{
  "npi": "1881189116",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "RPA-C",
    "enumeration_date": "2018-06-28",
    "first_name": "KENNETH",
    "last_name": "DABOLT",
    "last_updated": "2018-06-28",
    "middle_name": "DEAN RICHARD",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "224 E MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SPRINGVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "141411443",
      "state": "NY",
      "telephone_number": "716-592-8140"
    },
    {
      "address_1": "224 E MAIN ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SPRINGVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "141411443",
      "state": "NY",
      "telephone_number": "716-592-8140"
    }
  ],
  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "022107-1",
      "primary": true,
      "state": "NY",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1881189116",
      "LAST_NAME": "DABOLT",
      "FIRST_NAME": "KENNETH",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "104",
    "total_services": "273",
    "total_medicare_allowed_amt": "17082.93",
    "top_hcpcs_services": [
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "25",
        "beneficiaries": "24"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "77",
        "beneficiaries": "54"
      },
      {
        "code": "99309",
        "description": "Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes",
        "services": "19",
        "beneficiaries": "11"
      },
      {
        "code": "G0439",
        "description": "Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit",
        "services": "12",
        "beneficiaries": "12"
      },
      {
        "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": "71",
        "beneficiaries": "55"
      }
    ]
  },
  "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"
      }
    ]
  }
}