Ashley Lynn Dragoman, MD
Pediatrics · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 2 carriers
- Office
- 1
Offices
1 location
Plans that list them
3 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Dragoman’s office at (408) 885-5000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
3 of 3 plans
| Aetna Medicare Eagle (PPO) | Aetna Medicare | Listed | Sep 8, 2026 |
| Aetna Medicare Enhanced (PPO) | Aetna Medicare | Listed | Sep 8, 2026 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
California Medical Board record
Licence A99866 · Current
Licensed to practise in California · since 2007 · expires 2027-05-31 · University of Southern California Keck School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$508,674 in 2024
Medicaid paid $508,674 for 8,422 billed services this clinician did in 2024, up to 106 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Clinic visit/encounter, all-inclusive | 976 | $502,921 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) | 333 | $924 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 184 | $855 |
| Short return visit | 442 | $835 |
| Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 25 mcg/0.25 mL dosage, for intramuscular use | 31 | $807 |
| Developmental screening | 51 | $683 |
| Short return visit (20+ min) | 416 | $524 |
| Application of topical fluoride | 221 | $361 |
| Screening test, pure tone, air only | 452 | $345 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) | 57 | $143 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) | 30 | $90 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 56 | $74 |
| 2024 | 8,422 | 28 | 106 | $508,674 |
| 2023 | 5,080 | 18 | 99 | $515,994 |
| 2022 | 3,688 | 18 | 98 | $333,859 |
| 2021 | 4,674 | 24 | 100 | $407,065 |
| 2020 | 2,706 | 13 | 80 | $252,770 |
| 2019 | 3,447 | 17 | 99 | $313,302 |
| 2018 | 2,848 | 16 | 112 | $327,391 |
See the largest Medicaid services in earlier years
2023
| Clinic visit/encounter, all-inclusive | 1,027 | $509,984 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) | 274 | $989 |
| Short return visit | 597 | $971 |
| Short return visit (20+ min) | 359 | $885 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 226 | $718 |
| Application of topical fluoride | 253 | $499 |
| Screening test, pure tone, air only | 574 | $490 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) | 120 | $484 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) | 119 | $433 |
| Return visit (30+ min) | 76 | $361 |
| Bilateral quantitative screening test of visual acuity | 389 | $147 |
| Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | 100 | $16 |
2022
| Clinic visit/encounter, all-inclusive | 679 | $329,038 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) | 205 | $1,377 |
| Short return visit (20+ min) | 345 | $735 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) | 160 | $730 |
| Short return visit | 423 | $656 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 129 | $482 |
| Screening test, pure tone, air only | 343 | $343 |
| Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | 156 | $139 |
| Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use | 129 | $112 |
| Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use | 54 | $76 |
| Application of topical fluoride | 28 | $66 |
| Bilateral quantitative screening test of visual acuity | 195 | $39 |
2021
| Clinic visit/encounter, all-inclusive | 847 | $403,688 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) | 284 | $1,010 |
| Application of topical fluoride | 283 | $500 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 232 | $474 |
| Short return visit | 405 | $374 |
| Screening test, pure tone, air only | 548 | $369 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) | 119 | $237 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) | 104 | $187 |
| Short return visit (20+ min) | 147 | $170 |
| Blood test, lipids (cholesterol and triglycerides) | 24 | $28 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 29 | $18 |
| Transferase; alanine amino (ALT) (SGPT) | 26 | $11 |
2020
| Clinic visit/encounter, all-inclusive | 737 | $250,595 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) | 153 | $727 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 164 | $426 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) | 69 | $277 |
| Short return visit | 370 | $256 |
| Screening test, pure tone, air only | 368 | $216 |
| Application of topical fluoride | 109 | $214 |
| Short return visit (20+ min) | 124 | $57 |
| Bilateral quantitative screening test of visual acuity | 305 | $3 |
| Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | 26 | $0 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 206 | $0 |
| Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use | 23 | $0 |
2019
| Clinic visit/encounter, all-inclusive | 970 | $310,349 |
| Short return visit (20+ min) | 405 | $537 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) | 77 | $485 |
| Short return visit | 486 | $427 |
| Application of topical fluoride | 155 | $389 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 83 | $379 |
| Screening test, pure tone, air only | 366 | $325 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) | 42 | $237 |
| Return visit (30+ min) | 37 | $88 |
| Blood test, lipids (cholesterol and triglycerides) | 16 | $30 |
| Hemoglobin A1C level | 13 | $22 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 12 | $15 |
2018
| Clinic visit/encounter, all-inclusive | 1,019 | $323,790 |
| Short return visit (20+ min) | 382 | $989 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) | 105 | $795 |
| Short return visit | 267 | $493 |
| Return visit (30+ min) | 53 | $482 |
| Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) | 45 | $284 |
| Application of topical fluoride | 108 | $272 |
| Screening test, pure tone, air only | 233 | $261 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 35 | $25 |
| Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use | 12 | $0 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use | 29 | $0 |
| Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use | 126 | $0 |
Professional record
- NPI
- 1093922635
- Licence
- CA A99866California A99866: Current · expires 2027-05-31
More record details
- Sole proprietor
- No
- Taxonomy
- Pediatrics (208000000X)
- Mailing address
- 750 S Bascom Ave, Ste 210, San Jose, CA, 95128
- NPI first listed
- 2007-05-16
- NPI last updated
- 2012-08-13
This is when the NPI record was last certified, not a medical board exam.