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

Q: 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.

Q: What is James Laguardia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Laguardia was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

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: November 01, 2026.

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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 Deaconess Hospital Inc, 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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

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 IDI20150603001427, I20230426000551

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.

Medicare Billing Reassignments

Medicare enrollment records show James Laguardia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Missouri Hospital Physicians, LLC

0.1 mi

Family Medicine

1701 LACEY ST
Cape Girardeau, MO 63701

Reassigned Medicare billing, Missouri enrollment
470 clinicians in this Medicare group

NPI 1558311522 (573) 331-6880

Methodist Health, Inc.

90 mi

Surgery

4604 US HIGHWAY 60 W
Morganfield, KY 42437

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1780249060 (Kentucky)
125 clinicians in this Medicare group

NPI 1003359084 (270) 389-5523

Deaconess Hospital Inc

113 mi

Clinical

801 FELSTEAD RD
Evansville, IN 47712

Reassigned Medicare billing, Indiana enrollment
717 clinicians in this Medicare group

NPI 1942183769 (812) 471-4611

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 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.

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant 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

Quality

83.28

Promoting Interoperability

100

Improvement Activities

Cost

45.24

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

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

MATTHEW D GAETA MD

Internal Medicine (Gastroenterology)

1723 BROADWAY ST, SUITE 220
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-7910

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.

Which organizations bill Medicare for James Laguardia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Laguardia reassigns Medicare benefits to 3 organizations: Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO), Methodist Health, Inc. (Morganfield, KY) and Deaconess Hospital Inc (Evansville, IN). 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 James Laguardia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Laguardia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers 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 Deaconess Hospital Inc, Jennie Stuart Medical Center, Deaconess Henderson Hospital, Baptist Health Deaconess Madisonville and Jps Health Network.

When was this NPI record last updated?

The NPPES record for James Laguardia was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.