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DR. RANDY LEE MOORE D.O.
NPI 1508813817
Radiology - Radiation Oncology in Roseburg, OR

Active since May 30, 2006PECOS Enrolled
2880 NW STEWART PKWY STE 100, ROSEBURG, OR 97471(541) 673-2267(541) 672-9483 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2021, Dec 7, 2020, Oct 15, 2020 (3 updates tracked since 2020).

About Dr. Randy Lee Moore D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY LEE MOORE D.O. (NPI 1508813817) is an individual radiation oncology provider in Roseburg, Oregon, licensed in Oregon (DO26902) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Coos Bay.

NPPES Registry Identity

NPI1508813817
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. RANDY LEE MOORECredential: D.O.
Location Address2880 NW STEWART PKWY STE 100Roseburg, OR 97471-1201
Mailing AddressPo Box 833Winchester, OR 97495-0833 · (541) 673-2267 · Fax (541) 672-9483
Phone(541) 673-2267
Fax(541) 672-9483
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1508813817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in OR · DO26902
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License 28947 (CO)
2880 NW STEWART PKWY STE 100, Roseburg, OR 97471
Open in Google Maps ↗

Secondary Practice Location 1

Location 11775 Thompson RdCoos Bay, OR 97420-2125 · Phone (541) 269-8111

Other Identifiers 4

Medicaid16753ND
Other016146005OR · Bcbs
OtherP00332817OR · Railroad Medicare
Medicaid026535OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy Lee Moore D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Randy Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Cancer Foundation
Same address
Radiation Oncology
2880 NW STEWART PKWY, SUITE 100
Roseburg, OR 97471
  • Reassigned Medicare billing, Oregon enrollment
  • 5 clinicians in this Medicare group
NPI 1457351991 (541) 673-2267
Bay Area Hospital District
45 mi
General Acute Care Hospital
1775 THOMPSON RD
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 327 clinicians in this Medicare group
NPI 1225016561 (541) 269-8124

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
93 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALLISON F GOTTFRIED RD
Dietitian, Registered
2880 NW STEWART PKWY STE 100
ROSEBURG, OR 97471
Douglas County (541) 672-2267
CYNTHIA D KUSLER FNP
Nurse Practitioner (Family)
2880 NW STEWART PKWY STE 100
ROSEBURG, OR 97471
Douglas County (541) 673-2267
ROSEBURG ONCOLOGY PC
Radiology (Radiation Oncology)
2880 NW STEWART PKWY STE 100
ROSEBURG, OR 97471
Douglas County (541) 673-2267
MICHAEL MARIETTA M.D.
Radiology (Radiation Oncology)
2880 NW STEWART PKWY STE 100
ROSEBURG, OR 97471
Douglas County (541) 673-2267

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Moore's NPI number?

The NPI number for Randy Moore is 1508813817. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Randy Moore located?

Randy Moore practices at 2880 NW Stewart Pkwy Ste 100, Roseburg, OR 97471. The listed phone number is (541) 673-2267.

What is Randy Moore's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Randy Moore enrolled in Medicare?

Yes. Randy Moore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randy Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Moore reassigns Medicare benefits to 2 organizations: Community Cancer Foundation (Roseburg, OR) and Bay Area Hospital District (Coos Bay, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randy Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randy Moore accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Randy Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Moore was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.