{"entity":{"entity_id":"52907021-f899-432c-b23e-a2a6f977f6fd","entity_type":"person","display_name":"ALEX MIERKE","state":"FL","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-12T00:52:08.956733+00:00","updated_at":"2026-06-12T00:52:08.956733+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"11338953","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1902339344","rule":"D-OP-NPI","recipient_profile_id":"11338953"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T09:01:54.631101+00:00","recorded_at":"2026-06-13T09:01:54.631101+00:00"},{"id_scheme":"npi","id_value":"1902339344","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1902339344","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T00:52:09.747362+00:00","recorded_at":"2026-06-12T00:52:09.747362+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"668dd951-45fe-4045-b743-7f3df19631aa","entity_type":"organization","display_name":"HERAEUS MEDICAL, LLC.","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":"1902339344","manufacturer_id":"100000196800","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:45:17.125181+00:00","recorded_at":"2026-06-13T13:45:17.125181+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"5e7bfd20-c4ca-49d7-a7e9-4e94e95f51a5","entity_type":"organization","display_name":"DePuy Synthes Sales 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":"1902339344","manufacturer_id":"100000005615","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:53:10.088694+00:00","recorded_at":"2026-06-13T13:53:10.088694+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"06e7626e-9416-4375-933f-bd2545c7c285","entity_type":"organization","display_name":"Alphatec Spine, 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":"1902339344","manufacturer_id":"100000011129","nature_of_payment":"Travel and Lodging"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:31:20.650158+00:00","recorded_at":"2026-06-13T15:31:20.650158+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"32658a3d-6a27-489b-b431-ad558bce3cdd","entity_type":"organization","display_name":"Coastal Medical Technologies Llc","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":"1902339344","manufacturer_id":"100001306930","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:40:22.371496+00:00","recorded_at":"2026-06-13T22:40:22.371496+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":"1902339344","manufacturer_id":"100000010503","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:44:14.000996+00:00","recorded_at":"2026-06-13T22:44:14.000996+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7eee4399-3c4a-4fb4-9fc3-41e1c43d6ba2","entity_type":"organization","display_name":"SI-BONE, 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":"1902339344","manufacturer_id":"100000011102","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T22:48:01.65976+00:00","recorded_at":"2026-06-13T22:48:01.65976+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e815e716-4484-4c5b-8fe4-f868f7cd36cd","entity_type":"organization","display_name":"Cerapedics Inc.","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":"1902339344","manufacturer_id":"100000151710","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T00:57:48.015438+00:00","recorded_at":"2026-06-14T00:57:48.015438+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"70883183-a272-4187-a01d-6dfd2e6eb195","entity_type":"organization","display_name":"Endo USA, 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":"1902339344","manufacturer_id":"100001411985","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:19:42.734848+00:00","recorded_at":"2026-06-14T02:19:42.734848+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"0c2bfed5-b7df-4d0c-b079-d86029b5c181","entity_type":"organization","display_name":"Integra LifeSciences Corporation","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":"1902339344","manufacturer_id":"100000010950","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:52:17.219707+00:00","recorded_at":"2026-06-14T02:52:17.219707+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"6f1a7114-258a-4615-94a9-c3ea15f67248","entity_type":"organization","display_name":"PAINTEQ LLC","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":"1902339344","manufacturer_id":"100000966847","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:25:50.256418+00:00","recorded_at":"2026-06-14T03:25:50.256418+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":"1902339344","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":"48b95d42-48d7-4fad-9a2d-cc978e630022","entity_type":"organization","display_name":"Sanara MedTech 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":"1902339344","manufacturer_id":"100000581811","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:39:51.986187+00:00","recorded_at":"2026-06-14T06:39:51.986187+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}