702: Dr. Joseph Peila: How to Navigate the Challenges of Direct Primary Care


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Jan 29 2025 31 mins  

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Stephanie Weyrauch welcomes Dr. Joseph Peila, a direct primary care physician based in Billings, Montana. Dr. Joe shares his journey from growing up in the area to completing his medical training in Nevada and Colorado, ultimately returning to serve his community. He discusses his passion for internal medicine and primary care, emphasizing the importance of building relationships with patients to enhance their quality of life. As he reflects on his experiences in a fee-for-service practice, Dr. Joe highlights the challenges posed by decreasing patient interaction time and the need for a more proactive approach to health care. Tune in to learn about Dr. Joe’s insights on proactive health and the future of patient-centered care.


Time Stamps:


[00:03:01] Direct primary care challenges.


[00:04:37] Rural healthcare challenges and solutions.


[00:09:49] Innovating in primary care practice.


[00:12:51] Preventative healthcare challenges.


[00:15:14] Developing leadership skills in healthcare.


[00:20:32] Patient-centered care and business success.


[00:23:11] Diabetes care barriers and solutions.


[00:27:14] Small decisions for weight loss.


[00:00:00] Pinnacle Internal Medicine and Billings.


More About Dr. Joe Peila:


Dr. Joseph (Joe) Peila grew up in Shepherd, Montana. He graduated from Montana State University with a degree in Cell Biology and Neuroscience. He then attended medical school at the University of Nevada School of Medicine and did his Internal Medicine residency at the University of Colorado.


Dr. Peila then worked for two years as an outpatient Internal Medicine physician at Kaiser Permanente in Denver while waiting for his wife to finish her medical training. He moved back to Montana in 2017 and worked as an internist at Billings Clinic until deciding to start his own practice.


​Dr. Peila has served as a faculty member for the Billings Clinic Internal Medicine Residency program as well as a clinical educator for medical students. He is board certified by the American Board of Internal Medicine and is a Fellow of the American College of Physicians.


​In his free time, Dr. Peila enjoys spending time with his wife, Sarah, and their four children as well as outdoor activities like working on the family ranch, skiing, hiking, and hunting.


Resources from this Episode:


Pinnacle Internal Medicine


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