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ETHAN HARBERT DC
NPI 1093466468
Chiropractor in Pana, IL

Active since January 17, 2022
10A S POPLAR ST, PANA, IL 62557(217) 562-9214(217) 562-4771 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ethan Harbert Dc NPPES

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

ETHAN HARBERT DC (NPI 1093466468) is an individual chiropractor in Pana, Illinois, licensed in Illinois (038.013835) and active in the NPI registry since January 2022. He is a graduate of Logan College Of Chiropractic (2021).

NPPES Registry Identity

NPI1093466468
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameETHAN HARBERTCredential: DC
Location Address10A S POPLAR STPana, IL 62557-1402
Mailing Address10a S Poplar StPana, IL 62557-1402 · (217) 562-9214 · Fax (217) 562-4771
Phone(217) 562-9214
Fax(217) 562-4771
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2021
Enumeration DateJanuary 17, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1093466468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.013835
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
10A S POPLAR ST, Pana, IL 62557
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Harbert Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486047172
PECOS Enrollment IDI20220201001522

Medicare Billing Reassignment

Medicare enrollment records show Ethan Harbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beyers Chiropractic PC
Same address
Chiropractor
10A S POPLAR ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1144359902 (217) 562-3333

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 2

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
399 services101 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
36 services12 patients

Other Providers at the Same Location NPPES

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

BEYERS CHIROPRACTIC PC
Chiropractor
10A S POPLAR ST
PANA, IL 62557
Christian County (217) 562-3333

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 Harbert's NPI number?

The NPI number for Ethan Harbert is 1093466468. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Ethan Harbert located?

Ethan Harbert practices at 10A S Poplar St, Pana, IL 62557. The listed phone number is (217) 562-9214.

What is Ethan Harbert's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ethan Harbert enrolled in Medicare?

Yes. Ethan Harbert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethan Harbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Harbert reassigns Medicare benefits to Beyers Chiropractic PC (Pana, IL). The 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 Harbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Harbert was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.