Meet Dr. Scott Pilgrim

Along with his medical degree, Dr. Pilgrim has completed a combined internal medicine and pediatrics residency followed by a pediatric chief residency at Maimonides Medical Center in Brooklyn, New York. His subsequent fellowship training in pediatric cardiology was completed at the Steven and Alexandra Cohen Children's Medical Center with the North Shore-Long Island Jewish Health System. He founded the Adult Congenital Heart Disease program in Long Island prior to coming on board at Cook Children's Medical Center in February 2014. Since his arrival, the Adult Congenital Heart Disease Program at Cook Children's Medical Center has shown tremendous growth with over 500 adult visits every year.

Impressive indeed, but long before the tedious hours of study and hard work, Dr. Pilgrim's career path began to take shape at a very young age. His younger sister, Stephanie, was born with congenital heart disease and underwent 2 heart surgeries at 18 months and 3 years of age. Today, Stephanie is 1 of nearly 1.5 million adults living in the United States as adult survivors of congenital heart disease.

Choosing the career path for the care of adults with congenital heart disease was not without difficulty. "There was a great deal of angst in choosing my career path" Dr. Pilgrim says, chuckling. "I really wanted to be able to apply my internal medicine training to a pediatric subspecialty career path that would allow me to assist in the transition of adolescent and young adult patients to the adult medical arena. I was really drawn to the world of intensive care early on in my residency training, but I loved building long term rapport with the patients and their families in the outpatient setting as well." Toward the latter half of his residency, Dr. Pilgrim latched on to the idea of pursuing a career in adult congenital cardiology. "Congenital heart disease was fascinating to me in medical school. I was drawn to the complexity and singular nature of each defect and the associated repair. As time progressed, I learned of the growing need for ACHD specialists for a large, vulnerable population with a noted care gap. This field has proven to be the perfect fit for me."

Dr. Pilgrim explains that adults with congenital heart disease remain at risk for long-term complications including heart failure, abnormal heart rhythms, pulmonary hypertension and premature cardiovascular death. On top of that, adult onset disease such as hypertension, obesity, diabetes and acquired cardiac disease may interplay with their unique physiology. Many ACHD patients will require additional surgical or catheter based interventions or medical management, even if they had successful repairs as children.

The Adult Congenital Heart Disease Program at Cook Children's Medical Center provides a comprehensive care center for adolescents and adults with previously confirmed or newly suspected diagnoses of congenital heart disease. Surveillance, diagnostic and interventional procedures are scheduled according to published guidelines. Additionally, the ACHD program provides women of childbearing potential with important education regarding birth control options, pre-pregnancy counseling and risk assessment. Pregnant women with congenital heart disease are followed in conjunction with the high risk maternal fetal medicine physicians, fetal cardiology and anesthesia teams with a coordinated delivery plan.

Outside of work, Dr. Pilgrim enjoys spending time with his wife, Daphnie, and 3 amazing children, Nathaniel, Gabriel and Lauren. Most of his spare time is spent traveling the Metroplex attending soccer games, gymnastics meets and baseball games. He and his wife are also active in their local church.

This was our first appointment with Dr. Pilgrim. Extremely impressed by how much he knew of our son's 18 year history at Cooks. I feel like he spoke honestly to us. He was not rushed. He covered everything from our son's birth to current to things he will need to be aware of in 1 years. Inspired trust and confidence in his ability to care for our son. – Patient family

Services

  • Congenital cardiothoracic heart care
  • Transthoracic and transesophageal echocardiography
  • Advanced imaging
  • Diagnostic and interventional cardiac catheterization
  • Invasive and non-invasive electrophysiology
  • Pulmonary arterial hypertension
  • Routine outpatient care

Reviews

Average rating:

4.9
Questions were addressed
4.9
4.9 (94)
Provider explained things clearly
4.9
4.9 (94)
Likelihood of recommending this provider
4.9
4.9 (94)
Trust/confidence in physicians
4.9
4.9 (94)

What our families say

  • November 23, 2025

    Dr. Pilgrim was amazing! He took the time to explain what is actually happening to our daughter so that she could address her own symptoms. He made us as parents feel validated and educated. We are prepared to address these issues outside of the clinical setting and we are SO grateful. Out of all of our providers, we all agree that Dr. Pilgrim is easily in the top 1%

  • November 13, 2025

    Everyone was very attentive, listened to our health questions. Helpedcalm her anxiety

  • November 10, 2025

    Friendly personal. All nurses were great, caring, and kind.

