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Direct Primary CarePediatrics

Dr. Riley Pediatrics

Quick Facts

Membership Price Range$100 one-time enrollment fee per child (max $300); 0-3 Months: $120/month; 3 Months-1 Year: $100/month; 1-3 Years: $90/month; 4-5 Years: $80/month; 6-11 Years: $70/month; 12-18 Years: $60/month; Max Per Family: $300/month; 5% discount if year paid in full
Practice TypeDirect Primary Care
LocationLiberty Park, Mountain Brook, The Cottswold
DoctorsRiley Livingston MD, MPH, Pediatrics
Telehealth TypePhone, video chat, and text messaging
HousecallsYes
Telehealth AvailableYes

About

At Dr. Riley Pediatrics, Dr. Riley Livingston delivers membership-based direct primary care for children in Liberty Park and Mountain Brook, Alabama. The practice centers on home visits, bringing pediatric care directly to families rather than requiring sick children to travel. Dr. Livingston treats newborns through teenagers, with particular attention to families with infants under three months and immunocompromised children.

Members receive same-day and next-day appointments seven days a week, with appointment lengths ranging from 30 to 90 minutes. Dr. Livingston manages chronic conditions including asthma, eczema, and ADHD alongside well-child visits, sports physicals, and specialist coordination. The practice also offers Parent Wellness Boosters, a program of Vitamin C, B12, and Glutathione infusions and injections developed by Dr. Livingston and her partner Hannah Crow, CRNP, for parents of enrolled members. Membership grows in 100-patient increments to maintain the quality of care the practice promises.

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Frequently Asked Questions

Monthly fees vary by the child's age, ranging from $120 per month for infants under three months down to $60 per month for children ages 12 to 18. Families with multiple children receive discounts, with a maximum family rate of $300 per month. A one-time enrollment fee of $100 per child applies, with a family cap of $300. Paying the full year upfront earns a 5% discount.

Yes. The monthly membership covers Dr. Livingston's direct care services, but it does not replace insurance for labs, imaging, vaccines, specialty visits, ER visits, or hospital stays. Dr. Riley Pediatrics does not bill insurance for membership fees, but most families carry private insurance alongside their membership for those additional costs.

Yes. Home visits are a core part of the practice. Dr. Livingston conducts sick and well-child visits in the family's home. She strongly prioritizes in-home care for newborns from birth through three months and for children with compromised immune systems.

Start by completing the pre-enrollment form on the Dr. Riley Pediatrics website. Dr. Livingston then meets personally with each prospective family, typically in the family's home, to answer questions before any financial commitment. There is no obligation until the membership agreement is signed.

Membership covers acute and non-acute sick visits at home, well-child checkups, extended appointments of 30 to 90 minutes, same-day and next-day scheduling, sports and camp physicals, chronic condition management, minor procedures, vision screening, routine labs, specialist care coordination, and 24/7 direct access to Dr. Livingston. The practice also provides access to a patient portal for scheduling, messaging, and records.

Yes. Dr. Riley Pediatrics offers same-day and next-day appointments Monday through Sunday. Parents schedule directly through the online portal, and Dr. Livingston adjusts availability based on patient needs and the season.

Yes. The practice contracts with Vaxcare, a third-party company, to provide vaccines for patients with private insurance and bill those vaccines to the insurance provider. Dr. Livingston follows the AAP-recommended vaccine schedule. For families who prefer an alternative schedule, she works with parents after a thorough discussion of their concerns.

Yes. Dr. Livingston handles many concerns via phone, video chat, or secure messaging. She and each family determine together whether an issue warrants an in-person visit or whether a virtual or phone consultation meets the child's needs.

In most cases, Dr. Livingston remains reachable by phone or electronic means while traveling. If she lacks adequate coverage, a board-certified pediatrician covers the practice. She notifies members at least two weeks in advance, and typically more than three months ahead, of any scheduled absences.

Yes. Members may cancel at any time without fees or penalties. The practice asks for 30 days written notice before cancellation. If a family wishes to rejoin and an opening exists, a re-enrollment fee applies.

Practice last updated August 16, 2026