DR. RENATA CHARISSA MOORE (M.D.) – Radiation Oncology Physician, NPI 1851483572

DR. RENATA CHARISSA MOORE (M.D.) is a healthcare provider. based in Decatur, Illinois. specializing in RADIATION ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036093129 (IL). The NPI Number for DR. RENATA CHARISSA MOORE (M.D.) is 1851483572

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENATA CHARISSA MOORE (M.D.)
NPI
1851483572
Phone
(217) 876-6600
Address
210 W MCKINLEY AVE
Enumeration Date
29 September 2006
Last Update Date
12 February 2014

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
2174642900
Graduation Year
1999 (27 years ago)
PAC ID
4587578711
Group Practice PAC ID
5991619116
Professional Enrollment ID
I20110621000504
Address ID
IL625213811DE1990XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

312 RADIATION ONCOLOGY in IL

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Provider Addresses for DR. RENATA CHARISSA MOORE (M.D.)

  • 210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States

    SUITE 1

    DECATUR, IL 625265858

    Phone: (217) 876-6600

    Fax: (217) 876-6606

    Type: Mailing

  • 1990, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States

    DECATUR, IL 625213811

    Phone: (217) 464-2900

    Fax: (217) 464-2909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$19
View all Open Payments →|Open Payments Risk Radar →

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: 2011-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110621000504IRadiation OncologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77334Design and construction of complex radiation treatment device8219$0
77300Calculation of radiation therapy dose8121$0
77427Radiation treatment management, 5 treatment sessions7719$0
99213Established patient office or other outpatient visit, 20-29 minutes3328$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

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Provider's Procedures

DR. RENATA CHARISSA MOORE (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYIL77263Management of radiation therapy, complex4746
RADIATION ONCOLOGYIL77427Radiation treatment management, 5 treatments21946

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991619116View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
Hematology/Oncology, Internal MedicineIL

Reviews

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Frequently asked questions

Is there an official ID for DR. RENATA CHARISSA MOORE (M.D.) in U.S. healthcare records?
The official identifier for DR. RENATA CHARISSA MOORE (M.D.) is NPI 1851483572.
Is DR. RENATA CHARISSA MOORE (M.D.) shown as active in public data?
Registry records indicate DR. RENATA CHARISSA MOORE (M.D.) maintains an active NPI.
What expertise is attributed to DR. RENATA CHARISSA MOORE (M.D.)?
DR. RENATA CHARISSA MOORE (M.D.)'s specialty line reads Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. RENATA CHARISSA MOORE (M.D.) registered?
Use Decatur, Illinois as the headline location for DR. RENATA CHARISSA MOORE (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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