{"entity":{"entity_id":"66ae713d-dc4e-459b-babf-8f164b26415f","entity_type":"person","display_name":"JOSEPH FLECK","state":"MA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-12T01:19:27.756574+00:00","updated_at":"2026-06-12T01:19:27.756574+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"8807052","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1952890220","rule":"D-OP-NPI","recipient_profile_id":"8807052"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T09:19:57.325056+00:00","recorded_at":"2026-06-13T09:19:57.325056+00:00"},{"id_scheme":"npi","id_value":"1952890220","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1952890220","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T01:19:28.528411+00:00","recorded_at":"2026-06-12T01:19:28.528411+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"415250e3-e8a4-4192-8e05-d72d1ec9a782","entity_type":"organization","display_name":"Fusion Orthopedics USA, LLC","state":"AZ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1952890220","manufacturer_id":"100001351980","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:06:28.509228+00:00","recorded_at":"2026-06-13T20:06:28.509228+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":"1952890220","manufacturer_id":"100000141515","nature_of_payment":"Food and Beverage"},"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":"2e60920a-7804-4d89-bca2-c79a12e20a08","entity_type":"organization","display_name":"Stryker Corporation","state":"MI"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1952890220","manufacturer_id":"100000010503","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:42:32.684786+00:00","recorded_at":"2026-06-13T22:42:32.684786+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b850e5ec-8baa-413d-9697-dd18a81ebd78","entity_type":"organization","display_name":"Smith+Nephew, Inc.","state":"TN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1952890220","manufacturer_id":"100000005456","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:14:57.59544+00:00","recorded_at":"2026-06-14T05:14:57.59544+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"33793e86-88c1-40b8-b91b-effc7fa04e31","entity_type":"organization","display_name":"Trilliant Surgical LLC.","state":"TX"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1952890220","manufacturer_id":"100000010369","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:36:20.929169+00:00","recorded_at":"2026-06-14T06:36:20.929169+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}