EDMUND F. BRENNAN, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying his application for a period of disability and Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI of the Social Security Act, respectively.
On March 20, 2013, plaintiff filed applications for DIB and SSI alleging disability beginning on October 1, 2009. Administrative Record ("AR") at 169-83. His applications were denied initially, id. at 121-25, and upon reconsideration, id. at 129-33.
Thereafter, plaintiff requested a hearing which was held before an Administrative Law Judge ("ALJ") on April 9, 2014. Id. at 35-60. Plaintiff was represented by an attorney and testified. Id. at 35-36. In a decision issued on May 16, 2014, the ALJ found that plaintiff was not disabled. Id. at 29. The ALJ entered the following findings:
Id. at 18-29.
On July 11, 2014, the Appeals Council denied plaintiff's request for review of the ALJ's May 16, 2014 decision, id. at 4-6, leaving the ALJ's decision as the final decision of the Commissioner. Thereafter, plaintiff sought judicial review pursuant to 42 U.S.C. § 405(g).
"The district court reviews the Commissioner's final decision for substantial evidence, and the Commissioner's decision will be disturbed only if it is not supported by substantial evidence or is based on legal error." Hill v. Astrue, 698 F.3d 1153, 1158-59 (9th Cir. 2012). Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Osenbrock v. Apfel, 240 F.3d 1157, 1162 (9th Cir. 2001); Sandgathe v. Chater, 108 F.3d 978, 980 (9th Cir. 1997).
"[A] reviewing court must consider the entire record as a whole and may not affirm simply by isolating a `specific quantum of supporting evidence.'" Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006) (quoting Hammock v. Bowen, 879 F.2d 498, 501 (9th Cir. 1989)). If, however, "the record considered as a whole can reasonably support either affirming or reversing the Commissioner's decision, we must affirm." McCartey v. Massanari, 298 F.3d 1072, 1075 (9th Cir. 2002).
A five-step evaluation process is used to determine whether a claimant is disabled. 20 C.F.R. § 404.1520; see also Parra v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). The five-step process has been summarized as follows:
Lester v. Chater, 81 F.3d 821, 828 n.5 (9th Cir. 1995).
The claimant bears the burden of proof in the first four steps of the sequential evaluation process. Bowen v. Yuckert, 482 U.S. 137, 146 n. 5 (1987). The Commissioner bears the burden if the sequential evaluation process proceeds to step five. Id.; Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999).
Plaintiff argues that the ALJ "rejected medical opinion evidence . . . out-of-hand . . . without articulating legitimate reasons for doing so." ECF. No. 17 at 15.
The weight to be given to medical opinions in Social Security disability cases depends in part on whether the opinions are proffered by treating, examining, or nonexamining health professionals. Lester, 81 F.3d at 830; Fair v. Bowen, 885 F.2d 597, 604 (9th Cir. 1989). "As a general rule, more weight should be given to the opinion of a treating source than to the opinion of doctors who do not treat the claimant. . . ." Lester, 81 F.3d at 830. This is so because a treating doctor is employed to cure and has a greater opportunity to know and observe the patient as an individual. Smolen, 80 F.3d at 1285; Bates v. Sullivan, 894 F.2d 1059, 1063 (9th Cir. 1990). The uncontradicted opinion of a treating or examining physician may be rejected only for clear and convincing reasons, while the opinion of a treating or examining physician that is controverted by another doctor may be rejected only for specific and legitimate reasons supported by substantial evidence in the record. Lester, 81 F.3d at 830-31. "The opinion of a nonexamining physician cannot by itself constitute substantial evidence that justifies the rejection of the opinion of either an examining physician or a treating physician." Id. at 831. In addition, greater weight should be given to the "`opinion of a specialist about medical issues related to his or her area of specialty.'" Benecke v. Barnhart, 379 F.3d 587, 594 (9th Cir. 2004) (quoting 20 C.F.R. § 404.1527(d)(5)). Finally, although a treating physician's opinion is generally entitled to significant weight, "`[t]he ALJ need not accept the opinion of any physician, including a treating physician, if that opinion is brief, conclusory, and inadequately supported by clinical findings.'" Chaudhry v. Astrue, 688 F.3d 661, 671 (9th Cir. 2012) (quoting Bray v. Comm'r of Soc. Sec. Admin., 554 F.3d 1219, 1228 (9th Cir. 2009)).
Here, Dr. Sid Cormier, Ph.D., examined plaintiff, which included a review of plaintiff's medical records, an interview and observation of the plaintiff, as well as the administration of several tests. AR at 598-602. Pursuant to his examination and testing Dr. Cormier opined, in relevant part, as follows:
Id. at 603.
