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Active NPI 1306308218 Individual Practitioner Male Practitioner

Dr. Codey Todd Pedersen , DO

Emergency Medicine • Flagstaff, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Codey Pedersen, DO is a certified Emergency Medicine practicing in Flagstaff, AZ. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Pedersen delivers high-quality medical care to the local community at 1200 N BEAVER ST.

Dr. Pedersen is affiliated with Flagstaff Emergency Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 N Beaver St

Flagstaff, AZ 86001

Telephone 9287793366
Associated Practice Facility / Clinic
🏢 Darlene M Lee Md Pc Facility NPI 1568474013

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Flagstaff, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -7.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
49 Specialists

Practicing in Flagstaff, AZ (1535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pedersen (5 Years) 5 Yrs
Flagstaff Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
182 180 $1061.98 $167.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
117 109 $51.00 $7.76
99284 Emergency department visit with moderate level of medical decision making
46 44 $749.04 $115.80
99291 Critical care, first 30-74 minutes
22 22 $1394.32 $203.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $1165.00 $165.99

Medical Specialties & State Licenses

CMS Verified: 2025-09-16
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License AZ 010550

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Flagstaff Emergency Physicians

1200 N Beaver St, Flagstaff, AZ 860013118

Phone: 9287741693

Secondary Practice Locations

3269 N Stockton Hill Rd

Kingman, AZ 864093619

Phone: 9282634466

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003127341

Doctor of Medicine (M.D.)

Elizabeth Gilmore , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003268749

Certified Registered Nurse Anesthetist

Dr. Ali Raja , MD, MSC

Neurological Surgery

NPI 1013131275

Doctor of Medicine (M.D.), Master of Science

Leah Paul , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013269307

Certified Registered Nurse Anesthetist

Robin Aufdenkampe , MS, RD

Dietitian, Registered - Nutrition, Pediatric

NPI 1043430408

Master of Science, Registered Dietitian

NPI 1043713878

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2025

Emergency Medicine (License #010550 in AZ)

📍
Updated Practice Location July 01, 2024

Registered at 1200 N BEAVER ST, FLAGSTAFF, AZ 86001 (Tel: 9287793366)

📍
Updated Business Mailing Address July 01, 2024

Registered at 1200 N BEAVER ST, FLAGSTAFF, AZ 860013118

📍
Updated Practice Location April 27, 2021

Registered at 3269 N STOCKTON HILL RD, KINGMAN, AZ 864093619 (Tel: 9282634466)

📍
Updated Business Mailing Address April 27, 2021

Registered at 3269 N STOCKTON HILL RD, KINGMAN, AZ 864093619

👤
Provider Name / Credentials Updated April 27, 2021

Recorded as CODEY PEDERSEN, DO

NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 5412590235)

📍
Updated Business Mailing Address April 01, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 5412590235)

👤
Provider Name / Credentials Updated April 01, 2019

Recorded as CODEY PEDERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306308218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2019
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

1200 N Beaver St

Flagstaff, AZ 860013118

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.