Toni Sicenica, MD
NPI 1235123159ActiveIndividual· Internal Medicine, Pulmonary Disease· Jefferson Hills, PA
Internal Medicine, Pulmonary Disease (MD) in Jefferson Hills, Pennsylvania, licensed in PA, with an NPI issued in September 2005. Their prescriptions cost Medicare Part D more than their services did: $725,983 for 1,919 claims, against $96,531 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 3 companies reporting payments in 2025, $88.22 in all, mostly food and beverage. Lists Weirton Medical Center, Inc as a hospital affiliation.
Overview
| NPI | 1235123159 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 7, 2005 |
| Last updated in NPPES | Apr 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | MD073848L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 328 |
|---|---|
| Services billed | 1,542 across 28 procedure codes |
| Paid by Medicare | $96,531 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,919 · 2,510 30-day fills |
|---|---|
| Patients | 278 |
| Total drug cost | $725,983 |
| Generic share | 48% of claims |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Pulmonary Disease |
Hospital affiliation
- Weirton Medical Center, IncWeirton, WV
Industry payments (Open Payments)
- 2025$88.22 · 5 payments from 3 companies
- 2024$213.65 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $52.97 | 3 |
| Actelion Pharmaceuticals US, Inc. | $19.20 | 1 |
| Astrazeneca Pharmaceuticals LP | $16.05 | 1 |
What the 2025 payments were for
- Food and Beverage$88.22 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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