Services
How Can Osteopathic Care and Integrative Medicine Help?
Whether you’re ready to optimize your health or are navigating a chronic illness or injury, Dr. Gould focuses on root-cause medicine for people of all ages, from newborns to the elderly.
Dr. Gould is currently ONLY accepting new Osteopathic Manipulative Medicine patients. If you would like to get on the waitlist for integrative consults, the integrative deep-dive pathway she will be launching in the coming months or for primary care membership, please use the contact us button below.
Our Mission
We strive to provide compassionate, integrative care, restoring the doctor-patient relationship of old.
Osteopathic Treatments
Dr. Gould offers osteopathic manipulative treatments, or OMT, to patients of all ages (newborns to elderly! OMT is the best-kept secret in medicine because it can be so profoundly healing. This hands-on approach frees up the body’s structure to help improve overall mind, body, and spiritual function. OMT addresses everything from back pain to depression and overwhelm by helping the nervous system relax, so that the body can move into a state of healing.
Integrative and Functional Medicine
Integrative medicine combines conventional medicine with the best alternative therapies and lifestyle approaches. Whether you would like to lose weight or are looking for approaches to decrease the amount of medications you are on, we are here to help! Have you ever been afraid to ask your doctor about a new supplement you’d like to try because you’re afraid you’ll be ridiculed? Curious about how acupuncture might help you but afraid to ask? Not here! Dr. Gould’s mission is to partner with her patients and help you find the right approach for YOU using ALL available tools.
Wellness Medicine
Dr. Gould is a fully licensed physician, certified by the American Board of Family Medicine. She provides primary care services with a holistic approach and is experienced in managing complex patient illnesses of all ages. Dr. Gould can maintain your pre-existing prescription refills and in SOME cases work with you to wean down on your medications in a safe, gentle manner. She’ll discuss all recommended conventional medical screenings and guidelines and incorporate integrative and functional medicine in your treatment plan. Primary care is offered on a membership basis. This ensures YOU receive the care you deserve (no 7 minute office visits here!). Same day and next day appointments are always available and Dr. Gould is available for after office-hours and weekend urgent questions as well as the occasional house-call. Just like the docs of old! Learn more about our membership options—>
Sports Medicine
Osteopathic manipulative medicine can be a fantastic healing or preventative tool for athletes. Dr. Gould also provides recommendations for stretching and strengthening programs, injury healing and injury prevention and does simple injections (joint and trigger point) in office.
Labs
Dr. Gould believes that obtaining blood-based biomarkers through labs can be one of the greatest tools for patients to learn about their bodies and improve their health.
Dr. Gould is happy to provide this service for healthy patients wanting to optimize their health. For a flat fee, she will order you an extensive lab panel through LabCorp, followed by a 30-minute in-office visit to collect vital signs and review your results. Codes will be provided for insurance coverage of labs if you have insurance and would like to use it, however you may find it cheaper to pay out of pocket— we recommend discussing the specific labs and coverage under your policy prior to getting this done
DISCLAIMER: if something significant shows up on your labs, Dr. Gould insists that you follow up with a medical provider, whether with her or someone else.
Common Conditions We Can Help With
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Headaches & Neck Pain
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Women's Health & Hormones
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Digestive Health
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Injuries
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Sleep Issues
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Fibromyalgia
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Fatigue
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Nursing Issues (Both Mom and Baby)
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Pregnancy Related Aches & Pains
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Joint pain & Arthritis
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Emotional Trauma
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Nerve Impingement & Carpal Tunnel
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Chronic Stress and Anxiety
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Gut and Digestive Issues
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Preventative care
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Sports Performance Optimization
What Our Clients Have to Say
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“I have had chronic pain in my hip for over a decade. I have sought help, had procedures, done PT.. everything under the sun for all that time. Noone could figure it out. Dr. Gould diagnosed hip bursitis almost immediately and prescribed steroid shots into my bursa. That, along with her hands-on work with my hips and back and I feel 90% better. With another visit or two I'm sure I will feel 100%!”
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“Dr. Gould's wise and sensitive care has greatly aided me in improving my overall health and well-being. I have really appreciated [her] common sense approach to my health. [She is] thoughtful and listens really well.”
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“Thank you [Dr. Gould] for all that you have done for me and my family this year. Your willingness to get [my son] the help he needed has changed his life. He’s sick a lot less, having an easier time with school and sleeping better. And I feel heard and helped for the first time in my medical journey. “
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“Dr. Gould is personable, friendly and extremely helpful. I honestly have never had a doctor who did not push an agenda and who truly cares about the patient. I'm 60 years old and this is a first.”
Pricing and Fees
Practice Vision
Durango Integrative Medicine is evolving from a traditional Direct Primary Care (DPC) model into a boutique integrative and osteopathic medical practice focused on relationship-based, highly personalized care.
Goals
- Maintain a small patient panel
- Provide longer, more thoughtful visits
- Preserve direct physician access
- Create sustainable physician workload and work-life balance
- Support deep healing through osteopathic, integrative, and conventional medical care
- Allow time for education, writing, teaching, and future programs
- Build a financially sustainable practice that reflects the value of the care provided
Reminder: This practice is designed to support excellent patient outcomes, physician well-being, creative freedom, family life, and financial sustainability.
