Dr. Fred Louis Speck Jr., MD
- Medicare services, 2024
- 13,069
- Medicare patients, 2024
- 1,768
- Part D claims, 2024
- 1,045
- MIPS score, 2024
- 97
- Hospital affiliations
- 2
- Practice address
- 551 Hill Country Drive, Kerrville, TX 78028
- Practice phone
- Call (830) 896-4200
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Speck's professional email, personal email and mobile number
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Dr. Fred Louis Speck Jr. is a dermatologist in Kerrville, Texas
Dr. Speck practices at Peterson Regional Medical Center in Kerrville, Texas, part of Peterson Health.
Dr. Speck's NPI, 1639104466, was assigned on July 11, 2006. Dr. Speck graduated from UTMB Health in 1977. Dr. Speck holds Texas license E8928.
- NPI
- 1639104466NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5294851275
- NPI enumeration date
- July 11, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (830) 896-4200
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 75
- Medical school graduation
- 1977
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Fred Louis Speck Jr. practices at Peterson Regional Medical Center in Kerrville, Texas
Dr. Speck's primary practice is Peterson Regional Medical Center, at 551 Hill Country Drive, Kerrville, TX 78028 in Kerr County. The practice phone is (830) 896-4200.
- Peterson Regional Medical Center551 Hill Country Drive, Kerrville, TX 78028 · Kerr CountyPhone(830) 896-4200
Source: Dmand AI Affiliation Data
Dr. Fred Louis Speck Jr. is affiliated with 2 sites of care
Dr. Speck's primary practice is Peterson Regional Medical Center in Kerrville, Texas, part of Peterson Health. Dmand AI also links Dr. Speck to 1 hospital, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Fred Louis Speck Jr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Speck practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Peterson Regional Medical Center | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Peterson Health and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Fred Louis Speck Jr. is one of 1,073 dermatologists in Texas
Dermatology is Dr. Speck's primary specialty in the NPI Registry, under taxonomy code 207N00000X. Dr. Speck is board certified in dermatology by the American Board of Dermatology. Dmand AI has Dr. Speck's licenses on file in 2 states: Texas and Oklahoma.
Specialties and state licenses
- Dermatology, TexasPrimary
- Oklahoma license
Clinical focus
Dmand AI lists acne, acute skin infection, benign or precancerous skin growths, cancerous skin growth removal, cold sores or genital herpes, contact dermatitis, facial skin infection and hives among the conditions Dr. Speck treats.
Dermatologists near Dr. Speck
Counts of dermatologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Fred Louis Speck Jr. billed Medicare for 13,069 services in 2024
CMS data shows 13,069 Medicare services from Dr. Speck across 19 procedure codes in 2024, for 1,768 Medicare patients. Medicare paid $505,941 for them. Every service was in an office.
Dr. Speck's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Surgery
- 2023: 9,4562024: 9,6802%
- Office and hospital visits
- 2023: 3,3602024: 3,3891%
Dr. Speck compared with the Texas median for dermatologists, 2024
- Dr. Speck
- Texas median
- Medicare services
- 13,069vs 1,9826.6 times
- Medicare patients
- 1,768vs 4653.8 times
- Part D claims
- 955vs 4362.2 times
Medians across 1,030 dermatologists in Texas with Dmand AI profiles that report each measure.
Dr. Speck's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Fred Louis Speck Jr. treated 1,768 Medicare patients in 2024, average age 78
CMS counts 1,768 Medicare patients who saw Dr. Speck in 2024. The largest group is 75 to 84, with 770 patients. 75% of them have high cholesterol, and 73% have high blood pressure. 2% are also on Medicaid. Their average risk score is 0.99, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Speck's median patient age at 77, with 44% women.
Dr. Speck's Medicare patients by age, 2024
Dr. Speck's Medicare patients by sex, 2024
- Women76343%
- Men1,00557%
Chronic conditions among Dr. Speck's Medicare patients, 2024
- High cholesterol75%
- High blood pressure73%
- Arthritis43%
- Ischemic heart disease28%
- Diabetes23%
- Chronic kidney disease20%
- Atrial fibrillation19%
- Cancer15%
Share of Medicare patients with each condition. A patient can have several.
Dr. Speck's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 77
Patient panel by sex, all payers
- Women44%
- Men54%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Fred Louis Speck Jr. wrote 1,045 Medicare Part D claims in 2024
In 2024, Dr. Speck wrote 1,045 Medicare Part D claims for 455 patients. 98% of them were for generic drugs. CMS names the drug for 955 of them, across 18 drugs with 11 or more claims each, at $22,828 in total drug cost. In 2023, CMS named 782 claims across 16 drugs.
