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Our Mission

PearlMed Direct Primary Care delivers affordable, high value, accessible healthcare services to Billings Montana and beyond through a membership model.  


This direct primary care (DPC) model will offer an alternative to the traditional fee-for-service model that exists currently in the United States, or more specifically, the greater Billings and Eastern Montana.

Meet Our Doctor!

Dr Standing by exam table2.jpg

Robert Wagenaar, MD

Board Certified in Family Medicine 
Physician, Owner

I love my life because I wake up every day to a great wife and family that mean the world to me.  I have been blessed to call Montana my home for my entire life.   I grew up in Big Timber Montana, attended and graduated from Montana State University with a degree in Microbiology, Bobcats forever!  This is where I develop my love of making beer, wine and mead.  I completed Medical School at the University of Washington in Seattle, Go Huskies!  I then had the privilege of completing a 3 year residency at Puget Sound Family Medicine Residency at the Naval Hospital Bremerton. While in the Navy, I had the distinct opportunity to care for Sailors (occasional Airmen and Marines) and their families at Keflavik Naval Air Station in Iceland.  After the Navy, I returned to Montana and have practiced in several settings in rural Montana and Billings.  

My career has spanned over 23 years and I have been so blessed by my Creator to have been called to the field of Family Medicine.  Welcome to our family at PearlMed DPC!


Victoria Wagenaar

Office Manager & Co-Founder

I am blessed to start this adventure with my best friend and husband of 30 years.  I graduated from Glendive in 1988 and graduated from MSU Billings with an Assoiciates degree in Business.  I have been a homemaker and stay at home mom for the past 23 years, raising our 4 children.  I love the outdoors and animals of all kinds.  We have raised chickens, sheep, goats, pigs, a gecko, rabbits and now a steer.  Our family is very active in our Church, 4-H club, and Christian organizations.  I am looking forward to this new chapter that has been written on both of our hearts for a very long time and has now come to fruition through this amazing healthcare model.  My hobbies are anything family, photography, wine making and growing a vineyard.  

Meet Our Team!


Melissa Kincheloe

Medical Assistant / Phlebotomy / Lab


I bring ten years of experience to the team with my phlebotomy skills, drawing blood in various clinics in eastern Montana. I graduated with a Phlebotomy Technician Certificate from Boise State University in 2012. I was raised in between Brockway and Jordan Montana, on my grandparents' sheep ranch. In 2018, I married my husband, and we are raising two beautiful (but wild) boys, on our cattle ranch in Melstone, MT. In the summer months, I spend my spare time outdoors having fun in the sun, between boating and at our son’s rodeos. In the winter months, if I’m not out feeding cows. I can be found at basketball games, cheering on my husband and the Melstone Broncs. In 2021, I started my own mobile phlebotomy business, Big Sky Mobile Draws LLC. I designed Big Sky Mobile Draws to come to you, drawing your blood in the convenience of home. In the spring of 2022, Dr. Wagenaar contacted me about joining his team. Creating my business led me to this opportunity and I couldn’t feel more blessed to jump at the opportunity.

Meet the team
Please click on the link below to get started with your enrollment.  Your medical history and personal information are required to enroll.  Please read and accept the terms of the membership agreement.   At that time, we will contact you to schedule a Meet and Greet with Dr. Wagenaar within 10 days.

"I am looking forward to meeting with you and your family and providing you with Direct Primary Care."

-Robert S Wagenaar, MD
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