Sandra Garred, M.D.
NPI 1770578478 · Internal Medicine Physician · Fredericksburg, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandra Garred, M.D. is a Internal Medicine Physician provider in Fredericksburg, TX (NPI 1770578478).
Provider details
- NPI number
- 1770578478
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- P7918 (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
20 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
1,635 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 | 784 | $122 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 298 | $124 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 126 | $22 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 105 | $60 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 96 | $87 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 117 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 560 | 144 |
| Amlodipine Besylate | 318 | 89 |
| Gabapentin | 262 | 74 |
| Lisinopril | 257 | 79 |
| Atorvastatin Calcium | 227 | 72 |
| Losartan Potassium | 224 | 62 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$123 across 7 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
- 2005-09-19
- Last updated
- 2025-06-07
- Certified
- 2025-06-07
Frequently asked questions
- What is Sandra Garred's NPI number?
- Sandra Garred's National Provider Identifier (NPI) is 1770578478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Garred's specialty?
- Sandra Garred is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sandra Garred located?
- Sandra Garred's practice location on file with NPPES is 1308 S State Highway 16, Fredericksburg, TX 78624-5058.
- What is Sandra Garred's phone number?
- The practice phone number listed in the NPPES registry for Sandra Garred is (830) 997-2181.
- Does Sandra Garred accept Medicare?
- Sandra Garred is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandra Garred's NPI active?
- Yes — Sandra Garred's NPI (1770578478) is active in the NPPES registry as of the last update on 2025-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.