Active NPI
Gregory Anthony Moore, M.D.
- Interventional Pain Medicine Physician
- Springfield, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD28629
- Practice address
- 2445 Beverly St Ste B
Springfield, OR 97477-1910 - Phone
- (541) 780-6654
- NPI assigned
- Feb 21, 2007
- Last updated
- Sep 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | MD28629 | OR | Primary |
Addresses
Primary practice location
2445 Beverly St Ste B
Springfield, OR 97477-1910
Mailing address
2445 Beverly St Ste B
Springfield, OR 97477-1910
Phone (541) 780-6654
Other practice location 1
1711 Willamette St Ste 101
Eugene, OR 97401-4014
Phone (541) 897-9309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500601851 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Texas Medical School at San Antonio, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2445 Beverly St
Suite B
Springfield, OR 97477-1910
Phone (541) 780-6654
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Sports and Interventional Spine, LLC-P | Interventional Pain Medicine | Current | Accepting new patients |
| Pacific Sports and Interventional Spine, LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Pacific Northwest Surgery Center LLC | Current | Accepting new patients |
Locations
1711 Willamette St
Ste 101
Eugene, OR 97401
1711 Willamette St
Ste 302
Eugene, OR 97401
Phone (541) 357-4536
217 Division Ave
Eugene, OR 97404
Phone (541) 686-3791
74B Centennial Loop
Ste 100
Eugene, OR 97401
Phone (541) 686-3791
2445 Beverly St
Springfield, OR 97477
Phone (541) 284-3052
2445 Beverly St
Ste B
Springfield, OR 97477
123 Ponderosa Dr
Sutherlin, OR 97479
Phone (541) 459-3788
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pacific Sports and Spine
- Interventional Pain Medicine Physician
- Springfield, OR
- NPI 1881186336
-
- Ambulatory Surgical Clinic/Center
- Springfield, OR
- NPI 1912641788
-
- Interventional Pain Medicine Physician
- Sutherlin, OR
- NPI 1215898564
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1457496705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 BEVERLY ST STE B",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771910",
"telephone_number": "541-780-6654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 BEVERLY ST STE B",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771910",
"telephone_number": "541-780-6654"
}
],
"practiceLocations": [
{
"address_1": "1711 Willamette St Ste 101",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974014014",
"country_code": "US",
"telephone_number": "541-897-9309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "GREGORY",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OR",
"license": "MD28629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500601851",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.