{"entity":{"entity_id":"4fc99a46-4517-4687-a2f2-f5642925759f","entity_type":"person","display_name":"PAUL KARPECKI","state":"KY","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T10:56:59.424737+00:00","updated_at":"2026-06-11T10:56:59.424737+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"73016","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1619910569","rule":"D-OP-NPI","recipient_profile_id":"73016"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T07:27:05.842174+00:00","recorded_at":"2026-06-13T07:27:05.842174+00:00"},{"id_scheme":"npi","id_value":"1619910569","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1619910569","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T10:57:00.329726+00:00","recorded_at":"2026-06-11T10:57:00.329726+00:00"},{"id_scheme":"pac_id","id_value":"9931281573","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1619910569","rule":"D-PECOS","enrlmt_id":"I20080204000713","pecos_asct_cntl_id":"9931281573"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:12:32.071983+00:00","recorded_at":"2026-06-12T18:12:32.071983+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20080204000713","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1619910569","rule":"D-PECOS","enrlmt_id":"I20080204000713"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:12:32.071983+00:00","recorded_at":"2026-06-12T18:12:32.071983+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"cc0dbfc3-0d00-4997-9ac2-728333deb74f","entity_type":"organization","display_name":"Atlas Ocular, Inc","state":"MD"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1619910569","manufacturer_id":"100000961837","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:42:23.924128+00:00","recorded_at":"2026-06-13T13:42:23.924128+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"78194714-eb49-47ed-8488-24ffcc26d78e","entity_type":"organization","display_name":"Thea Pharma 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":"1619910569","manufacturer_id":"100001146887","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:44:21.283998+00:00","recorded_at":"2026-06-13T13:44:21.283998+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"9d82ffaf-0d47-4973-8a46-85658f1c6c54","entity_type":"organization","display_name":"Oasis Medical, 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":"1619910569","manufacturer_id":"100000046295","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:45:45.477057+00:00","recorded_at":"2026-06-13T14:45:45.477057+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"06f7d684-133c-44dc-9225-20194c887ae6","entity_type":"organization","display_name":"Alcon Research LLC","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":"1619910569","manufacturer_id":"100000000218","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:09:28.168197+00:00","recorded_at":"2026-06-13T15:09:28.168197+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"1cf1b6cb-7870-4525-9a94-cebcbf2ab83f","entity_type":"organization","display_name":"ANI Pharmaceuticals, 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":"1619910569","manufacturer_id":"100000971883","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:11:20.427413+00:00","recorded_at":"2026-06-13T15:11:20.427413+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":"1619910569","manufacturer_id":"100000000204","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T18:11:58.757997+00:00","recorded_at":"2026-06-13T18:11:58.757997+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"77d84196-6801-4379-a35b-de4380480faa","entity_type":"organization","display_name":"Alcon Vision LLC","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":"1619910569","manufacturer_id":"100000005405","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:07:51.613533+00:00","recorded_at":"2026-06-13T20:07:51.613533+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"68ebd987-9b4b-489a-83ec-64e9547a83d7","entity_type":"organization","display_name":"Amgen 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":"1619910569","manufacturer_id":"100000000203","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:50:34.136987+00:00","recorded_at":"2026-06-13T20:50:34.136987+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"bfa6657f-4cc5-4a83-8f5f-940e47a06d94","entity_type":"organization","display_name":"Tarsus Pharmaceuticals, 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":"1619910569","manufacturer_id":"100001448294","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:25:31.95087+00:00","recorded_at":"2026-06-14T02:25:31.95087+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"06fc5952-5ef6-493b-9c7e-40560167cdeb","entity_type":"organization","display_name":"Bausch & Lomb Americas 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":"1619910569","manufacturer_id":"100001116887","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:58:46.331995+00:00","recorded_at":"2026-06-14T02:58:46.331995+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"edbcec79-e394-4835-a64f-220325b60204","entity_type":"organization","display_name":"OCULUS, Inc.","state":"WA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1619910569","manufacturer_id":"100000000320","nature_of_payment":"Honoraria"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:38:11.64955+00:00","recorded_at":"2026-06-14T03:38:11.64955+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"90c63025-a103-460a-9f09-8ef3373b0474","entity_type":"organization","display_name":"RxSight 