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What is the difference between and MD and an ND?

Naturopathic physicians (ND’s) attend four-year graduate schools that are nationally accredited by the Council for Naturopathic Medical Education (CNME).  The CNME is recognized by the U.S. Department of Education, which classifies the ND degree as a Doctorate-Professional degree, on par with MD and DO.

The first two years of professional education is similar to that of an MD or DO, and includes instruction in basic sciences (anatomy, physiology, biochemistry, pathology, and more).  The final two years of instruction are dedicated to clinical sciences – the naturopathic treatment of patients and training in primary care.  Naturopathic physicians sit for two sets of exams, the NPLEX basic science exam and the NPLEX clinical science exams.

Naturopathic doctors are licensed by each individual state – to be eligible for licensure a physician must be a graduate of a four-year naturopathic medical college, complete 4,100 hours of clinical training, and pass both the basic science and clinical science portions of the NPLEX exam.

Naturopathic doctors are specialists in the natural treatment of conditions, and have extensive training in botanical medicine, nutrition, physical medicine, homeopathy, counseling as well as conventional methods like pharmaceuticals.
For more information see Dr. Krumbeck’s blog post on this subject.

What can I expect?
Your first visit with Dr. Krumbeck may look a little different than a visit with a conventional medical doctor.  Dr. Krumbeck typically spends 45-75 minutes with her patients in their first visit.  She listens carefully so she can determine the underlying cause of what is making you or your child ill. The first visit also includes a thorough but gentle physical exam – for children the exam can be performed in Mom or Dad’s lap, if desired.  Dr. Krumbeck will also evaluate previously completed labs, imaging or other doctor visits.  She will carefully review medications and supplements, c
hecking for potential interactions.  She will then order additional labs or imaging, if necessary, and give the first phase of a treatment plan.

Dr. Krumbeck’s work doesn’t end there.  Between the first and second visit (typically 1-3 weeks) she will carefully review your case, do additional research and consult with previously seen doctors, if necessary.  She works tirelessly to put all the pieces of the puzzle together so you can have truly individualized care.  After all of this she will develop the second phase of a treatment plan that encompasses all of your or your child’s health needs.

The second visit includes discussion of the treatment plan, the results of labs or research, and time for answering questions.  There may also be some hands-on treatment at this visit such as hydrotherapy or naturopathic manipulation. 

Follow-up visits are every 3-6 weeks (2-6 weeks for children), and are essential to tracking and continuing progress for the long-term improvement of health.  At these subsequent visits Dr. Krumbeck will address other factors of your or your child’s health in a step-wise fashion, leaving you and your family in continually better health.

Do you take insurance?

Dr. Krumbeck is an in-network provider for Allegiance, Blue Cross Blue Shield, Missoula County, Pacific Source, and Montana Health Co-op.  We are no longer able to bill Health Montana Kids due to a rule change made by the Department of Health and Human Services that now excludes naturopathic care.   Remember that you are responsible for confirming that your plan covers naturopathic physicians.  Dr. Krumbeck is considered an out-of-network provider for other insurers.  However, some companies extend their out-of-network coverage to naturopathic physicians.  Please double check with your insurance company before coming for a first office visit.  

We are happy to bill your insurance for you.  You may also use your health savings account to pay for visits, copayments or supplements.    Check with your insurer to determine eligibility and benefits. It is the patient’s responsibility to pay any amount that their insurer denies. Verify your insurance benefits

What are your fees?
Fees are based on time of service and complexity of the patient’s case. Dr. Krumbeck bills insurance according to the insurer’s contracted rates. Patients who pay at the time of service receive a discount: a typical first office visit is $180 and is 45-75 minutes; typical follow-up visits are $108 for a 30-minute follow-up, and $158 for a longer 45-60 minute visit.  60-90 minute visits are available if desired.  Included in this fee is unlimited e-mail access for any questions regarding your current treatment plan.  For a full list of fees and services, e-mail

Do you sell herbs and supplements?
For convenience, Montana Whole Health stocks a basic line of professional-grade herbs and supplements. Patients are always free to shop around and find the best deal before purchasing.  Patients may order supplements online via  Dr. Krumbeck only recommends products that are physician-grade and are the highest quality and greatest potency.  She finds that over-the-counter products, which are unregulated by the FDA, not only contain very low-levels of active constituents but are also frequently contaminated with heavy metals, fillers, and adulturated product.

I don’t live in Missoula – how can I see you?
For patient safety and best ethical practice, Dr. Krumbeck must see each patient in-person for their first appointment.  Subsequent visits can be done via Skype – when booking the appointment simply list “Skype” in the comments section of the appointment.

What conditions do you treat?
As a naturopathic physician Dr. Krumbeck treats the individual, not the disease.  She finds that each patient has a unique set of health factors which lead to the formation of “dis-ease” and that these unique factors need to be addressed, not the symptoms of the problem. For children this can include all the conditions listed in the Better Health for Kids program.  For adults this can include the conditions listed in the Better Health for Adults program.  For families desiring to conceive and postpartum women this can include the conditions listed in the Montana Whole Moms & Dads program.

How can I know that you are the right doctor for me?
Dr. Krumbeck is happy to provide free 10-minute phone consultations.  E-mail for more information.