Doctor profile · Federal record

Dr. Sandra Garred, M.D.

Internal Medicine Physician (CMS: Internal Medicine) · Fredericksburg, TX

  • NPI 1770578478
  • Accepts Medicare
  • 30 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1308 S State Highway 16
Fredericksburg, TX 786245058
(830) 997-2181
fax (830) 997-4453
Mailing address
575 Hill Country Dr
Kerrville, TX 780286024

Credentials & registration

NPPES · NUCC
NPI registered
September 2005 — 21 yrs on file
Profile last updated
June 7, 2025
Year of graduation
1996 — 30 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Texas #P7918

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1770578478. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,719
Distinct HCPCS
10
Medicare allowed
$170,220
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 793 373 $125
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 223 223 $126
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 114 16 $61
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 103 63 $22
82962 Blood glucose (sugar) test performed by hand-held instrument 91 51 $3
99213 Established patient office or other outpatient visit, 20-29 minutes 64 58 $88
81003 Automated urinalysis test 45 36 $2
99495 Transitional care management services for problem of at least moderate complexity 44 39 $199
G0008 Administration of influenza virus vaccine 37 37 $25
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 34 12 $46

In context: peer comparison

Among 5 peers in Fredericksburg Internal Medicine Physician, average services per provider: 150. This provider delivers 11× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$123
Transactions
7
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 2 $39.93
GlaxoSmithKline, LLC. 2 $28.51
Novo Nordisk INC 1 $24.55
Currax Pharmaceuticals LLC 1 $16.32
AstraZeneca Pharmaceuticals Lp 1 $13.33

By nature of payment

Food and Beverage
$123

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
3,051
Patients
888
Total drug cost
$31,719
Drug Type Claims Patients Total cost
Levothyroxine Sodium Generic 584 152 $6,380
Amlodipine Besylate Generic 318 86 $2,116
Gabapentin Generic 275 76 $4,443
Lisinopril Generic 255 73 $1,583
Atorvastatin Calcium Generic 237 73 $3,258
Losartan Potassium Generic 182 57 $1,848
Trazodone Hcl Generic 155 41 $1,255
Metoprolol Succinate Generic 151 44 $2,525
Metformin Hcl ER (Metformin Hcl) Brand 137 47 $1,281
Sertraline Hcl Generic 133 39 $1,367

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Sandra Garred's medical specialty?
Dr. Sandra Garred practices Internal Medicine Physician in Fredericksburg, TX.
Where does Dr. Sandra Garred practice?
Dr. Sandra Garred practices at 1308 S State Highway 16, Fredericksburg, TX 786245058. Office phone: 8309972181.
What is Dr. Sandra Garred's NPI?
Dr. Sandra Garred's National Provider Identifier (NPI) is 1770578478, issued by NPPES.
Does Dr. Sandra Garred accept Medicare assignment?
Yes. Dr. Sandra Garred accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sandra Garred commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Chronic care management services (HCPCS 99490). Source: CMS Medicare Physician & Other Practitioners file.