TRI STATE UROLOGIC SERVICES PSC INC
NPI 1073746459
Urology in Fairfield, OH
About Tri State Urologic Services Psc Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI STATE UROLOGIC SERVICES PSC INC (NPI 1073746459), doing business as The Urology Group, is a healthcare organization registered as an urology in Fairfield, Ohio and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through February 9, 2028, maintains a secondary practice location in Hamilton, and lists Earl L Walz, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri State Urologic Services Psc Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Tri State Urologic Services Psc Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 68Cincinnati, OH 45212
Edgewood, KY 41017
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2252290
Tri State Urological Services · Hamilton, OHFrequently 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 Tri State Urologic Services Psc Inc's NPI number?
The NPI number for Tri State Urologic Services Psc Inc is 1073746459. It was assigned to this organization in the NPPES registry on September 1, 2009. The provider is doing business as The Urology Group.
Where is Tri State Urologic Services Psc Inc located?
Tri State Urologic Services Psc Inc is located at 925 Deis Dr, Fairfield, OH 45014. The listed phone number is (513) 841-7900.
What is Tri State Urologic Services Psc Inc's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Tri State Urologic Services Psc Inc enrolled in Medicare?
Yes. Tri State Urologic Services Psc Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri State Urologic Services Psc Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 9 Medicare specialties reassign their Medicare billing to Tri State Urologic Services Psc Inc. A 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 the clinician's services. The largest specialties are Urology (41), Nurse Practitioner (8) and Diagnostic Radiology (5). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tri State Urologic Services Psc Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2252290) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tri State Urologic Services Psc Inc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Tri State Urologic Services Psc Inc · NPI 1073746459
Urology organization in Fairfield, Ohio. Organization record, active in the CMS NPPES registry since September 1, 2009.
## Identity
- **NPI:** 1073746459 (Entity type: Organization)
- **Enumerated:** September 1, 2009
- **Primary specialty:** Urology · taxonomy 208800000X
- **Also known as:** THE UROLOGY GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Earl Walz, CEO
## Practice location
- **Address:** 925 DEIS DR, Fairfield, OH 45014-8130
- **Phone:** (513) 841-7900 · **Fax:** (513) 841-7901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (41), Nurse Practitioner (8), Diagnostic Radiology (5); 8 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1073746459/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2026
- **Other identifiers:** Other CC2433 (OH); Medicaid 0276946 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073746459) · Data from the CMS NPPES public registry.