Doctor profile · Federal record
Dr. Sean Whelton, M.D.
Rheumatology Physician (CMS: Rheumatology) · Rheumatology Physician · Washington, DC
- NPI 1659370757
- Accepts Medicare
- MIPS 75.7 / 100 · 2023
- 29 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3800 Reservoir RD Nw
Washington, DC 200072113
(202) 687-8233
fax (202) 687-8579 - Mailing address
-
Po Box 418283
Boston, MA 022418283
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- March 15, 2012
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 207RR0500X — NUCC code
- State licenses (2)
- District of Columbia #MD32259 · Virginia #0101058120
- Medicaid (3)
- VA #5474122 · MD #3679918000 · DC #033957100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659370757. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
180
Distinct HCPCS
3
Medicare allowed
$25,530
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 121 | 67 | $146 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 12 | $88 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 23 | 18 | $204 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 428. This provider delivers 0.4× the peer median.Open Payments
Industry payments received
All-time total
$255
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mirum Pharmaceuticals, Inc. | 1 | $135.72 | |
| GENZYME CORPORATION | 1 | $118.80 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
409
Patients
29
Total drug cost
$546,433
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 72 | 18 | $1,035 |
| Hydroxychloroquine Sulfate | Generic | 37 | 0 | $2,483 |
| Gabapentin | Generic | 36 | 0 | $406 |
| Actemra Actpen (Tocilizumab) | Brand | 35 | 0 | $144,994 |
| Celecoxib | Generic | 33 | 11 | $1,881 |
| Methotrexate (Methotrexate Sodium) | Brand | 29 | 0 | $1,542 |
| Xeljanz Xr (Tofacitinib Citrate) | Brand | 28 | 0 | $202,374 |
| Cyclobenzaprine Hcl | Generic | 24 | 0 | $91 |
| Alendronate Sodium | Generic | 20 | 0 | $389 |
| Allopurinol | Generic | 20 | 0 | $359 |
Hospital affiliations
Frequently asked questions
What is Dr. Sean Whelton's medical specialty?
Dr. Sean Whelton practices Rheumatology Physician in Washington, DC.
Where does Dr. Sean Whelton practice?
Dr. Sean Whelton practices at 3800 Reservoir RD Nw, Washington, DC 200072113. Office phone: 2026878233.
What is Dr. Sean Whelton's NPI?
Dr. Sean Whelton's National Provider Identifier (NPI) is 1659370757, issued by NPPES.
Does Dr. Sean Whelton accept Medicare assignment?
Yes. Dr. Sean Whelton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sean Whelton commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.