National Provider Identifier
Cody Brad Mickelsen, MD
Cody Brad Mickelsen, MD is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Providence, UT and a listed phone number of (435) 753-1600.
Source: public NPPES record, last updated July 23, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1013159003
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- April 06, 2009
- Last Updated
- July 23, 2026
Practice Location
- 560 W 465 N Ste 604
- Providence, UT 84332-8006
Phone: (435) 753-1600
Specialties
- Anesthesiology Physician (207L00000X)
Browse Similar Providers
See more providers in the Anesthesiology classification in Providence, UT.
Medicare Part B Activity
Reported 11 Medicare fee-for-service service lines in 2024.
Peer comparison
Compared to Anesthesiology providers in the Rochester, NY metro area.
This provider is in the 0th percentile for Medicare service volume.
Lower volume than many peers.
Performs 82% fewer Medicare services than the peer median.
Higher than 0 of 148 peers.
- Activity Percentile
- 0.0%
- Rank by Services
- 144 of 148
- Total Services
- 11
- Est. Allowed Value
- $1,293.74
- Dataset Year
- 2024
- Drug Code Share
- 0.0%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Anesthesiology classification rather than the exact subspecialty label shown elsewhere on the page.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Anesthesiology across the Rochester, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 11 to 1,662 total Medicare services.
Top Clinical Services
- 00811: Anesthesia for other procedure on large bowel using an endoscope
11 services | $1,293.74
Full Record
- NPI
- 1013159003
- Entity Type
- Individual
- Last Name
- Mickelsen
- First Name
- Cody
- Middle Name
- Brad
- Credential
- MD
- Mailing Street Address
- 560 W 465 N Ste 604
- Mailing City
- Providence
- Mailing State
- UT
- Mailing ZIP Code
- 84332-8006
- Mailing Country
- US
- Mailing Phone
- (435) 753-1600
- Practice Street Address
- 560 W 465 N Ste 604
- Practice City
- Providence
- Practice State
- UT
- Practice ZIP Code
- 84332-8006
- Practice Country
- US
- Practice Phone
- (435) 753-1600
- Enumeration Date
- April 06, 2009
- Last Updated
- July 23, 2026
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 23, 2026
- Taxonomies
- Anesthesiology Physician (207L00000X)