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PROVIDER PROFILE · NPI 1639104466

Fred SpeckM.D.

PRACTICEMARK FITZGERALD, MDSee all providers at this practice →
DermatologyKerrville, TXI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
5,475
Unique beneficiaries
—
Total services
13,069
Distinct HCPCS
19
Medicare payment
$506K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 965 Dermatology providers in TX — top quintile (cohort median 2,537).
PRESCRIBING · PART D · 2024
Total Rx claims
955
Beneficiaries
—
Total drug cost
$23K
Distinct drugs
18
Brand share
3.4%
Top prescribed drugs
Triamcinolone Acetonide272 claims
Minocycline Hcl117 claims
Fluticasone Propionate111 claims
Doxycycline Hyclate66 claims
Metronidazole50 claims
QUALITY · MIPS · 2024
Final MIPS score
96.6
Quality
93.7
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.91%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$17
Payment records
1
By payment type
Food and Beverage$17
REFERRAL NETWORK

Where Fred Speck's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 56 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Clinical Pathology Laboratories, Inc.
Clinical Laboratory · Austin, TX
154252
Russell Cravey
Ophthalmology · Kerrville, TX
91133
Tyson Hale
Diagnostic Radiology · Fredericksburg, TX
79109
Joe Pruneda
Diagnostic Radiology · Kerrville, TX
77103
Simone Bridges-Roschmann
Diagnostic Radiology · Kerrville, TX
7698
Michael Gnuechtel
Otolaryngology · Kerrville, TX
67228
Michael Melucci
Cardiology · Kerrville, TX
67130
HILL COUNTRY MEMORIAL HOSPITAL5885
Nancy Alvarez-Chedzoy
Ophthalmology · Kerrville, TX
5480
Michael Guerra
Ophthalmology · Kerrville, TX
5384
David Sprouse
Family Practice · Kerrville, TX
4988
NPI 14270286044661
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.