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Dr. Nikolaj P. Lagwinski, MD

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Specializes in: Cytopathology

Northeast Ohio Medical University

Professional interests include: gastrointestinal problems (digestive disorders)

305 Park Creek Drive
Clovis, CA 93611

(559) 326-2815

Dr. Nikolaj P. Lagwinski, MD is a cytopathologist in Clovis, CA specializing in cytopathology. He graduated from Northeast Ohio Medical University. Dr. Nikolaj P. Lagwinski, MD is affiliated with AmeriPath.

Office Locations

305 Park Creek Drive
Clovis, CA 93611

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Some issues Dr. Nikolaj P. Lagwinski, MD can help you with:

Gastrointestinal Problems (Digestive Disorders)

The gastrointestinal system, or GI tract, is the name given to a collection of organs that work together to digest food. These organs fit together in a long tube, running from the mouth to the anus, and include the esophagus, stomach, and intestines, among others. With so many parts working together, complicated by today's busy lifestyles and diets, digestive problems are common. As many as 1 in 3 Americans have a digestive or GI disorder. There are a huge variety of digestive problems, but the most common are IBS, constipation, GERD, hemorrhoids, and ulcers.

IBS, or irritable bowel syndrome, happens when the muscles surrounding the colon contract too easily or frequently. The result is abdominal pain, cramps, diarrhea or constipation, gas and bloating. IBS attacks can often be brought on by specific triggers, so a key part of treatment is learning which foods trigger IBS attacks and avoiding them. Treatment also includes exercise, avoiding stress, and medications if needed.

Constipation, or large, hard, or infrequent stools, happens to everyone at some point. It can be caused by a disruption in routine or food, or by eating a diet without many fresh fruits and vegetables. Although it is uncomfortable, constipation is common and usually not serious, but it can sometimes become chronic. Adding fiber to the diet, exercising, and taking medications may help.

GERD, or gastroesophageal reflux disease, is a severe form of chronic heartburn where stomach acid spills back up into the esophagus. Left untreated, the acid may even eat away at the esophagus and cause serious damage. Treatment includes changing the diet to avoid trigger foods, losing weight if needed, medications, or even surgery.

Hemorrhoids are blood vessels around the rectum that become irritated, swollen or torn while straining during a bowel movement. They are most often caused by constipation, but can also be caused by pregnancy, diarrhea, or simply a genetic predisposition towards hemorrhoids. Treatment involves first treating any constipation issues, then keeping the area clean and soothed until it has healed. If these measures are ineffective, surgery is sometimes used.

Peptic ulcers are sores or spots of inflammation in the lining of the stomach or close to the stomach in the small intestine. Usually this area is coated with a protective lining that shields the tissue from the strong stomach acid, but a break in the lining can let acid in, causing the sores. It used to be thought that stress caused ulcers, but now it is known that is not the case. Most often, they are caused by an infection by H. pylori bacteria, but ulcers can also be caused by alcohol abuse or overuse of aspirin, ibuprofen, naproxen, or other NSAIDS. The symptoms of an ulcer are pain, hunger, nausea, and fatigue.

Gastrointestinal problems, perhaps more than any other area, are markedly affected by lifestyle. Many disorders can be prevented or treated at least in part by eating a healthy diet high in fiber, exercising regularly, drinking enough water, and limiting alcohol intake. Still, the frequency of digestive disorders means that even the healthiest person can be affected by them. Anyone who notices blood in their stool, experiences abdominal pain, unexplained weight loss, or any significant change in bowel movements should see a doctor.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA during 2012 were lab tests, cytology, consultation and second opinions.

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

consultation	35
cytology	86
lab tests	750
second opinions	14

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA during 2013 were lab tests and cytology.

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

cytology	91
lab tests	377

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD.

**Gender**
Male	327
Female	440

**Ethnicity**
Non-Hispanic White	500
Black	57
Hispanic	161
Asian	29
Other	0
Native American	0

**Age**
From 65 to 74	328
From 75 to 84	210
85 and over	81
Less than 65	148

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2013

Hypertension	75
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	40
Depression	24
Chronic Kidney Disease	32
Asthma	13
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	25
Chronic Obstructive Pulmonary Disease	19
Diabetes	40
Dementia	12
Cancer	17

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA during 2014 were lab tests, cytology and consultation.

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

consultation	13
cytology	114
lab tests	271

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD.

**Gender**
Male	218
Female	325

**Ethnicity**
Non-Hispanic White	472
Black	58
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	238
From 75 to 84	120
85 and over	53
Less than 65	132

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2014

Hypertension	75
High Cholesterol	63
Stroke	7
Ischemic Heart Disease	39
Depression	40
Chronic Kidney Disease	29
Asthma	15
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	28
Chronic Obstructive Pulmonary Disease	29
Diabetes	39
Dementia	9
Cancer	17

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA during 2015 were lab tests, cytology and consultation.

