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TERMINAL · ENTITY CARD · ORGANIZATION

Gramercy Extremity Orthopedics LLC

Canonical entity in the resolved graph · TX · methodology entity-graph/v1 · 999d86ba-61b3-43a5-8ddd-177d76699c99

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Cross-source identifiers

Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.

Current identifier attachments with link confidence
SchemeValueSource tableLink methodConfidenceSinceProvenance
cms_op_manufacturer_id100000196819cms_open_paymentsdeterministic_manufacturer_id1.0002026-06-13
evidence
recorded: 2026-06-13
methodology: entity-graph/v1
evidence: {"rule":"D-OP-MANUFACTURER","manufacturer_id":"100000196819","manufacturer_name":"Gramercy Extremity Orthopedics LLC","manufacturer_state":"TX"}
fda_firm_nameGRAMERCY EXTREMITY ORTHOPEDICS LLCfda_firm_linkdeterministic_firm_name1.0002026-06-14
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
evidence: {"rule":"FDA-FIRM","match":"exact_normalized_name_unique_manufacturer","matched_fda_sources":["establishment"],"normalized_firm_name":"GRAMERCY EXTREMITY ORTHOPEDICS LLC"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
RelationshipEntityConfidenceSource tableProvenance
pays →ADAM CIRLINCIONE (NY)1.000cms_open_payments
evidence
recorded: 2026-06-13
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1720063720","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →ALLEN FERRUCCI (CT)1.000cms_open_payments
evidence
recorded: 2026-06-13
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1578721072","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →BRITTANY HERVEY (NY)1.000cms_open_payments
evidence
recorded: 2026-06-13
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1356847537","manufacturer_id":"100000196819","nature_of_payment":"Consulting Fee"}
pays →CHRISTOPHER BIBBO (WI)1.000cms_open_payments
evidence
recorded: 2026-06-13
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1609974443","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →DUSTIN CONSTANT (FL)1.000cms_open_payments
evidence
recorded: 2026-06-13
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1205221736","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →DALLIN GREENE (MT)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1841633799","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →DAVID CAMINEAR (CT)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1841287091","manufacturer_id":"100000196819","nature_of_payment":"Consulting Fee"}
pays →EDWARD LEBRIJA (IN)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1932112000","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →ELIZABETH HEWITT (OH)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1679712152","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →GABRIEL GAMBARDELLA (CT)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1447577309","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →GEORGE LIU (TX)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1841269958","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →JAMES COTTOM (FL)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1720079163","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →JAMES DEJESUS (CT)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1083727556","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →JEFFREY MCALISTER (AZ)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1568698074","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →JOHN DOOLAN (NY)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1073540480","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →JOHN YU (NY)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1821258880","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →JOSEPH LARSEN (NY)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1629193941","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →MATTHEW LAWRENCE (RI)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1770005951","manufacturer_id":"100000196819","nature_of_payment":"Consulting Fee"}
pays →MICHAL SZPARA (RI)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1225551187","manufacturer_id":"100000196819","nature_of_payment":"Consulting Fee"}
pays →NAOHIRO SHIBUYA (TX)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1518976547","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →NATHAN JUDD (NY)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1376986281","manufacturer_id":"100000196819","nature_of_payment":"Royalty or License"}
pays →NICHOLAS ARGERAKIS (NY)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1144582214","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →NIRAL PATEL (NY)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1265857510","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →PAULINA PIEKARSKA (CT)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1861998171","manufacturer_id":"100000196819","nature_of_payment":"Consulting Fee"}
pays →PETER BLUME (CT)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1376526814","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →SHANE HOLLAWELL (NJ)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1740269273","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →SOFIA HOSSAIN (NV)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1932736618","manufacturer_id":"100000196819","nature_of_payment":"Food and Beverage"}
pays →STEVE BEHRENS (NY)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1932305992","manufacturer_id":"100000196819","nature_of_payment":"Consulting Fee"}
pays →WAYMON LEWIS (TX)1.000cms_open_payments
evidence
recorded: 2026-06-14
methodology: entity-graph/v1
attributes: {"source":"cms_open_payments"}
evidence: {"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1558397612","manufacturer_id":"100000196819","nature_of_payment":"Consulting Fee"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

Point-in-time

Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.

As of
Diff

Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…

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