CODY BRAD MICKELSEN MD
NPI 1013159003
Anesthesiology in Rochester, NY

NPI Status: Active since April 06, 2009

Contact Information

601 ELMWOOD AVE
BOX 604
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-1384
Fax: (585) 276-0122

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  • Individual
  • Male
  • Years of Experience 13
  • Anesthesiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CODY MICKELSEN

This page provides the complete NPI Profile along with additional information for Cody Mickelsen, an anesthesiologist established in Rochester, New York with a medical specialization in Anesthesiology and more than 13 years of experience. He graduated from University Of Vermont College Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1013159003 assigned on April 2009. The practitioner's primary taxonomy code is 207L00000X with license number 9806425-1205 (UT). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1013159003
Provider Name
CODY BRAD MICKELSEN MD
Gender
Male
Entity Type
Individual
Location Address
601 ELMWOOD AVE BOX 604 ROCHESTER, NY 14642
Location Phone
(585) 275-1384
Location Fax
(585) 276-0122
Mailing Address
274 N MAIN ST BOX 604 LOGAN, UT 84321
Mailing Phone
(435) 753-1600
Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
04-06-2009
Last Update Date
06-16-2016
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An anesthesiologist like Cody Mickelsen manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
9806425-1205
License State
UT
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO
  • Value Silver 3000 Medical Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Cody Mickelsen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Cody Mickelsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3173763356

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160727002395

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 14 times for 14 patients

Ultrasonic guidance for needle placement

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

This service was performed 15 times for 15 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Cody Mickelsen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LOGAN REGIONAL HOSPITAL1400 NORTH 500 EAST
LOGAN, UT 84341
(435) 716-1000Acute Care Hospitals
CACHE VALLEY HOSPITAL2380 NORTH 400 EAST
NORTH LOGAN, UT 84341
(435) 713-9700Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013159003, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 2 + 5 + 1 + 8 + 0 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1013159003.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX MED
ROCHESTER, NY 14642
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Clinical Neuropsychologist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Plastic Surgery
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX SURG
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Anesthesiology
601 ELMWOOD AVE
ROCHESTER, NY 14642
Urology
601 ELMWOOD AVE
ROCHESTER, NY 14642
Hospitalist
601 ELMWOOD AVE, BOX MED
ROCHESTER, NY 14642
Emergency Medicine
601 ELMWOOD AVE, BOX 655
ROCHESTER, NY 14642
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE, BOX 679B
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Urology
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Pediatrics)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Urology
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Pediatric Cardiology)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013159003, enumerated as an "individual" on April 06, 2009.

The provider is located at 601 ELMWOOD AVE BOX 604 ROCHESTER, NY 14642 and the phone number is (585) 275-1384.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.

Cody Mickelsen is affiliated with: LOGAN REGIONAL HOSPITAL and CACHE VALLEY HOSPITAL.