ASHLEY JOEL PILGRIM M.D.
NPI 1902169071
Emergency Medicine in Roseville, CA

Active since June 22, 2012PECOS Enrolled
94.62/100
CMS Quality Rating
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1800(916) 781-1802 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashley Joel Pilgrim M.d. NPPES

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

ASHLEY JOEL PILGRIM M.D. (NPI 1902169071) is an individual emergency medicine provider in Roseville, California, licensed in California (A127027) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902169071
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameASHLEY JOEL PILGRIMCredential: M.D.
Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037
Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037 · (916) 781-1800 · Fax (916) 781-1802
Fax(916) 781-1802
Sole ProprietorNo
Enumeration DateJune 22, 2012
Last NPPES UpdateJuly 7, 2016
NPI 1902169071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A127027
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1 MEDICAL PLAZA DR, Roseville, CA 95661

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ashley Joel Pilgrim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 6

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.
363 services342 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
308 services301 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
158 services155 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
116 services113 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
57 services55 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Referred Medical Equipment & Supplies CMS DME claims

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

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$16.49 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 20

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

Emergency Medicine
1 MEDICAL PLAZA DR, DEPARTMENT OF EMERGENCY MEDICINE
ROSEVILLE, CA 95661
Radiology (Body Imaging)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Radiology (Diagnostic Ultrasound)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Surgery (Trauma Surgery)
1 MEDICAL PLAZA DR, TRAUMA SERVICE
ROSEVILLE, CA 95661
Physician Assistant
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661

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 Ashley Pilgrim's NPI number?

The NPI number for Ashley Pilgrim is 1902169071. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Ashley Pilgrim located?

Ashley Pilgrim practices at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (916) 781-1800.

What is Ashley Pilgrim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ashley Pilgrim enrolled in Medicare?

Yes. Ashley Pilgrim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Pilgrim was last updated on July 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.