DR. RANDY LEE MOORE (D.O.) – Radiation Oncology Physician, NPI 1508813817
Radiation Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
111 RADIATION ONCOLOGY in OR
Provider Addresses for DR. RANDY LEE MOORE (D.O.)
1775 Thompson Rd
Coos Bay, OR 974202125
Phone: (541) 269-8111
Type: Location
PO BOX 833
WINCHESTER, OR 974950833
Phone: (541) 673-2267
Fax: (541) 672-9483
Type: Mailing
Northwest Stewart Parkway, Roseburg, Douglas County, Oregon, 97471, United States
ROSEBURG, OR 974711201
Phone: (541) 673-2267
Fax: (541) 672-9483
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($26).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $26 |
| ABBVIE INC. | $14 |
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: 2006-09-19
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 |
|---|---|---|---|---|
| I20060919000028 | I | Radiation Oncology | OR | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 333 | 47 | $0 |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 298 | 40 | $0 |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 113 | 20 | $0 |
| 77336 | Continuing radiation therapy consultation per week | 97 | 58 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 96 | 56 | $0 |
Insurance plans in this area (ZIP 97420)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RADIATION ONCOLOGY | OR | 77427 | Radiation treatment management, 5 treatments | 396 | 115 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | OR | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| N E U R O L O G Y | OR | |
| Physician Assistant | MI | |
| Cardiovascular Disease (Cardiology) | CA | |
| Cardiovascular Disease (Cardiology) | ME | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Cardiovascular Disease (Cardiology) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | MT |
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