TRI-STATE OPHTHALMOLOGY ASSOCIATES PSC
NPI 1245261833
Ophthalmology in Ashland, KY
About Tri-state Ophthalmology Associates Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-STATE OPHTHALMOLOGY ASSOCIATES PSC (NPI 1245261833) is a healthcare organization registered as an ophthalmology in Ashland, Kentucky and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2028 and lists John C Gross, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Accepted Insurance
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 Ophthalmology Associates Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Tri-State Ophthalmology Associates Psc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 18D2121148
Tri-State Ophthalmology Associates Psc · Ashland, KYFrequently 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 Ophthalmology Associates Psc's NPI number?
The NPI number for Tri-State Ophthalmology Associates Psc is 1245261833. It was assigned to this organization in the NPPES registry on July 5, 2006.
Where is Tri-State Ophthalmology Associates Psc located?
Tri-State Ophthalmology Associates Psc is located at 2841 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 324-2451.
What is Tri-State Ophthalmology Associates Psc's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Tri-State Ophthalmology Associates Psc enrolled in Medicare?
Yes. Tri-State Ophthalmology Associates Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri-State Ophthalmology Associates Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Tri-State Ophthalmology Associates Psc. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tri-State Ophthalmology Associates Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2121148) is associated with this NPI, valid through October 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tri-State Ophthalmology Associates Psc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Tri-State Ophthalmology Associates Psc 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 Tri-State Ophthalmology Associates Psc was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tri-State Ophthalmology Associates Psc · NPI 1245261833
Ophthalmology organization in Ashland, Kentucky. Organization record, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1245261833 (Entity type: Organization)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** John Gross, PRESIDENT
## Practice location
- **Address:** 2841 LEXINGTON AVE, Ashland, KY 41101-3009
- **Phone:** (606) 324-2451 · **Fax:** (606) 324-7123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2022
- **Other identifiers:** Medicaid 2115848 (OH); Medicaid 65931172 (KY); Other CA4418 (KY)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1245261833) · Data from the CMS NPPES public registry.