2026 NPPES data Dermatology Physician NPI 1639104466 M.D.
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FRED SPECK, M.D.

Dermatology Physician in KERRVILLE, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
863
Medicare Part D claims · 423 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1898/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$16.88
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

FRED SPECK, M.D. reported a CMS MIPS final score of 90.1898/100 — above the 83.1 national average — and filed 863 Medicare Part D claims in 2023.

90.1898/100
MIPS score · +7 vs avg
863
Part D claims, 2023
98%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

FRED SPECK, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

FRED SPECK, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about FRED SPECK, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/11/2006

NPI 1639104466

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

863 18% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

90.1898/100 7.089800000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Dermatology Physician compares to other specialties among Texas providers

Texas providers

Dermatology Physician share within Texas

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within Texas

Medicare quality performance — MIPS

FRED SPECK, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
90.1898/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 90.1898/100 vs national avg 83.1

0%100%National avg83%90.2%
MIPS final score (Dermatology Physician) — 90.1898/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

FRED SPECK, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 401 JUNCTION HWY, KERRVILLE, TX, 78028, with a listed phone of (830) 896-2810. NPI 1639104466 was issued on 07/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPECK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 863 prescription claims written by this provider, covering 423 Medicare beneficiaries and totaling roughly $142K in drug spend, split 2% brand-name and 98% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1898/100 for the 2023 performance year (Quality 82.1633), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

401 JUNCTION HWY
KERRVILLE, TX 78028

Provider Details

NPI 1639104466
Specialty Dermatology Physician
Credentials M.D.
Gender Male
NPI Issued 07/11/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.1898
Final Score
Avg: 83.1
82.1633
Quality
100
Promoting Interoperability

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for FRED SPECK, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Amneal Pharmaceuticals LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to FRED SPECK, M.D.. To verify FRED SPECK, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

FRED SPECK, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 863 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

863
Total Claims
$142K
Total Drug Cost
423
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,033
Total Day Supply
28,066
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$114K
Generic Drug Cost
$28K
Antibiotic Claims
158

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
1.16
Gender Split
45% female / 55% male
Age Distribution
<65: 17, 65-74: 149, 75-84: 183, 85+: 74

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What FRED SPECK, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Triamcinolone Acetonide
273
Fluticasone Propionate
127
Minocycline Hcl
78
Terbinafine Hcl
38
Metronidazole
37
Fluorouracil
35
Cephalexin
34
Clobetasol Propionate
31
Doxycycline Hyclate
27
Betamethasone Dipropionate
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Dermatology Physician Overview

How FRED SPECK, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

FRED SPECK, M.D.'s 863 claims are above the specialty average of 729.

Nearby Dermatology Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as SPECK.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FRED SPECK, M.D.'s specialty?
FRED SPECK, M.D. specializes in Dermatology Physician and practices in KERRVILLE, Texas. Credentials: M.D..
How much does FRED SPECK, M.D. prescribe under Medicare Part D?
In 2023, FRED SPECK, M.D. wrote 863 Medicare Part D claims totaling $142K in drug costs for 423 beneficiaries.
What is FRED SPECK, M.D.'s Medicare quality score?
FRED SPECK, M.D. has a CMS MIPS Final Score of 90.1898/100 (Quality: 82.1633). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FRED SPECK, M.D. located?
FRED SPECK, M.D. is located at 401 JUNCTION HWY, KERRVILLE, TX, 78028. Phone: (830) 896-2810.
What is FRED SPECK, M.D.'s NPI number?
FRED SPECK, M.D.'s National Provider Identifier (NPI) is 1639104466, issued on 07/11/2006.
Does FRED SPECK, M.D. prescribe more brand-name or generic drugs?
FRED SPECK, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $114K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does FRED SPECK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, FRED SPECK, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Fluticasone Propionate, Minocycline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRED SPECK, M.D. accept Medicare?
FRED SPECK, M.D. appears in CMS Medicare data with 863 Part D claims and 423 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRED SPECK, M.D.'s credentials?
FRED SPECK, M.D.'s NPI is 1639104466 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology