Missoula Bone and Joint and Surgery Center

The Team at Missoula Bone & Joint

At Missoula Bone & Joint, our team of providers and professionals are second to none. From check-in to your office visit, from surgery to physical therapy and every point in between, our staff provides excellent care to each and every patient.

Our highly skilled orthopedic doctors, physician assistants, physical therapists, athletic trainers, medical assistants, and office staff all have your best interests in mind and strive to exceed your expectations. For comprehensive orthopedic care in a friendly and comfortable environment, visit Missoula Bone & Joint. Call us today at (406) 721-4436 or request an appointment online.


Sami Spencer, FACMPE, CMM

Sami Spencer - Missoula Bone & Joint - Orthopedic Urgent Care - Surgery Center - Western Montana

Chief Executive Officer

Sami joined Missoula Bone & Joint as our CEO in 2008. 

Previous Employment Experience

  • Division Director for Private Physician Practices, SS&G Healthcare Services, Akron, OH 
  • Practice Manager, North Coast Spine Center, Akron, OH
  • Personnel Supervisor, Summit Orthopaedic Group, Akron, OH


  • BA in Business Management, Malone College, Canton, OH


  • Fellow, American College of Medical Practice Executives (FACMPE)
  • Certified Medical Manager (CMM), Professional Association of Health Care Office Management

Professional Affiliations

  • Medical Group Management Association (MGMA)
  • Montana Medical Group Management Association (MTMGMA)
  • American College of Medical Practice Executives (ACMPE)
  • American Association of Orthopaedic Executives (AAOE)
  • Professional Association of Health Care Office Management (PAHCOM)


  • 2017 Award for American Alliance of Orthopaedic Executives (AAOE) Annual Conference “Listserv Champion” .  The AAOE listserv is a tool for members to communicate directly with peers, sharing experience and information to make each person and the industry better. This award recognizes an AAOE member who has consistently contributed on the AAOE listserv, providing valuable information in a positive and knowledgeable manner that benefits other members while supporting the AAOE mission and values.   

  • 2015 Montana Medical Group Management Association (MGMA) Administrator of the Year award.   Sami was voted by her peers for displaying exceptional service to Missoula Bone & Joint and our patients.  

Kelly McGuirl, CPC

Kelly McGuirl CPC - Missoula Bone & Joint - Orthopedic Urgent Care - Surgery Center - Western Montana

Operations Manager

Kelly has been a member of the Missoula Bone & Joint team since 1997. She became our Operations Manager in 2009.


  • Bachelor of Science in Business Management, University of Phoenix, Phoenix, AZ


  • Certified Professional Coder (CPC)

Professional Affiliations

  • American Academy of Professional Coders (AAPC)
  • Montana Medical Group Management Association (MTMGMA)

Jennifer McElroy, RN, BSN, CNOR

Jennifer McElroy - Missoula Bone & Joint - Orthopedic Urgent Care - Surgery Center - Western Montana

ASC Clinical Manager, Surgery Center

Jennifer joined Missoula Bone & Joint in 2001. She was a staff operating room nurse from 2001 to 2014. In 2014, she became the ASC (Ambulatory Surgery Center) Clinical Manager.


  • Bachelor of Science in Nursing, University of Mary, Bismarck, ND


  • CNOR certified since 1998 (the gold standard certification for perioperative registered nurses)
  • Lifetime member Association of periOperative Registered Nurses


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News & Events

Congratulations to Kristina Pattison

Kristina obtained the highest designation in physical therapy - Board Certified Clinical Specialist in Orthopedics, OCS from ABPTS. We are so proud of her commitment to obtaining advanced knowledge, skills, and experience in orthopedics to provide the best patient care. 


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Recent Posts

  • Sports Physicals at Missoula Bone and Joint Posted last week
    Fall sports will be here before you know it! Get ahead of the game and schedule your sports physical at Missoula Bone & Joint today. Dr. Rob Amrine is a Primary Care Sports Medicine Physician who provides comprehensive sports physicals for high school athletes. Check with your insurance to see if this service can be covered as part of ...
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