Fees & Payment Information for New and Established Patients

New Patient Fees

Prices Listed Below Are For The First Appointment Only


As an integrative medical practice, we work with a wide variety of types of patients from those interested in general wellness to very complex patients with debilitating chronic illnesses. Office visit charges are based on both the provider that is seen and the time spent working on behalf of patients, this includes preparation time prior to the office visit, direct contact with the patient, either in person or by telehealth, and work spent after the visit creating the treatment plan and nutritional supplement recommendations, ordering labs, and prescribing medications, all which take a considerable amount of time. The total time spent processing most new patients is approximately 4 to 5 hours.

New Patient Visit Fees

  • Comprehensive New Patient

    Our Comprehensive visit is our standard the type of appointment recommended for the majority of patients with complex/chronic conditions or wellness patients wanting the most extensive evaluation.

    A significant portion of the visit is devoted to discussion of our plan for investigation and development of a preliminary treatment plan. Your face-to-face visit with our providers typically lasts 2-3 hours.

    Comprehensive New Patient Visits are carried out with Amanda Roper, PA as well as Dr. Pittman.

    Amanda Roper, PA – Comprehensive Visit is $998

    John Pittman, MD – Comprehensive Visit is $1296 (20% discount given for Wilmington area new patients)

    THIS CHARGE DOES NOT COVER ANY LAB TESTING, TREATMENTS OR SUPPLEMENTS

  • Conversion New Patient

    The Conversion New Patient visit is available to individuals who have already been seen either as an Expedited Colon Therapy patient or for a Thermography consultation. Patients must have been seen within the previous 12 months to qualify for this discounted initial office visit.

    Amanda Roper, PA – Comprehensive Visit is $826

    John Pittman, MD – Comprehensive Visit is $1073 (20% discount given for Wilmington area new patients)

    THIS CHARGE DOES NOT COVER ANY LAB TESTING, TREATMENTS OR SUPPLEMENTS

  • Combined Comprehensive Family New Patient

    We frequently get requests to see multiple members of a family and can provide Combined Comprehensive Family Visits this being limited to two individuals and only available with Amanda Roper, PA.

    A discount of $50 per person will be given for the combined. Both family members must be present during the entire office visit to qualify for this discount. Combined visits are not available for established patients. Be aware that more advance notice is typically needed in order to schedule combined visits as this encounter is around 5 hours long.

Have a question about becoming a new patient?

Current Patient Follow-Up Fees

Prices Listed Below Are For Current Patients Only


A substantial percentage of our patients have multi-system illness, are more debilitated and require extensive therapies for stabilization and symptom management. Many are receiving relatively poor care from their primary care physicians, often bouncing from one doctor to another having their treatment very compartmentalized. Therapies provided are generally only for symptom management with no real effort being made to find the underlying cause. As a result, we are often the last place where many come when nothing else has worked so we have an obligation to provide a level of care and service that they have never received. Providing this higher level of service creates significant challenges for our office and staff but it comes down to the fact that these complex patients need much more time in our encounters in order to cover the multiple issues often present.

Follow-Up Visit Fees

  • Basic Follow-Up Visit

    The “Basic” office visit is based on a 45 minute patient encounter time with an additional 15 minutes of work required after the visit. This is the shortest office visit we provide, only applied to patients who have met their goal of stabilization and are on a simplified maintenance program. This can allow for shorter office visits at a lower cost. This type of visit is scheduled for patients who wish to maintain “Active Status” for their 6 to 12 month follow-ups.

    Amanda Roper, PA – Basic Follow-Up Visit $360

    John Pittman, MD – Basic Follow-Up Visit $448

    THIS CHARGE DOES NOT COVER ANY LAB TESTING, TREATMENTS OR SUPPLEMENTS

  • Standard Follow-Up Visit

    The “Standard” office visit is our typical appointment recommended for the majority of existing patients most often due to working to address complex/chronic conditions.

    The fee for this visit is based on a 60 minute patient encounter time and approximately 30 minutes of additional work required prior to and after the appointment to prepare and develop questions, and to develop a treatment plan.

    Amanda Roper, PA – Standard Follow-Up Visit $448

    John Pittman, MD – Standard Follow-Up Visit $620

    THIS CHARGE DOES NOT COVER ANY LAB TESTING, TREATMENTS OR SUPPLEMENTS

  • Extended Follow-Up Visit

    The “Extended” visit is charged when patients need a much longer and more comprehensive visit, this being the charge for all First Follow Up visits with Dr. Pittman. The fee for this visit is based on a 75 minute encounter time and approximately 30 minutes of additional work required prior to and after the appointment.

    This type of visit can be requested if a patient needs more time with our Providers. An Extended visit is required if patients have not been seen in the practice for more than one year.

    Amanda Roper, PA – Extended Follow-Up Visit $620

    John Pittman, MD – Extended Follow-Up Visit $792

    THIS CHARGE DOES NOT COVER ANY LAB TESTING, TREATMENTS OR SUPPLEMENTS

  • ⭐⭐⭐⭐⭐

    “Dr. John Pittman has saved my life. After many doctors threw their hands up at my complicated, confusing, and debilitating symptoms when I was only 38, Dr. Pittman has completely restored my health. I have treated for with him for 5 years and know that he is committed to restoring me to my best health for life. He stays current with cutting edge science in Integrative Medicine, [thoroughly] tracks my progress, and listens to all of my complaints. I know that he is dedicated to treating everyone. I did have to get strict with cleaning up my diet, but I was willing. Now I’m no longer in bed all the time or in debilitating pain. I can be the parent and wife that my family has been without for 8+ years. I cannot thank Dr. John Pittman enough for his thorough treatment. His staff is amazing too! They have gone out of their way to accommodate my needs when I have to drive far to appointments! I have a life again because of Dr. John Pittman.” – S.W.

  • ⭐⭐⭐⭐⭐

    “I’m so lucky to have found The Carolina Center for Integrative Medicine. Dr. Pittman is unlike any doctor I’ve been able to find. He truly cares and gets to the root cause of illness. Even his staff is wonderful! I also appreciate the alternative medicine choices he offers.” – G.G.

  • ⭐⭐⭐⭐⭐

    “Dr. Pittman is an amazing doctor-caring and intuitive. He is one of the most knowledgeable people I have ever met, always researching and finding the latest treatment protocols. His staff is also caring and professional. I feel like I have my old self back and am truly grateful!” – R.S.