RANDY RANSHAWN MOORE (PA-C) – Physician Assistant, NPI 1053627265
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RANDY RANSHAWN MOORE (PA-C)
1761 W Loop 281
Longview, TX 756042734
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
1107 E MARSHALL AVE
LONGVIEW, TX 756015602
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Mailing
425 N FREDONIA ST
LONGVIEW, TX 756016464
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
2131 S Mobberly Ave
Longview, TX 756023563
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
602 Titus St Ste 130
Gilmer, TX 756441780
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
1711 S Henderson Blvd Ste 400
Kilgore, TX 756623592
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
1001 W Fairmont St
Longview, TX 756043511
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
1701 Pine Tree Rd
Longview, TX 756041909
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
1107 E Marshall Ave
Longview, TX 756015602
Phone: (903) 758-2610
Fax: (903) 758-7081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $401.
Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($113).
Total Amount
$401
General + Research + Ownership
Payments
22
Total payment records
General Amount
$401
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $113 |
| GlaxoSmithKline, LLC. | $101 |
| AstraZeneca Pharmaceuticals LP | $76 |
| PFIZER INC. | $34 |
| Corcept Therapeutics | $19 |
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: 2010-09-17
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 |
|---|---|---|---|---|
| I20100917000520 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75604)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| O B S T E T R I C S/ G Y N E C 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 | TX | |
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.