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DR. BENJAMIN JON PILGRIM MD
NPI 1942973680
Family Medicine in Galveston, TX

Active since July 28, 2021PECOS EnrolledAccepts Medicare Assignment
400 HARBORSIDE DR #104, GALVESTON, TX 77550(409) 772-2166 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin Jon Pilgrim Md NPPES

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

DR. BENJAMIN JON PILGRIM MD (NPI 1942973680) is an individual family medicine provider in Galveston, Texas, licensed in Texas (BP10077028) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of University Of Texas Medical Branch At Galveston (2021).

NPPES Registry Identity

NPI1942973680
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENJAMIN JON PILGRIMCredential: MD
Location Address400 HARBORSIDE DR #104Galveston, TX 77550
Mailing Address400 Harborside Dr #104Galveston, TX 77550 · (409) 772-2166
Phone(409) 772-2166
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2021
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 11, 2021
✔ NPI 1942973680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · BP10077028
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Identifiers 1

Medicaid34543620TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin Jon Pilgrim Md 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 ID7911349964
PECOS Enrollment IDI20240522003845
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77550 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

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 Benjamin Pilgrim's NPI number?

The NPI number for Benjamin Pilgrim is 1942973680. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Benjamin Pilgrim located?

Benjamin Pilgrim practices at 400 Harborside Dr #104, Galveston, TX 77550. The listed phone number is (409) 772-2166.

What is Benjamin Pilgrim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Pilgrim enrolled in Medicare?

Yes. Benjamin Pilgrim 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.

What insurance does Benjamin Pilgrim accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and WellPoint list Benjamin Pilgrim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Benjamin Pilgrim affiliated with any hospitals?

According to CMS data, Benjamin Pilgrim is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Benjamin Pilgrim was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.