Compare 359 pediatricians in Durham, NC. Check ratings, insurance, and availability.
359
Pediatricians
100%
Accepting patients
73%
Most common: MD
Ranked by Clarity Score, based on profile detail, verification, and patient activity.
Durham is a Duke town when it comes to healthcare. Duke University Hospital is a top-10 nationally ranked medical center, and the Duke Health system is by far the dominant provider in the city. For residents who need something beyond what Duke offers locally, UNC Chapel Hill is only 15 minutes west. The concentration of biotech and pharmaceutical companies in Research Triangle Park means the area attracts physicians who want to be near research.
Durham has 359 pediatricians. The most common credential is MD (73%). 100% are currently accepting new patients. Practitioners see patients in neighborhoods including Downtown Durham, Brightleaf District, Ninth Street, and Trinity Park.
Durham is compact compared to Raleigh and Charlotte. Duke University Hospital and Duke Regional Hospital are both within a few miles of downtown. Most medical offices cluster along Erwin Road near the Duke campus or along NC-147 (Durham Freeway). Getting to UNC Chapel Hill is a straight shot west on I-40. The area is small enough that most drives to medical appointments are under 15 minutes.
Nearby hospitals include Duke University Hospital, Duke Regional Hospital, and Durham VA Health Care System. Local training programs run through Duke University School of Medicine and North Carolina Central University. Duke University Hospital is consistently ranked among the top 10 hospitals in the nation.
Blue Cross Blue Shield of North Carolina is the dominant carrier, with strong Duke Health network coverage. UnitedHealthcare and Aetna are common through large employers and the biotech sector. NC Medicaid through WellCare and AmeriHealth Caritas covers Duke Regional and community health centers. Duke's employee health plan is one of the largest in the Triangle. 16% accept Medicare.
Well-child visits include height, weight, and head circumference measurements, a developmental screening, a physical exam, and vaccinations per the recommended schedule. Your pediatrician will ask about eating, sleeping, and behavior, and answer your questions. Sick visits focus on the specific concern and may include rapid tests for strep, flu, or other conditions.
Duke Health dominates the local market. If your insurance covers Duke, it simplifies referrals and records. If not, Duke Regional Hospital and community health centers offer broader insurance acceptance.
See a pediatrician for well-child visits (the recommended schedule starts at birth and includes visits at 1, 2, 4, 6, 9, 12, 15, 18, 24, and 30 months, then annually), vaccinations, fevers, ear infections, rashes, developmental concerns, behavioral issues, sports physicals, and any illness or injury in your child.
Well-child visit: $0 (preventive) · Sick visit copay: $20-50 · Vaccinations: $0 (covered preventive)
Durham, NC has 359 licensed pediatricians. 100% are currently accepting new patients, so finding an available provider should be straightforward.
Yes. 100% of pediatricians in Durham, NC are currently accepting new patients. You can filter your search on FindClarity to show only providers who are taking new patients.
Blue Cross Blue Shield of North Carolina has the broadest network and covers most Duke providers. Some Duke specialists may require prior authorization. NC Medicaid is accepted at Duke Regional and Lincoln CHC.
Well-child visits and vaccinations are covered as preventive care (no cost). Sick visit copays range from $20 to $50. Actual costs in Durham, NC depend on the provider and your insurance plan. All well-child visits and recommended vaccinations are covered at 100% under the ACA. If your child has a chronic condition, ask about care coordination services that may reduce out-of-pocket costs.
Duke Health is the primary system in Durham. Duke University Hospital handles complex and specialty care, while Duke Regional Hospital provides community-level services. For non-Duke options, Lincoln Community Health Center and UNC Health (in nearby Chapel Hill) are alternatives.
16% of pediatricians in Durham, NC accept Medicare. Medicare does not cover pediatric care. Children are typically covered under a parent's employer-sponsored plan, a Marketplace plan, Medicaid, or CHIP. You can filter for Medicare-accepting providers on FindClarity.
Some pediatricians in Durham, NC accept NC Medicaid (Healthy Opportunities), the state's Medicaid program. Medicaid and CHIP provide comprehensive healthcare for children, including well-child visits, vaccinations, dental, vision, and mental health services. Coverage is available for children in families with incomes up to 200% to 300% of the federal poverty level, depending on the state. Contact the provider's office directly to confirm NC Medicaid (Healthy Opportunities) participation before scheduling.
No. Duke provides primary care, routine specialist visits, and urgent care alongside its nationally ranked specialty programs. Duke Primary Care has offices throughout Durham for everyday medical needs.
Durham's Lincoln Community Health Center accepts Medicaid, Medicare, and offers sliding-scale fees. UNC Health facilities in Chapel Hill (a 15-minute drive) may also be in your network. Duke Regional Hospital accepts a broader range of plans than the main Duke campus.
Top accepted carriers in Durham, NC include unitedhealthcare, qhp-11512, cigna, centene, and medicare.
Well-child visits and vaccinations are covered at 100% as preventive care under the ACA, with no copay. Sick visits have standard copays. Most plans cover children's preventive services through age 18. If your child needs specialist care, your pediatrician can provide referrals. Check if your plan requires selecting a PCP for your child.