  • November 08, 2025

    Everyone was very nice and helpful.

  • October 19, 2025

    Every single member of the team we came into contact with was amazing.

  • October 19, 2025

    We were so impressed with the care and compassion we were given. We have been looking for answers for over two years and your team provided that. My daughter now knows she's not crazy and there is something to explain her pain. We can't say enough good things about Cook's Children's

  • October 11, 2025

    Scott Pilgrim was amazing! He was very thorough, made sure we understood everything, and we trusted everything he said.

  • October 09, 2025

    Everyone was very courteous and attentive from the moment we arrived until we left. I was very happy with the care my son was given from the nurses and Dr. Pilgrim. I would definitely recommend him and his staff to anyone needing a Pediatric Cardiologist.

  • October 08, 2025

    The echo tech and the doctor were both amazing

  • October 07, 2025

    Very good facility despite it undergoing maintenance. Very calming environment

  • September 25, 2025

    Thankful for Dr.pilgrim because of his amazing care I was able to get my health back and because of him I got the diagnosis I very much needed to start the proper treatments . And for that I am beyond grateful. He is one of the few doctors who listens to me always and addresses my concerns . Where are n person or through the messaging system. His nurses are also wonderful in my care.

  • September 13, 2025

    The doctors and nurses were all amazing!

  • August 30, 2025

    What a special group of professionals!! We were treated quickly, and the team was compassionate and so thorough!

  • August 29, 2025

    [...] is always awesome to work with. My son remembered her from last year. She is very personable and kind. Dr. Pilgram never rushes us our questions, he explains everything so well as to even draw pictures. I feel confident in the information he provides, how he explains and his care for [...].

  • August 23, 2025

    Everything is fine

  • August 23, 2025

    Dr Pilgrim is amazing! We appreciate how he interacts with the patient and explains what he's seeing in the tests performed in the office. He also outlines concerns to look for and what to expect at the next appointment. Dr Pilgrim took real interest in what [...] is studying in college and offered encouraging advice. We are thankful [...] is a patient of Dr Pilgrim.

  • August 21, 2025

    Good

  • August 20, 2025

    Everything was excellent

  • July 12, 2025

    Our nurse [...] is amazing and our daughter loves her! Dr. Pilgrim is a wonderful doctor and we know that [...] is in very good hands

  • July 09, 2025

    The doctor answered all our questions and helped us in a cordial way.

  • June 05, 2025

    Everyone that assisted was great.

  • June 05, 2025

    I was early due to expecting poor traffic conditions and was seen ahead of schedule. Very good experience.

  • June 01, 2025

    Dr Pilgrim was excellent

  • May 28, 2025

    Amazing visit they work well with [...]

  • May 05, 2025

    Good

  • April 30, 2025

    Good

  • April 30, 2025

    Nurses were so nice

  • April 27, 2025

    Experience was stressful but good all around

  • April 20, 2025

    Everyone was excellent

  • April 20, 2025

    Very good treatment by all the staff

  • April 14, 2025

    Everyone treated us very well, especially Dr Pilgrim has always worried about what my daughter needs

  • April 14, 2025

    Our experience was very good, everyone took care of my daughter very well, I am very grateful to everyone. Thank you

  • April 03, 2025

    He is simply the best even when giving undesirable news. So thoughtful and caring!

  • March 20, 2025

    Dr. Pilgrim and staff worked well in coordination of the visit.

