{"entity":{"entity_id":"36ba3452-90e0-4394-9cba-0d5b11a1816a","entity_type":"person","display_name":"SHALEN KOUK","state":"MO","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T10:13:02.329732+00:00","updated_at":"2026-06-11T10:13:02.329732+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"7660481","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1558748871","rule":"D-OP-NPI","recipient_profile_id":"7660481"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T07:07:19.668582+00:00","recorded_at":"2026-06-13T07:07:19.668582+00:00"},{"id_scheme":"npi","id_value":"1558748871","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1558748871","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T10:13:03.619418+00:00","recorded_at":"2026-06-11T10:13:03.619418+00:00"}],"edges":[{"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":"1558748871","manufacturer_id":"100000000184","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T19:32:49.717203+00:00","recorded_at":"2026-06-13T19:32:49.717203+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"6f69ffe1-c808-4c15-a9ef-e85b0923ddb2","entity_type":"organization","display_name":"Catalyst OrthoScience","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":"1558748871","manufacturer_id":"100000151617","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:40:11.300864+00:00","recorded_at":"2026-06-13T22:40:11.300864+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":"1558748871","manufacturer_id":"100000010503","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:43:34.113913+00:00","recorded_at":"2026-06-13T22:43:34.113913+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":"1558748871","manufacturer_id":"100000005371","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:30:37.354139+00:00","recorded_at":"2026-06-14T04:30:37.354139+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"243fa93d-bbd5-46b8-b65c-01702132ae5b","entity_type":"organization","display_name":"Elite Orthopedics, Llc","state":"MO"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1558748871","manufacturer_id":"100000136367","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:19:54.143104+00:00","recorded_at":"2026-06-14T05:19:54.143104+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"02ace85c-5c74-4259-b962-d0770a643852","entity_type":"organization","display_name":"Ossur Americas, 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":"1558748871","manufacturer_id":"100000071375","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:33:36.275979+00:00","recorded_at":"2026-06-14T06:33:36.275979+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":"1558748871","manufacturer_id":"100000000103","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:40:57.656463+00:00","recorded_at":"2026-06-14T06:40:57.656463+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}