Direct Primary Care · Bitcoin-Native

Healthcare built for
your family.
Not the system.

Pediatric care without insurance barriers, surprise bills, or waiting rooms. A direct relationship with your doctor — paid your way, records owned by you.

Accepted payments
Bitcoin
Lightning
🏦 ACH
💳 Card
$0
Copays or Surprise Bills
<24h
Response Time
100%
Patient Data Ownership
Access to Your Pediatrician

Healthcare the way it should be

Direct Primary Care removes the insurance middleman — so your doctor works for you, not the billing department.

👨‍👩‍👧

Same-Day Access

Call, text, or video your pediatrician directly. No hold music, no referrals to see your own doctor. Real access when your child needs it.

💸

Predictable Flat Fee

One monthly membership covers unlimited visits, messaging, labs at cost, and annual well-child exams. No surprises on your bill — ever.

Unhurried Visits

When we're not seeing 30 patients a day, we can actually spend time with yours. 30-60 minute visits, not 8-minute checkboxes.

🔐

Encrypted Records

Your child's records live on Nostr — a decentralized, encrypted protocol. You hold the keys. Your data goes where you go.

📱

Telehealth Included

Rashes, fevers, behavior questions, prescription refills — handle most things from home. In-office when it truly matters.

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Works with HSA/HRA

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.

Pay how you want.
Own what you earn.

We're the first pediatric practice 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 →
Bitcoin
On-chain settlement
Lightning
Instant, low-fee sats
🏦
ACH
Bank transfer
💳
Card
Visa / Mastercard

Ready to take back your family's healthcare?

Cancel anytime. No lock-in. No insurance required. Just real pediatric care.

Medicine built on trust,
not transactions.

Immutable Health Pediatrics exists because we believe the doctor-patient relationship got hijacked — by insurance companies, corporate health systems, 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. Your records belong to you. Your payments are yours to make how you choose.

Join Our Practice →
01

The doctor works for the patient

In DPC, the practice is funded entirely by patients — not payers. That alignment matters. Your interests and ours are identical.

02

Medical sovereignty is a right

Parents should be able to access, export, and control every piece of their child's health data. Nostr makes that cryptographically guaranteed.

03

Bitcoin is honest money for honest medicine

We accept bitcoin because we believe in sound money, low-time-preference thinking, and giving families more ways to pay without middlemen taking cuts.

04

Relationship over volume

We deliberately limit our panel. Smaller caseload means more time per family, better outcomes, and a pediatrician who actually knows your child's history.

Your records.
Your keys.
Your control.

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 relays you can verify. Take your keys, take your records — to any Nostr-compatible provider.

🔑

Self-Sovereign Identity

Your family gets a Nostr keypair. Records signed by your public key belong to you — not the practice.

🛡

NIP-44 Encrypted

All health data is encrypted before it leaves the device. Only you and your care team can read it.

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Portable & Interoperable

Switch providers, move states, or share with a specialist — your records follow your keys, not a hospital system's permission.

// Patient record · encrypted on Nostr

"kind": 30023,
"pubkey": "npub1qxy2...k8f2",
"tags": [
["patient", "immutable-ehr"],
["encrypted", "nip44"]
],
"content":
"AGu8k2X9mP4qR3nL...ciphertext...xV7wJ1oH=="

// Only your key decrypts this.
// Not us. Not the relay. Just you.

Simple pricing. Everything included.

Flat monthly fee. No copays, no deductibles, no billing codes. Just care.

⚡ BTC/Lightning pricing updated monthly at market rate.

Infant
$79/mo
~ ⚡ ~810 sats/mo
For newborns through 12 months. Intensive support for the most critical first year.
  • Unlimited sick visits
  • All well-baby checks (7 in year 1)
  • 24/7 text & video access
  • Newborn home visit available
  • Nostr-encrypted records
  • Labs at cost (no markup)
Enroll Infant
Teen
$69/mo
~ ⚡ ~710 sats/mo
Ages 13–18. Confidential, comprehensive care through adolescence.
  • Unlimited sick visits
  • Annual well-teen exam
  • Sports & college physicals
  • Mental health & ADHD support
  • Confidential teen visits
  • Transition-to-adult planning
  • Nostr-encrypted records
  • Labs at cost (no markup)
Enroll Teen
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Family Discount

3 or more children enrolled? Get 15% off each membership. Contact us before enrolling to apply the discount.

Contact for Family Rate

No fine print. No exclusions.

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Direct Doctor Access

Personal cell number, text line, and video — reach your pediatrician directly, not a call center or after-hours nurse line.

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Labs at Cost

We order labs through wholesale accounts and pass cost directly to you. Typical labs run 70–90% less than hospital billing rates.

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Prescriptions at Cost

Access to GoodRx, Mark Cuban's Cost Plus, and our preferred pharmacy partners for dramatically reduced medication costs.

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Specialist Referrals

When referrals are needed, we coordinate directly and send your Nostr-encrypted records — no fax machines, no lost paperwork.

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Records You Control

Export your child's complete health history any time, in any format. Your data is always accessible, always yours.

🚫

No Insurance Billing

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.

Get in touch

Have questions about DPC, Bitcoin payments, or Nostr records? We're happy to chat before you commit to anything.

📍
Location
Available via telehealth statewide
📧
Email
hello@immutablehealthpediatrics.com
Nostr
npub1immutable...pediatrics
🕐
Response Time
Within 24 hours, typically same day

Ready to enroll?

If you're ready to join, head straight to our enrollment portal — no referral or pre-approval needed.

Go to Enrollment →

Send us a message