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ETHAN MARK HUCKABEE DO
NPI 1043705395
Emergency Medicine in Carbondale, IL

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
80.97/100
CMS Quality Rating
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2024, Apr 3, 2023, Mar 22, 2023 and 1 more (4 updates tracked since 2018).

About Ethan Mark Huckabee Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN MARK HUCKABEE DO (NPI 1043705395) is an individual emergency medicine provider in Carbondale, Illinois, licensed in Illinois (036162411) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043705395
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameETHAN MARK HUCKABEECredential: DO
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing Address405 W Jackson StCarbondale, IL 62901-1462 · (618) 549-0721 · Fax (618) 457-0469
Phone(618) 549-0721
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateJune 6, 20244 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1043705395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036162411✔ Licensed in MI · 5101026802
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101024216 (MI)
405 W JACKSON ST, Carbondale, IL 62901
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1939 Caroline StPort Angeles, WA 98362-3997 · Phone (360) 417-7000 · Fax (360) 565-9241
Location 22 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156
Location 3201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171
Location 41000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 258-2551

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Mark Huckabee Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810244217
PECOS Enrollment IDI20221201003062
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Ethan Huckabee reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Medical Services, Nfp
1.0 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200
Statera Health Care, LLC
35 mi
Emergency Medicine
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 169 clinicians in this Medicare group
NPI 1043874449 (618) 833-1691
Cepamerica Illinois LLP
64 mi
Emergency Medicine
9515 HOLY CROSS LN
Breese, IL 62230
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1437658622 (618) 526-5325
Sarah Bush Lincoln Health Center
86 mi
Skilled Nursing Facility
650 W TAYLOR ST
Vandalia, IL 62471
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1306959689 (618) 283-1232
Integritas Emergency Physician Services LLC
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
223 services219 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
126 services124 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.63
Promoting Interoperability79
Improvement Activities40
Cost64.44

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LUKAS WARD PA
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
RUPAL PARMAR M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
SCOTT A. COOPER M.D.
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Jackson County (618) 549-0721
LONG HA HUYNH M.D., PH.D.
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. BRITNEY NICOLE ARNOLD PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MR. DAN EDWARD MILLER CRNA
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
KARA KUHLMAN
Pharmacist
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
AMANDA M RYDEN MD
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Huckabee's NPI number?

The NPI number for Ethan Huckabee is 1043705395. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Ethan Huckabee located?

Ethan Huckabee practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Ethan Huckabee's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ethan Huckabee enrolled in Medicare?

Yes. Ethan Huckabee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ethan Huckabee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Huckabee reassigns Medicare benefits to 5 organizations: Southern Illinois Medical Services, Nfp (Carbondale, IL), Statera Health Care, LLC (Harrisburg, IL), Cepamerica Illinois LLP (Breese, IL), Sarah Bush Lincoln Health Center (Vandalia, IL) and Integritas Emergency Physician Services LLC (IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Huckabee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ethan Huckabee affiliated with any hospitals?

According to CMS data, Ethan Huckabee is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Sarah Bush Lincoln Health Center and Harrisburg Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Huckabee was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.