James J Laguardia, M.D.
Neurology Psychiatry & Neurology
James J Laguardia is a Neurology Psychiatry & Neurology specialist based in Cape Girardeau, MO with over 35 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
With over 35 years in psychiatry & neurology, James J Laguardia, M.D. is a long-established neurology psychiatry & neurology specialist in Cape Girardeau. A Tulane University School of Medicine graduate since 1991, he brings 35+ years of experience. CMS Medicare data shows his patients commonly have hypertension, high cholesterol, and stroke. CMS MIPS quality score: 82.83/100 (2023).
At a glance
- Prescribes opioids less than 30% of reporting doctors in Missouri
- Uses generic medications more than 54% of reporting doctors in Missouri
- Federal MIPS score higher than 69% of MIPS-scored doctors in Missouri
- Virtual visits available — no app or travel required
Older · 4013dNPPES updated 2015-05-28 · verify NPI on CMS · Verify license at Missouri Board of Registration for the Healing Arts
Contact & Location
Practice Location
1723 Broadway St, Cape Girardeau, MO 63701-4566
How Does This Doctor Compare?
Based on Medicare data, this doctor has an average quality score compared to other doctors in Missouri, prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.
MIPS Score
202382.83/100
Missouri avg: 81.2 · US avg: 83.6
⚠ Lower than most doctors nationally(-0.8 pts)
Average range among MIPS-scored doctors in MissouriHow the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Opioid Rx
↓ Lower = better2.42%
Missouri avg: 4.4 · US avg: 5.1
✓ Higher than most doctors nationally(-2.7 pts)
2.42% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.
Generic Rx
↑ Higher = better88.5%
Missouri avg: 83.4 · US avg: 82.8
✓ Higher than most doctors nationally(+5.7 pts)
Typical range among reporting doctors in MissouriHow often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
174
Unique beneficiaries
Standard volumePrescription Recipients
213
Patients prescribed
Prescriptions Written
951
Total claims
Total Medicare drug cost: $319k
Percentile rankings compared against 912 reporting peers in Missouri.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Stroke / TIA.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Disrupted blood supply to the brain, requiring urgent medical attention
US avg: 13.4%↑ More patients than average (+58%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+12%) — a focus area for this doctor
Excessive worry or fear that interferes with daily life
US avg: 34.1%↑ More patients than average (+15%) — a focus area for this doctor
Conditions affecting emotional state, including depression and bipolar disorder
A mood disorder causing persistent sadness and loss of interest in activities
US avg: 31.8%↑ More patients than average (+16%) — a focus area for this doctor
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+11%) — a focus area for this doctor
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$58 received from industry
3 transactions reported in 2018 ·Low tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2018, attributed to James J Laguardia's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 1991
Tulane University School of Medicine
35 years in practice
Senior practitioner
Neurologists diagnose and treat disorders of the nervous system including stroke, epilepsy, multiple sclerosis, Parkinson's disease, migraines, neuropathy, and dementia.
Taxonomy: 2084N0400X
Education & Training
Tulane University School of Medicine (Class of 1991)
Mailing address
1723 Broadway St Suite 310, Cape Girardeau, MO 63701-4566
Differs from practice location
Virtual Psychiatry & Neurology Care With James J Laguardia
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with James J Laguardia for blood pressure monitoring, cholesterol management, follow-up consultations — no travel to Cape Girardeau required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about James J Laguardia
NPI records show Dr. Laguardia as active with telehealth listed in Cape Girardeau, MO. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (573) 331-7840.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2018 · CMS Physician Comparator. See Data Methodology.
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Contact James J Laguardia
Practice Location
1723 Broadway St, Cape Girardeau, MO 63701-4566
Mailing Address
1723 Broadway St Suite 310, Cape Girardeau, MO 63701-4566
This is a provider directory. Contact the office directly to schedule appointments.
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