Mrs. Karen Watts Spencer, FNP-C

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Novant Health Forsyth Medical Center Hospital · Winston-Salem, NC · listed as Novant Health Thomasville Medical Center, LLC

Colleagues at Novant Health Medical Group, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2410 clinicians in the practice; 12 are shown here.

• MS. Marlou Beth Mateo Cabaluna, NP Nurse Practitioner · Charlotte, NC
• Percy Thomas Causey Jr., MD Cardiovascular Disease Physician · High Point, NC
• Dr. Paula Dilanchian, DO Infectious Disease Physician · Huntersville, NC
• Krystle Horne Dove, DNP, APRN, AGPCNP-BC Registered Nurse · Kernersville, NC
• Anna Grace Kern, PA-C Physician Assistant · Rockwell, NC
• Lydia Laboccetta Urology Physician · Bolivia, NC
• Xiaohua Li, MD Psychiatry Physician · Charlotte, NC
• Kendra Leann Meares, FNP-BC Student in an Organized Health Care Education/Training Program · Winston Salem, NC
• Neil Ghanshyam Patel, MD Neurology Physician · Mt Pleasant, SC
• Jacita Booker Petway, PSYD Psychologist · Huntersville, NC
• Dr. William Gibbs Pittman III, MD Internal Medicine Physician · Raleigh, NC
• Dr. Rafal Poplawski, MD Internal Medicine Physician · Winston Salem, NC

Other providers in Winston Salem

• Kristin Leigh Daniel

  Individual Medical-Surgical Registered Nurse · NPI 1518588409

  190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 · (336) 765-6637

• Dawanna Sheree Haney, NP

  Individual Medical-Surgical Registered Nurse · NPI 1295590925

  2525 Bluebird Ln, Winston Salem, NC 27106-2299 · (336) 575-7558

• Berna Jean Besana Mirafuente, AGNP

  Individual Medical-Surgical Registered Nurse · NPI 1477255057

  209 Alexander Preston Ln, Winston Salem, NC 27127-7295 · (336) 409-7683

• Patricia Robertson, CRNA

  Individual Medical-Surgical Registered Nurse · NPI 1710998281

  Piedmont Triad Anesthesia Pa 145 Kimel Park Dr, Winston Salem, NC 27103 · (336) 768-3212

• Michelle Sepe Tabili

  Individual Medical-Surgical Registered Nurse · NPI 1578256160

  759 Twickenham Ln, Winston Salem, NC 27127-5991 · (743) 444-8932