{
  "npi": "1578791307",
  "enumeration_type": "NPI-1",
  "basic": {
    "enumeration_date": "2009-07-01",
    "first_name": "ROBERT",
    "last_name": "ALLEN",
    "last_updated": "2022-07-21",
    "middle_name": "CHARLES",
    "name_prefix": "Mr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2050 MEADOWVIEW PKWY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KINGSPORT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "423-230-6852",
      "postal_code": "376607475",
      "state": "TN",
      "telephone_number": "423-230-5000"
    },
    {
      "address_1": "105 W STONE DR STE 6A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "KINGSPORT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "423-408-7405",
      "postal_code": "376603256",
      "state": "TN",
      "telephone_number": "423-408-7220"
    }
  ],
  "taxonomies": [
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": "55885",
      "primary": false,
      "state": "TN",
      "taxonomy_group": ""
    },
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": "088001605",
      "primary": false,
      "state": "TN",
      "taxonomy_group": ""
    },
    {
      "code": "2086S0129X",
      "desc": null,
      "license": "55885",
      "primary": true,
      "state": "TN",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1578791307",
      "LAST_NAME": "ALLEN",
      "FIRST_NAME": "ROBERT",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "Y"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "286",
    "total_services": "528",
    "total_medicare_allowed_amt": "93258.85",
    "top_hcpcs_services": [
      {
        "code": "35301",
        "description": "Removal of blood clot and portion of chest, neck, or brain artery",
        "services": "15",
        "beneficiaries": "15"
      },
      {
        "code": "93880",
        "description": "Ultrasound of both sides of head and neck blood flow",
        "services": "70",
        "beneficiaries": "67"
      },
      {
        "code": "93922",
        "description": "Ultrasound study of arm and leg arteries",
        "services": "51",
        "beneficiaries": "47"
      },
      {
        "code": "93978",
        "description": "Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts",
        "services": "11",
        "beneficiaries": "11"
      },
      {
        "code": "99204",
        "description": "New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",
        "services": "57",
        "beneficiaries": "57"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "152",
        "beneficiaries": "117"
      },
      {
        "code": "99215",
        "description": "Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more",
        "services": "12",
        "beneficiaries": "12"
      },
      {
        "code": "99222",
        "description": "Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes",
        "services": "16",
        "beneficiaries": "16"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Vascular Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "76",
        "medicare_type": "Physician/Peripheral Vascular Disease"
      },
      {
        "medicare_code": "77",
        "medicare_type": "Physician/Vascular Surgery"
      }
    ]
  }
}