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.
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.
Primary Care 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 DPC membership →
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
Dr. Gould is an out-of-network provider, meaning she does not bill insurance directly. This model allows her to spend the time each patient deserves—providing personalized, unhurried, and comprehensive care without the constraints of insurance-based medicine. Rather than managing 100+ patients a week, Dr. Gould maintains a smaller patient panel so she can truly get to know you, understand your story, and be there when you need her. Her mission is to restore the doctor–patient relationship to one built on trust, access, and genuine connection.
Membership and Pay-Per-Visit Options
Non-members are welcome to schedule visits on a pay-per-visit basis.
For patients seeking an ongoing relationship with their physician, Direct Primary Care (DPC) membership provides greater continuity, access, and value.
Membership benefits include:
• Direct communication with Dr. Gould via secure message or text for primary care questions
• Priority scheduling and same- or next-day appointments when available
• Longer, relationship-based visits
• Discounts on supplements and osteopathic treatments
Imagine your child wakes up sick and you’re unsure whether they need to be seen—you can simply message your doctor for guidance and receive timely advice. In addition to conventional medical care, Dr. Gould can offer thoughtful guidance around supportive therapies, including herbs and supplements that may help your child recover safely.
That’s the Direct Primary Care model in action.
Direct Primary Care focuses on ongoing primary care, including preventive care, acute illness, chronic disease management, medication management, and basic laboratory ordering and review. Dr. Gould does include hormone therapy in base membership as well, though there may be additional fees for functional labs and interpretations.
More in-depth integrative or root-cause evaluations—such as complex laboratory interpretation, detailed treatment planning, or comprehensive functional medicine work—are offered through separate consultation visits or integrative care programs.
Dr. Gould’s fees reflect her extensive training in integrative, functional, and osteopathic medicine, bringing a broader lens to primary care and supporting patients in moving from reactive “sick care” toward sustained wellness.
Patients often tell me they feel relieved to invest in their health proactively rather than constantly reacting to symptoms. As one parent shared:
"We’re happy to pay monthly for a healthy child."
Membership Options:
Dr. Gould offers a membership-based model designed to support different levels of care—from ongoing primary care to deeper integrative medicine.
Direct Primary Care Membership:
For patients seeking a close, relationship-based approach to primary care.
Adults (18+): $120/month ($1,440/year)
Children (0–17): $95/month ($1,140/year)
FLC Students: $50/month ($600/year)
Telehealth Membership:
Available for Colorado residents living outside of Durango at a 20% reduced rate.
Enrollment Fee:
A one-time $150 registration fee is due at sign-up.
Includes:
• Acute visits and illness care
• Chronic disease management
• Preventive care and wellness visits
• Basic lab ordering and review
• Medication management
• Direct messaging for primary care questions
• Priority scheduling
This model allows for a more responsive and personalized approach to care.
Osteopathic Treatment (OMM)
OMM is available to members at a discounted rate:
• Adult: $150 per visit
• Medicare: $100 per visit; Pediatric $120
Direct Primary Care + Osteopathic Membership
For patients who benefit from regular hands-on treatment in addition to primary care.
Adults (18+): $225/month
Includes:
• All Direct Primary Care membership services
• One osteopathic treatment session (45 min) per month
Additional OMM visits are available at the member rate.
Integrative Medicine Deep-Dive Membership
$495/month + $495 enrollment
A deeper, root-cause approach to healing.
This membership is designed for patients who are ready to move beyond symptom management and take a more thoughtful, comprehensive approach to their health.
Whether you are navigating hormone imbalance, digestive concerns, fatigue, autoimmune conditions, or complex multi-system symptoms, this level of care provides the time and continuity needed to truly understand what is going on in your body.
A Different Kind of Care
Integrative medicine is not a quick visit or a one-time plan.
It is a process of:
• understanding patterns over time
• identifying underlying root-cause drivers
• making thoughtful, stepwise changes (often slower is better for lasting change)
• adjusting based on how your body and nervous system responds
This requires both time during visits and attention between them.
This membership creates the space for that level of work.
What’s Included:
• Monthly 45-minute integrative visit (in-person or telehealth)
• Monthly osteopathic treatment session (45 min)
• Detailed personalized lab interpretation and strategy (conventional + targeted functional labs)
• Ongoing plan refinement and adjustments
• Secure messaging related to your care
OMM is included because it is a core part of Dr. Gould’s integrative approach—supporting structural alignment, nervous system regulation, and overall healing alongside lab-based and lifestyle interventions.
