DR. RALPH GEORGE JR. MENARD (MD) – Interventional Pain Medicine Physician, NPI 1407876014
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
327 INTERVENTIONAL PAIN MANAGEMENT in TX
Provider Addresses for DR. RALPH GEORGE JR. MENARD (MD)
205, West Windcrest Street, Fredericksburg, Gillespie County, Texas, 78624, United States
SUITE 130
FREDERICKSBURG, TX 786244479
Phone:
Type: Mailing
205 W WINDCREST ST STE 350
FREDERICKSBURG, TX 786244478
Phone: (830) 990-1404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,812.
Total Amount is formed as General ($1,812) + Research ($0) + Ownership ($0) = $1,812.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Nevro Corp. ($733).
Total Amount
$1,812
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,812
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $733 |
| Pacira Pharmaceuticals Incorporated | $290 |
| Medtronic, Inc. | $251 |
| Boston Scientific Corporation | $139 |
| ABBVIE INC. | $100 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-04-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040422001426 | I | Interventional Pain Management | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 539 | 289 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 175 | 108 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 175 | 129 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 173 | 137 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 171 | 16 | $0 |
Insurance plans in this area (ZIP 78624)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 79 | 53 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 62311 | Injections of substances into lower or sacral spine | 278 | 198 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 73562 | X-ray of knee, 3 views | 34 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| General Surgery | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX |
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