{"entity":{"entity_id":"06d08870-5960-45a5-b7ff-f301d3aae8a2","entity_type":"person","display_name":"RICHARD FESSLER","state":"IL","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T08:56:24.208403+00:00","updated_at":"2026-06-11T08:56:24.208403+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"246609","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1447473426","rule":"D-OP-NPI","recipient_profile_id":"246609"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T06:30:38.870164+00:00","recorded_at":"2026-06-13T06:30:38.870164+00:00"},{"id_scheme":"npi","id_value":"1447473426","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1447473426","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T08:56:25.401491+00:00","recorded_at":"2026-06-11T08:56:25.401491+00:00"},{"id_scheme":"pac_id","id_value":"2668447491","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1447473426","rule":"D-PECOS","enrlmt_id":"I20040826000543","pecos_asct_cntl_id":"2668447491"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:34:59.631827+00:00","recorded_at":"2026-06-12T17:34:59.631827+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20040826000543","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1447473426","rule":"D-PECOS","enrlmt_id":"I20040826000543"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:34:59.631827+00:00","recorded_at":"2026-06-12T17:34:59.631827+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7d49cd7f-b873-4d35-a44f-2a37fa5da221","entity_type":"organization","display_name":"Medical Device Business Services, 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":"1447473426","manufacturer_id":"100000005706","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:51:56.600514+00:00","recorded_at":"2026-06-13T13:51:56.600514+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"2380f13b-92af-4a5e-805e-559af608e4e1","entity_type":"organization","display_name":"Spineology 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":"1447473426","manufacturer_id":"100000011204","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:49:50.307589+00:00","recorded_at":"2026-06-13T20:49:50.307589+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":"1447473426","manufacturer_id":"100000000106","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:34:28.552309+00:00","recorded_at":"2026-06-13T22:34:28.552309+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e7a8a420-dd4d-429f-9016-bbbd3cca275c","entity_type":"organization","display_name":"Orthofix Medical, Inc.","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":"1447473426","manufacturer_id":"100000216794","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:32:48.236442+00:00","recorded_at":"2026-06-13T23:32:48.236442+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b9d4bf65-6232-4d62-a6bf-889f30563552","entity_type":"organization","display_name":"Kuros Biosciences USA, Inc","state":"GA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1447473426","manufacturer_id":"100000886825","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:26:39.779913+00:00","recorded_at":"2026-06-14T02:26:39.779913+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"742c80bf-1b73-4419-b784-0cb9e1c1434b","entity_type":"organization","display_name":"Carlsmed, 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":"1447473426","manufacturer_id":"100000961846","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:48:35.547621+00:00","recorded_at":"2026-06-14T03:48:35.547621+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f064081a-ef86-43c1-98c6-ba3b239a2b41","entity_type":"organization","display_name":"Highridge 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":"1447473426","manufacturer_id":"100001449394","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:11:27.197243+00:00","recorded_at":"2026-06-14T05:11:27.197243+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"2513ea11-2b8f-4ccc-b4dc-43a1bedb5553","entity_type":"organization","display_name":"ETS Wound Care 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":"1447473426","manufacturer_id":"100001176959","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:23:15.049175+00:00","recorded_at":"2026-06-14T05:23:15.049175+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b56aada6-3eb6-4947-b698-1acb70465ef4","entity_type":"organization","display_name":"SPINAL ELEMENTS, 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":"1447473426","manufacturer_id":"100000010427","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:36:55.848151+00:00","recorded_at":"2026-06-14T06:36:55.848151+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}