Initial Evaluation
Enrollment includes a comprehensive initial evaluation:
• 120-minute intake (history, exam, and focused osteopathic assessment and treatment)
• Review of prior records and labs
• Personalized lab planning and ordering
• 60-minute follow-up to review findings and begin treatment
• One full osteopathic treatment session
Who This Is For
This membership is a good fit if you:
• feel like you’ve “tried everything” but still don’t feel well
• want to understand the root cause of your symptoms
• are open to lifestyle, nutrition, and treatment changes
• value a collaborative, ongoing relationship with your physician
• are ready to invest time and energy into your health
Important Note
Integrative Medicine Membership provides consultative care and does not replace primary care. Patients may maintain Direct Primary Care membership, work with an outside primary care provider, or schedule primary care visits separately as needed.
3 month minimum suggested, but not required. Results are not guaranteed
Non-Membership Prices:
Non—member pricing for consult services:
Adults
New patient integrative/functional medicine consult adult (90 min): $495
Includes: full comprehensive review of medical history and past, lifestyle review, hormone/stress/sleep/digestion review, full physical exam, osteopathic scan and targeted treatment if appropriate, any new lab or other testing recommended, comprehensive personalized healing protocol (written down and sent to you). Follow-up messaging for quick questions/support
We are now requiring a follow-up visit to review your personalized protocol*.
New patient Osteopathic manipulative treatment (OMT) adult (75 min): $350
Follow up OMT $215 (45 min)
Follow up integrative/functional med (may include targeted OMT if appropriate):
Up to 60 min $325
Up to 45 min $265
Up to 30 min $195
Up to 15 min $150
Medicare patients OMT: $275 new pt (up to 90 min), $150 follow-ups (up to 45 min)
Medicare annual integrative wellness visit: $395 (75 min)
Adult lab-only visit: comprehensive (basic) lab order (can be ordered through insurance or cash-pay at reduced rates) with 30 min consult to review: $225
New patient hormone consult (adult, focused) (75 min): $395
Follow up hormone consult (focused) (45 min): $225
Medicare integrative/ hormone consult rates are offered at approximately a 25% reduction from standard visit pricing.
Pediatric
New Pediatric visit (WCC, or OMT) (<18) (up to 60 min): $295
Established WCC $250 (up to 45 min)
Pediatric follow-up (30 min) $165 (can be regular/sick visit, or OMT)
Follow up pediatric quick visit (15 min) $110
Telehealth:
Telehealth consults available upon request for patients who do not live locally (must be in CO)
*Billed time includes after hours work and may not be the same as face to face time
*Office policy for messaging: Direct physician messaging is for membership patents only. Brief follow-up questions will be answered to the best of physician ability. Longer questions will require a brief office visit to be scheduled or will be billed according to time.
Integrative & Root-Cause Medicine
Some health concerns require a deeper level of investigation and care than traditional primary care visits allow.
Dr. Gould offers integrative medicine consultations for patients seeking a root-cause approach to conditions such as hormone imbalance, digestive issues, chronic fatigue, autoimmune concerns, and complex multi-system symptoms.
These visits allow time for detailed history review, advanced laboratory planning, and personalized treatment strategies.
Patients may pursue integrative care through extended consultations on a pay-per-visit basis.
For those seeking more structured support, ongoing integrative care options are available or currently being developed, including longitudinal care pathways and an integrative membership model for patients working on deeper health concerns.
More details on these programs will be available soon.
Superbills and medical receipts are provided for OMM visits and consults.
This is a medical receipt that may be submitted to your insurance company for reimbursement. If you have an HMO plan you will likely not be reimbursed. If you would like to inquire with your insurance company for their reimbursement rate before your treatment, the medical billing codes typically used are 99205 for new patient office visits and 99214 or 99215 for follow-up office visits. OMT is billed using OMT procedure codes and varies by areas treated.
Medicare
Dr. Gould has opted out of medicare. She is still listed as an ordering physician and labs/ imaging can be covered by medicare. We do offer special office rates for medicare patients.
Dr. Gould may be accepting medicaid in the future—please check back.
*Home visits are offered when needed but will have additional charge for members. Osteopathy is incorporated into primary care in many visits without additional charge— for example if you have a sinus infection you will receive proper treatment medically but also will have a quick treatment to open lymphatics and encourage drainage. Osteopathic only appointments do have an additional fee (members pay $150 for full OMM visits)
**A 15-minute New Patient Discovery Call is provided free of charge for all prospective patients to answer any questions and ensure you’re a good fit for the practice.
Schedule a Session
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. Members may call or text direct doc line with urgent matters after hours and on weekends.