Best as I can ascertain that’s #6 all time.

1 Cy Young 316
2 Phil Niekro 287
3 Warren Spahn 277
4 Gaylord Perry 238
5 Randy Johnson 227

I remember thinking he was done, done, DONE all the way back in 2004 so I’m slightly hesitant to count him out. If this is it he certainly wasn’t cheated. He was certainly one of the more unique pitching specimens ever.

He was predicted to be done done done around 1998.

“As we relayed to you last night, Jamie Moyer suffered a set-back in the Dominican Republic yesterday while pitching for his winter-league team.

Felipe Alou, the general manager of Escogido, where Moyer was working his way back from the elbow injury that ended his 2010 season in late-July, told the Associated Press that Moyer “threw a pitch and hurt himself. He has a bruise the size of a golf ball at his elbow.”

Alou said Moyer will fly to California today or tomorrow to meet with renowned elbow specialist Lewis Yocum, who had helped Moyer develop a non-surgical rehab plan that Moyer hoped would have him healthy and ready to pitch again by spring training."

and from the mlb Spanish language article, via online translation:

"It threw a launching and it was hurt. A golf ball in the elbow has hematoma as large as. It is possible that it does not return to send more in its race, that is at least what I create “, considered Alou.
Moyer was not available to talk with the press after injury. "(Moyer) one goes away tomorrow or Monday towards California to check itself with Lewis Yocum, who is an elbow specialist and that will determine what course is going to follow", it indicated.”