2026 NPPES data Pediatric Chiropractor NPI 1831335561 D.C.
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SEAN TOTTEN, D.C.

Pediatric Chiropractor in MONROE, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
50/100
▼ 33 pts below national avg 83.1 · [object Object]
What the federal data reveals: SEAN TOTTEN, D.C. is a Pediatric Chiropractor ([object Object]) practicing in MONROE, Michigan . Their CMS MIPS Final Score of 50/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SEAN TOTTEN, D.C. reported a CMS MIPS final score of 50 out of 100, below the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SEAN TOTTEN, D.C. at a glance

Below national average

NPI registry status

Active

Issued 12/31/2008

NPI 1831335561

Primary specialty

Pediatric Chiropractor

Rare

297 US NPIs in this specialty

MIPS final score

50/100 33.099999999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Michigan

How Pediatric Chiropractor compares to other specialties among Michigan providers

Michigan providers

Pediatric Chiropractor share within Michigan

1. Pediatric Chiropractor42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Chiropractor share within Michigan

Medicare quality performance — MIPS

SEAN TOTTEN, D.C.'s 2023 MIPS final score plotted against the Pediatric Chiropractor national average

Below national average
MIPS Final Score
50/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Chiropractor) — 50/100 vs national avg 83.1

0%100%National avg83%50%
MIPS final score (Pediatric Chiropractor) — 50/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SEAN TOTTEN, D.C. is a Pediatric Chiropractor provider practicing in MONROE, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.C.. NPI: 1831335561. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SEAN TOTTEN, D.C. appears in the CMS NPPES registry as a Pediatric Chiropractor provider holding D.C. credentials at 2059 N MONROE ST, MONROE, MI, 48162, with a listed phone of (734) 244-4383. NPI 1831335561 was issued on 12/31/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOTTEN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Chiropractor providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 50/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Pediatric Chiropractor is a narrow specialty nationwide, with 297 enrolled providers across 41 states, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2059 N MONROE ST
MONROE, MI 48162

Provider Details

NPI 1831335561
Specialty Pediatric Chiropractor
Credentials D.C.
Gender Male
NPI Issued 12/31/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

50
Final Score
Avg: 83.1
0
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where SEAN TOTTEN, D.C. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BIRMINGHAM CHIROPRACTIC CLINIC PC
BIRMINGHAM, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to SEAN TOTTEN, D.C.. To verify SEAN TOTTEN, D.C.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Chiropractor Overview

How SEAN TOTTEN, D.C. fits within the Pediatric Chiropractor landscape nationally.

297
Pediatric Chiropractor Providers in US
41
States with Pediatric Chiropractor

Nearby Pediatric Chiropractor Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as TOTTEN.

Compare Pediatric Chiropractor nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEAN TOTTEN, D.C.'s specialty?
SEAN TOTTEN, D.C. specializes in Pediatric Chiropractor and practices in MONROE, Michigan. Credentials: D.C..
What is SEAN TOTTEN, D.C.'s Medicare quality score?
SEAN TOTTEN, D.C. has a CMS MIPS Final Score of 50/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SEAN TOTTEN, D.C. located?
SEAN TOTTEN, D.C. is located at 2059 N MONROE ST, MONROE, MI, 48162. Phone: (734) 244-4383.
What is SEAN TOTTEN, D.C.'s NPI number?
SEAN TOTTEN, D.C.'s National Provider Identifier (NPI) is 1831335561, issued on 12/31/2008.
How many Pediatric Chiropractor providers are there in the US?
There are 297 Pediatric Chiropractor providers across 41 states in the US.
Does SEAN TOTTEN, D.C. accept Medicare?
SEAN TOTTEN, D.C. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEAN TOTTEN, D.C.'s credentials?
SEAN TOTTEN, D.C.'s NPI is 1831335561 with credentials D.C.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology