JUSTINE MICHAEL SICARI
NPI 1396387114
Nurse Practitioner - Critical Care Medicine in Pittsburgh, PA

Active since October 14, 2019PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
490 E NORTH AVE STE 300, PITTSBURGH, PA 15212(412) 322-7202(412) 322-2144 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2023, Oct 7, 2020, Feb 17, 2020 and 1 more (4 updates tracked since 2019).

About Justine Michael Sicari NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE MICHAEL SICARI (NPI 1396387114) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP020972) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396387114
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameJUSTINE MICHAEL SICARI
Location Address490 E NORTH AVE STE 300Pittsburgh, PA 15212-4771
Mailing Address490 E North Ave Ste 300Pittsburgh, PA 15212-4771 · (412) 322-7202 · Fax (412) 322-2144
Fax(412) 322-2144
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 14, 2019
Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1396387114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in PA · SP020972
490 E NORTH AVE STE 300, Pittsburgh, PA 15212

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justine Michael Sicari is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002244803
PECOS Enrollment IDI20200309002512
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$3.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$64.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers28 claims28 services$30.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
490 E NORTH AVE STE 300, SUITE 2040
PITTSBURGH, PA 15212
Internal Medicine (Pulmonary Disease)
490 E NORTH AVE STE 300
PITTSBURGH, PA 15212
Internal Medicine (Pulmonary Disease)
490 E NORTH AVE STE 300
PITTSBURGH, PA 15212
Internal Medicine (Pulmonary Disease)
490 E NORTH AVE STE 300
PITTSBURGH, PA 15212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Sicari's NPI number?

The NPI number for Justine Sicari is 1396387114. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Justine Sicari located?

Justine Sicari practices at 490 E North Ave Ste 300, Pittsburgh, PA 15212. The listed phone number is (412) 322-7202.

What is Justine Sicari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Justine Sicari enrolled in Medicare?

Yes. Justine Sicari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justine Sicari affiliated with any hospitals?

According to CMS data, Justine Sicari is affiliated with Allegheny General Hospital, West Penn Hospital, Jefferson Hospital and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Justine Sicari was last updated on October 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.