PAUL JOSEPH LAGONIGRO MD
NPI 1295052751
Ophthalmology in Salisbury, MD
About Paul Joseph Lagonigro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL JOSEPH LAGONIGRO MD (NPI 1295052751) is an individual ophthalmology provider in Salisbury, Maryland, licensed in Maryland (D0074497) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of State University Of New York Downstate Medical Center (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paul Joseph Lagonigro Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Lagonigro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salisbury, MD 21804
- Reassigned Medicare billing, Delaware and Maryland enrollments
- Medicare enrollment name: Atlantic Retina Center PA
- 3 clinicians in this Medicare group
Dover, DE 19904
- Reassigned Medicare billing, Delaware enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 19
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tidalhealth Peninsula Regional, Inc
Acute Care Hospitals · Salisbury, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paul Lagonigro's NPI number?
The NPI number for Paul Lagonigro is 1295052751. It was assigned to this individual provider in the NPPES registry on April 23, 2010.
Where is Paul Lagonigro located?
Paul Lagonigro practices at 31455 Winterplace Pkwy, Salisbury, MD 21804. The listed phone number is (410) 742-4100.
What is Paul Lagonigro's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Paul Lagonigro enrolled in Medicare?
Yes. Paul Lagonigro 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.
Which organizations bill Medicare for Paul Lagonigro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Lagonigro reassigns Medicare benefits to 2 organizations: Atlantic Retina Center, P.A. (Salisbury, MD) and Delaware Eye Care Center PA (Dover, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Lagonigro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Lagonigro accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware list Paul Lagonigro 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 Paul Lagonigro affiliated with any hospitals?
According to CMS data, Paul Lagonigro is affiliated with Tidalhealth Peninsula Regional, Inc.
When was this NPI record last updated?
The NPPES record for Paul Lagonigro was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Paul Joseph Lagonigro, MD · NPI 1295052751
Ophthalmology physician in Salisbury, Maryland. Individual provider, active in the CMS NPPES registry since April 23, 2010.
## Identity
- **NPI:** 1295052751 (Entity type: Individual)
- **Enumerated:** April 23, 2010
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** D0074497 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 31455 WINTERPLACE PKWY, Salisbury, MD 21804-1891
- **Phone:** (410) 742-4100 · **Fax:** (410) 742-4156
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Atlantic Retina Center, P.A. (NPI 1952355489, Salisbury, MD); Delaware Eye Care Center PA (NPI 1932174505, Dover, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2006
## Record status
- **NPPES last updated:** July 16, 2026
- **Other identifiers:** Medicaid 1000028558 (DE); Medicaid 446923200 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1295052751) · Data from the CMS NPPES public registry.