Pinehurst Medical Clinic

Wellness Clinic

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About Us

At Pinehurst Medical Clinic, we are proud to work as a team to meet your individual needs. We understand that there are many factors that affect your health, from genetics to lifestyle, and we are here to help. Our Wellness Department hosts a team of health coaches from a variety of educational backgrounds, all chosen to better serve you and your needs. Whether it is help with strategies to lose weight, nutritional education for conditions such as diabetes or someone to talk to for emotional troubles, we are here to help YOU!

Our Services

Annual Wellness Visits

An annual wellness visit is led by one of our health coaches and is a time for you to review important aspects of your overall health and well-being. It is not a physical exam with your doctor. This is an opportunity for you to receive guidance from the health coach on improving and maintaining your health, learning about helpful strategies and resources. Together, you will set goals that are important to YOU. Similar to the childhood book by Dr. Seuss, “My Book about ME,” the Annual Wellness Visit is where you complete your adulthood version of “My Book about ME” (figuratively, not literally) at no cost to you. Medicare and Medicare Advantage plans cover this 100% as a preventive maintenance visit.

Intensive Behavioral Therapy for Obesity (IBT)

Don’t be intimidated by the name, IBT is simply health coaching for weight loss. If your body mass index (BMI) is greater than 30 kg/m2 (obese), then you qualify for this service. You are able to meet with one of our health coaches who are trained in nutrition, exercise, and lifestyle management. Your health coach will help you navigate through your weight loss journey. We will not prescribe a specific “diet,” but we will engage in exploring what works best for you and your lifestyle, guiding you through positive changes that can last a lifetime. Your IBT sessions will start with more frequent visits, gradually adding more time between visits. Medicare and Medicare Advantage plans cover 22 visits per year at 100%. Some private insurances will also cover IBT.

Medical Nutrition Therapy (MNT)

Medical Nutrition Therapy (MNT) is a service that allows you to meet one-on-one with a registered dietitian to learn about how specific types of food affect health conditions you may have. Some health conditions, such as diabetes, kidney disease, celiac disease, along the others, are significantly improved when changes are made in our daily food choices. In order to make these lifestyle changes, it helps to have a better understanding of food, while also learning strategies and tips to make food selection simpler. MNT can help with this. Medicare and Medicare Advantage plans cover this 100% for those with diabetes and kidney disease. Private insurances may cover this for other diagnoses as well. We can you help determine what your insurance will provide.

Behavioral Health Counseling

Feelings of sadness, feeling blue, down in the dumps or worried, nervous, uptight and anxious are all normal feelings. When these feelings begin to take over your daily thoughts and affect your everyday behaviors, it is time to call for help. Your emotional health is just as important as your physical health and both influence each other greatly. The Behavioral Health Counseling program provides a safe, confidential and non-judgmental environment while being guided through your feelings to work toward solutions. This service is provided by one of our health coaches who are professionally trained as a Licensed Clinical Social Worker (LCSW). The initial visit will be approximately an hour long and includes a general emotional assessment. You and the LCSW will determine the duration, frequency and length of any subsequent visits. We can see those who have traditional Medicare, FCC Medicare and FCC insurance.  There is a co-insurance or co-pay depending on your plan.  If you have a secondary insurance, it often covers that portion.

Diabetes Self-Management Education

Living with diabetes can be very manageable when you have the correct information and the confidence to make healthy decisions that will help control your blood sugar (glucose) levels. With our DiabetesSmart program, we can help coach and empower you through the decision making process. You have access to our diabetes team of dietitians, nurses and health educators who work directly with your doctor. Our DiabetesSmart program consists of an initial one-on-one assessment, followed by group education. During our time together, you will learn more about diabetes and how it affects your body, how to make lifestyle changes to better manage the condition, how to read food labels and determine what a carbohydrate really is and how to fit them into your diet without going overboard. Our goal is for you to feel confident in your ability to live happy and successfully with diabetes. Most insurance plans cover diabetes self-management education and training with a co-insurance. If you have a secondary insurance, it often covers that portion.

Tobacco Cessation Counseling

Quitting smoking or any other tobacco product can seem a little overwhelming without help. Tobacco is more addictive than many other illicit drugs. The brain develops nicotine receptors that are responsible for most of your cravings. Additionally, our daily habits and behaviors create regular associations with tobacco use. You can work together with one of our health coaches who is a Certified Tobacco Treatment Specialist to determine what strategies will work best for you to reduce cravings and identify distractions, developing a Quit Plan. Medicare, Medicare Advantage, and most private insurance plans cover this 100% as a preventive maintenance visit.

Meet Our Team

Christa D’Ostroph, RD, LDN

Health Coach

Connie McDermott, RRT

Health Coach

Shelby Grata, BSN RN

Health Coach

Marcy Simpson, LCSW

Health Coach

Cara Herring, LCSW

Health Coach

Callie Huneycutt, MS, RD, LDN

Health Coach

Laura Webb

Wellness Program Assistant

Laura Smith, MS, RD, LDN

Health Coach

Why do we ask so many questions?

We Ask Because We Care….


Why am I always asked if I have fallen?

There are many factors that affect our health and ability to continue to perform activities of daily living. We know that health declines significantly after a major fall. If we ask consistently, and identify that you are beginning to feel more unstable, we can help you identify ways to prevent future falls and coordinate resources that may also prevent future falls.

Why are you asking more questions about depression?

Your emotional health is equally important as your physical health. Depressed feelings over time can create or exacerbate physical symptoms. Depression can be a scary term and may be something that we don’t want to admit to. There is no need to suffer in silence. Think of depression as you would high blood pressure or any other disease- it happens and there’s treatment for it. We have professionals who are trained specifically in working with you.

Does my insurance see all the details of my visits with the health coach?

No. In the event that we are audited, we must print notes, but we black out any patient identifiers so they may see details, but they will not know to whom the details belong.

Is the Annual Wellness Visit required?

No. However, it is strongly recommended. We suggest you participate in at least one Annual Wellness Visit before you make a decision as to if it is right for you. Most patients are pleasantly surprised and leave extremely satisfied and eager to return the following year.

If you have FirstMedicareDirect, the components of the Annual Wellness Visit are required and here at PMC, our providers have requested that you annual visit be in two parts: the physical exam and medical review with the doctor or extender, then the preventive and education part with the health coach through the Annual Wellness Visit.  This allows us the time to be thorough and meet your needs.

Is the Annual Wellness Visit really free?

Yes. You will see that this visit has been billed on your Medicare statement, although there is no charge to you.

I’m healthy, do I still need to come?

It is strongly recommended that you attend at least one Annual Wellness Visit no matter your health status. An array of topics are reviewed that may serve as a good reminder about items that you do not think about on a daily basis.

Patient Education Resources

National Alliance on Mental Illness:
American Institute of Balance:
American Institute of Stress:
The National Kidney Foundation:
American Heart Association:



Academy of Nutrition and Dietetics:
American Diabetes Association:
American Heart Association Recipes: