Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ethan Mark Huckabee, DO

Individual provider Emergency Medicine Physician · NPI 1043705395

Ethan Mark Huckabee, DO practises Emergency Medicine in Carbondale, Illinois. Qualified in 2018, 8 years ago. Practices with Statera Health Care LLC, a 42-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
8
Licensed in
IL, MI
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 258-2551
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
  • 939 Caroline St, Port Angeles, WA 98362-3997 — (360) 417-7000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036162411 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101026802 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101024216 (MI)

Record details

NPI number1043705395
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Statera Health Care Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients374
Services billed 424 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $115 5 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Statera Health Care LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 42 clinicians in the practice; 12 are shown here.

Other providers in Carbondale