Fred Speck, M.D.
NPI 1639104466 · Dermatology Physician · Kerrville, TX
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fred Speck, M.D. is a Dermatology Physician provider in Kerrville, TX (NPI 1639104466).
Provider details
- NPI number
- 1639104466
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- E8928 (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
13,069 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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 5,530 | $7 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 3,066 | $91 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 2,054 | $53 |
| Destruction of Skin Growth, 1-14 Growths17110 | 1,070 | $104 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 281 | $112 |
| Acne Surgery10040 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Triamcinolone Acetonide | 272 | 174 |
| Minocycline Hcl | 117 | 26 |
| Fluticasone Propionate | 111 | 79 |
| Doxycycline Hyclate | 66 | 16 |
| Metronidazole | 50 | 26 |
| Clobetasol Propionate | 46 | 28 |
| Cephalexin | 43 | 36 |
| Fluorouracil | 43 | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (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
- 2006-07-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Fred Speck's NPI number?
- Fred Speck's National Provider Identifier (NPI) is 1639104466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Speck's specialty?
- Fred Speck is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Fred Speck located?
- Fred Speck's practice location on file with NPPES is 401 Junction Hwy, Kerrville, TX 78028-4202.
- What is Fred Speck's phone number?
- The practice phone number listed in the NPPES registry for Fred Speck is (830) 896-2810.
- Does Fred Speck accept Medicare?
- Fred Speck is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fred Speck's NPI active?
- Yes — Fred Speck's NPI (1639104466) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.