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Pediatrics
TPMG Pediatrics is committed to caring for the physical and mental health of children and to being an advocate and a resource for their families. Our team of skilled providers offers comprehensive medical care for infants, children and adolescents. This specialty encompasses a broad spectrum of health services ranging from preventive health care to the diagnosis and treatment of acute and chronic diseases. Pediatrics is a discipline that deals with biological, social, and environmental influences on the developing child and with the impact of disease and dysfunction on development. Children differ from adults anatomically, physiologically, immunologically, psychologically, developmentally, and metabolically. A pediatrician is able to define accurately the child’s health status and to serve as a consultant and make use of other specialists as consultants as needed, ideally in the context of, or in conjunction with, the physician-led medical home. Because the child’s welfare is heavily dependent on the home and family, the pediatrician supports efforts to create a nurturing environment. Such support includes education about healthful living and anticipatory guidance for both patients and parents. A pediatrician participates at the community level in preventing or solving problems in child health care and publicly advocates the causes of children. (American Academy of Pediatrics -AAP)
In 2019, TPMG James River Pediatrics was named Coastal Virginia Magazine Reader’s Choice “Best of” Winner – Pediatric Practice and Virginia Living Magazine “Best of Virginia” Winner – Best Pediatric Practice.
Make an Appointment
Contact Your Provider
Pay Your Bill
Insurance & Billing
Medicare
Our Pediatric Specialists
Joseph A. Baust, Jr.
MD, FAAP
Carol M. Steiner
MD, FAAP
Lee Gotthardt
FNP-C
Annmarie Defiglio
MD, FAAP
Our Pediatric Locations
Patient Resources
Appointment Information
Learn about what to bring, what to expect, condition concerns, and specialty referrals
Insurance
See the list of insurance carriers we contract with (Commercial, Medicare, Medicaid, and TRICARE)
Patient Forms
Download standard patient forms used by every TPMG office. Please visit the specific office’s webpage to view a complete listing of forms used by them.
Prescriptions
Information about prescriptions, prescription refills and medication regulations
About the Patient Portal
Learn all about our Patient Portal and how it can help you communicate with your provider, receive test results, and request in-person and telemedicine appointments
Cancellations & Rescheduling
Miss your appointment? Need to cancel or reschedule? Read about our policies here
After Hours Medical Care
Learn what to do if you experience a sudden illness or injury during or after regular medical office hours
Customer Service
See how best to contact us if you need additional assistance with a concern
Frequently Asked Questions
FAQS – For your Pediatric Visits
How many pediatric offices does TPMG have?
TPMG James River Pediatrics is our first and only pediatric practice, however Dr. Annemarie Defiglio is located at TPMG Yorktown Family Medicine, and is Board Certified in Pediatrics, as well as Internal Medicine
Which age groups can receive treatment from a pediatrician?
At TPMG James River Pediatrics, we offer complete medical service to infants, children, and young adults until the age of 21.
Is TPMG James River Pediatrics accepting new patients?
Yes, our practice is currently accepting new patients and we welcome you to schedule an appointment with us. Dr. Defiglio is, also, accepting new pediatric patients, as well.
What is the best way to schedule an appointment?
To schedule an appointment, please call TPMG James River Pediatrics’ office at (757) 595-3570, TPMG Yorktown Family Medicine for Dr. DeFiglio at (757) 898-7261, or enroll in our patient portal where you can schedule and view details of your appointments.
What should I bring to my first appointment?
To learn about appointment preparation, including items you need to bring to your first appointment, please visit https://mytpmg.com/patient-info/appointment-info/.
How often should my child see a pediatrician?
Children are seen for frequent, regular well checks from birth until adulthood to ensure proper growth and development. We also see children for illness, injury, and routine follow-up of chronic conditions such as eczema, asthma, and ADHD.
Does my child need to receive vaccinations?
Yes! Vaccinations protect children from many serious viruses and bacteria that can cause blood infections and meningitis. They have led to the reduction and even elimination of many devastating illnesses like meningitis, polio, and diphtheria.
What should I do if my child is sick or injured?
If your child is sick or injured, please call our office for instructions. We may be able to give home care advice over the phone or direct you to obtain care at an urgent care or ER if indicated. We can also schedule a same day sick visit in the office so your child can be seen and treated.