Dr. Speck's Part D claims by kind of drug, 2024
- Generic1,024 claims98%
- Brand-name21 claims2%
Dr. Speck's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Speck's Part D claims, 2024
- Antibiotics23%244 of 1,045 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 7822024: 95522%
Drugs named by CMS: 18 in 2024, 16 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Fred Louis Speck Jr. scored 97 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Speck for performance year 2024, reported individually. Dr. Speck accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 7,029 procedures of removal of skin lesions by Dr. Speck, more than 99% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Speck's MIPS scores, performance year 2024
- 97of 100Final score
- 93.7of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Speck ranks in Medicare procedure volume
- Removal of skin lesions
- 99th percentile7,029 procedures
- Skin biopsy
- 92nd percentile333 procedures
- Melanoma (skin cancer) excision
- 74th percentile20 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Fred Louis Speck Jr. received $1,482 in industry payments from 2016 to 2025
CMS Open Payments shows 20 general payments to Dr. Speck from 11 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 54% of the total. Stryker Corporation paid the most, $1,005.
General payments to Dr. Speck by program year, 2016 to 2025
General payments to Dr. Speck by kind, 2016 to 2025
- Food and beverage$80654%
- Travel and lodging$56538%
- Education$1117%
Companies that paid Dr. Speck the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Fred Louis Speck Jr. graduated from UTMB Health
Dr. Speck graduated from UTMB Health in 1977.
- Medical school
- Board certified in dermatology
Source: Dmand AI Professional Profile Data
Dr. Fred Louis Speck Jr. accepts plans from 15 insurance carriers
Dr. Speck is in network with 15 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Elevance
- Alliant Health Plans
- HCSC
- Baylor Scott and White
- Blue Cross and Blue Shield of Kansas City
- +7 more carriersWith a free account
Plan types Dr. Speck accepts, by number of carriers
- HMO9
- PPO9
- POS4
- Medicare3
- EPO2
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Fred Louis Speck Jr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Fred Louis Speck Jr.
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Fred Louis Speck Jr.'s NPI number?
Dr. Fred Louis Speck Jr.'s NPI number is 1639104466. It was assigned on July 11, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Fred Louis Speck Jr.?
Dr. Fred Louis Speck Jr. is a dermatologist in Kerrville, Texas. The primary specialty in the NPI Registry is Dermatology Physician (taxonomy code 207N00000X).
Where does Dr. Fred Louis Speck Jr. practice?
Dr. Speck practices at 551 Hill Country Drive, Kerrville, TX 78028. Dr. Speck's primary practice is Peterson Regional Medical Center in Kerrville, Texas, part of Peterson Health. Dmand AI also links Dr. Speck to 1 hospital.
What is Dr. Fred Louis Speck Jr.'s office phone number?
The practice phone on file for Dr. Speck is (830) 896-4200.
What is Dr. Fred Louis Speck Jr.'s medical license number?
Dr. Speck holds Texas license E8928, one of the licenses on file in 2 states.
Which states has Dr. Fred Louis Speck Jr. been licensed in?
Dmand AI has state licenses on file for Dr. Speck in Texas (1977 to 2026) and Oklahoma (1978 to 1984).
Which hospitals is Dr. Fred Louis Speck Jr. affiliated with?
Dr. Speck practices at Peterson Regional Medical Center in Kerrville, Texas. Dmand AI links Dr. Speck to 1 more hospital.
Does Dr. Fred Louis Speck Jr. accept Medicare?
Yes. CMS data shows Dr. Speck billed Medicare for 13,069 services in 2024, and Dr. Speck accepts Medicare assignment.
What is Dr. Fred Louis Speck Jr.'s MIPS score?
Dr. Speck's MIPS final score for performance year 2024 is 97 out of 100, reported individually.
How many Medicare patients does Dr. Fred Louis Speck Jr. see?
CMS counts 1,768 Medicare patients who saw Dr. Speck in 2024, with an average age of 78.
Show 7 more questionsShow fewer questions
Is Dr. Fred Louis Speck Jr. board certified?
Yes. Dr. Speck is board certified in dermatology by the American Board of Dermatology.
What services does Dr. Fred Louis Speck Jr. bill to Medicare?
In 2024, Dr. Speck's most billed Medicare services were surgery: skin and soft tissue (17003), office visit, established patient (99213) and surgery: skin and soft tissue (17000).
Where did Dr. Fred Louis Speck Jr. go to medical school?
Dr. Speck graduated from UTMB Health in 1977.
What drugs does Dr. Fred Louis Speck Jr. prescribe most?
In 2024 Medicare Part D data, Dr. Speck's most prescribed drugs by claims were Triamcinolone Acetonide, Minocycline HCl and Fluticasone Propionate.
Has Dr. Fred Louis Speck Jr. received payments from drug or device companies?
CMS Open Payments shows $1,482 in general payments to Dr. Speck from 11 companies from 2016 to 2025. The largest total came from Stryker Corporation.
How long has Dr. Fred Louis Speck Jr. been practicing?
Dr. Speck graduated from medical school in 1977, 49 years ago.
What insurance does Dr. Fred Louis Speck Jr. accept?
Dr. Speck is in network with 15 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 9. Check the plan with the practice before a visit.
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