Pediatric care without insurance barriers, surprise bills, or waiting rooms. A direct relationship with your doctor — paid your way, records owned by you.
Direct Primary Care removes the insurance middleman — so your doctor works for you, not the billing department.
Call, text, or video your pediatrician directly. No hold music, no referrals to see your own doctor. Real access when your child needs it.
One monthly membership covers unlimited visits, messaging, labs at cost, and annual well-child exams. No surprises on your bill — ever.
When we're not seeing 30 patients a day, we can actually spend time with yours. 30-60 minute visits, not 8-minute checkboxes.
Your child's records live on Nostr — a decentralized, encrypted protocol. You hold the keys. Your data goes where you go.
Rashes, fevers, behavior questions, prescription refills — handle most things from home. In-office when it truly matters.
DPC memberships are eligible for HSA and HRA spending. Pair with a catastrophic insurance plan for complete family coverage at a fraction of the cost.
We're the first pediatric practice of its kind to accept Bitcoin and Lightning. Pay monthly in sats, settle annually on-chain, or use traditional ACH or card — your choice, zero judgment.
Medical sovereignty starts with financial sovereignty. We built this practice around that belief.
Join & Choose Payment →Cancel anytime. No lock-in. No insurance required. Just real pediatric care.
Immutable Health Pediatrics exists because we believe the doctor-patient relationship got diluted — by insurance companies and billing bureaucracies that turned children into claims.
Direct Primary Care strips all of that away. No in-network games. No prior authorizations for basic care. No 7-minute appointments where your pediatrician is half-distracted by EMR checkboxes. Just a doctor who knows your child, available when you need them.
We chose Bitcoin and Nostr because they reflect the same values: open, permissionless, sovereign and secure. Your records belong to you. Your payments are yours to make how you choose.
Join Our Practice →In DPC, the practice is funded entirely by patients — not 3rd party payers. That alignment matters. Your interests and ours are identical.
Parents should be able to access, export, and control every piece of their child's health data. Nostr makes that cryptographically guaranteed.
We accept bitcoin because we believe in sound money, low-time-preference thinking, and giving families more ways to pay without middlemen taking cuts.
We deliberately limit our panel. Smaller caseload means more time per family, better outcomes, and a pediatrician who actually knows your child's history.
Traditional EHR systems lock your medical records inside proprietary silos. Epic, Cerner, AthenaHealth — they own the database. You have "access" but no portability.
We built our records system on Nostr, the open decentralized protocol. Your child's records are signed with your cryptographic key, encrypted end-to-end, and stored on our private relay you can verify. Take your keys, take your records — to any Nostr-compatible provider.
Your family gets a Nostr keypair. Records signed by your public key belong to you — not the practice.
All health data is encrypted before it leaves the device. Only you and your care team can read it.
Switch providers, move states, or share with a specialist — your records follow your keys, not a hospital system's permission.
Flat monthly fee. No copays, no deductibles, no billing codes. Just care.
⚡ BTC/Lightning pricing updated monthly at market rate.
3 or more children enrolled? Get 15% off each membership. Contact us before enrolling to apply the discount.
Contact for Family RatePersonal cell number, text line, and video — reach your pediatrician directly, not a call center or after-hours nurse line.
We order labs through wholesale accounts and pass cost directly to you. Typical labs run 70–90% less than hospital billing rates.
Access to GoodRx, Mark Cuban's Cost Plus, and our preferred pharmacy partners for dramatically reduced medication costs.
When referrals are needed, we coordinate directly and send your Nostr-encrypted records — no fax machines, no lost paperwork.
Export your child's complete health history any time, in any format. Your data is always accessible, always yours.
We don't bill insurance for DPC visits, which means no prior auths, no claim denials, and no insurance company dictating your child's care.
Have questions about DPC, Bitcoin payments, or Nostr records? We're happy to chat before you commit to anything.
If you're ready to join, head straight to our enrollment portal — no referral or pre-approval needed.
Go to Enrollment →Not a member? No problem. Request a one-time virtual consultation for your child — sick visits, second opinions, follow-ups, and more. Encrypted video, same-day turnaround, pay your way.
Fill out a brief intake form with your child's symptoms and preferred timing. No account needed — just your name, state, and what's going on.
We'll review your request and confirm your appointment within 24 hours. You'll receive portal access and instructions to join the encrypted video visit.
Join your video visit through our patient portal. End-to-end encrypted, no app download required. Your child's records are encrypted and portable from day one.
Virtual visits are great for fevers, rashes, ear pain, coughs, stomach bugs, pink eye, behavioral concerns, medication refills, second opinions, and follow-up care. If your child needs hands-on examination, we'll let you know and help coordinate local care.
Available to families in states where we hold an active medical license. Select your state during the intake process to confirm eligibility.
Request a Visit →Even for one-time virtual visits, your child's records are encrypted with Nostr — the same self-sovereign standard we use for our DPC members. You'll receive a cryptographic keypair that gives you permanent, portable access to your child's visit notes, prescriptions, and any follow-up care.
Pricing depends on the visit type and duration. We'll confirm the cost before your appointment. Bitcoin (Lightning or on-chain), ACH, and card accepted.
No. Virtual consultations are direct-pay. No insurance billing, no claims, no surprise bills. We can provide a superbill for HSA/HRA reimbursement.
We see patients from birth through age 18. A parent or guardian must be present for the virtual visit.
Absolutely. Virtual visit patients can transition to a monthly membership at any time. Your records carry over automatically — same keys, same history.