Alexander Spira

What was reported, 2019–2025

$532.5 thousand

General payments

$532,548

472 separate payments. Meals, travel, speaking and consulting fees, gifts.

$150.9 thousand

Research payments

$150,875

Funding for a study, usually paid to an institution with this doctor named on it. Not added to general payments, and not income.

$0

Ownership and investment

The value of a stake this doctor or an immediate family member held.

0

Disputed

This doctor has contested none of the payments reported about them.

By program year

CMS reports a program year at a time and also publishes its own total across them, which is what the figures above are. These rows are that total taken apart, not a second set of payments.

The record

1902874514

National Provider Identifier

The identifier this page is addressed by, and the one both CMS files share.

Medical Oncology

Specialty

Allopathic & Osteopathic Physicians, in CMS's taxonomy.

VA

Licensed in

The state of the licence CMS lists first.

Covered Recipient Physician

Recipient type

How CMS classifies the recipient of these payments.

Medicare prescribing

What this provider billed to Medicare Part D in 2024, as CMS published it. Medicare Part D only: what they prescribed outside it is not here.

491

Claims

Prescriptions and refills billed to Part D, as CMS counts them.

$3,387,760

Total drug cost

What Part D, the plan and the patient paid together. Not what this provider was paid — they are paid nothing out of it.

96

Beneficiaries

People with at least one prescription from this provider.

238

Brand-name claims

Of the claims above, those for a brand-name drug.

253

Generic claims

Of the claims above, those for a generic.

18

Opioid claims

CMS puts this provider's opioid prescribing rate at 3.6659877800407332% of their claims. That is their figure, computed from their own unsuppressed data.

not reported

Antibiotic claims

Claims for an antibiotic.

Medical Oncology

Prescriber type

As CMS classifies this prescriber. Credentials: M.D..

A blank is not a zero. CMS withholds a value between 1 and 10, and withholds the next lowest alongside it so the first cannot be worked out by subtraction — so a withheld figure is not even evidence that the number was small. Rows for ten or fewer claims are removed from the file altogether, which is why the parts of a total can be withheld while the total is published.

Elsewhere

• Payments to doctors in Virginia — what was reported across the state this doctor practises in.
• What drug and device companies pay doctors — the national picture these figures are part of.
• This record at CMS — the publisher’s own page for this profile.
• The NPI registry — who this identifier belongs to, at CMS.