Doctor profile · Federal record
Dr. Toni Sicenica, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Jefferson Hills, PA
- NPI 1235123159
- Accepts Medicare
- MIPS 45.7 / 100 · 2023
- 39 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1200 Brooks Ln, Suite 130
Jefferson Hills, PA 150253747
(412) 469-3600
fax (412) 469-3630 - Mailing address
-
1019 Summerset Dr
Pittsburgh, PA 152172550
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- April 14, 2010
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Pennsylvania #MD073848L
- Medicaid
- PA #001896215
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235123159. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,983
Distinct HCPCS
10
Medicare allowed
$188,175
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,073 | 167 | $76 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 296 | 89 | $114 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 167 | 114 | $120 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 107 | 95 | $126 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 100 | 84 | $84 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 71 | 69 | $167 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 43 | 42 | $157 | |
99291 |
Critical care, first 30-74 minutes | 29 | 12 | $208 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $106 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 20 | 12 | $48 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 116. This provider delivers 17× the peer median.Open Payments
Industry payments received
All-time total
$214
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, Inc. | 1 | $195.81 | |
| GlaxoSmithKline, LLC. | 1 | $17.84 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,413
Patients
412
Total drug cost
$552,212
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 306 | 71 | $279,907 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 264 | 81 | $11,187 |
| Prednisone | Generic | 180 | 98 | $1,583 |
| Azithromycin | Generic | 95 | 47 | $1,567 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 92 | 21 | $49,787 |
| Montelukast Sodium | Generic | 77 | 21 | $1,088 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 66 | 19 | $5,178 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 62 | 17 | $39,668 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 57 | 13 | $51,929 |
| Levofloxacin | Generic | 46 | 24 | $268 |
Hospital affiliations
Frequently asked questions
What is Dr. Toni Sicenica's medical specialty?
Dr. Toni Sicenica practices Pulmonary Disease Physician in Jefferson Hills, PA.
Where does Dr. Toni Sicenica practice?
Dr. Toni Sicenica practices at 1200 Brooks Ln, Jefferson Hills, PA 150253747. Office phone: 4124693600.
What is Dr. Toni Sicenica's NPI?
Dr. Toni Sicenica's National Provider Identifier (NPI) is 1235123159, issued by NPPES.
Does Dr. Toni Sicenica accept Medicare assignment?
Yes. Dr. Toni Sicenica accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Toni Sicenica commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.