Dr. Cody Brad Mickelsen , MD
Anesthesiology • Providence, UT
Professional Overview & Biography Verified Profile Summary
Dr. Cody Mickelsen, MD is a certified Anesthesiology practicing in Providence, UT. With approximately 13 years of clinical experience since graduating from University Of Vermont College Of Medicine in 2013, Dr. Mickelsen delivers high-quality medical care to the local community at 560 W 465 N STE 604.
Dr. Mickelsen is affiliated with Interwest Anesthesia Associates Llc and accepts Medicare assignment.
Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, ultrasonic guidance imaging supervision and interpretation for insertion of needle, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
560 W 465 N Ste 604
Providence, UT 843328006
Medicare Profile & Education
University Of Vermont College Of Medicine
2013
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Anesthesiology in Providence, UT
Practicing in Providence, UT (687 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
00811
Anesthesia for procedure on large bowel using an endoscope
|
11 | 11 | $175.64 | $117.61 |
Medical Specialties & State Licenses
CMS Verified: 2026-07-23NUCC Taxonomy Code: 207L00000X
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.
Hospital & Practice Group Affiliations
Interwest Anesthesia Associates Llc
55 E Golf Course Rd, Logan, UT 843210001
Phone: 4357603734
Interwest Anesthesia Associates Llc
2380 N 400, North Logan, UT 843416000
Phone: 4357139700
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Anesthesiology
Doctor of Medicine (M.D.)
Anesthesiology
Anesthesiology
Doctor of Medicine (M.D.)
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Audiologist
Anesthesiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 560 W 465 N STE 604, PROVIDENCE, UT 843328006 (Tel: 4357531600)
Registered at 560 W 465 N STE 604, PROVIDENCE, UT 843328006 (Tel: 4357531600)
NPI status registered as active in NPPES database
Registered at 601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 146420001 (Tel: 5852751384)
Registered at 274 N MAIN ST, BOX 604, LOGAN, UT 843213915 (Tel: 4357531600)
Recorded as CODY MICKELSEN, MD
Anesthesiology (License #9806425-1205 in UT)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
560 W 465 N Ste 604
Providence, UT 843328006
Phone: 4357531600
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