Wellness Membership
$195/month
$300 Enrollment Fee
Includes
- 90-minute onboarding visit
- Comprehensive personalized wellness plan
- Direct messaging access
- Routine primary care
- Preventive and wellness care
- Medication management
- Hormone therapy management when clinically appropriate
- Lab ordering and interpretation
- Access to functional medicine testing (additional fees apply)
- Care coordination
- Fullscript discount (20%)
- Access to online resources and educational materials
- Six physician visits per year included (OMM not included)
Member Rates
- Integrative Follow-Up (30 min)$195
- Integrative Follow-Up (45 min)$245
- Integrative Follow-Up (60 min)$300
- OMM Follow-Up (45 min)$150
Child Add-On Membership: $95/month
Concierge Integrative Membership
$495/month
Comprehensive Onboarding Program — $1,295 One-Time Fee ($800 enrollment fee + first month)
Includes
- Two-hour physician intake
- Comprehensive review of prior records and laboratory testing
- Medical timeline review
- Functional and integrative assessment
- Advanced testing recommendations
- Functional medicine testing recommendations and ordering when appropriate
- Personalized treatment strategy
- Initial care plan development
- One 60-minute follow-up visit for implementation and plan review
Ongoing Membership Includes
- One physician visit monthly (up to 60 minutes)
- Integrative medicine, hormone management, telehealth, osteopathic treatment, or combination visits
- Direct messaging access
- Ongoing plan refinement
- Care coordination
- Lab interpretation and treatment adjustments
- Priority scheduling
- Fullscript discount (20%)
Additional Member Rates
- Integrative Follow-Up (30 min)$195
- Integrative Follow-Up (45 min)$245
- Integrative Follow-Up (60 min)$300
- OMM Follow-Up (45 min)$150
Non-Member Pricing
Integrative Medicine
- New Integrative Consultation (90 min)$595
- Integrative Follow-Up (30 min)$255
- Integrative Follow-Up (45 min)$325
- Integrative Follow-Up (60 min)$395
Osteopathic Medicine
- New Osteopathic Evaluation & Treatment (75 min)$395
- Osteopathic Follow-Up (45 min)$250
Pediatric Integrative Medicine
- New Pediatric Integrative Consultation (60 min)$395
- Pediatric Integrative Follow-Up (30 min)$195
- Pediatric Integrative Follow-Up (45 min)$250
Pediatric Osteopathic Medicine
- New Pediatric OMM Evaluation (60 min)$395
- Pediatric OMM Follow-Up (30 min)$195
Medicare / Medicaid / Sliding Scale
Medicare patients receive a 25% discount on pay-per-visit services, member-rate additional visits, and osteopathic visits. Does not apply to membership fees.
Durango Integrative Medicine does not accept Medicaid patients.
Sliding Scale
- 0–150% FPL: 50% discount
- 150–250% FPL: 30% discount
- 250–300% FPL: 15% discount
- Scholarship/sliding-scale panel capped at approximately 10–15 patients.
Communication & Messaging Policy
Membership includes secure messaging access directly with the physician.
Messaging is intended for
- Brief questions about an existing treatment plan
- Medication refill requests
- Clarification of recommendations previously discussed during a visit
- Updates on progress
- Simple administrative or scheduling questions
Messaging is not intended to replace office visits.
The physician may require an appointment at any time if a concern requires
- Medical decision-making
- Review of new symptoms
- Evaluation of a new medical concern
- Detailed treatment planning
- Interpretation of laboratory results
- Multiple back-and-forth communications
- Complex medication or hormone adjustments
Enhanced Messaging Access (Concierge)
Concierge members receive enhanced access and support between visits.
Enhanced messaging does not constitute unlimited physician access and does not replace scheduled visits.
The physician reserves the right to request a visit whenever clinically appropriate.
Appointment Cancellation Policy
Appointments cancelled more than 24 hours in advance may be rescheduled without penalty.
Appointments cancelled within 24 hours may be subject to a cancellation fee.
No-show appointments may be billed at the full visit fee.
Repeated late cancellations or no-shows may result in dismissal from membership or inability to schedule future appointments.
Membership Cancellation & Re-Enrollment
Memberships may be cancelled by the patient with 30 days written notice.
Membership fees are non-refundable.
Patients who cancel and later wish to return may be required to
- Pay a new enrollment fee
- Complete an updated intake process
- Join a waiting list if the practice is not accepting new members
Positioning Statement
Durango Integrative Medicine is not a volume-based medical practice.
Patients are paying for:
- Direct physician access
- Extended appointment times
- Osteopathic expertise
- Integrative and functional medicine knowledge
- Hormone management expertise
- Personalized treatment planning
- Relationship-based care
- A limited patient panel
- Thoughtful, individualized medical care
The value of this practice lies not only in visit time, but in expertise, clinical judgment, ongoing support, and commitment to helping patients achieve meaningful and lasting improvements in health.
Schedule a Session
Our Durango Location
1800 E 3rd Ave unit 101
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. Members may call or text direct doc line with urgent matters after hours and on weekends.