Cody Brad Mickelsen, MD
NPI 1013159003ActiveIndividual· Anesthesiology· Providence, UT
Anesthesiology (MD) in Providence, Utah, trained at University of Vermont College of Medicine (class of 2013). Medicare paid $15,772 for services to 90 patients in 2024. Pacira Pharmaceuticals Incorporated reported $16.44 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1013159003 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 6, 2009 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 9806425-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 111 across 36 procedure codes |
| Paid by Medicare | $15,772 |
Education and affiliations
| Medical school | University of Vermont College of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Anesthesiology |
Medical group
- Interwest Anesthesia Associates LLCNorth Logan, UT · 29 clinicians
Hospital affiliations
- Cache Valley HospitalNorth Logan, UT
- Intermountain Health Logan Regional HospitalLogan, UT
Industry payments (Open Payments)
- 2024$16.44 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | $16.44 | 1 |
What the 2024 payments were for
- Food and Beverage$16.44 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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