Natalie Rose Howlett, MD
Internal Medicine · San Francisco
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 15
- 3 carriers
- Office
- 1
- Since medical school
- 10 years
- State University of New York Downstate Medical Center, 2016
Offices
1 location · Regents Univ of California UCSF · 276 clinicians in this group
Plans that list them
15 plans · 3 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Howlett’s office at (415) 476-1000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
15 of 15 plans
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence A155075 · Current
Licensed to practise in California · since 2018 · expires 2028-03-31 · State University of New York Health Science Center at Brooklyn.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
School, training and certification
What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.
Specialty certification
- American Board of Internal Medicine - Internal Medicine
- American Board of Internal Medicine - Rheumatology
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Original Medicare doctor bills
$18,727
Medicare paid this office $18,727 for 106 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 87 | $12,558 | $75 |
| Short return visit (20+ min) | 24 | $1,726 | $52 |
| Aspiration and/or injection of fluid from large joint | 18 | $1,184 | $49 |
Procedures year by year
| Procedure | 2022 | 2023 | 2024 |
|---|---|---|---|
| Aspiration and/or injection of fluid from large joint | 12 | 15 | 24 |
Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.
Who their Medicare patients are
106 Original Medicare patients in 2024. Average age 71 · Women 77% · Also on Medicaid 80% · Health risk score 1.82. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75% · Diabetes 42% · Chronic kidney disease 29% · Depression 23% · Coronary heart disease 21% · Heart failure 21% · COPD 12% · Stroke 12% · Cancer 11% · Atrial fibrillation 11%.
The office billed $182,271, Medicare allowed $26,863 and paid $18,727; for 259 services of 12 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 106 | 259 | 71 | 1.82 | $182,271 | $18,727 |
| 2023 | 112 | 233 | 72 | 1.74 | $161,713 | $15,639 |
| 2022 | 90 | 141 | 70 | 1.60 | $101,072 | $11,450 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 3 services
| Return visit (30+ min) | 95 | $11,457 | $69 |
| Short return visit (20+ min) | 23 | $1,555 | $52 |
| Aspiration and/or injection of fluid from large joint | 11 | $708 | $47 |
2022: 2 services
| Return visit (30+ min) | 79 | $8,839 | $86 |
| Aspiration and/or injection of fluid from large joint | 12 | $589 | $49 |
Medicaid work
$3,675 in 2024
Medicaid paid $3,675 for 2,398 billed services this clinician did in 2024, up to 84 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Return visit (30+ min) | 620 | $3,558 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 15 | $118 |
| Pain severity quantified; pain present (COA) (ONC) | 45 | $0 |
| Medication list documented in medical record (COA) | 524 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 451 | $0 |
| Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD) | 133 | $0 |
| Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM) | 12 | $0 |
| Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM) | 485 | $0 |
| Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM) | 113 | $0 |
| 2024 | 2,398 | 9 | 84 | $3,675 |
| 2023 | 646 | 5 | 82 | $3,146 |
See the largest Medicaid services in earlier years
2023
| Return visit (30+ min) | 465 | $2,656 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 24 | $203 |
| OFF/OP CNSLTJ NEW/EST MOD 40 | 85 | $178 |
| Short return visit (20+ min) | 56 | $84 |
| Arthrocentesis and injection of knee joint | 16 | $26 |
Drugs they prescribed that Part D paid
$1,301,542
Pharmacies billed $1,301,542 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 6% of their Part D prescriptions (56 of 986) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.
