NPPES file of Aug 9, 2026

Ralph George Menard, MD

Interventional Pain Medicine Physician · Fredericksburg, TX

Ralph George Menard, MD is an interventional pain medicine physician with a practice address in Fredericksburg, Texas, and NPI 1407876014, issued on Jul 20, 2006. Check the license (Texas H5592, 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 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407876014
Name
Ralph George Menard
Credential
MD
Primary taxonomy
Interventional Pain Medicine Physician 208VP0014X
License number
H5592 TX
Self-reported in NPPES; status is on the state search
Practice location
205 W Windcrest St Ste 350, Fredericksburg, TX 78624
Phone
(830) 990-1404
Enumerated
Jul 20, 2006
Record last updated
Jun 28, 2017 (not updated in 9 years: call before relying on the address or phone)
Medicaid ID
130355404 TX
Medicare enrollment
Enrolled (PECOS I20040422001426); accepts Medicare assignment
Medical or professional school
Medical College Of Georgia School Of Medicine, 1983
Telehealth
Offers telehealth (CMS)
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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Verify Ralph George Menard in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license H5592
    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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57% fewer Medicare Part D claims than the average interventional pain medicine physician in 2024

982 Medicare Part D claims for 148 beneficiaries, against an average of 2,306 among the 2,100 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims. 514 claims were for opioids.

  1. Ralph Menard982
  2. Specialty average2,306

Most prescribed

  1. Hydrocodone-Acetaminophen242 claims
  2. Gabapentin164 claims
  3. Tramadol Hcl73 claims
  4. Pregabalin69 claims
  5. Duloxetine Hcl66 claims
  6. Morphine Sulfate Er43 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.

Industry payments in 2024: $1,131.12

26 payments; by number, the most common kind was food and beverage; the largest payer was Nevro Corp. The 1,966 providers of this specialty with any payment received $3,889.53 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ralph Menard$1,131.12
  2. Specialty average$3,889.53

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

Bills Medicare through one group practice

  1. South Texas Physician Group PLLCFredericksburg, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ralph George Menard among 301 interventional pain medicine physician records in Texas

Ralph George Menard, MD is one of 301 interventional pain medicine physician records with a practice address in Texas. 91% 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 14% of them.

  • NPI issued2006 · 14% of these records are older, 59% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated1983 · median 2004 among the 250 with a school on file
  • Record last updated2017 · 36% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208VP0014X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Interventional Pain Medicine Physician providers in Texas

There are 301 interventional pain medicine physician records in Texas.

The 8 interventional pain medicine physician records with the nearest ZIP codes

  1. Bennett Ezekiel, M.D.Georgetown, TX 786261477734721
  2. Adnan Khan, M.D.Georgetown, TX 786261083861249
  3. Feroz Osmani, MDGeorgetown, TX 786261780180190
  4. Devin Peck, M.D.Georgetown, TX 786261861625428
  5. Akshay Vakharia, M.D.Georgetown, TX 786261962467050
  6. Allen Dennis, MDGeorgetown, TX 786281912044793
  7. Cara Richardson, APRN, MSN, FNP-CGeorgetown, TX 786281972432342
  8. Robert Haake, MDGeorgetown, TX 786331659869147

Common questions

What is Ralph George Menard, MD's NPI number?

Ralph George Menard, MD's National Provider Identifier (NPI) is 1407876014, issued on Jul 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Ralph George Menard, MD located?

The NPPES record lists a practice address at 205 W Windcrest St Ste 350, Fredericksburg, TX, 78624. Phone: (830) 990-1404. Providers update this record themselves, so call before visiting.

How can I verify Ralph George Menard, MD's license?

NPPES lists Texas license number H5592, 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 Ralph George Menard, MD prescribe under Medicare Part D?

In 2024, Ralph George Menard, MD had 982 Medicare Part D claims for 148 beneficiaries; the average among interventional pain medicine physician prescribers was 2,306. Part D covers Medicare prescriptions only.

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.