SCOTT MATTHEW PILGRIM M.D.
NPI 1487855169
Internal Medicine - Adult Congenital Heart Disease in Fort Worth, TX

Q: What is Scott Pilgrim's NPI number?

The NPI number for Scott Pilgrim is 1487855169. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Scott Pilgrim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Q: When was this NPI record last updated?

The NPPES record for Scott Pilgrim was last updated on August 8, 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.

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-2140(817) 332-2506 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Apr 29, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2017).

On this page

About Scott Matthew Pilgrim M.d. NPPES

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

SCOTT MATTHEW PILGRIM M.D. (NPI 1487855169) is an individual adult congenital heart disease provider in Fort Worth, Texas, licensed in Texas (P8526) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cook Childrens Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1487855169

Entity TypeIndividualMale

Primary Taxonomy207RA0002X

Provider Legal NameSCOTT MATTHEW PILGRIMCredential: M.D.

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(682) 885-2140

Fax(817) 332-2506

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 30, 2007

Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1487855169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RA0002X

License✔ Licensed in TX · P8526

Definition

A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License P8526 (TX)

Also ListedPediatricsTaxonomy 208000000X · License 244234 (NY)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License P8526 (TX)

1500 COOPER ST, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

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

Scott Matthew Pilgrim 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 ID840388120

PECOS Enrollment IDI20140211001432

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 Reassignment

Medicare enrollment records show Scott Pilgrim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network

Same address

Developmental - Behavioral Pediatrics

1500 COOPER ST
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Cook Childrens Physician Network
1,186 clinicians in this Medicare group

NPI 1548230923 (682) 303-9200

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

20 services16 patients

Ultrasound of heart for congenital defect 93303

An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.

14 services14 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

14 services14 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cook Childrens Medical Center

Childrens · Fort Worth, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453300

Location801 Seventh AvenueFort Worth, TX 76104 · Tarrant County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%45 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

28%39 patients2/55-star benchmark: 97%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

KATRINA L WILLIE-MUSOMA MD

Pediatrics (Neurodevelopmental Disabilities)