{
  "npi": "1255398400",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "MD",
    "enumeration_date": "2006-04-28",
    "first_name": "LANCE",
    "last_name": "FADDIS",
    "last_updated": "2011-12-02",
    "middle_name": "A",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "805 W CENTERTON BLVD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CENTERTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-795-1304",
      "postal_code": "727199705",
      "state": "AR",
      "telephone_number": "479-795-1301"
    },
    {
      "address_1": "805 W CENTERTON BLVD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CENTERTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-795-1304",
      "postal_code": "727199705",
      "state": "AR",
      "telephone_number": "479-795-1301"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "E3957",
      "primary": true,
      "state": "AR",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1255398400",
      "LAST_NAME": "FADDIS",
      "FIRST_NAME": "LANCE",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "Y"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "134",
    "total_services": "829",
    "total_medicare_allowed_amt": "36571.34",
    "top_hcpcs_services": [
      {
        "code": "36415",
        "description": "Insertion of needle into vein for collection of blood sample",
        "services": "79",
        "beneficiaries": "61"
      },
      {
        "code": "71046",
        "description": "X-ray of chest, 2 views",
        "services": "11",
        "beneficiaries": "11"
      },
      {
        "code": "90662",
        "description": "Influenza vaccine split virus, preservative free",
        "services": "12",
        "beneficiaries": "12"
      },
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "49",
        "beneficiaries": "42"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "123",
        "beneficiaries": "63"
      },
      {
        "code": "G0008",
        "description": "Administration of influenza virus vaccine",
        "services": "12",
        "beneficiaries": "12"
      },
      {
        "code": "G0439",
        "description": "Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit",
        "services": "19",
        "beneficiaries": "19"
      },
      {
        "code": "G2211",
        "description": "Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's",
        "services": "30",
        "beneficiaries": "22"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}