{
  "npi": "1871294967",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-04-10",
    "credential": "PA",
    "enumeration_date": "2023-03-15",
    "first_name": "DAVID",
    "last_name": "BLAIS",
    "last_updated": "2024-04-10",
    "middle_name": "JASON",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2627 RIVERSIDE AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "JACKSONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "904-634-0203",
      "postal_code": "322044717",
      "state": "FL",
      "telephone_number": "904-634-0640"
    },
    {
      "address_1": "6800 SOUTHPOINT PKWY STE 300",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "JACKSONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "904-634-0203",
      "postal_code": "322168203",
      "state": "FL",
      "telephone_number": "904-634-0640"
    }
  ],
  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "PA9116731",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1871294967",
      "LAST_NAME": "BLAIS",
      "FIRST_NAME": "DAVID",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "273",
    "total_services": "334",
    "total_medicare_allowed_amt": "38065.59",
    "top_hcpcs_services": [
      {
        "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": "14",
        "beneficiaries": "14"
      },
      {
        "code": "99205",
        "description": "New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more",
        "services": "42",
        "beneficiaries": "42"
      },
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "53",
        "beneficiaries": "47"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "83",
        "beneficiaries": "79"
      },
      {
        "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": "99",
        "beneficiaries": "98"
      },
      {
        "code": "G2212",
        "description": "Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or",
        "services": "23",
        "beneficiaries": "19"
      }
    ]
  },
  "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"
      }
    ]
  }
}