DR. LUIS E LAGUNA M.D.
NPI 1205874591
Surgery in Edina, MN

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
6405 FRANCE AVE S, SUITE W440, EDINA, MN 55435(952) 927-7004(952) 927-5146 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luis E Laguna M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS E LAGUNA M.D. (NPI 1205874591) is an individual surgery provider in Edina, Minnesota, licensed in Minnesota (45446) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Ponce School Of Medicine (2000).

NPPES Registry Identity

NPI1205874591
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LUIS E LAGUNACredential: M.D.
Location Address6405 FRANCE AVE S, SUITE W440Edina, MN 55435-2163
Mailing Address3400 W 66th St, Suite 350Edina, MN 55435-2111 · (952) 832-0805 · Fax (952) 832-5597
Fax(952) 927-5146
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2000
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1205874591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MN · 45446
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6405 FRANCE AVE S, Edina, MN 55435

Other Identifiers 5

Other2442944MN · America's Ppo
Other45446MN · State License
Other1701661MN · Medica
OtherHP63305MN · Healthpartners
Medicaid338649000MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis E Laguna M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052323904
PECOS Enrollment IDI20060615000172
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
6405 FRANCE AVE S
EDINA, MN 55435
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Nurse Practitioner (Women's Health)
6405 FRANCE AVE S, SUITE W400
EDINA, MN 55435
Surgery
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Internal Medicine (Interventional Cardiology)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Laguna's NPI number?

The NPI number for Luis Laguna is 1205874591. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Luis Laguna located?

Luis Laguna practices at 6405 France Ave S Suite W440, Edina, MN 55435. The listed phone number is (952) 927-7004.

What is Luis Laguna's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Luis Laguna enrolled in Medicare?

Yes. Luis Laguna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luis Laguna accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Luis Laguna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luis Laguna affiliated with any hospitals?

According to CMS data, Luis Laguna is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Luis Laguna was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.