Doctor profile · Federal record
Dr. Fred Speck, M.D.
Dermatology Physician (CMS: Dermatology) · Kerrville, TX
- NPI 1639104466
- Accepts Medicare
- MIPS 90.2 / 100 · 2023
- 49 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
401 Junction Hwy
Kerrville, TX 780284202
(830) 896-2810
fax (830) 896-2824
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1977 — 49 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- Texas #E8928
- Medicaid
- TX #035352601
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639104466. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12,816
Distinct HCPCS
10
Medicare allowed
$629,211
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 5,308 | 855 | $6 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 3,068 | 1,578 | $73 | |
17000 |
Destruction of precancer skin growth, 1 growth | 1,994 | 1,137 | $49 | |
17110 |
Destruction of skin growth, 1-14 growths | 1,102 | 768 | $101 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 234 | 234 | $104 | |
11102 |
Biopsy of related skin growth, first growth | 184 | 173 | $79 | |
17281 |
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | 135 | 117 | $159 | |
10040 |
Acne surgery | 126 | 111 | $102 | |
17262 |
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm | 117 | 96 | $152 | |
17282 |
Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 109 | 89 | $188 |
In context: peer comparison
Among 2 peers in Kerrville Dermatology Physician, average services per provider: 603. This provider delivers 21× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amneal Pharmaceuticals LLC | 1 | $16.88 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
770
Patients
422
Total drug cost
$23,514
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 273 | 170 | $4,153 |
| Fluticasone Propionate | Generic | 127 | 90 | $3,788 |
| Minocycline Hcl | Generic | 78 | 26 | $2,998 |
| Terbinafine Hcl | Generic | 38 | 22 | $597 |
| Metronidazole | Generic | 37 | 21 | $2,253 |
| Fluorouracil | Generic | 35 | 28 | $4,065 |
| Cephalexin | Generic | 34 | 22 | $399 |
| Clobetasol Propionate | Generic | 31 | 19 | $1,934 |
| Doxycycline Hyclate | Generic | 27 | 13 | $978 |
| Betamethasone Dipropionate | Generic | 19 | 0 | $904 |
Frequently asked questions
What is Dr. Fred Speck's medical specialty?
Dr. Fred Speck practices Dermatology Physician in Kerrville, TX.
Where does Dr. Fred Speck practice?
Dr. Fred Speck practices at 401 Junction Hwy, Kerrville, TX 780284202. Office phone: 8308962810.
What is Dr. Fred Speck's NPI?
Dr. Fred Speck's National Provider Identifier (NPI) is 1639104466, issued by NPPES.
Does Dr. Fred Speck accept Medicare assignment?
Yes. Dr. Fred Speck accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Fred Speck commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.