NPPES file of Aug 9, 2026

Fred Louis Speck, M.D.

Dermatology Physician · Kerrville, TX

Fred Louis Speck, M.D. is a dermatology physician with a practice address in Kerrville, Texas, and NPI 1639104466, issued on Jul 11, 2006. Check the license (Texas E8928, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1639104466
Name
Fred Louis Speck
Credential
M.D.
Primary taxonomy
Dermatology Physician 207N00000X
License number
E8928 TX
Self-reported in NPPES; status is on the state search
Practice location
401 Junction Hwy, Kerrville, TX 78028
Phone
(830) 896-2810
Enumerated
Jul 11, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(830) 896-2824
Medicaid ID
035352601 TX
Medicare enrollment
Enrolled (PECOS I20100928000077); accepts Medicare assignment
Medical or professional school
University Of Texas Medical Branch At Galveston, 1977
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 401 Junction Hwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Deanna BrandtMassage Therapist1023593779

Verify Fred Louis Speck in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license E8928
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

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31% more Medicare Part D claims than the average dermatology physician in 2024

1,045 Medicare Part D claims for 455 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims.

  1. Fred Speck1,045
  2. Specialty average797

Most prescribed

  1. Triamcinolone Acetonide272 claims
  2. Minocycline Hcl117 claims
  3. Fluticasone Propionate111 claims
  4. Doxycycline Hyclate66 claims
  5. Metronidazole50 claims
  6. Clobetasol Propionate46 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 90.2 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $16.88

1 payment: food and beverage; the largest payer was Amneal Pharmaceuticals LLC. The 10,250 providers of this specialty with any payment received $8,544.61 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Fred Speck$16.88
  2. Specialty average$8,544.61

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Fred Louis Speck among 1,172 dermatology physician records in Texas

Fred Louis Speck, M.D. is one of 1,172 dermatology physician records with a practice address in Texas. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.

  • NPI issued2006 · 10% of these records are older, 63% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 79% of these records are
  • Graduated1977 · median 2008 among the 926 with a school on file
  • Record last updated2007 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Dermatology Physician providers in Texas

There are 1,172 dermatology physician records in Texas.

The 8 dermatology physician records with the nearest ZIP codes

  1. Allen Bennett, M.D.Kerrville, TX 780281548638943
  2. Matthew Lambiase, D.O.Kerrville, TX 780281679548440
  3. Ricky MartinKerrville, TX 780281629998422
  4. Adam Swigost, MDLaredo, TX 780411861996233
  5. Michael Braden, M.D.Comfort, TX 780131043247455
  6. Elbert Belk III, MDLaredo, TX 780451801843487
  7. Thushan Desilva, M.D.Boerne, TX 780061003824335
  8. Susan Mahler, M.D.Boerne, TX 780061144268962

Common questions

What is Fred Louis Speck, M.D.'s NPI number?

Fred Louis Speck, M.D.'s National Provider Identifier (NPI) is 1639104466, issued on Jul 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Fred Louis Speck, M.D. located?

The NPPES record lists a practice address at 401 Junction Hwy, Kerrville, TX, 78028. Phone: (830) 896-2810. Providers update this record themselves, so call before visiting.

How can I verify Fred Louis Speck, M.D.'s license?

NPPES lists Texas license number E8928, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Fred Louis Speck, M.D. prescribe under Medicare Part D?

In 2024, Fred Louis Speck, M.D. had 1,045 Medicare Part D claims for 455 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.

What is Fred Louis Speck, M.D.'s MIPS final score?

The 2023 MIPS final score is 90.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.