Toni Sicenica, MD
NPI 1235123159 · Pulmonary Disease Physician · Jefferson Hills, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toni Sicenica, MD is a Pulmonary Disease Physician provider in Jefferson Hills, PA (NPI 1235123159).
Provider details
- NPI number
- 1235123159
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD073848L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,406 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 731 | $70 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 177 | $105 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 123 | $113 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 99 | $79 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 93 | $117 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 374 | 77 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 265 | 83 |
| Prednisone | 210 | 106 |
| Azithromycin | 144 | 65 |
| Montelukast Sodium | 112 | 22 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 93 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$214 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-07
- Last updated
- 2010-04-14
Frequently asked questions
- What is Toni Sicenica's NPI number?
- Toni Sicenica's National Provider Identifier (NPI) is 1235123159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toni Sicenica's specialty?
- Toni Sicenica is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Toni Sicenica located?
- Toni Sicenica's practice location on file with NPPES is 1200 Brooks Ln, Jefferson Hills, PA 15025-3747.
- What is Toni Sicenica's phone number?
- The practice phone number listed in the NPPES registry for Toni Sicenica is (412) 469-3600.
- Does Toni Sicenica accept Medicare?
- Toni Sicenica is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toni Sicenica's NPI active?
- Yes — Toni Sicenica's NPI (1235123159) is active in the NPPES registry as of the last update on 2010-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.