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  • Dr. Natalie Bruce
  • Services & Fees
    • Functional Pediatrics
    • PANS and PANDAS
    • Ear Piercing
  • FAQs
  • Clinic Info
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    • Home
    • Dr. Natalie Bruce
    • Services & Fees
      • Functional Pediatrics
      • PANS and PANDAS
      • Ear Piercing
    • FAQs
    • Clinic Info
  • Home
  • Dr. Natalie Bruce
  • Services & Fees
    • Functional Pediatrics
    • PANS and PANDAS
    • Ear Piercing
  • FAQs
  • Clinic Info

Functional medicine aims to find and treat the root causes of illness.  At Nurturing Pediatrics, this means moving beyond a one-size-fits-all symptom-based treatment model that to one that creates personalized care plans grounded in each child’s biology, lifestyle, and environment. in order to promote long-term health and wellness. 


Integrative medicine is a whole-person approach to care that thoughtfully combines the best of conventional medical treatment with evidence‑informed complementary therapies. The goal is to promote healing, balance, and long‑term health by using the most effective tools available. 


The pre-consultation is a virtual meeting with caregivers only. It allows families to share general areas of concern, learn about the structure and scope of services offered by Nurturing Pediatrics, and determine whether pursuing a consultation is a good fit.  


Developing a thorough understanding of a child’s clinical picture typically takes about 2 hours for straightforward cases and up to 10 hours or more for complex cases. A physical exam is also a vital part of an evaluation. Providing medical advice based on partial information obtained in a brief virtual encounter could be helpful but it may also be harmful.  This is why medical guidance is only provided within an established clinical relationship where we can devote the time and attention each child deserves.


Our care model allows us to focus on patients rather than insurance requirements, ensuring adequate time for thoughtful, individualized care.


Yes, you may pay for services using HSA or FSA cards.  We can provide a receipt for services if needed.


The majority of physician time and professional services are provided during the initial weeks of the consultation, but the payment is divided over two months for financial convenience and to allow time for treatment and monitoring.


Additional clinical expenses during your work with Nurturing Pediatrics will likely include:

  • Labs (see next FAQ)
  • Supplements (more about that here)


We will order appropriate lab testing based on your child’s history and examination, and we will work together to find the most cost-effective option.

  • The first tests ordered through Labcorp are generally routine labs that are often well-covered by insurance; however, insurance pricing varies widely. Out‑of‑pocket costs have ranged from no cost to over $1,000, with higher amounts most commonly associated with high‑deductible plans prior to meeting the deductible.
  • The cash-pay rates for the above mentioned Labcorp labs range from $130-350. Higher costs are usually associated with more extensive testing, such as evaluations for conditions like PANS/PANDAS.
  • Functional testing involves specialized labs that evaluate how the body is functioning by identifying patterns and imbalances, rather than diagnosing disease. These tests are typically not used first, as most children benefit from addressing common, treatable factors first. Functional tests are self-pay and not covered by insurance. They can range from about $90 for simpler tests to $1,150 for more comprehensive genetic evaluations. We do not mark up lab fees. Any additional charges for physician time needed for review or follow-up will be discussed ahead of time.


With your permission, we will provide your pediatrician with a summary of our work together and coordinate care as needed.


We no longer accept new direct primary care patients.  This change allows our pediatrician to offer specialty consultations to more children.


Please complete the form at the bottom of the page of the service you are interested in.  We will contact you within 48 hours regarding the next steps.


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1415 W NC-54 Suite 124, Durham, NC 27707

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