
Ascend Sports Medicine
Quick Facts
| Membership Price Range | $125/month Essential | $200/month Performance | $350/month Elite |
| Practice Type | Direct Primary Care |
| Location | Missoula, Downtown Missoula |
| Doctors | Robert Amrine MD, Family Medicine |
| Year Founded | 2025 |
| Telehealth Type | Video visits, text, and call |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
At Ascend Sports Medicine, Dr. Robert Amrine delivers direct primary care and sports medicine to athletes and active people in Missoula, Montana. He opened the practice on June 2, 2025, with a clear goal: build a clinic that prioritizes the patient and their performance. The practice operates on a flat monthly membership model with no insurance involvement. The clinic occupies a restored 19th-century building transformed by Hone Builders into a purpose-built medical space. A fully equipped gym sits at the heart of the clinic, integrated directly into treatment plans. Dr. Amrine brings more than 25 years of clinical experience in family and sports medicine. His focus spans sports injury care, metabolic testing, concussion management, and performance optimization. The practice uses the VelogicFit multi-camera 3D motion capture system and GebioMized saddle pressure mapping for medical-grade bike fitting. Members begin with a comprehensive 1-3 hour intake appointment covering health history and goals. The clinic serves everyone from competitive athletes and teenagers in sport programs to weekend warriors and individuals focused on longevity.
Details
Address
603 Woody St, Missoula, MT 59802
Phone
(406) 770-2432Website
Visit websiteMembership
$125/monthly
Membership Details
Three annual membership tiers: Tier 1 Essential at $125/month (unlimited primary care, sick, and sports medicine visits; 24/7 direct access; personalized health & movement plans; discounted labs, imaging & prescriptions; discounted performance services); Tier 2 Performance at $200/month (includes Essential benefits plus personalized strength/fitness coaching, monthly/bi-monthly check-ins, MD-guided rehab plans, annual sports assessment, annual metabolic testing, bike fit at $200/medical initial); Tier 3 Elite at $350/month (includes Performance benefits plus concierge-level service with home visits and flexible after-hours scheduling, weekly performance assessments, unlimited metabolic testing, unlimited bike fit, free first-time out-of-town family/friend visits). Memberships are annual (12-month commitment). Family members receive 20% discount. Non-member individual consult: $250/hour; Sports Physical: $150; Medical Bike Analysis: $650; Non-Medical Bike Analysis: $400; Metabolic Testi
Typical Appointment
45 minutes
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Frequently Asked Questions
Ascend Sports Medicine offers three annual membership tiers. Tier 1 Essential starts at $125 per month and includes unlimited primary care, sick, and sports medicine visits, 24/7 direct access to Dr. Amrine, personalized health and movement plans, and discounted labs, imaging, and prescriptions. Tier 2 Performance runs $200 per month and adds strength and fitness coaching, MD-guided rehab plans, annual sports assessments, and annual metabolic testing. Tier 3 Elite at $350 per month adds concierge-level service with home visits, flexible after-hours scheduling, weekly performance assessments, and unlimited metabolic testing and bike fitting. Family members receive a 20% discount. All memberships require a 12-month commitment.
Yes. Ascend Sports Medicine welcomes non-member individual visits. A one-time consultation runs $250 per hour, a sports physical costs $150, a medical bike analysis is $650, and a non-medical bike analysis is $400. If you decide to join as a member after your first visit, the consultation fee applies toward your membership cost.
New members start with a comprehensive intake appointment that runs 1 to 3 hours. That session covers a full health history review and goal-setting conversation with Dr. Amrine. You can enroll and schedule directly through the Ascend Sports Medicine website.
Ascend operates on a direct primary care model, which means the practice does not bill insurance for membership or visits. The practice recommends pairing your membership with a high-deductible health plan (HDHP). Members can apply up to $150 in HSA funds toward their membership. This combination can reduce overall healthcare costs by an estimated 20 to 30 percent.
Yes. Ascend Sports Medicine offers same-day appointments, telemedicine visits, and house calls. Members also receive 24/7 direct access to Dr. Amrine. Elite tier members get flexible after-hours scheduling and home visits as part of their membership.
Standard appointments run 45 minutes. New member intake appointments are significantly longer, typically 1 to 3 hours, so Dr. Amrine can conduct a thorough health history review and build a personalized plan around your goals.
Ascend Sports Medicine offers VO2 max testing, lactate threshold testing, resting metabolic rate (RMR) testing, diagnostic ultrasound, ultrasound-guided injections, platelet-rich plasma (PRP) therapy, and medical-grade bike fitting using the VelogicFit 3D motion capture system. The practice also provides strength and fitness coaching and MD-guided rehabilitation plans.
Yes. Dr. Amrine conducts sports physicals for students and athletes. As a board-certified sports medicine physician, he reviews health history, checks for injuries, and clears athletes for participation. Members include sports physicals in their plan; non-members can schedule a sports physical for $150.
Ascend Sports Medicine occupies a restored 19th-century building in downtown Missoula, transformed by Hone Builders into a purpose-built sports medicine clinic. The space includes a fully equipped gym integrated into treatment plans, private exam rooms, a reception area with a coffee and snack station, and rest areas for members. The clinic's logo features a stylized version of the Amrine family's historic cattle brand.
Yes. Ascend Sports Medicine serves professional and competitive athletes, but also weekend warriors, teenagers in sport programs, people managing chronic injuries, and individuals focused on longevity and staying active. If movement matters to your health and quality of life, the practice has tools and programs to support you.
Practice last updated June 9, 2026




