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LUCIA SICINSCHI M.D.
NPI 1871773689
Internal Medicine in Covington, LA

Active since November 08, 2007PECOS EnrolledAccepts Medicare Assignment
80 GARDENIA DR, COVINGTON, LA 70433(985) 898-4001 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Mar 19, 2020, Mar 9, 2020 and 4 more (7 updates tracked since 2016).

About Lucia Sicinschi M.d. NPPES

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

LUCIA SICINSCHI M.D. (NPI 1871773689) is an individual internal medicine provider in Covington, Louisiana, licensed in Louisiana (M.D.203164) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1871773689
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLUCIA SICINSCHICredential: M.D.
Location Address80 GARDENIA DRCovington, LA 70433-9194
Mailing AddressPo Box 669379Dallas, TX 75266-9379 · (985) 898-4001
Phone(985) 898-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 8, 2007
Last NPPES UpdateDecember 6, 20237 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1871773689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · M.D.203164
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
80 GARDENIA DR, Covington, LA 70433
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Lucia Sicinschi M.d. 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 ID4183760077
PECOS Enrollment IDI20091007000095
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 6

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.
126 services87 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.
88 services64 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.
32 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims36 services$4.38 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$58.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$211.90 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.

ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Internal Medicine
80 GARDENIA DR, SUITE B
COVINGTON, LA 70433
St. Tammany Parish (985) 871-5900
DANA MCKENZIE LYLES NP
Nurse Practitioner (Family)
80 GARDENIA DR
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4001
OLIVIA CANNIZARO
Nurse Practitioner (Family)
80 GARDENIA DR
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4001
MAXIMINO MARTELL APRN, CCNS, RN, MSN
Clinical Nurse Specialist (Critical Care Medicine)
80 GARDENIA DR
COVINGTON, LA 70433
St. Tammany Parish (985) 871-5900

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 Lucia Sicinschi's NPI number?

The NPI number for Lucia Sicinschi is 1871773689. It was assigned to this individual provider in the NPPES registry on November 8, 2007.

Where is Lucia Sicinschi located?

Lucia Sicinschi practices at 80 Gardenia Dr, Covington, LA 70433. The listed phone number is (985) 898-4001.

What is Lucia Sicinschi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lucia Sicinschi enrolled in Medicare?

Yes. Lucia Sicinschi 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.

What insurance does Lucia Sicinschi accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Lucia Sicinschi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lucia Sicinschi affiliated with any hospitals?

According to CMS data, Lucia Sicinschi is affiliated with Ochsner Medical Center Acute and St Tammany Parish Hospital.

When was this NPI record last updated?

The NPPES record for Lucia Sicinschi was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.