Doctor profile · Federal record

Dr. Cody Mickelsen, MD

Anesthesiology Physician (CMS: Anesthesiology) · Student in an Organized Health Care Education/Training Program · Rochester, NY

  • NPI 1013159003
  • Accepts Medicare
  • 13 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
601 Elmwood Ave, Box 604
Rochester, NY 146420001
(585) 275-1384
fax (585) 276-0122
Mailing address
274 N Main St, Box 604
Logan, UT 843213915

Credentials & registration

NPPES · NUCC
NPI registered
April 2009 — 17 yrs on file
Profile last updated
June 16, 2016
Year of graduation
2013 — 13 yrs since
Specialty taxonomy
207L00000X — NUCC code
State license (1)
Utah #9806425-1205

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1013159003. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
11
Distinct HCPCS
1
Medicare allowed
$1,318
HCPCS Description Services Patients Avg allowed
00811 Anesthesia for other procedure on large bowel using an endoscope 11 11 $120

In context: peer comparison

Among 59 peers in Rochester Anesthesiology Physician, average services per provider: 29. This provider delivers 0.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Pacira Pharmaceuticals Incorporated 1 $16.44

By nature of payment

Food and Beverage
$16

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Cody Mickelsen's medical specialty?
Dr. Cody Mickelsen practices Anesthesiology Physician in Rochester, NY.
Where does Dr. Cody Mickelsen practice?
Dr. Cody Mickelsen practices at 601 Elmwood Ave, Rochester, NY 146420001. Office phone: 5852751384.
What is Dr. Cody Mickelsen's NPI?
Dr. Cody Mickelsen's National Provider Identifier (NPI) is 1013159003, issued by NPPES.
Does Dr. Cody Mickelsen accept Medicare assignment?
Yes. Dr. Cody Mickelsen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Cody Mickelsen commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.