Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Frank Manuel Fichtel, MD

Individual provider Neurological Surgery Physician · NPI 1942201470

Dr. Frank Manuel Fichtel, MD practises Neurosurgery in San Antonio, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 1993, 33 years ago. Works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
33
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5430 Fredericksburg Rd Ste 400
San Antonio, TX 78229-3539
Phone: (888) 402-7256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 111 Dallas St, San Antonio, TX 78205-1201 — (888) 402-7256
  • 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 — (888) 402-7256
  • 5282 Medical Dr Ste 600, San Antonio, TX 78229-6114 — (210) 375-3399
  • 5330 N Loop 1604 W, San Antonio, TX 78249-1371 — (888) 402-7256
  • 18600 Hardy Oak Blvd, San Antonio, TX 78258-4206 — (888) 402-7256
  • 520 Madison Oak Dr, San Antonio, TX 78258-3913 — (888) 402-7256

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence J6429 (TX)

Record details

NPI number1942201470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Laminectomy or laminotomy (partial removal of spine bones) 120 times · 96th percentile
Spinal fusion 29 times · 44th percentile

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients282
Services billed 727 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $338 6 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Baptist Medical Center Hospital · San Antonio, TX
  • Legent Orthopedic + Spine Hospital · San Antonio, TX
  • Peterson Regional Medical Center Hospital · Kerrville, TX
  • Beyondfaith Homecare & Rehab San Antonio Home health agency · San Antonio, TX

Other providers in San Antonio