  • March 20, 2025

    31 years ago my child was in neonatal unit. The care and concern was outstanding. 31 years later Cook is still run at an exemplary standard. We love you guys!!

  • March 08, 2025

    I have only had great experiences with Dr. Pilgrim and the Cook CMC staff.

  • March 08, 2025

    Everyone was very professional. Dr. Pilgrim is open and honest about my [...] condition. As an adult patient I really appreciate him being straightforward with me about my condition and prognosis.

  • March 07, 2025

    Quick, efficient, professional

  • March 07, 2025

    [...], echo tech, he was gentle and professional. I've had other men conduct echos in the past that applied too much pressure on sensitive area. And no issues this time.

  • March 05, 2025

    Quick, informative and efficient

  • February 24, 2025

    We were, as parents, very nervous. When the doctor came in he didn't beat around the bush, he told us straight up what his diagnosis was and what we could do to help [...]. That helped ease our anxiety a lot. Also, to be able to have the entire appointment and diagnosis in one afternoon is amazing, so thank you for that!

  • February 24, 2025

    I don't remember names but everyone was really great, from the people at the front desk being kind and courteous and greeting us with a smile, to the tech that took [...] vitals with his kind of humor, to the echo tech that talked to him the whole time so he wasn't nervous and the nurse that asked him questions about his symptoms because he was the patient, making him feel included. All the way to the doctor coming in and talking directly to him about what is going on with him ( as well as us) but not making him feel like he wasn't in the room. Great team of people we had for [...]! Thank you!

  • February 23, 2025

    All staff was exceptional. From parking to doctor

  • February 22, 2025

    Excellent service

  • February 22, 2025

    The entire team was fantastic.

  • February 22, 2025

    Very thorough, answered all our questions. Very patient with my son.

  • February 21, 2025

    All good experiences

  • February 21, 2025

    The whole staff was professional, Dr. Pilgram Is the best.

  • February 16, 2025

    She is very comfortable w Dr. Pilgram

  • February 09, 2025

    Doctor,nurses, sonograms tech were all great.

  • February 09, 2025

    Everything went very smooth. Very satisfied with everyone.

  • February 04, 2025

    Everyone was great.

  • January 31, 2025

    Dr pilgrim took time to talk about [...] mental state also and gave me suggestions

  • January 23, 2025

    Dr Pilgrim is phenomenal. [...] RN didn't make me feel shamed for decisions I make for my child. [...], the echo tech was super nice.

  • January 23, 2025

    Always good.

  • January 23, 2025

    All worked well together.

  • January 11, 2025

    Not only was Dr Pilgram a pleasure, his staff was as well. The tech who performed the echocardiogram was personable and professional. Thank you!

  • January 11, 2025

    Dr Pilgram was excellent. My wife and I really appreciate his direct approach to diagnosing and explaining what was going on with [...]. His bedside manner is very good and it was refreshing to interact with a doctor who treated us and [...] like members of his own family. Thanks doc!

  • December 18, 2024

    Excellent

  • December 15, 2024

    We had nothing but a positive experience during our visit. It's clear that the staff and Dr really know how to handle pediatric patients!

  • December 15, 2024

    Honestly was very surprised how little wait time there was. The overall appointment took 1.5 hours end to end which was amazing considering everything that was done. AMAZING staff overall and Dr. Pilgrim was really attentive, patient, through & professional.

  • December 15, 2024

    The entire group at Cooks Amarillo was amazing! Thank you Dr Pilgrim for taking the time to explain the information to my daughter and allowing her to understand what was going on and ways to help make the problem better.

Education

  • Medical school:
  • St. George's University School of Medicine, Grenada, West Indies
  • Residency:
  • Maimonides Medical Center, Brooklyn, NY
  • Board certifications:
  • American Board of Pediatrics
  • American Board of Internal Medicine
  • American Board of Pediatrics Sub Board: Pediatric Cardiology

Affiliations

  • Cook Children's Physician Network

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