 | $22–$126 | $163 |
| 2020 | $0 | $25 | $18–$99 | $114 |
| 2021 | $5,400 | $45 | $24–$128 | $132 |
| 2022 | $0 | $77 | $23–$150 | $149 |
| 2023 | $0 | $52 | $22–$127 | $160 |
| 2024 | $0 | $63 | $22–$143 | $164 |
| 2025 | $0 | $53 | $24–$126 | $169 |
Breakdown
Records
1 reportedEvery 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 Pediatric Emergency Medicine in Oregon
Related records
Pediatric Emergency Medicine in Oregon
Practitioners in the same specialty and state, ranked by reported value.
All Pediatric Emergency Medicine
Everyone recorded under this specialty, nationwide.
Doctors in Oregon
Every practitioner in the state with a reported payment.
How to read this page
What each amount means, and what it does not mean.
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.