Doctor profile · Federal record
Dr. Amanda Pettibone-Pond, M.D.
Urology Physician (CMS: Urology) · Bloomington, IN
- NPI 1790075596
- Accepts Medicare
- MIPS 91.5 / 100 · 2023
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1520 S Liberty Dr
Bloomington, IN 474035167
(812) 676-4500
fax (812) 676-4501
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- July 6, 2016
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 208800000X — NUCC code
- State license (1)
- Indiana #01076608A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790075596. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,868
Distinct HCPCS
10
Medicare allowed
$300,381
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
81003 |
Automated urinalysis test | 1,091 | 584 | $2 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 421 | 303 | $123 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 312 | 239 | $87 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 192 | 166 | $229 | |
J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg | 132 | 18 | $172 | |
51702 |
Simple insertion of temporary bladder tube | 93 | 27 | $59 | |
51798 |
Ultrasound measurement of bladder capacity after voiding | 89 | 81 | $10 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 79 | 79 | $159 | |
36415 |
Insertion of needle into vein for collection of blood sample | 61 | 57 | $8 | |
52442 |
Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 61 | 15 | $824 |
In context: peer comparison
Among 4 peers in Bloomington Urology Physician, average services per provider: 125. This provider delivers 23× the peer median.Open Payments
Industry payments received
All-time total
$593
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Axonics, INC. | 3 | $500.13 | |
| Endo USA, INC. | 1 | $46.35 | |
| Sumitomo Pharma America, INC. | 1 | $29.62 | |
| Blue Earth Diagnostics Limited | 1 | $17.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
957
Patients
436
Total drug cost
$72,056
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tamsulosin Hcl | Generic | 302 | 107 | $6,938 |
| Finasteride | Generic | 166 | 49 | $2,652 |
| Oxybutynin Chloride ER (Oxybutynin Chloride) | Brand | 85 | 23 | $3,003 |
| Ciprofloxacin Hcl | Generic | 71 | 66 | $324 |
| Cephalexin | Generic | 47 | 36 | $287 |
| Myrbetriq (Mirabegron) | Brand | 46 | 17 | $39,697 |
| Alfuzosin Hcl ER (Alfuzosin Hcl) | Brand | 41 | 11 | $1,149 |
| Diazepam | Generic | 39 | 36 | $34 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 29 | 24 | $162 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 23 | 23 | $86 |
Hospital affiliations
Frequently asked questions
What is Dr. Amanda Pettibone-Pond's medical specialty?
Dr. Amanda Pettibone-Pond practices Urology Physician in Bloomington, IN.
Where does Dr. Amanda Pettibone-Pond practice?
Dr. Amanda Pettibone-Pond practices at 1520 S Liberty Dr, Bloomington, IN 474035167. Office phone: 8126764500.
What is Dr. Amanda Pettibone-Pond's NPI?
Dr. Amanda Pettibone-Pond's National Provider Identifier (NPI) is 1790075596, issued by NPPES.
Does Dr. Amanda Pettibone-Pond accept Medicare assignment?
Yes. Dr. Amanda Pettibone-Pond accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Amanda Pettibone-Pond commonly perform?
Top Medicare-reported procedures in 2023: Automated urinalysis test (HCPCS 81003); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.