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Direct Primary Care
Pediatrics

Pediatrics by Design

Quick Facts

Membership Price RangeBirth to 3 months: $210/month (includes 2 home visits within 5 miles); 4 months to 35 months: $168/month; 3 years to 17 years: $137/month; 18 years to 22 years: $105/month; Maximum per family: $368/month
Practice TypeDirect Primary Care
LocationGreen Lake, Seattle
DoctorsJessica Lindsay MD, Pediatrics
Telehealth TypeVirtual visits, phone, and text/secure messaging
HousecallsYes
Telehealth AvailableYes

About

At Pediatrics by Design, Dr. Jessica Lindsay delivers integrative pediatric care in Seattle's Green Lake neighborhood. She pairs conventional pediatrics with evidence-based therapies including nutrition, mind-body medicine, herbs, and supplements. The practice operates under the Direct Primary Care model, billing a monthly membership fee per child rather than through insurance.

Dr. Lindsay holds board certification in both pediatrics and integrative medicine. She treats the full range of childhood conditions, from routine illness to complex chronic and neurological concerns. Food as medicine guides her clinical thinking; she pursues dietary solutions before traditional modalities. The practice serves a fraction of the patient volume of conventional clinics, allowing one-hour appointments and same-day availability. Families can reach Dr. Lindsay by text, phone, or online scheduling. The membership panel is currently full, with a waitlist available.

Details

Address

7220 Linden Ave N, Seattle, WA 98103

Membership

$137/monthly

Membership Details

Monthly membership per child. No insurance billing. Credit card, debit card, or FSA accepted. Integrative medicine consultation (non-members): $450 (90 minutes); follow-up: $250 (45 minutes). Labs and imaging billed separately through insurance.

Typical Appointment

60 minutes

Telemedicine
House Calls
Same-Day Appointments

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Frequently Asked Questions

Pediatrics by Design charges a monthly fee per child based on age. Newborns through three months are $210 per month, children four months to 35 months are $168 per month, and children three to 17 years are $137 per month. Young adults 18 to 22 years pay $105 per month. The practice caps total family payment at $368 per month regardless of the number of children enrolled.

Yes. A membership covers primary care services, but your child still needs insurance for emergencies, hospitalizations, specialist visits, and any labs or imaging ordered outside the practice. A membership is not a substitute for health insurance coverage.

The membership covers all well-child checkups, vaccinations for patients 18 and under, same-day and next-day sick visits, telehealth and phone consultations, school and camp form completion, in-office testing, simple laceration repairs with dermabond, and coordination of specialty care. Members also receive direct access to Dr. Lindsay by text and phone for urgent and non-urgent needs.

No. Pediatrics by Design does not bill insurance for membership fees or office visits. The practice accepts credit cards, debit cards, and FSA payments. When Dr. Lindsay orders labs or imaging, she submits your insurance information for those charges, which fall outside the membership.

Yes. Dr. Lindsay conducts telehealth visits, phone consultations, and text-based photo consultations. For straightforward concerns like a rash, parents can text Dr. Lindsay a photo and follow up by phone. Virtual visits work well for behavioral concerns and many acute issues that do not require an in-person exam.

Every family must complete a free meet-and-greet appointment before enrolling. This short visit helps both the family and Dr. Lindsay confirm the practice is a good fit. Dr. Lindsay's membership panel is currently full, so new families can join the waitlist through the practice's contact page.

Yes. Dr. Lindsay accepts integrative medicine consultation appointments for non-members under 22 years old. An initial 90-minute consultation costs $450 and takes a deep dive into the child's medical history and prior testing. Follow-up visits are $250 for 45 minutes. The practice provides a super bill for potential insurance reimbursement. Labs and imaging bill separately through insurance.

Dr. Lindsay notifies members in advance when she plans to be out of office. For extended absences, she arranges a covering provider to care for patients. She may also use an after-hours nursing triage service. For urgent needs during those times, she may direct families to urgent care.

No. The practice follows the American Academy of Pediatrics vaccination schedule and expects all member families to do the same. Families who do not plan to vaccinate their children should seek care elsewhere.

Yes. Families can cancel their membership at any time with no penalties or fees. If a family later wants to re-enroll, they must schedule a new meet-and-greet before rejoining. The practice encourages continuous membership to serve as a consistent medical home.

Practice last updated April 17, 2026