John Patrick Whelan, MD PHD
NPI 1083681258ActiveIndividual· Pediatrics, Pediatric Rheumatology· Santa Monica, CA
Pediatrics, Pediatric Rheumatology (MD PHD) in Santa Monica, California, trained at Baylor College of Medicine (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $202,903 for 50 claims, against $3,603 paid for services in 2024.
Overview
| NPI | 1083681258 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD PHD |
| Sole proprietor | No |
| NPI issued | Mar 7, 2006 |
| Last updated in NPPES | Nov 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Rheumatology Primary | 2080P0216X | A53446 | CA |
| Internal Medicine | 207R00000X | A53446 | CA |
| Hospitalist | 208M00000X | A53446 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Rheumatology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 27 across 5 procedure codes |
| Paid by Medicare | $3,603 |
Part D prescriptions in 2024
| Prescriptions (claims) | 50 · 60 30-day fills |
|---|---|
| Total drug cost | $202,903 |
| Generic share | 54% of claims |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Rheumatology |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Uc RegentsLos Angeles, CA · 93 clinicians
Hospital affiliation
- Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records