Direct Primary Care

Membership

Primary care reimagined in Durango, Colorado.


At Durango Integrative Medicine, we provide concierge-style, membership-based family medicine that blends conventional care, integrative medicine, and osteopathic healing. Patients of all ages enjoy direct access to their doctor, high-quality integrative care, and a trusted partner on their journey to lasting wellness.

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an integrative primary care doctor working with a patient

Trust: compassion: quality: integrity.

Direct primary care (DPC) is a relationship-based model that allows medicine to slow down.
Instead of billing insurance, patients partner with their physician through a simple monthly membership. This creates space for longer visits, thoughtful care, and ongoing support—without rushed appointments or administrative barriers.

In this practice, DPC is paired with an osteopathic and integrative approach that prioritizes regulation, resilience, and whole-person health. Membership includes direct access to your physician, unrushed visits, and care that addresses the nervous system, structure, lifestyle, and physiology together—so issues are addressed early, not after they’ve escalated.

Our Direct Primary Care Membership Offers:

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    Improved access to the physician

    Always get directly ahold of your doctor with questions—avoid endless holds, speaking to nurses, and waiting days for a response

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    Improved access to care

    Get immediate care when you need it. Get same or next day appointments with your doctor!

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    Happy doctors and happy patients

    Membership systems give your doctor the time they need to be better doctors and maintain a better work-life balance with reduced burn out

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    High quality, personalized care by a provider who truly knows you

    DPC doctors carry a much lower number of patients enabling them to get to know each patient and their needs (rather than carrying 2000+ patients on a panel most DPC doctors carry anywhere from 250 to 600 patients)

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    Transparent costs

    Many services are covered in the monthly subscription. Osteopathic manipulative medicine visits, labs, medications and home visits will all incur a small secondary charge which we will discuss up front prior to patients joining the membership.

*DPC allows providers to take care of most primary and urgent care needs. Occasionally patients will still need the ER or hospitalization but overall studies show these rates are decreased by better access to care and earlier intervention. Most patients pair their DPC care with a high-deductible insurance plan or a health-share to cover any needs not covered in our DPC practice. 

Durango Direct Primary Care Base Membership Pricing:

All memberships require a one-time $150 one-time enrollment fee.
New patient appointments are 90 minutes to go over detailed functional medicine health history and get to know you well as a patient. 

*small number of discounted memberships available for patients who cannot afford my fees

  • Adult (age 18+)

    $120/month

  • Child

    Without enrolled adult - $95/month

    With enrolled adult $85/month

  • FLC Students, RYT or LMT

    $50/month

    *only a small number available

  • Telehealth only

    20% reduction from Base Membership

    Patients in the state of CO but outside of Durango

A different way to think about healthcare

Most families are used to reactive care — bouncing from appointment to appointment when something goes wrong.

Our membership model is designed for something different: maintaining health, restoring balance early, and preventing the cascade that leads to repeated illness.

Many of our patients find that fewer visits, fewer medications, and more personalized care ultimately saves them time, stress, and money — while supporting a healthier body long-term.

Upgrade Options

For patients who want deeper support, more hands-on care, or a more integrated experience

Many patients start with our Base Membership and later choose to deepen their care as their needs evolve. These upgrade options are designed for those who want more hands-on osteopathic treatment, longer visits, or a higher level of access and continuity.

Upgrades are always optional and can be discussed at any time — there is no pressure to choose more than what feels supportive and sustainable for you.

Osteopathic Membership

For patients who value regular hands-on care and nervous system support

This membership is ideal for patients who benefit from ongoing Osteopathic Manipulative Medicine (OMM) as part of their wellness or healing plan.

It includes:

  • A monthly osteopathic visit built into your membership

  • Longer, unhurried appointments focused on whole-body alignment and nervous system regulation

  • Reduced per-visit costs compared to pay-per-visit osteopathic care

  • Integration of osteopathic treatment with your primary care and wellness goals

Many patients choose this option when they notice how much better they feel — physically and emotionally — with consistent hands-on care.

Concierge Membership

For patients seeking the highest level of access, continuity, and personalized care

The Concierge Membership is designed for individuals or families who want a highly personalized, relationship-based medical experience with maximum access and flexibility.

This option may include:

  • Priority scheduling and extended visits

  • More frequent hands-on osteopathic care as needed

  • Direct access for complex or evolving health concerns

  • A deeper level of integration across physical, emotional, and lifestyle factors

This tier is intentionally limited to ensure availability, presence, and depth of care.

**Concierge care is offered to a very small number of patients to preserve depth, access, and sustainability.

When the concierge panel is full, we maintain a waitlist and extend invitations as availability opens. This ensures care remains spacious, attentive, and unhurried.

We believe healthcare works best when it is proactive, relational, and grounded in trust. Many of our patients find that investing in consistent care helps them spend less time reacting to illness — and more time living well

*Osteopathic visits unused one month have a one month carry-over availability but do not accrue past that.

**Physician makes attempts to respond to patient request within 24 hrs/ reasonable time-frame but does not make promises to always be available after hours. DPC physician access is like having a doctor in the family whom you may call or text with questions and get a reasonable timed response.

Join Today
Schedule a free meet and greet

Our Durango Location

1800 E 3rd Ave unit 102
Durango, Colorado 81301

970-782-7540
nataliegoulddo@gmail.com

Monday By Appointment
Tuesday 9:30AM-4PM
Wednesday 9:30AM-5PM
Thursday 9:30AM-5PM
Friday By Appointment
Saturday CLOSED
Sunday CLOSED

*Dr. Gould will be returning phone calls on Mondays and Fridays as well.