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

consultation	14
cytology	140
lab tests	178

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD.

**Gender**
Male	474
Female	614

**Ethnicity**
Non-Hispanic White	940
Black	116
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	440
From 75 to 84	260
85 and over	130
Less than 65	258

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2015

Hypertension	75
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	36
Depression	40
Chronic Kidney Disease	30
Asthma	25
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	30
Chronic Obstructive Pulmonary Disease	30
Diabetes	37
Dementia	13
Cancer	22

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA during 2016 were lab tests, cytology and consultation.

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

consultation	23
cytology	111
lab tests	123

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD.

**Gender**
Male	215
Female	249

**Ethnicity**
Non-Hispanic White	387
Black	57
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	182
From 75 to 84	129
85 and over	60
Less than 65	93

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2016

Hypertension	75
High Cholesterol	64
Stroke	6
Ischemic Heart Disease	45
Depression	38
Chronic Kidney Disease	41
Asthma	36
Osteoperosis	12
Atrial Fibrilation	16
Heart Failure	32
Chronic Obstructive Pulmonary Disease	30
Diabetes	37
Dementia	14
Cancer	21

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA during 2017 were cytology and lab tests.

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

cytology	111
lab tests	101

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD.

**Gender**
Male	215
Female	296

**Ethnicity**
Non-Hispanic White	449
Black	45
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	244
From 75 to 84	120
85 and over	50
Less than 65	97

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2017

Hypertension	75
High Cholesterol	59
Stroke	6
Ischemic Heart Disease	37
Depression	36
Chronic Kidney Disease	40
Asthma	14
Osteoperosis	12
Atrial Fibrilation	14
Heart Failure	25
Chronic Obstructive Pulmonary Disease	30
Diabetes	34
Dementia	12
Cancer	23

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA during 2018 were cytology, lab tests and consultation.

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

consultation	12
cytology	69
lab tests	34

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD.

**Gender**
Male	130
Female	187

**Ethnicity**
Non-Hispanic White	276
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	76
85 and over	36
Less than 65	49

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2018

Hypertension	75
High Cholesterol	67
Stroke	5
Ischemic Heart Disease	32
Depression	30
Chronic Kidney Disease	40
Asthma	9
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	22
Chronic Obstructive Pulmonary Disease	29
Diabetes	37
Dementia	9
Cancer	26

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2018

Volume of procedures performed by Dr. Nikolaj P. Lagwinski, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nikolaj P. Lagwinski, MD treated as a cytopathologist in Clovis, CA were lab tests, cytology, consultation and second opinions.

consultation	19
cytology	103
lab tests	262
second opinions	14

Average Medicare Patient Data From 2012 - 2018

Information about Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD.

**Gender**
Male	225
Female	301

**Ethnicity**
Black / African American	47
Asian / Pacific Islander	4
Non-Hispanic White	432
Hispanic	23
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	130
85 and over	58
Less than 65	111
65 to 74	226

Average of Total of Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD From 2012 - 2018

The highest averages of the most common conditions of Medicare patients that Dr. Nikolaj P. Lagwinski, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	64
High Cholesterol	54
Stroke	5
Ischemic Heart Disease	32
Depression	29
Chronic Kidney Disease	30
Asthma	16
Osteoporosis	8
Heart Failure	23
Chronic Obstructive Pulmonary Disease	23
Diabetes	32
Atrial Fibrillation	12
Cancer	18
Dementia	9

Education & Training

Dr. Nikolaj P. Lagwinski, MD graduated from Northeast Ohio Medical University. He completed residency at Cleveland Clinic. He is certified by the Board Certification: Cytopathology and has a state license in Ohio.

Medical School: Northeast Ohio Medical University

Residency: Cleveland Clinic

Board Certification: Board Certification: Cytopathology

Licensed In: Ohio

Affiliations & Hospitals

Dr. Nikolaj P. Lagwinski, MD is associated with these hospitals and organizations:

AmeriPath

Ratings & Reviews

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Biography

Dr. Nikolaj Lagwinski practices cytopathology. In Dr. Lagwinski's practice, he is particularly interested in gastrointestinal problems (digestive disorders). He obtained his medical school training at Northeast Ohio Medical University and performed his residency at Cleveland Clinic. He is affiliated with AmeriPath.

Select Year:

Dr. Nikolaj P. Lagwinski, MD

Office Locations

Some issues Dr. Nikolaj P. Lagwinski, MD can help you with:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD in 2018

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2018

Average Medicare Patient Data From 2012 - 2018

Average of Total of Conditions of Medicare patients treated by Dr. Nikolaj P. Lagwinski, MD From 2012 - 2018

Education & Training

Affiliations & Hospitals

Ratings & Reviews

Biography

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