# Toni Sicenica, MD

Source: https://ourhealthnetwork.com/doctor/toni-sicenica-md-1235123159
NPI: 1235123159
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Toni Sicenica, MD is a pulmonary disease based in Weirton, WV with NPI 1235123159.

## Profile

- Primary specialty: Pulmonary Disease
- Credential: MD
- Gender: Male
- Graduation year: 1987
- NPI: 1235123159 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1235123159))

## Practice and contact

- Address: 651 Colliers Way, Weirton, WV, 260625053
- Phone: (304) 797-6000

## CMS quality measures (MIPS)

- Overall MIPS final score: 52.72/100
- Quality category score: 72.85/100
- Improvement Activities score: 0.00/100
- Cost category score: 55.104/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (11 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 8 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 7 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 5 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 4 plans
- [Highmark BCBS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bcbs-pennsylvania) — 2 plans
- [Highmark BS Pennsylvania](https://ourhealthnetwork.com/insurance/highmark-bs-pennsylvania) — 2 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 2 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Toni Sicenica, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1235123159).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 2 disclosed payments from medical industry sources totaling approximately $214.

Largest disclosed payer: Inari Medical, Inc. ($196 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Pulmonary Disease doctors in WEIRTON, WV](https://ourhealthnetwork.com/pulmonary-disease/wv/weirton)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1235123159)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)