{"entity":{"entity_id":"04d47cf1-04ea-4b59-be2e-52045d0f6715","entity_type":"person","display_name":"CHRISTINA SPIEGEL","state":"PA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T09:46:08.975765+00:00","updated_at":"2026-06-11T09:46:08.975765+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"10447016","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1518922442","rule":"D-OP-NPI","recipient_profile_id":"10447016"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T06:54:01.288337+00:00","recorded_at":"2026-06-13T06:54:01.288337+00:00"},{"id_scheme":"npi","id_value":"1518922442","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1518922442","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T09:46:10.487404+00:00","recorded_at":"2026-06-11T09:46:10.487404+00:00"},{"id_scheme":"pac_id","id_value":"2668454000","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1518922442","rule":"D-PECOS","enrlmt_id":"I20040601001091","pecos_asct_cntl_id":"2668454000"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:30:17.166284+00:00","recorded_at":"2026-06-12T17:30:17.166284+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20040601001091","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1518922442","rule":"D-PECOS","enrlmt_id":"I20040601001091"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:30:17.166284+00:00","recorded_at":"2026-06-12T17:30:17.166284+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"43d39426-7e85-4c26-959c-f244cabb90df","entity_type":"organization","display_name":"Boston Scientific Corporation","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":"1518922442","manufacturer_id":"100000005674","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:15:33.823282+00:00","recorded_at":"2026-06-13T15:15:33.823282+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"721a96a4-8c32-46db-ad63-2d26e19211cb","entity_type":"organization","display_name":"Medtronic, 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":"1518922442","manufacturer_id":"100000000106","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T21:51:10.128452+00:00","recorded_at":"2026-06-13T21:51:10.128452+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e26ba3cd-fc03-46ed-bca9-0b0563abda86","entity_type":"organization","display_name":"Mid-Atlantic Surgical Systems, LLC","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518922442","manufacturer_id":"100000010471","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:27:46.227297+00:00","recorded_at":"2026-06-13T23:27:46.227297+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"884374c0-8167-435b-9ac5-34f7a509a33d","entity_type":"organization","display_name":"Edwards Lifesciences Corporation","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":"1518922442","manufacturer_id":"100000010633","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:24:31.347445+00:00","recorded_at":"2026-06-14T02:24:31.347445+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"5fd527b7-2408-4aa6-b1e8-6ca9a6b2cb4d","entity_type":"organization","display_name":"Change Healthcare Technologies, LLC","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":"1518922442","manufacturer_id":"100000196795","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:56:04.95307+00:00","recorded_at":"2026-06-14T02:56:04.95307+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fff02ddf-93be-4058-b845-b2f600d8d134","entity_type":"organization","display_name":"Merck Sharp & Dohme LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518922442","manufacturer_id":"100000000053","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:24:27.209096+00:00","recorded_at":"2026-06-14T03:24:27.209096+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"bdffe181-c7d9-405c-b513-07d6064889cd","entity_type":"organization","display_name":"Getinge USA Sales, LLC","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518922442","manufacturer_id":"100000010724","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:24:35.232972+00:00","recorded_at":"2026-06-14T05:24:35.232972+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}