Ralph Menard, MD
NPI 1407876014 · Interventional Pain Medicine Physician · Fredericksburg, TX
Enrolled with Medicare as Practitioner - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ralph Menard, MD is a Interventional Pain Medicine Physician provider in Fredericksburg, TX (NPI 1407876014).
Provider details
- NPI number
- 1407876014
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- H5592 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,510 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 623 | $122 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 217 | $241 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 179 | $87 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 149 | $159 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 66 | $69 |
| Injection of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 242 | 37 |
| Gabapentin | 164 | 40 |
| Tramadol Hcl | 73 | 12 |
| Pregabalin | 69 | 22 |
| Duloxetine Hcl | 66 | 15 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 43 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,131 across 26 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2017-06-28
Frequently asked questions
- What is Ralph Menard's NPI number?
- Ralph Menard's National Provider Identifier (NPI) is 1407876014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ralph Menard's specialty?
- Ralph Menard is listed in the NPPES registry with a primary specialty of Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ralph Menard located?
- Ralph Menard's practice location on file with NPPES is 205 W Windcrest St Ste 350, Fredericksburg, TX 78624-4478.
- What is Ralph Menard's phone number?
- The practice phone number listed in the NPPES registry for Ralph Menard is (830) 990-1404.
- Does Ralph Menard accept Medicare?
- Ralph Menard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ralph Menard's NPI active?
- Yes — Ralph Menard's NPI (1407876014) is active in the NPPES registry as of the last update on 2017-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.