Physician Profile
Sandra M. Garred, M.D. is a healthcare provider in Fredericksburg, TX specializing in internal medicine. Sandra trained at Wayne State University School of Medicine, graduating in 1996. According to Medicare claims data, Sandra cared for 1,013 Medicare patients across 1,665 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, and office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1308 S STATE HIGHWAY 16
Fredericksburg, TX 78624
Within Internal Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Cardiometabolic
Digestive and liver
Endocrine, blood, and bone
Infectious disease
Kidney and urinary
Respiratory
Blood & Circulation
Blood disorders
Brain & Nerves
Brain and nerves
Cardiac and vascular
Digestive
Heart & Circulation
Infections
Kidney & Bladder
Lungs & Breathing
Mental Health
Neurologic and behavioral
Pain
Rheumatologic and pain
Most searched procedures
Preventive and evaluation
Screening and diagnostic testing
Bones & Joints
Brain and nerves
Cancer screening
Digestive
Exams & Consultations
Heart & Circulation
Heart health
Imaging referral
Immunizations
Lab tests
Lungs & Breathing
Metabolic & Weight
Minor procedures
Office procedures
Office Procedures
Pain management
Preventive & Routine Care
Screenings & Diagnostics
Sexual health
1,665 services · 1,013 patients · 14 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Influenza vaccine, inactivated | Treatment | 90653 |
30 | As often as other peers in Internal Medicine |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Treatment | 93000 |
21 | Less often than most peers in Internal Medicine |
| Injection of drug or substance under skin or into muscle | Treatment | 96372 |
18 | Less often than most peers in Internal Medicine |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
784 | More than most peers in Internal Medicine |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
298 | More than most peers in Internal Medicine |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | Office visit | 99211 |
126 | More often than most peers in Internal Medicine |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
105 | As often as other peers in Internal Medicine |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
96 | As often as other peers in Internal Medicine |
| Blood glucose (sugar) test performed by hand-held instrument | Lab test | 82962 |
66 | As often as other peers in Internal Medicine |
| Administration of influenza virus vaccine | Billing code | G0008 |
35 | As often as other peers in Internal Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Sandra M. Garred is an internist in Fredericksburg, TX. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.
NPI registry
Sandra M. Garred is listed at 1308 S State Highway 16, Fredericksburg, TX 78624. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (830) 997-2181. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Sandra M. Garred's National Provider Identifier is 1770578478. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Sandra M. Garred attended Wayne State University School of Medicine, graduating in 1996. This comes from the CMS National Downloadable File.
CMS public data
Sandra M. Garred has 30 years experience. Calculated from a graduation year of 1996, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Sandra M. Garred provides treatments such as influenza vaccine, inactivated and routine electrocardiogram using at least 12 leads with interpretation and report, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Sandra M. Garred. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.