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 Rochester, NY and a listed phone number of (585) 275-1384.
Source: public NPPES record, last updated June 16, 2016. 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
- June 16, 2016
Practice Location
- 601 Elmwood Ave
- Box 604
- Rochester, NY 14642-0001
Phone: (585) 275-1384
Mailing Address
- 274 N Main St
- Box 604
- Logan, UT 84321-3915
Specialties
- Anesthesiology Physician (207L00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Browse Similar Providers
See more Anesthesiology providers in Rochester, NY.
Medicare Part B Activity
Reported 11 Medicare fee-for-service service lines in 2023.
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 77% fewer Medicare services than the peer median.
Higher than 0 of 151 peers.
- Activity Percentile
- 0.0%
- Rank by Services
- 145 of 151
- Total Services
- 11
- Est. Allowed Value
- $1,318.03
- Dataset Year
- 2023
- 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 831 total Medicare services.
Top Clinical Services
- 00811: Anesthesia for other procedure on large bowel using an endoscope
11 services | $1,318.03
Full Record
- NPI
- 1013159003
- Entity Type
- Individual
- Last Name
- Mickelsen
- First Name
- Cody
- Middle Name
- Brad
- Credential
- MD
- Mailing Street Address
- 274 N Main St
- Mailing Address Line 2
- Box 604
- Mailing City
- Logan
- Mailing State
- UT
- Mailing ZIP Code
- 84321-3915
- Mailing Country
- US
- Mailing Phone
- (435) 753-1600
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 604
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-1384
- Practice Fax
- (585) 276-0122
- Enumeration Date
- April 06, 2009
- Last Updated
- June 16, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X), Student in an Organized Health Care Education/Training Program (390200000X)