Provider profile

Toni SicenicaMD

Internal Medicine, Pulmonary Disease

NPI 1235123159
1200 Brooks Ln, Suite 130, Jefferson Hills, PA 15025412-469-3600

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Medicare Advantage plans for Allegheny County, PA.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 15 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Toni on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 87 Medicare Advantage plans we show for Allegheny County, PA in 2027

  • 15 list Toni
  • 65 not listed
  • 7 not checked yet

Aetna Medicare

10 plans list Toni.

10plans
  • Aetna Medicare Advantra Eagle Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3 Robinson Plz, Ste 440, Pittsburgh, PA, 15205

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3959-041-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3 Robinson Plz, Ste 440, Pittsburgh, PA, 15205

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-017-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3 Robinson Plz, Ste 440, Pittsburgh, PA, 15205

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3959-010-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3 Robinson Plz, Ste 440, Pittsburgh, PA, 15205

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-261-000Medicare.gov
    $0a month

HealthSpring

4 plans list Toni.

4plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 25 Heckel Rd, Mc Kees Rocks, PA, 15136

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-047-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 25 Heckel Rd, Mc Kees Rocks, PA, 15136

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-106-000Medicare.gov
    $7a month
  • HealthSpring Preferred Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 25 Heckel Rd, Mc Kees Rocks, PA, 15136

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3949-048-000Medicare.gov
    $32a month
  • HealthSpring TotalCare Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 25 Heckel Rd, Mc Kees Rocks, PA, 15136

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3949-009-000Medicare.gov
    $12.80a month

Humana

1 plan lists Toni; not listed on 11 other plans.

1plan
  • Humana Gold Plus H6622-054 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 651 Colliers Way, Ste 402, Weirton, WV, 26062

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-054-000Medicare.gov
    $0a month

Devoted

Not listed on its 10 plans here. That isn't proof they're out of network.

Geisinger Gold

Not listed on its 3 plans here. That isn't proof they're out of network.

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

7 more Highmark Blue Cross Blue Shield or Highmark Blue Shield plans haven't been checked yet.

Highmark Wholecare Medicare Assured

Not listed on its 2 plans here. That isn't proof they're out of network.

Jefferson Health Plans

Not listed on its 2 plans here. That isn't proof they're out of network.

Perennial Advantage

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 12 plans here. That isn't proof they're out of network.

UPMC for Life

Not listed on its 12 plans here. That isn't proof they're out of network.

UPMC for Life Complete Care

Not listed on its 1 plan here. That isn't proof they're out of network.

VISTA Health Plan Inc.

Not listed on its 1 plan here. That isn't proof they're out of network.

Wellcare

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Toni takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

1200 Brooks Ln, Suite 130
Jefferson Hills, PA 15025

NPI Registry
NPI issued
2005
Registry record updated
Apr 14, 2010

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Toni Sicenica?

In Allegheny County, PA, 15 Medicare Advantage plans for 2027 list Toni in provider data from Medicare.gov or the carrier, including Aetna Medicare Advantra Eagle Plus (HMO-POS), Aetna Medicare Advantra Signature Giveback (PPO) and Aetna Medicare Advantra Signature Plus (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Toni Sicenica take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Toni on 10 Medicare Advantage plans for 2027 in Allegheny County, PA, including Aetna Medicare Advantra Eagle Plus (HMO-POS) and Aetna Medicare Advantra Signature Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Toni Sicenica take HealthSpring Medicare Advantage plans?

Medicare.gov provider data lists Toni on 4 Medicare Advantage plans for 2027 in Allegheny County, PA, including HealthSpring Preferred (HMO) and HealthSpring True Choice (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or HealthSpring before you enroll.

Does Toni Sicenica take Humana Medicare Advantage plans?

Humana's own provider directory lists Toni on one Medicare Advantage plan for 2027 in Allegheny County, PA: Humana Gold Plus H6622-054 (HMO). 11 other plans did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Where does Toni Sicenica practice?

1200 Brooks Ln, Suite 130, Jefferson Hills, PA 15025.

How do I confirm Toni is in my plan's network?

Call the member services number on your plan card and give them the NPI 1235123159, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Toni's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Toni Sicenica on 47 plans from Devoted, Geisinger Gold, Highmark Wholecare Medicare Assured, Jefferson Health Plans, Perennial Advantage, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care, VISTA Health Plan Inc. and Wellcare in Allegheny County, PA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2010-04-14). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Toni Sicenica or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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