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)

Jackie Hines, RN, BSN,

ASC Clinical Director, Surgery Center

Jackie comes to Missoula Bone & Joint with 19 years of surgical experience. She has extensive experience with peri-operative design, specifically focusing on creating environment and processes that improve patient and staff safety.


  • Bachelor of Science in Nursing, University of Saskatchewan, Saskatoon, SK, Canada

Professional Affiliations

  • Association of Perioperative Registered Nurses
  • American Organization of Nurse Executives
  • Association for Professionals in Infection Control and Epidemiology


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Recent Posts

  • What is causing my ongoing shoulder pain? Posted last month
    A patient comes to Missoula Bone & Joint with ongoing shoulder pain. The patient experiences pain when raising the arm out to the side and in front of the body. They are having difficulty sleeping and they get a sharp pain when they reach into their back pocket.
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