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JAMES J LAGUARDIA M.D.
NPI 1790766996
Psychiatry & Neurology - Neurology in Cape Girardeau, MO

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
82.82/100
CMS Quality Rating
1723 BROADWAY ST, CAPE GIRARDEAU, MO 63701(573) 331-7840(573) 331-7849 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James J Laguardia M.d. NPPES

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

JAMES J LAGUARDIA M.D. (NPI 1790766996) is an individual neurology provider in Cape Girardeau, Missouri, licensed in Indiana (01066417A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Daviess Community Hospital, and is a graduate of Tulane University School Of Medicine (1991).

NPPES Registry Identity

NPI1790766996
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES J LAGUARDIACredential: M.D.
Location Address1723 BROADWAY STCape Girardeau, MO 63701-4566
Mailing Address1723 Broadway St, Suite 310Cape Girardeau, MO 63701-4566 · (573) 331-7840 · Fax (573) 331-7849
Phone(573) 331-7840
Fax(573) 331-7849
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1991
Enumeration DateNovember 7, 2005
Last NPPES UpdateMay 28, 2015
✔ NPI 1790766996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in IN · 01066417A✔ Licensed in IL · 036093727
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1723 BROADWAY ST, Cape Girardeau, MO 63701
Open in Google Maps ↗

Other Identifiers 11

Medicare UPING54073
Medicare PIN859910E9IN
Medicare PIN256510IL
Medicare PIN265130DDDIN
OtherP00739574IN · Railroad Medicare
Medicare PIN192770A9IN
OtherP00834681IN · Railroad Medicare
Medicare PIN859920BBIN
Medicaid036093727IL
Medicare PIN187310FIN
Medicare PINL82253IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

James J Laguardia 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 ID3577610930
PECOS Enrollment IDI20230426000551
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
70 services54 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.
68 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
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.

82.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.28
Promoting Interoperability100
Improvement Activities40
Cost45.24

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. GLADYS GRACE TIWONGE KAMANGA-SOLLO MD
Physical Medicine & Rehabilitation
1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-7746
MICHELE L TANZ FNP
Nurse Practitioner (Family)
1723 BROADWAY ST, SUITE 220
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 331-7910
DR. CHRISTOPHER REIS D.O.
Anesthesiology (Pain Medicine)
1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-1957
DR. AARON LANG M.D.
Internal Medicine (Hematology & Oncology)
1723 BROADWAY ST, SUITE 315
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-0226
KENNETH A DECOURSEY, MD PC
Family Medicine
1723 BROADWAY ST, SUITE 120
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-7194
RENAL CARE GROUP OF THE MIDWEST, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1723 BROADWAY ST
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-7861
JACOB LOUIS MUCKERMAN FNP BC
Nurse Practitioner (Family)
1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-1957
MARGARET A WILLIAMS APRN
Nurse Practitioner (Adult Health)
1723 BROADWAY ST, SUITE 310
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 331-7880

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 James Laguardia's NPI number?

The NPI number for James Laguardia is 1790766996. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is James Laguardia located?

James Laguardia practices at 1723 Broadway St, Cape Girardeau, MO 63701. The listed phone number is (573) 331-7840.

What is James Laguardia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Laguardia enrolled in Medicare?

Yes. James Laguardia 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 James Laguardia accept?

Health plans from CareSource list James Laguardia 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 James Laguardia affiliated with any hospitals?

According to CMS data, James Laguardia is affiliated with Daviess Community Hospital, Deaconess Hospital Inc, Jennie Stuart Medical Center, Deaconess Henderson Hospital and Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for James Laguardia was last updated on May 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.