NPPES file of Aug 9, 2026

Sandra M. Garred, M.D.

Internal Medicine Physician · Fredericksburg, TX

Sandra M. Garred, M.D. is an internal medicine physician with a practice address in Fredericksburg, Texas, and NPI 1770578478, issued on Sep 19, 2005. Check the license (Texas P7918, 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
1770578478
Name
Sandra M. Garred
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
P7918 TX
Self-reported in NPPES; status is on the state search
Practice location
1308 S State Highway 16, Fredericksburg, TX 78624
Phone
(830) 997-2181
Enumerated
Sep 19, 2005
Record last updated
Jun 7, 2025
Fax
(830) 997-4453
Medicare enrollment
Enrolled (PECOS I20131028000611); accepts Medicare assignment
Medical or professional school
Wayne State University School Of Medicine, 1996
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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Also registered at 1308 S State Highway 16

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

  1. Maggie Gainer, MDFamily Medicine Physician1477901346
  2. Lisa Kott-Harrington, FNP-CNurse Practitioner1689057010
  3. Taylor Works, MDFamily Medicine Physician1790421162

Verify Sandra M. Garred in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license P7918
    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

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.4 times the Medicare Part D claims of the average internal medicine physician in 2024

7,534 Medicare Part D claims for 661 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 202 claims were for opioids.

  1. Sandra Garred7,534
  2. Specialty average3,176

Most prescribed

  1. Levothyroxine Sodium560 claims
  2. Amlodipine Besylate318 claims
  3. Gabapentin262 claims
  4. Lisinopril257 claims
  5. Atorvastatin Calcium227 claims
  6. Losartan Potassium224 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: $122.64

7 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sandra Garred$122.64
  2. Specialty average$1,303.06

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

Sandra M. Garred among 9,175 internal medicine physician records in Texas

Sandra M. Garred, M.D. is one of 9,175 internal medicine physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 91% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated1996 · median 2004 among the 6,088 with a school on file
  • Record last updated2025 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

10 internal medicine physician records list a practice address in Fredericksburg

They are 10 of the 331 NPPES records with a practice address in Fredericksburg, and 9,175 internal medicine physician records in Texas.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Derrick Borecky, MDFredericksburg, TX 786241861446585
  2. Melissa George, M.D.Fredericksburg, TX 786241306936695
  3. Felice Howard, M.D.Fredericksburg, TX 786241174572473
  4. Carl Hughes, MDFredericksburg, TX 786241356600498
  5. Michael Johnson, M.D.Fredericksburg, TX 786241386653236
  6. Philip Maple, M.D.Fredericksburg, TX 786241386688810
  7. Jennifer Mayben, M.D.Fredericksburg, TX 786241194746685
  8. Nancy Thompson, M.D.Fredericksburg, TX 786241841248325

Common questions

What is Sandra M. Garred, M.D.'s NPI number?

Sandra M. Garred, M.D.'s National Provider Identifier (NPI) is 1770578478, issued on Sep 19, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Sandra M. Garred, M.D. located?

The NPPES record lists a practice address at 1308 S State Highway 16, Fredericksburg, TX, 78624. Phone: (830) 997-2181. Providers update this record themselves, so call before visiting.

How can I verify Sandra M. Garred, M.D.'s license?

NPPES lists Texas license number P7918, 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 Sandra M. Garred, M.D. prescribe under Medicare Part D?

In 2024, Sandra M. Garred, M.D. had 7,534 Medicare Part D claims for 661 beneficiaries; the average among internal medicine physician prescribers was 3,176. 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.