NPI registry status
Active
2026 NPPES data Dermatology Physician NPI 1639104466 M.D.
Verify on CMS → Fred Speck, M.D.
Dermatology Physician in Kerrville, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 14,645 in Dermatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
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
90.2/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$16.88
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Fred Speck, M.D. reported a CMS MIPS final score of 90.2/100 - above the 83.1 national average - and filed 863 Medicare Part D claims in 2023.
- 90.2/100
- 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
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
Where Fred Speck, M.D. sits
This provider among dermatology physician peers
Across the 6,594 dermatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Fred Speck, M.D. writes more Part D claims than 61% of them and scores higher on MIPS quality than 59% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one dermatology physician peer from a representative sample of 60; the gold marker is Fred Speck, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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)Primary specialty
Dermatology Physician
Medicare Part D claims
863 18% vs specialty avg
MIPS final score
90.2/100 7.1 pts vs avg
Specialty distribution in Texas
How Dermatology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Fred Speck, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average
- MIPS Final Score
- 90.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Dermatology Physician) - 90.2/100 vs national avg 83.1
How MIPS and board certification work
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.2/100 for the 2023 performance year (Quality 82.2), compared with the national average of 83.1.
Dermatology Physician is a mid-sized specialty nationwide, with 14,645 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
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%
Dermatology Physician average
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
- Triamcinolone Acet…
Triamcinolone Acetonide
273 claims
- Fluticasone Propio…
Fluticasone Propionate
127 claims
- Minocycline Hcl 78
Minocycline Hcl
78 claims
- Terbinafine Hcl 38
Terbinafine Hcl
38 claims
- Metronidazole 37
Metronidazole
37 claims
- Fluorouracil 35
Fluorouracil
35 claims
- Cephalexin 34
Cephalexin
34 claims
- Clobetasol Propion… 31
Clobetasol Propionate
31 claims
| 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.
14,645
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.
Dr. Sina Aboutalebi
M.D.
Abilene, TX
Dr. William Abramovits
M.D.
Dallas, TX
Dr. Daniel Achtman
M.D.
Plano, TX
Dr. Jordan Achtman
MD
Plano, TX
Dr. Karen Adams
PA-C
San Antonio, TX
Compare Dermatology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Dermatology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 90.2/100 (Quality: 82.2). 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 14,645 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.