TRI-STATE ALLERGY, INC
NPI 1386786796
Allergy & Immunology - Allergy in Ashland, KY

Active since February 13, 2007CLIA 51D2103334 · Waiver
2301 LEXINGTON AVE STE 105, ASHLAND, KY 41101(304) 529-6100(304) 529-0229 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tri-state Allergy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE ALLERGY, INC (NPI 1386786796) is a healthcare organization registered as an allergy in Ashland, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Matthew C Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1386786796
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameTRI-STATE ALLERGY, INC
Location Address2301 LEXINGTON AVE STE 105Ashland, KY 41101-2807
Mailing Address1001 20th StHuntington, WV 25703-2019 · (304) 529-6100 · Fax (304) 529-0229
Fax(304) 529-0229
Organization SubpartNo
Authorized OfficialMatthew C WilsonPresident · (304) 529-6100
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 5, 2014
✔ NPI 1386786796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
2301 LEXINGTON AVE STE 105, Ashland, KY 41101

Other Identifiers 8

Medicaid65930083KY
Medicare UPINA15124WV
Medicaid64694763KY
Medicaid64698772KY
Medicare UPINF39127WV
Medicare ID-Type Unspecified0518401KY · Wilson Personal
Medicare ID-Type Unspecified0518402KY · Lynch Personal
Medicare ID-Type Unspecified5184KY · Group Medicare Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Allergy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tri-State Allergy, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allergy/Immunology
NPI 1891726295
1001 20TH ST
Huntington, WV 25703
(304) 529-6100
✔ PECOS✔ Accepts Medicare12 mi

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 51D2103334

Tri-State Allergy Inc · Huntington, WV
Active · expires Oct 8, 2027
CLIA Number51D2103334
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorMatthew C. Wilson MD
Laboratory Phone(304) 529-6100
Laboratory LocationTri-State Allergy Inc1001 20th Street, Huntington, WV 25703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Allergy, Inc's NPI number?

The NPI number for Tri-State Allergy, Inc is 1386786796. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Tri-State Allergy, Inc located?

Tri-State Allergy, Inc is located at 2301 Lexington Ave Ste 105, Ashland, KY 41101. The listed phone number is (304) 529-6100.

What is Tri-State Allergy, Inc's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Tri-State Allergy, Inc enrolled in Medicare?

Yes. Tri-State Allergy, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Allergy, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Tri-State Allergy, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-State Allergy, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2103334) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-State Allergy, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Tri-State Allergy, Inc 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 Allergy, Inc was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.