Approved Independent Medical Examination Provider

Our Approach

At Alpine Orthopaedic & Spine, we bring over 35 years of hands-on experience to every patient and case we handle. We deliver expert orthopedic care, and our reputation extends well beyond the clinic. Professionals often call on us to provide testimony in both state and federal legal cases. Our team regularly serves as legal witnesses and trusted experts.

Insurance companies also rely on us. We conduct independent medical reviews that help them make informed decisions. We offer clear, detailed assessments based on facts, not guesswork. Our reviews help reduce disputes and clarify complex injuries.

Alpine Orthopaedic & Spine holds a Tier Three provider status with Labor and Industries. That means we handle more complex and serious workplace injuries. We understand how these injuries affect lives, jobs, and families. Our team works closely with patients, employers, and case managers to ensure the best outcome.

Looking for an IME in Spokane?

Call 509-435-0973 and speak with an Independent Medical Examiner today.

CALL 509-435-0973

What is an Independent Medical Examination?

An Independent Medical Examination, or IME, is a legal and medical evaluation. It helps determine the condition of a worker after an injury. Either the Department of Labor and Industries (L&I) or a self-insured employer usually requests the IME. Only providers approved by L&I may perform these exams.

The IME offers an unbiased medical opinion. The goal is to understand the injury, its effects, and what treatment the worker needs. The examiner reviews medical history, performs a physical exam, and provides a detailed report. This report includes conclusions about the worker’s current condition. The examiner focuses on medical facts, not opinions. They base their findings on records, exams, and clinical judgment. Their report may influence decisions about future treatment, benefits, or work ability.

The IME does not replace your regular doctor. It does not offer treatment or advice. Instead, it answers specific questions about your injury. It helps resolve disputes between doctors, patients, and insurers.

When Do You Need an IME?

Usually, L&I or the self-insurer requests an IME because it disagrees with a decision by the treating doctor about the course of medical treatment or the extent of any permanent disability. For example, they may question a diagnosis, treatment plan, or permanent disability rating. When this happens, they request an IME to get a second opinion.

Another example is when auto insurer is deciding how to pay out for an auto accident. You may need a second opinion of the medical issues sustained from a car wreck and how long it will take to recover.

The IME helps determine whether your treatment is appropriate and effective. It can confirm if the condition still relates to the original workplace injury. It also evaluates whether your recovery has reached a stable point. Sometimes, the examiner will assess whether you have any permanent impairments. If so, they measure the degree of impairment. This helps guide decisions about long-term benefits or vocational support.

An IME also helps decide whether you can return to work. The examiner may outline your physical restrictions or ability to perform specific tasks. This information helps employers and case managers create safe return-to-work plans.

Dr. Miguel A. Schmitz, MD

Alpine Orthopaedic & Spine boasts one of Spokane’s top orthopedic and spine surgeons, Dr. Miguel Schmitz, MD who is board certified with the American Board of Orthopaedic Surgeons and has a Certificate of Added Qualification in Sports Medicine. Dr. Schmitz leads our team with unmatched dedication and precision. Dr. Schmitz is serious about patient safety and maintains a database of all surgeries he has performed tracking the specifics about each case. This data-driven approach gives us a unique advantage. It allows us to measure success and identify areas that need improvement. Patients benefit from this constant commitment to quality and safety.

35 Years Of Orthopaedic Experience

Board-Certified Orthopaedic Surgeon

Dual Fellowship-Trained

Dr. Schmitz's Bio

Get an Independent Medical Examination from Alpine Orthopaedic & Spine

Our clinic uses advanced medical technology to improve accuracy and comfort. We believe precision matters—especially in orthopedic care. Imaging, diagnostics, and surgical tools all meet the highest standards. We constantly update our tools and techniques based on the latest research.

We don’t take our responsibilities lightly when we do an independent medical examination. Every patient deserves safe, thoughtful care. Every case deserves our full attention.

We also train and educate our staff to maintain excellence. Each member of our team follows strict safety protocols. We hold regular meetings to review complex cases and ensure alignment. Communication remains clear between physicians, nurses, and support staff.

Legal professionals also value our clarity and detail. When we provide expert testimony, we do so with transparency and confidence. We present facts in language judges and juries can understand. Our credibility comes from real-world experience and proven outcomes. In complex legal or insurance cases, objectivity matters. Our team always presents neutral, fact-based opinions. We avoid bias and stay focused on evidence. That’s why lawyers and insurers continue to rely on us.

Dr. Schmitz has earned respect across the medical and legal communities. His consistent track record speaks for itself. He combines experience, compassion, and data to deliver outstanding results.

At Alpine Orthopaedic & Spine, you’re not just a case. You’re a person with goals, hopes, and challenges. We’re here to help you move forward—with strength, support, and trust.

Riverfront park image by Image by Mac Mintaka from Pixabay

Serving the Inland Northwest and Beyond

Our offices are located in Spokane, WA, but we have evaluated Workers’ Compensation cases across the United States—from Alaska to New York—including Washington, Idaho, California, Oregon, Montana, and more. Please contact us for more information.