Randy Lee Moore, D.O.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

DO26902 Issued in OR

Practice address

2880 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1201

Phone

(541) 673-2267

Fax

(541) 672-9483

NPI assigned

May 30, 2006

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

46.95 of 100Reported as group

Quality

59.48

Improvement activities

0

Cost

77.19

Merit-based Incentive Payment System (MIPS)

Final score

87.45 of 100Reported as group

Quality

69.6

Promoting interoperability

100

Improvement activities

40

Cost

76.59

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cccroseburg@directaddress.net

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.

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Medicare reassignment NPD
• Community Cancer Foundation

  dba Community Cancer Center

  • Radiation Oncology Physician
  • Roseburg, OR
  • NPI 1457351991
  Medicare reassignment NPD
• Roseburg Oncology PC

  • Radiation Oncology Physician
  • Roseburg, OR
  • NPI 1649223868
  Authorized official Same address or phone
• Bay Area Hospital District

  • Home Health Agency
  • North Bend, OR
  • NPI 1215018197
  NPD
• Community Cancer Foundation

  dba Community Cancer Center

  • Registered Dietitian
  • Roseburg, OR
  • NPI 1982833752
  NPD
• Centennial Radiation Oncology, P.C.

  • Radiation Oncology Physician
  • Lafayette, CO
  • NPI 1942278361
  NPD (past)
• Poudre Valley Radiation Oncology LLC

  • Radiation Oncology Physician
  • Fort Collins, CO
  • NPI 1538137955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1508813817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "WINCHESTER",
            "state": "OR",
            "postal_code": "974950833",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974202125",
            "country_code": "US",
            "telephone_number": "541-269-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RANDY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "CO",
            "license": "28947",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "DO26902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CCCRoseburg@directaddress.net",
            "affiliation": "N",
            "address_1": "2880 NW Stewart Pkwy Ste 100",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974711201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Moon
• Sarah Rebecca Jo Moon
• Brianne Moore, RDH
• Damarcus R Moore
• Melissa Marie Moore, PA
• Maria Cervantes Morales, RN
• Anna M Moran, OD
• Ariel Moran, QMHA-R
• Kenzie Morgan-Hollman
• Ralph T Morones

• Radiation Oncology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Radiation Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.

Verify at the official NPI Registry.