{"entity":{"entity_id":"39aef622-800b-4b52-a195-f8ac344a6e67","entity_type":"person","display_name":"MIGUEL SIERRA-HOFFMAN","state":"TX","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T06:31:21.129386+00:00","updated_at":"2026-06-11T06:31:21.129386+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"12288","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1265472906","rule":"D-OP-NPI","recipient_profile_id":"12288"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T05:30:01.960315+00:00","recorded_at":"2026-06-13T05:30:01.960315+00:00"},{"id_scheme":"npi","id_value":"1265472906","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1265472906","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T06:31:22.109451+00:00","recorded_at":"2026-06-11T06:31:22.109451+00:00"},{"id_scheme":"pac_id","id_value":"9335105576","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1265472906","rule":"D-PECOS","enrlmt_id":"I20060622000169","pecos_asct_cntl_id":"9335105576"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:58:00.525766+00:00","recorded_at":"2026-06-12T17:58:00.525766+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20060622000169","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1265472906","rule":"D-PECOS","enrlmt_id":"I20060622000169"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T17:58:00.525766+00:00","recorded_at":"2026-06-12T17:58:00.525766+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cfd2fb02-8c3b-4b2e-bfb0-2f024507d050","entity_type":"organization","display_name":"Actelion Pharmaceuticals US, 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":"1265472906","manufacturer_id":"100000010813","nature_of_payment":"Education"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:17:23.094895+00:00","recorded_at":"2026-06-13T14:17:23.094895+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"26e9d3ba-d5e6-4819-a9be-dcef688ece8a","entity_type":"organization","display_name":"Tactile Systems Technology 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":"1265472906","manufacturer_id":"100000010749","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:26:28.487539+00:00","recorded_at":"2026-06-13T14:26:28.487539+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f0506086-d726-46e3-be97-a8dc7893af4c","entity_type":"organization","display_name":"Insmed, Inc.","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":"1265472906","manufacturer_id":"100000461811","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:08:24.508567+00:00","recorded_at":"2026-06-13T15:08:24.508567+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"09393ae7-8267-4853-8195-1801d4ccac46","entity_type":"organization","display_name":"ABBVIE INC.","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1265472906","manufacturer_id":"100000000204","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T19:36:28.358182+00:00","recorded_at":"2026-06-13T19:36:28.358182+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e3305284-4049-4dac-8981-81e89a770aef","entity_type":"organization","display_name":"Paratek Pharmaceuticals, Inc.","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":"1265472906","manufacturer_id":"100000476817","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:31:48.658229+00:00","recorded_at":"2026-06-13T20:31:48.658229+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"8d52d29f-a92a-4a9f-a9a1-5ddf0ee2f8c3","entity_type":"organization","display_name":"Corcept Therapeutics","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":"1265472906","manufacturer_id":"100000000247","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:11:21.737781+00:00","recorded_at":"2026-06-13T22:11:21.737781+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"2fe34760-6ecf-49e6-926d-75356fb3f075","entity_type":"organization","display_name":"Baxter Healthcare","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1265472906","manufacturer_id":"100000011010","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:58:57.435838+00:00","recorded_at":"2026-06-13T22:58:57.435838+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"6cbd0d9c-5ad6-4306-8c4c-4f00c8668cb5","entity_type":"organization","display_name":"Ferring Pharmaceuticals Inc.","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":"1265472906","manufacturer_id":"100000000309","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:08:36.320992+00:00","recorded_at":"2026-06-14T02:08:36.320992+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"2065a821-f807-414a-8f26-e333c56c03a2","entity_type":"organization","display_name":"Electromed, 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":"1265472906","manufacturer_id":"100000011148","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:16:23.273888+00:00","recorded_at":"2026-06-14T02:16:23.273888+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"001303d0-f0e3-41e6-8822-30ed47e48e2b","entity_type":"organization","display_name":"Melinta Therapeutics, 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":"1265472906","manufacturer_id":"100000196838","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:59:44.571138+00:00","recorded_at":"2026-06-14T02:59:44.571138+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":"1265472906","manufacturer_id":"100000000053","nature_of_payment":"Education"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:12:40.56748+00:00","recorded_at":"2026-06-14T03:12:40.56748+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3d1bcf66-fec4-482b-8dfe-b1b7057302ca","entity_type":"organization","display_name":"Philips North America LLC","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":"1265472906","manufacturer_id":"100000000198","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:36:11.671666+00:00","recorded_at":"2026-06-14T04:36:11.671666+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"eae92bad-926b-4c84-8d3f-67a7806d8f67","entity_type":"organization","display_name":"AIMMUNE THERAPEUTICS, INC.","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":"1265472906","manufacturer_id":"100000776814","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:40:06.45486+00:00","recorded_at":"2026-06-14T04:40:06.45486+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0b437f7d-38c6-4501-8828-0e3f3d71645f","entity_type":"organization","display_name":"La Jolla Pharmaceutical Company","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":"1265472906","manufacturer_id":"100000231830","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:33:12.417475+00:00","recorded_at":"2026-06-14T06:33:12.417475+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"b28ebed6-92f2-442c-af50-6795bc9141c2","entity_type":"organization","display_name":"Shionogi Inc","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":"1265472906","manufacturer_id":"100000005589","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:34:18.667911+00:00","recorded_at":"2026-06-14T06:34:18.667911+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}