LAVERNE D GUGINO MD
NPI 1760465942
Psychiatry & Neurology - Clinical Neurophysiology in Winthrop, MA

Medicare Participation & PECOS Enrollment Status

Laverne Gugino is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Laverne Gugino is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 1153344080

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20060106000258

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)

Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.

This service was performed 2,266 times for 869 patients

Measurement of brain wave activity (eeg) outside the brain during surgery

An EEG (Electroencephalogram) during surgery monitors brain activity. Electrodes on the scalp record brain wave patterns, helping doctors ensure the brain is functioning normally throughout the procedure.

This service was performed 71 times for 71 patients

Needle measurement and recording of electrical activity of muscles at bladder and bowel openings

This procedure involves inserting a small needle into muscles near the openings of your body's waste removal systems. The needle records the electrical activity of these muscles, providing essential information about their function. This is a safe, routine process.

This service was performed 46 times for 46 patients

Needle measurement of electrical activity in arm or leg muscles, 2 extremities

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.

This service was performed 345 times for 338 patients

Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study

This procedure, known as an electromyography (EMG), involves using a needle to measure electrical activity in your muscles. It can help diagnose conditions affecting nerves or muscles. It's a limited study, meaning only specific muscles in the arm, leg, trunk, or head are examined.

This service was performed 754 times for 365 patients

Needle measurement of electrical activity in muscles on both sides of body

This procedure, known as electromyography, involves inserting tiny needles into muscles to measure their electrical activity. It helps identify muscle or nerve disorders. It's performed on both sides of the body for comparison. It's generally safe and may cause minimal discomfort.

This service was performed 12 times for 12 patients

Needle measurement of electrical activity in voice box muscles

This procedure involves a needle that measures the electrical activity in your voice box muscles. It helps detect any abnormalities or issues. It's similar to an EKG for your heart, but focuses on your voice box instead.

This service was performed 23 times for 23 patients

Placement of skin electrodes and measurement of central motor stimulation in arms and legs

This procedure involves placing small patches (electrodes) on your skin over your arms and legs. These electrodes send harmless electrical signals to your muscles. The response is measured to assess the health and function of your nerves and muscles.

This service was performed 483 times for 474 patients

Placement of skin electrodes and measurement of central motor stimulation in legs

This procedure involves placing skin electrodes on your legs to measure the responses of your central nervous system. It helps in assessing the health and functionality of your nerves and muscles. The process is safe, non-invasive, and usually painless.

This service was performed 29 times for 29 patients

Placement of skin electrodes and measurement of stimulated sites in arms

This procedure involves placing small, sticky patches called electrodes on your arms. These electrodes send tiny electrical signals to specific areas, which are then measured. This helps to assess the health of your nerves and muscles. It's safe and generally painless.

This service was performed 22 times for 22 patients

Placement of skin electrodes and measurement of stimulated sites on arms and legs

This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.

This service was performed 867 times for 847 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Laverne Gugino is affiliated with the following medical facilities:

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