Fred Louis Speck Jr., M.D.
NPI 1639104466ActiveIndividual· Dermatology· Kerrville, TX
Dermatology (M.D.) in Kerrville, Texas, trained at University of Texas Medical Branch at Galveston (class of 1977). 1,768 Medicare patients in 2024, $523,316 paid; nearly all of their 1,045 Part D prescriptions were generic (98%). Eli Lilly and Company was the largest of 3 companies reporting payments in 2025, $149.69 in all, mostly education.
Overview
| NPI | 1639104466 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 11, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | E8928 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,768 |
|---|---|
| Services billed | 13,192 across 56 procedure codes |
| Paid by Medicare | $523,316 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,045 · 1,242 30-day fills |
|---|---|
| Patients | 455 |
| Total drug cost | $241,753 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Texas Medical Branch at Galveston |
|---|---|
| Graduation year | 1977 |
| Medicare specialty | Dermatology |
Industry payments (Open Payments)
- 2025$149.69 · 4 payments from 3 companies
- 2024$16.88 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Eli Lilly and Company | $99.00 | 1 |
| Lundbeck LLC | $31.27 | 1 |
| Organon LLC | $19.42 | 2 |
What the 2025 payments were for
- Education$99.00 · 1 payment
- Food and Beverage$50.69 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other dermatologists in Kerrville
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