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":"1619910569","manufacturer_id":"100000676811","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:57:06.608508+00:00","recorded_at":"2026-06-14T03:57:06.608508+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"345f515c-d1e0-4cac-9650-ea43224f92ae","entity_type":"organization","display_name":"Mallinckrodt Hospital Products Inc.","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":"1619910569","manufacturer_id":"100000826829","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:06:52.861674+00:00","recorded_at":"2026-06-14T04:06:52.861674+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"d5c20b38-2ce1-40e8-8c26-02c336b2b4aa","entity_type":"organization","display_name":"Harrow Eye, LLC","state":"TN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1619910569","manufacturer_id":"100001401987","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:16:37.40462+00:00","recorded_at":"2026-06-14T04:16:37.40462+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"42eedc55-889e-464f-98f1-930acca94f20","entity_type":"organization","display_name":"TOPCON HEALTHCARE, 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":"1619910569","manufacturer_id":"100000010645","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:19:32.200601+00:00","recorded_at":"2026-06-14T04:19:32.200601+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"76a7effc-4302-42a4-8705-9f858b17b171","entity_type":"organization","display_name":"TOPCON CORPORATION","state":null},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1619910569","manufacturer_id":"100000010704","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:19:32.200601+00:00","recorded_at":"2026-06-14T04:19:32.200601+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"dc932ed5-5cee-4eaf-90a8-7d88be47cd05","entity_type":"organization","display_name":"Oyster Point Pharma, 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":"1619910569","manufacturer_id":"100001156899","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T04:47:23.011023+00:00","recorded_at":"2026-06-14T04:47:23.011023+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"9576cea3-89a7-4cd5-9b67-96cae4214a07","entity_type":"organization","display_name":"Ocular Therapeutix, 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":"1619910569","manufacturer_id":"100000076361","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:01:13.497708+00:00","recorded_at":"2026-06-14T05:01:13.497708+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"4afb8099-b67d-4ccf-ad44-f8b02b6ff9b7","entity_type":"organization","display_name":"BIOTISSUE HOLDINGS 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":"1619910569","manufacturer_id":"100000011111","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:05:27.01954+00:00","recorded_at":"2026-06-14T05:05:27.01954+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"9ffaeb6c-6dd4-4da3-8922-8810f2563430","entity_type":"organization","display_name":"TearLab Corp","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":"1619910569","manufacturer_id":"100000000070","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:24:28.970698+00:00","recorded_at":"2026-06-14T05:24:28.970698+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3862baac-bf44-4ef5-af04-2b9ae62f40c8","entity_type":"organization","display_name":"Dompe 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":"1619910569","manufacturer_id":"100000571811","nature_of_payment":"Compensation for serving as faculty or as a speaker for a medical education program"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:43:41.353423+00:00","recorded_at":"2026-06-14T05:43:41.353423+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"2f6d5268-705d-43f3-a10a-4e0448884aa2","entity_type":"organization","display_name":"Sight Sciences, 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":"1619910569","manufacturer_id":"100000136569","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:51:50.569418+00:00","recorded_at":"2026-06-14T05:51:50.569418+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"3c3d9f5e-45ef-4f98-b170-64d005b14246","entity_type":"organization","display_name":"SUN PHARMACEUTICAL INDUSTRIES 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":"1619910569","manufacturer_id":"100000151589","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:54:31.914792+00:00","recorded_at":"2026-06-14T05:54:31.914792+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0e8b8e3c-bc85-4347-a0e2-6b083fcd4257","entity_type":"organization","display_name":"Carl Zeiss Meditec, 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":"1619910569","manufacturer_id":"100000005433","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:05:56.763029+00:00","recorded_at":"2026-06-14T06:05:56.763029+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f3b36ee2-536b-413f-b50b-73f744a46010","entity_type":"organization","display_name":"Apellis 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":"1619910569","manufacturer_id":"100000931823","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:29:50.605576+00:00","recorded_at":"2026-06-14T06:29:50.605576+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"de8ff1b9-21cf-46e3-a2fe-71c033e57f9e","entity_type":"organization","display_name":"Nordic Pharma, Inc.","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":"1619910569","manufacturer_id":"100001451061","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:40:08.730745+00:00","recorded_at":"2026-06-14T06:40:08.730745+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}