Natalie Howlett

Internal Medicine

Natalie Howlett is an Internal Medicine specialist based in Palo Alto, CA with over 10 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

Also practices: RHEUMATOLOGY

(650) 723-6961Palo Alto, CA
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Natalie Howlett has practiced internal medicine for 10+ years, working in independent practice. She graduated from State University of New York Downstate Medical Center in 2016 and has 10+ years of clinical experience. Among her Medicare patients, common conditions include hypertension, arthritis, and high cholesterol (per CMS data). CMS MIPS quality score: 80.58/100 (2023).

At a glance

  • Prescribes opioids less than 21% of reporting doctors in California
  • Federal MIPS score higher than 46% of MIPS-scored doctors in California
  • Virtual visits available — no app or travel required
1 of 3,565 Internal Medicine providers in CASee all Internal Medicine in Palo Alto10+ years experienceNPI since 2016

Older · 279dNPPES updated 2025-08-18 · verify NPI on CMS · Verify license at Medical Board of California

Contact & Location

Practice Location

900 Blake Wilbur Dr, Palo Alto, CA 94304-2201

CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor has an average quality score compared to other doctors in California, prescribes opioid pain medications conservatively.

MIPS Score

2023

80.58/100

California avg: 78.6 · US avg: 83.6

Lower than most doctors nationally(-3 pts)

Average range among MIPS-scored doctors in California

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Opioid Rx

↓ Lower = better

4.79%

California avg: 5.2 · US avg: 5.1

Higher than most doctors nationally(-0.3 pts)

4.79% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Generic Rx

↑ Higher = better

71.4%

California avg: 83.3 · US avg: 82.8

Lower than most doctors nationally(-11.4 pts)

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

112

Unique beneficiaries

Standard volume

Prescription Recipients

190

Patients prescribed

Prescriptions Written

1,002

Total claims

Total Medicare drug cost: $1.68M

Percentile rankings compared against 9,360 reporting peers in California.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, Arthritis, and High Cholesterol.

Hypertension
Higher than avg (+5%)75%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

Arthritis
Higher than avg (+15%)64%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↑ More patients than average (+15%) — a focus area for this doctor

High Cholesterol
Lower than avg (-17%)53%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↓ Fewer patients than average (-17%) — less common here

Diabetes
Higher than avg (+4%)38%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↑ More patients than average (+4%) — a focus area for this doctor

Chronic Kidney Disease
Lower than avg (-4%)26%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↓ Fewer patients than average (-4%) — less common here

Osteoporosis
Higher than avg (+8%)26%

Weakened bones that are more prone to fractures, common in older adults

US avg: 18.1%

↑ More patients than average (+8%) — a focus area for this doctor

Heart Failure
Higher than avg (+1%)23%

The heart cannot pump blood efficiently enough to meet the body's needs

US avg: 22.5%

↑ More patients than average (+1%) — a focus area for this doctor

Ischemic Heart Disease
Lower than avg (-10%)22%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↓ Fewer patients than average (-10%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 2016

    Suny Downstate Health Sciences University

  2. Board certified · Aug 17, 2025

    Self-reported via NPPES

  3. 10 years in practice

    Established

Internal MedicineAllopathic & Osteopathic Physicians

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Taxonomy: 207R00000X

Education & Training

State University of New York Downstate Medical Center (Class of 2016)

Practice Footprint

Mailing address

4000 Civic Center Dr Ste 200a, San Rafael, CA 94903-5233

Differs from practice location

Primary hospital affiliation: Acute Care Hospitals

CMS Certification Number: 190017

View hospital on Medicare Care Compare

Virtual Internal Medicine Care With Natalie Howlett

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Natalie Howlett for blood pressure monitoring, arthritis follow-ups, cholesterol management — no travel to Palo Alto required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Natalie Howlett

NPI records show Dr. Howlett as active with telehealth listed in Palo Alto, CA. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (650) 723-6961.

Verified across 5 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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