MRS. ALISSA BOLOGNA SICILIANO (PA) – Physician Assistant, NPI 1104048362
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for MRS. ALISSA BOLOGNA SICILIANO (PA)
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
DOB 503
BOSTON, MA 021182371
Phone:
Type: Mailing
Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States
SHAPIRO 3, SUITE B
BOSTON, MA 021182526
Phone: (617) 638-8485
Fax: (617) 414-7372
Type: Location
780 Main St Ste 2C
Weymouth, MA 021901618
Phone: (781) 331-4600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($34).
Total Amount
$89
General + Research + Ownership
Payments
5
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $34 |
| PFIZER INC. | $21 |
| Sumitomo Pharma America, Inc. | $19 |
| ABBVIE INC. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070626000014 | I | Physician Assistant | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 216 | 188 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 166 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 99 | 85 | $0 |
| 51702 | Simple insertion of temporary bladder tube | 72 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| U R O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Family Practice | MA |
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