{
  "npi": "1275969677",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "PA-C",
    "enumeration_date": "2013-09-18",
    "first_name": "CHARLES",
    "last_name": "COLLIER",
    "last_updated": "2013-09-18",
    "middle_name": "ROBERT",
    "name_prefix": "--",
    "name_suffix": "III",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "332 CONGRESS PARK DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DAYTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "454594133",
      "state": "OH",
      "telephone_number": "800-726-3627"
    },
    {
      "address_1": "269 PORTLAND WAY S",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GALION",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "448332312",
      "state": "OH",
      "telephone_number": "419-468-0733"
    }
  ],
  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "003838",
      "primary": true,
      "state": "OH",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1275969677",
      "LAST_NAME": "COLLIER",
      "FIRST_NAME": "CHARLES",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "162",
    "total_services": "358",
    "total_medicare_allowed_amt": "27029.57",
    "top_hcpcs_services": [
      {
        "code": "36558",
        "description": "Insertion of tunneled central venous tube for infusion (5 years or older)",
        "services": "13",
        "beneficiaries": "13"
      },
      {
        "code": "36561",
        "description": "Insertion of central venous tube with port (5 years or older)",
        "services": "28",
        "beneficiaries": "27"
      },
      {
        "code": "38222",
        "description": "Biopsy and aspiration of bone marrow sample for diagnosis",
        "services": "14",
        "beneficiaries": "14"
      },
      {
        "code": "49083",
        "description": "Drainage of fluid from abdominal cavity using imaging guidance",
        "services": "59",
        "beneficiaries": "13"
      },
      {
        "code": "74230",
        "description": "Imaging for evaluation of swallowing function",
        "services": "58",
        "beneficiaries": "52"
      },
      {
        "code": "77001",
        "description": "Fluoroscopic guidance for insertion or removal of central vein access device",
        "services": "59",
        "beneficiaries": "52"
      },
      {
        "code": "77012",
        "description": "Review by radiologist of ct guidance for needle placement",
        "services": "14",
        "beneficiaries": "14"
      },
      {
        "code": "99152",
        "description": "Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes",
        "services": "34",
        "beneficiaries": "34"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
  }
}