Toni Sicenica, MD
Pulmonary Disease Physician · Jefferson Hills, PA
Toni Sicenica, MD is a pulmonary disease physician with a practice address in Jefferson Hills, Pennsylvania, and NPI 1235123159, issued on Sep 7, 2005. Check the license (Pennsylvania MD073848L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Toni Sicenica
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- MD073848L PA
Self-reported in NPPES; status is on the state search - Practice location
- 1200 Brooks LN, Jefferson Hills, PA 15025
- Phone
- (412) 469-3600
- Enumerated
- Sep 7, 2005
- Record last updated
- Apr 14, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (412) 469-3630
- Medicaid ID
- 001896215 PA
- Medicare enrollment
- Enrolled (PECOS I20150425000211); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 779 in Pennsylvania → Look up another NPI →
Also registered at 1200 Brooks LN
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alicia AdamsPhysical Therapist1902042740
- Melissa Albert, PA-CPhysician Assistant1760552392
- Courtney Caligiuri, PA-CPhysician Assistant1437512381
- Nupur Dashottar, M.D.Family Medicine Physician1104844000
- Emil Deliere, MDPulmonary Disease Physician1952395873
- Katie Dipasquale, PA-CPhysician Assistant1134454481
Verify Toni Sicenica in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD073848LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
35% more Medicare Part D claims than the average pulmonary disease physician in 2024
1,919 Medicare Part D claims for 278 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 52% of claims.
Most prescribed
- Trelegy Ellipta374 claims
- Albuterol Sulfate Hfa265 claims
- Prednisone210 claims
- Azithromycin144 claims
- Montelukast Sodium112 claims
- Breo Ellipta93 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 52.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $213.65
2 payments; by number, the most common kind was food and beverage; the largest payer was Inari Medical, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Toni Sicenica among 779 pulmonary disease physician records in Pennsylvania
Toni Sicenica, MD is one of 779 pulmonary disease physician records with a practice address in Pennsylvania. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 89% newer
- In a Medicare fileYes · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated1987 · median 2003 among the 568 with a school on file
- Record last updated2010 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 pulmonary disease physician records list a practice address in Jefferson Hills
They are 8 of the 349 NPPES records with a practice address in Jefferson Hills, and 779 pulmonary disease physician records in Pennsylvania.
All 779 in Pennsylvania → Every provider in Jefferson Hills → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Emil Deliere, MDJefferson Hills, PA 150251952395873
- Kyle Holden, D.O.Jefferson Hills, PA 150251891282844
- Ziad Ismael, MDJefferson Hills, PA 150251417096454
- Jennifer Leap, D.O.Jefferson Hills, PA 150251649680828
- Chelsea LedgerwoodJefferson Hills, PA 150251265938385
- Tobi Shuman, DOJefferson Hills, PA 150251770699050
- William Sims, MDJefferson Hills, PA 150251790779494
- Sukhdev Grover, MDCheswick, PA 150241295714137
Common questions
What is Toni Sicenica, MD's NPI number?
Toni Sicenica, MD's National Provider Identifier (NPI) is 1235123159, issued on Sep 7, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Toni Sicenica, MD located?
The NPPES record lists a practice address at 1200 Brooks LN, Jefferson Hills, PA, 15025. Phone: (412) 469-3600. Providers update this record themselves, so call before visiting.
How can I verify Toni Sicenica, MD's license?
NPPES lists Pennsylvania license number MD073848L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Toni Sicenica, MD prescribe under Medicare Part D?
In 2024, Toni Sicenica, MD had 1,919 Medicare Part D claims for 278 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Toni Sicenica, MD's MIPS final score?
The 2023 MIPS final score is 52.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.