JAMES J LAGUARDIA (M.D.) – Neurology Physician, NPI 1790766996
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
812 NEUROLOGY in MO
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Provider Addresses for JAMES J LAGUARDIA (M.D.)
1723, Broadway Street, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States
SUITE 310
CAPE GIRARDEAU, MO 637014566
Phone: (573) 331-7840
Fax: (573) 331-7849
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090422000237 | I | Neurology | IN | TBD |
| I20150603001427 | I | Neurology | MO | TBD |
| I20230426000551 | I | Neurology | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 143 | 68 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 50 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 31 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 | 37 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 63701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Emergency Medicine | IN | |
| - | KY | |
| Emergency Medicine | MD | |
| - | KY | |
| - | NC | |
| Family Practice | KY | |
| A N E S T H E S I O L O G Y | IN | |
| Hospitalist, Family Practice | IN | |
| - | KY |
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