750 generic and 236 brand-name prescriptions · $1,301,542 in drug cost.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Humira | 53 | $347,605 | $6,559 |
| Enbrel Sureclick | 34 | $233,981 | $6,882 |
| Enbrel | 18 | $125,544 | $6,975 |
| Xeljanz | 19 | $101,870 | $5,362 |
| Benlysta | 20 | $91,666 | $4,583 |
See all 26 drugs
| Humira | 53 | $347,605 | $6,559 |
| Enbrel Sureclick | 34 | $233,981 | $6,882 |
| Enbrel | 18 | $125,544 | $6,975 |
| Xeljanz | 19 | $101,870 | $5,362 |
| Benlysta | 20 | $91,666 | $4,583 |
| Orencia Clickject | 13 | $71,901 | $5,531 |
| Rasuvo | 12 | $6,355 | $530 |
| Febuxostat | 37 | $5,845 | $158 |
| Methotrexate | 70 | $2,337 | $33 |
| Colchicine | 40 | $2,177 | $54 |
| Hydroxychloroquine Sulfate | 45 | $1,641 | $36 |
| Leflunomide | 29 | $1,380 | $48 |
| Mycophenolic Acid | 21 | $1,336 | $64 |
| Diclofenac | 32 | $1,105 | $35 |
| Hydrocodone-Acetaminophen | 33 | $704 | $21 |
| Prednisone | 81 | $596 | $7 |
| Allopurinol | 55 | $555 | $10 |
| Pilocarpine | 14 | $491 | $35 |
| Gabapentin | 28 | $382 | $14 |
| Tramadol | 21 | $185 | $9 |
| Baclofen | 23 | $167 | $7 |
| Naproxen | 18 | $116 | $6 |
| Ibuprofen | 16 | $111 | $7 |
| Alendronate | 12 | $89 | $7 |
| Amlodipine Besylate | 18 | $80 | $4 |
| Famotidine | 11 | $49 | $4 |
Year by year
| 2024 | 986 | 164 | 6% (56) | 24% | $1,301,542 |
| 2023 | 1,002 | 190 | 5% (48) | 29% | $1,679,493 |
| 2022 | 271 | 117 | 6% (16) | 17% | $282,299 |
| 2019 | 11 | None | 0% (0) | None | $146 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 29 drugs
| Enbrel Sureclick | 54 | $384,310 | $7,117 |
| Enbrel | 39 | $285,990 | $7,333 |
| Humira | 36 | $264,377 | $7,344 |
| Xeljanz | 30 | $224,211 | $7,474 |
| Humira | 15 | $106,641 | $7,109 |
| Actemra Actpen | 13 | $63,154 | $4,858 |
| Orencia Clickject | 12 | $61,893 | $5,158 |
| Benlysta | 12 | $55,644 | $4,637 |
| Febuxostat | 31 | $10,573 | $341 |
| Mitigare | 16 | $6,292 | $393 |
| Methotrexate | 78 | $5,994 | $77 |
| Diclofenac | 68 | $4,419 | $65 |
| Colchicine | 15 | $2,349 | $157 |
| Hydroxychloroquine Sulfate | 49 | $2,278 | $46 |
| Azathioprine | 18 | $1,940 | $108 |
| Leflunomide | 18 | $1,523 | $85 |
| Allopurinol | 49 | $1,212 | $25 |
| Mycophenolate Mofetil | 11 | $1,115 | $101 |
| Gabapentin | 42 | $1,106 | $26 |
| Mycophenolic Acid | 12 | $895 | $75 |
| Fluocinonide | 11 | $821 | $75 |
| Sulfasalazine | 14 | $793 | $57 |
| Prednisone | 65 | $758 | $12 |
| Hydrocodone-Acetaminophen | 28 | $668 | $24 |
| Baclofen | 14 | $571 | $41 |
| Alendronate | 15 | $458 | $31 |
| Tramadol | 19 | $263 | $14 |
| Ibuprofen | 20 | $228 | $11 |
| Amitriptyline | 16 | $157 | $10 |
2022: 5 drugs
| Methotrexate | 24 | $1,721 | $72 |
| Hydroxychloroquine Sulfate | 19 | $1,162 | $61 |
| Diclofenac | 18 | $751 | $42 |
| Prednisone | 51 | $530 | $10 |
| Allopurinol | 15 | $261 | $17 |
Money from drug and device companies
$223 in 2025
A payment is not proof that care is biased.
| Novartis Pharmaceuticals | Cosentyx | $88 | 3 payments
|
| Amgen | Evenity | $50 | 3 payments
|
| AstraZeneca Pharmaceuticals LP | Saphnelo | $49 | 2 payments
|
| GlaxoSmithKline | Benlysta | $22 | 1 payment
|
| Abbvie | Rinvoq | $14 | 1 payment
|
See all 10 published payments
| Novartis Pharmaceuticals | Meals · 2025-12-19 | Cosentyx | $28 |
| Novartis Pharmaceuticals | Meals · 2025-12-10 | Cosentyx | $29 |
| Abbvie | Meals · 2025-12-10 | Rinvoq | $14 |
| Amgen | Meals · 2025-12-05 | Evenity | $20 |
| AstraZeneca Pharmaceuticals LP | Meals · 2025-11-15 | Saphnelo | $27 |
| Amgen | Meals · 2025-10-27 | Evenity | $16 |
| AstraZeneca Pharmaceuticals LP | Meals · 2025-10-22 | Saphnelo | $21 |
| Amgen | Meals · 2025-10-22 | Otezla | $14 |
| Novartis Pharmaceuticals | Meals · 2025-10-14 | Cosentyx | $31 |
| GlaxoSmithKline | Meals · 2025-09-26 | Benlysta | $22 |
Professional record
- NPI
- 1154776094
- Licence
- CA A155075California A155075: Current · expires 2028-03-31
- Trained
- State University of New York Downstate Medical Center, 2016 · 10 years ago
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Internal medicine (207R00000X); Federal specialty code 207RR0500X (207RR0500X)
- Mailing address
- 4000 Civic Center Dr Ste 200a, San Rafael, CA, 94903
- NPI first listed
- 2016-04-28
- NPI last updated
- 2025-08-18
- NPI record certified
- 2025-08-18
This is when the NPI record was last certified, not a medical board exam.