Montana Professional Assistance Program (MPAP) has the stated purpose of addressing the problems of the distressed physician or dentist whose ability to practice is diminished due to chemical dependency or substance abuse, psychiatric illness, disruptive behavior, sexual misconduct or problems associated with the process of aging. MPAP is a nonprofit corporation located in Billings, Montana and is under separate contracts to the Board of Medical Examiners and the Board of Dentistry. Funding comes from a special assessment on medical and dental license fees.


Michael E. Metzger MD Medical Director

Michael E. Metzger MD is a native of Laurel, Montana. He graduated from the University of Montana and received his M.D. from the University of Washington School of Medicine. Following completion of an Internal Medicine Residency in Phoenix, Arizona, Dr. Metzger practiced Internal Medicine in Billings, Montana for over 20 years. Dr. Metzger subsequently practiced at Rimrock Foundation for a number of years and during that time he received certification in the field of Addiction Medicine through the American Board of Addiction Medicine. Dr. Metzger currently serves as Medical Director for the Montana Professional Assistance Program through a volunteer position.

Michael J. Ramirez, M.S. Clinical Director

Since 1995, Mike has played a vital role in helping to pave the way for MPAP’s continued success. He holds a Master of Science in Rehabilitation Counseling. He is a member of the Federation of State Physician Health Programs and serves as a Board Member and Western Regional Representative and is a member of the ACE, Public Policy and Ethics Committees.