{"entity":{"entity_id":"29731093-fbe8-4783-bfd9-2f95a661370e","entity_type":"person","display_name":"STEPHEN REFSLAND","state":"PA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-12T01:01:51.365545+00:00","updated_at":"2026-06-12T01:01:51.365545+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"588921","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1922329572","rule":"D-OP-NPI","recipient_profile_id":"588921"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T09:08:44.420368+00:00","recorded_at":"2026-06-13T09:08:44.420368+00:00"},{"id_scheme":"npi","id_value":"1922329572","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1922329572","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T01:01:52.129116+00:00","recorded_at":"2026-06-12T01:01:52.129116+00:00"},{"id_scheme":"pac_id","id_value":"1951687243","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1922329572","rule":"D-PECOS","enrlmt_id":"I20170421001532","pecos_asct_cntl_id":"1951687243"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T20:12:09.094405+00:00","recorded_at":"2026-06-12T20:12:09.094405+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20170421001532","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1922329572","rule":"D-PECOS","enrlmt_id":"I20170421001532"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T20:12:09.094405+00:00","recorded_at":"2026-06-12T20:12:09.094405+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f6eef574-344e-4adf-9399-cb7078bf95ec","entity_type":"organization","display_name":"Electronic Waveform Lab, Inc.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1922329572","manufacturer_id":"100000005688","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:07:50.858391+00:00","recorded_at":"2026-06-13T15:07:50.858391+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4577ceb2-272c-4c19-b669-13ddc7665c24","entity_type":"organization","display_name":"VERTEX PHARMACEUTICALS INCORPORATED","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1922329572","manufacturer_id":"100000000184","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T19:33:15.932265+00:00","recorded_at":"2026-06-13T19:33:15.932265+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f24ae82a-4e5e-463d-99d3-bc159fbf204e","entity_type":"organization","display_name":"Gemini Mountain Medical, LLC","state":"CO"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1922329572","manufacturer_id":"100000141515","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:40:57.73653+00:00","recorded_at":"2026-06-13T22:40:57.73653+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"bff78bf0-2a16-4a0a-8614-a1f34dc82e48","entity_type":"organization","display_name":"Sonex Health, Inc.","state":"MN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1922329572","manufacturer_id":"100000796824","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T01:08:17.597977+00:00","recorded_at":"2026-06-14T01:08:17.597977+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"241c8cb2-7c0f-4951-a321-cc7706cdad3e","entity_type":"organization","display_name":"Arthrex, Inc.","state":"FL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1922329572","manufacturer_id":"100000005371","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:31:17.714261+00:00","recorded_at":"2026-06-14T04:31:17.714261+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7cc1e2cf-a6e6-4451-83e1-df2ebcaefc81","entity_type":"organization","display_name":"Zimmer Biomet Holdings, Inc.","state":"IN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1922329572","manufacturer_id":"100000000103","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:40:38.052229+00:00","recorded_at":"2026-06-14T06:40:38.052229+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}