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PHILLIP MARK MILGRAM M.D.
NPI 1285737569
Preventive Medicine - Public Health & General Preventive Medicine in La Jolla, CA

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
3262 HOLIDAY CT STE 210, LA JOLLA, CA 92037(760) 944-9200(760) 692-4411 Get Directions Write a Review

NPPES record last updated: May 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phillip Mark Milgram M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP MARK MILGRAM M.D. (NPI 1285737569) is an individual public health & general preventive medicine provider in La Jolla, California, licensed in California (A35411) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1285737569
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NamePHILLIP MARK MILGRAMCredential: M.D.
Location Address3262 HOLIDAY CT STE 210La Jolla, CA 92037-1811
Mailing Address444 N El Camino Real Spc 123Encinitas, CA 92024-1317 · (760) 944-9200 · Fax (760) 692-4411
Phone(760) 944-9200
Fax(760) 692-4411
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateSeptember 5, 2006
Last NPPES UpdateMay 28, 2023
NPPES CertifiedMay 28, 2023
✔ NPI 1285737569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in CA · A35411
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License A35411 (CA)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A35411 (CA)
3262 HOLIDAY CT STE 210, La Jolla, CA 92037
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Secondary Practice Location 1

Location 16725 Mesa Ridge Rd Ste 240San Diego, CA 92121-2925 · Phone (760) 944-9200

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

Phillip Mark Milgram 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 ID6507870474
PECOS Enrollment IDI20060130000920
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

2

Medicare enrollment records show Phillip Milgram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Zen Fusion, Inc.
13 mi
Public Health & General Preventive Medicine
317 N EL CAMINO REAL STE 103
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
NPI 1396638334 (760) 710-0234
Brilliant Start Wellness
13 mi
Rehabilitation, Substance Use Disorder
15644 POMERADO RD STE 200
Poway, CA 92064
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1043859077 (619) 408-7976

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
6 suppliers93 claims93 services$976.44 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
2 suppliers11 claims11 services$407.28 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf L0651
DME-Orthotic Devices · category DF007N
9 suppliers45 claims45 services$628.22 avg. paid by Medicare
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1843
DME-Orthotic Devices · category DF011N
5 suppliers86 claims165 services$729.21 avg. paid by Medicare
Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1852
DME-Orthotic Devices · category DF011N
9 suppliers47 claims87 services$515.02 avg. paid by Medicare
Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment L1971
DME-Orthotic Devices · category DF003N
6 suppliers32 claims57 services$380.10 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAD MD INC.
Family Medicine (Adult Medicine)
3262 HOLIDAY CT STE 210
LA JOLLA, CA 92037
San Diego County (760) 944-9200

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 Phillip Milgram's NPI number?

The NPI number for Phillip Milgram is 1285737569. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Phillip Milgram located?

Phillip Milgram practices at 3262 Holiday Ct Ste 210, La Jolla, CA 92037. The listed phone number is (760) 944-9200.

What is Phillip Milgram's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Phillip Milgram enrolled in Medicare?

Yes. Phillip Milgram 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 Phillip Milgram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Milgram reassigns Medicare benefits to 2 organizations: Zen Fusion, Inc. (Encinitas, CA) and Brilliant Start Wellness (Poway, CA). 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 Phillip Milgram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phillip Milgram was last updated on May 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.