Sean Whelton, M.D.
Rheumatology Internal Medicine
Sean Whelton is a Rheumatology Internal Medicine specialist based in Washington, DC with over 29 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Also practices: INTERNAL MEDICINE
Sean Whelton, M.D. practices as part of a group rheumatologist practice in Washington, DC. A Tulane University School of Medicine graduate since 1997, he brings 29+ years of experience. CMS Medicare data shows his patients commonly have arthritis, hypertension, and high cholesterol. CMS MIPS quality score: 76.56/100 (2023).
At a glance
- Federal MIPS score higher than 14% of MIPS-scored doctors in District of Columbia
- Virtual visits available — no app or travel required
Older · 5184dNPPES updated 2012-03-15 · verify NPI on CMS · Verify license at DC Board of Medicine
Contact & Location
Practice Location
3800 Reservoir Rd Nw, Washington, DC 20007-2113
How Does This Doctor Compare?
MIPS Score
202376.56/100
District of Columbia avg: 80.6 · US avg: 83.6
⚠ Lower than most doctors nationally(-7 pts)
How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Opioid Rx
↓ Lower = better9.12%
District of Columbia avg: 3.8 · US avg: 5.1
⚠ Lower than most doctors nationally(+4 pts)
9.12% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.
Medicare Patients
90
Unique beneficiaries
Standard volumePrescription Recipients
73
Patients prescribed
Prescriptions Written
658
Total claims
Total Medicare drug cost: $1.02M
Percentile rankings compared against 449 reporting peers in District of Columbia.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Arthritis, Hypertension, and High Cholesterol.
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+26%) — a focus area for this doctor
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+4%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+1%) — a focus area for this doctor
Weakened bones that are more prone to fractures, common in older adults
US avg: 18.1%↑ More patients than average (+14%) — a focus area for this doctor
Excessive worry or fear that interferes with daily life
US avg: 34.1%↓ Fewer patients than average (-4%) — less common here
Conditions affecting emotional state, including depression and bipolar disorder
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↓ Fewer patients than average (-4%) — less common here
A mood disorder causing persistent sadness and loss of interest in activities
US avg: 31.8%↓ Fewer patients than average (-6%) — less common here
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$255 received from industry
2 transactions reported in 2024 ·Low tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Sean Whelton's NPI.
Social Vulnerability Index: 0.61 / 1.00
Moderate vulnerabilityHe practices in a community where the CDC measures social vulnerability across socioeconomic status, household composition, racial/ethnic minority status, and housing/transportation factors. A higher index indicates more residents may face barriers accessing care.
Source: CDC/ATSDR Social Vulnerability Index.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 1997
Tulane University School of Medicine
29 years in practice
Experienced
Rheumatologists treat autoimmune and inflammatory conditions including rheumatoid arthritis, lupus, psoriatic arthritis, gout, osteoarthritis, and vasculitis. They manage biologic therapies and joint-preserving treatments.
Taxonomy: 207RR0500X
Education & Training
Tulane University School of Medicine (Class of 1997)
Mailing address
Po Box 418283, Boston, MA 02241-8283
Differs from practice location
Primary hospital affiliation: Acute Care Hospitals
CMS Certification Number: 500025
View hospital on Medicare Care CompareVirtual Internal Medicine Care With Sean Whelton
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Sean Whelton for arthritis follow-ups, blood pressure monitoring, cholesterol management — no travel to Washington required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Sean Whelton
Dr. Whelton is listed as active in the NPI registry with telehealth listed in Washington, DC. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (202) 687-8233.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator · HRSA HPSA · CDC SVI. See Data Methodology.
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Contact Sean Whelton
Practice Location
3800 Reservoir Rd Nw, Washington, DC 20007-2113
Mailing Address
Po Box 418283, Boston, MA 02241-8283
This is a provider directory. Contact the office directly to schedule appointments.
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