NPPES file of Aug 9, 2026

James J. Laguardia, M.D.

Neurology Physician · Cape Girardeau, MO

James J. Laguardia, M.D. is a neurology physician with a practice address in Cape Girardeau, Missouri, and NPI 1790766996, issued on Nov 7, 2005. Check the license on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790766996
Name
James J. Laguardia
Credential
M.D.
Primary taxonomy
Neurology Physician 2084N0400X
License numbers
01066417A IN
036093727 IL
Self-reported in NPPES; status is on the state search
Practice location
1723 Broadway St, Cape Girardeau, MO 63701
Phone
(573) 331-7840
Enumerated
Nov 7, 2005
Record last updated
May 28, 2015 (not updated in 11 years: call before relying on the address or phone)
Fax
(573) 331-7849
Medicaid ID
036093727 IL
Medicare enrollment
Enrolled (PECOS I20230426000551); accepts Medicare assignment
Medical or professional school
Tulane University School Of Medicine, 1991
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1723 Broadway St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Debra Alexander, MSN, APRN, BC-FNPFamily Nurse Practitioner1841471307
  2. Celia Chan, MDHematology & Oncology Physician1992957039
  3. Christy Cook, WHNPWomen's Health Nurse Practitioner1811954761
  4. Matthew Gaeta, MDGastroenterology Physician1336247915
  5. Andrew Garner, APRNFamily Health Clinical Nurse Specialist1821398678
  6. Pairote Jaroonwanichkul, MDHematology & Oncology Physician1801893979

Verify James J. Laguardia in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing ArtsCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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75% fewer Medicare Part D claims than the average neurology physician in 2024

341 Medicare Part D claims for 71 beneficiaries, against an average of 1,370 among the 15,005 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims.

  1. James Laguardia341
  2. Specialty average1,370

Most prescribed

  1. Memantine Hcl59 claims
  2. Donepezil Hcl36 claims
  3. Gabapentin20 claims
  4. Divalproex Sodium Er18 claims
  5. Topiramate17 claims
  6. Galantamine Hbr12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 63.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score20.2
  2. Costout of 100 · 30%58.6
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Methodist Health, Inc.Henderson, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James J. Laguardia among 484 neurology physician records in Missouri

James J. Laguardia, M.D. is one of 484 neurology physician records with a practice address in Missouri. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 95% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated1991 · median 2006 among the 285 with a school on file
  • Record last updated2015 · 36% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0400X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neurology Physician providers in Missouri

There are 484 neurology physician records in Missouri.

The 8 neurology physician records with the nearest ZIP codes

  1. Robert Gardner, MDCape Girardeau, MO 637011649365917
  2. David Lee, MDCape Girardeau, MO 637011861505703
  3. Syed Ijlal Ahmed, MDCape Girardeau, MO 637031124602230
  4. Aleksey Androsov, M.D.Cape Girardeau, MO 637031104258144
  5. Mark Farrenburg, M.D.Cape Girardeau, MO 637031891157905
  6. Robert Gardner, MDCape Girardeau, MO 637031346251436
  7. Andrew Godbey, M.D.Cape Girardeau, MO 637031811014400
  8. Steven Mellies, DOCape Girardeau, MO 637031427088046

Common questions

What is James J. Laguardia, M.D.'s NPI number?

James J. Laguardia, M.D.'s National Provider Identifier (NPI) is 1790766996, issued on Nov 7, 2005. An NPI identifies a provider in billing; it is not a license.

Where is James J. Laguardia, M.D. located?

The NPPES record lists a practice address at 1723 Broadway St, Cape Girardeau, MO, 63701. Phone: (573) 331-7840. Providers update this record themselves, so call before visiting.

How can I verify James J. Laguardia, M.D.'s license?

Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James J. Laguardia, M.D. prescribe under Medicare Part D?

In 2024, James J. Laguardia, M.D. had 341 Medicare Part D claims for 71 beneficiaries; the average among neurology physician prescribers was 1,370. Part D covers Medicare prescriptions only.

What is James J. Laguardia, M.D.'s MIPS final score?

The 2023 MIPS final score is 63.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.