My Locations

Duke Children's Hospital & Health Center
2301 Erwin Rd
Durham, NC 27710
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About Me

Learn More About Me

I am a pediatric rheumatologist and immunologist, and I take care of children with immune and autoimmune problems, specifically juvenile arthritis, lupus, dermatomyositis, myositis fever disorders, and scleroderma. Many times we see children with all kinds of different complaints, and I work to investigate their symptoms and come up with a diagnosis and treatment plan. It is so gratifying to help kids feel better and get them back to their normal, healthy lives. The doctors here at Duke work as a robust and very specialized multidisciplinary team. When patients come here, they normally need to see multiple different specialists, and we have a unified center of care and come to them, instead of having them go to different appointments at different places. We partner with the family to define what care should happen and how to manage the patient.

Current Appointments and Affiliations
Languages
English

Training

Board Certifications
American Board of Pediatrics, Pediatric Rheumatology
Residency
Pediatrics, Children's Hospital Medical Center of Akron (Ohio), 1984-1987
Education
MD, Medical College of Ohio at Toledo, 1984
Fellowship
Rheumatology-Immunology, Northwestern University Feinberg School of Medicine, Children's Memorial Hospital (Illinois), 1987-1990
Molecular Genetics Laboratory, University of Chicago (Illinois), 1988-1990

Clinical Focus and Research

My Research Interests

I study the genetics and cause of human autoimmune disease, focused on dermatomyositis in adults and children. The long-term goal of my research team is to develop new biomarkers of diseases to identify those predisposed to develop disease, as well as monitor disease activity and response to treatment. My team makes extensive use of genomics, gene expression, protein expression and immunohistochemical techniques to study the inflammatory and non-inflammatory aspects of dermatomyositis diseases. Other autoimmune disease processes, including systemic lupus and vasculitis, have been focused on as well.

Publications and Grants

Insurance

Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below. Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any co-payments, co–insurances, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.

  • Aetna
    • Aetna Choice POS, Aetna Choice POS II
    • Aetna Medicare Assure Plan (HMO D-SNP)
    • Aetna/CVS Health
    • Aetna Elect Choice HMO, Aetna Open Access Elect Choice
    • Aetna Health Network Only, Aetna Health Network Option
    • Aetna HMO
    • Aetna Limited Benefit Insurance PPO
    • Aetna Managed Choice POS
    • Aetna Medicare Value Plan (HMO)
    • Aetna Medicare Essential Plan (PPO)
    • Aetna Medicare Eagle Plan (PPO)
    • Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Select, Aetna Open Access Managed Choice
    • Aetna Open Choice PPO
    • Aetna PCP Coordinated POS Plan
    • Aetna Quality Point of Service (QPOS)
    • Aetna Select HMO
    • Aetna Traditional Choice
    • Aetna Voluntary Indemnity Group Plan
    • Aetna Whole Health – Duke WakeMed WKCC
  • Ambetter
    • Ambetter of North Carolina
  • Blue Cross Blue Shield of NC
    • Blue Advantage
    • Blue Medicare (HMO, PPO)*
    • Blue Options (123, PPO, HSA)
    • Blue Select
    • NC State Employees Health Plan
    • *Duke HomeCare and Hospice does not participate in the plan.
  • CIGNA
    • Cigna Behavioral Health (*Limited eligibility)
    • Cigna Choice Plus
    • Cigna Connect Individual Family Plan
    • Cigna Open Access
    • Cigna Open Access Plus
    • *Please call Cigna Behavioral Heath to see if the provider is participating in your plan.
  • Duke Group Plans
    • Duke Basic
    • Duke Select
  • Experience Health
    • Experience Health Medicare Advantage (HMO) Plan
  • First Health
  • Gateway Health Alliance
  • Halifax Physician-Hospital Organization
    • Halifax Physician-Hospital Organization plans*
    • *This plan is only accepted at Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, and Duke HomeCare & Hospice.
  • Healthgram
  • Humana
    • Humana Choice (PPO)
    • Humana Choice - Medicare Advantage (PPO)
    • Humana ChoiceCare - Medicare Advantage (PPO)
    • Humana Gold Choice - Medicare Advantage (PFFS)
    • Humana Gold Plus - Medicare Advantage (HMO)
    • Humana Medicare Advantage Group Plan - NC State Retirees
  • MedCost
  • Medicare
    • First Medicare Direct
    • Medicare Part A
    • Medicare Part B
  • MultiPlan / Private Healthcare Systems
  • NC Medicaid
    • WellCare of North Carolina
    • UnitedHealthcare Community Plan
    • NC Medicaid Direct
    • Healthy Blue
    • Carolina Complete Health
    • AmeriHealth Caritas North Carolina
  • OneNet PPO
  • Optima Health
    • FAMIS*
    • Optima Family Care (Medicaid HMO in VA)*
    • Optima Individual & Family (On & Off Exchange Plans)
    • Optima Plus (PPO)
    • Optima Vantage (HMO)
    • *Duke Primary Care, Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital are not participating with this plan.
  • TRICARE
    • TRICARE Prime
    • TRICARE Prime Remote
    • TRICARE Select
  • United Healthcare
    • AARP Medicare Advantage Plan 2 (HMO-POS)
    • AARP Medicare Complete (HMO, PPO)*
    • AARP Medicare Complete Essential (HMO)*
    • All Savers Alternate Funding
    • All Savers Fully Insured
    • United Healthcare (HMO, PPO, POS)
    • United Healthcare Charter/Charter Balance/Charter Plus
    • United Healthcare Choice/Choice Plus
    • United Healthcare Core/Core Essential
    • United Healthcare Navigate/Navigate Plus/Navigate Balanced
    • United Healthcare Option PPO
    • United Healthcare Passport Connect Choice/Choice Plus
    • United Healthcare Passport Connect Options PPO
    • United Healthcare Select/Select Plus
    • United Healthcare Shared Services - Harvard Pilgrim/UHC Options PPO Network
    • United Medical Resources (UMR)
    • *Duke HomeCare and Hospice and mental health providers do not participate with the plan.

External Relationships

This faculty member (or a member of their immediate family) has reported outside activities with the companies or institutions listed below. This information has been reported to the health system leadership and, when appropriate, management plans are in place to address potential conflicts of interest.

  • Arhaus
  • InXite Health Systems
  • PDC