Regarding the ability to functionally interact with supervisors and co-workers, Dr. Cormier opined that plaintiff's "reported history and interview behavior did suggest possible significant impairment regarding his ability to interact with coworkers and the general public and he indicated that he has a very low frustration tolerance." Id.
The ALJ's decision acknowledged and discussed Dr. Cormier's opinion but ultimately discounted it, according it only "some weight . . . because the claimant could occasionally interact with the public." Id. at 27. Apparently focusing on Dr. Cormier's contrary opinion, the ALJ stated that "the claimant is capable of performing simple routine tasks, completing a normal workday, and interacting with co-workers and supervisors based upon the claimant's Function Report, which indicated he shops, goes fishing, and shops (sic)." Id.
As noted, an examining physician's uncontradicted opinion may be rejected only for clear and convincing reasons, and when an examining physician's opinion is controverted by another doctor's opinion, the examining physician's opinion may be rejected only for specific and legitimate reasons supported by substantial evidence in the record. Lester, 81 F.3d at 830-31. Here, the function report notwithstanding, it is unclear why the ALJ elected to reject Dr. Cormier's opinion. The ALJ simply rejected portions of Dr. Cormier's opinion based on plaintiff's report that he "shops" and "goes fishing," without providing any explanation of how those facts contradict Dr. Cormier's opinion. See Reddick v. Chater, 157 F.3d 715, 725 (9th Cir. 1998) ("The ALJ must do more than offer his conclusions. He must set forth his own interpretations and explain why they, rather than the doctors', are correct."). See generally Vertigan v. Halter, 260 F.3d 1044, 1050 (9th Cir. 2001) ("This court has repeatedly asserted that the mere fact that a plaintiff has carried on certain daily activities, such as grocery shopping, driving a car, or limited walking for exercise, does not in any way detract from her credibility as to her overall disability."); Fair v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989) ("Social Security Act does not require that claimants be utterly incapacitated to be eligible for benefits").
Similarly, the opinions provided in the physician's reports of September 11, 2013 and February 25, 2014, were rejected by the ALJ with little explanation. The reports, completed by nurse practitioner William Blackmon but signed and approved by Dr. Nirmal S. Mehton,
However,
Embrey v. Bowen, 849 F.2d 418, 421-22 (9th Cir. 1988). See also Tackett v. Apfel, 180 F.3d 1094, 1102 (9th Cir. 1999) ("The ALJ must set out in the record his reasoning and the evidentiary support for his interpretation of the medical evidence."); McAllister v. Sullivan, 888 F.2d 599, 602 (9th Cir. 1989) ("Broad and vague" reasons for rejecting the treating physician's opinion do not suffice).
Moreover, it appears that Dr. Alvarez, an emergency room physician, provided a treatment note from a June 4, 2013 ER visit, not an opinion as to plaintiff's functional limitations. AR At 70. Dr. Mauro, Dr. Lockmiller and Dr. Colsky were non-examining state agency physicians. Id. at 113, 117, 638. As noted above, "[t]he opinion of a nonexamining physician cannot by itself constitute substantial evidence that justifies the rejection of the opinion of either an examining physician or a treating physician." Lester, 81 F.3d at 831. See also Ryan v. Commissioner of Social Sec., 528 F.3d 1194, 1198 (9th Cir. 2008) ("the opinion of an examining physician is entitled to greater weight than the opinion of a nonexamining physician").
Accordingly, for all of the reasons stated above, the court finds that the ALJ failed to offer specific and legitimate reasons supported by substantial evidence in the record for rejecting the opinions of Dr. Cormier and Dr. Mehton. Plaintiff, therefore, is entitled to relief with respect to this claim.
With error established, the court has the discretion to remand or reverse and award benefits. McAllister v. Sullivan, 888 F.2d 599, 603 (9th Cir. 1989). A case may be remanded under the "credit-as-true" rule for an award of benefits where:
Garrison, 759 F.3d at 1020. Even where all the conditions for the "credit-as-true" rule are met, the court retains "flexibility to remand for further proceedings when the record as a whole creates serious doubt as to whether the claimant is, in fact, disabled within the meaning of the Social Security Act." Id. at 1021. See also Treichler v. Commissioner of Social Sec. Admin., 775 F.3d 1090, 1105 (9th Cir. 2014) ("Where . . . an ALJ makes a legal error, but the record is uncertain and ambiguous, the proper approach is to remand the case to the agency.").
Here, the record has not been fully developed, further administrative proceedings would serve a useful purpose and the record as a whole creates serious doubt as to whether plaintiff is, in fact, disabled within the meaning of the Social Security Act. Accordingly, this matter will be remanded for further proceedings.
On remand, the ALJ shall analyze the opinions of Dr. Cormier and Dr. Mehton and, if any portion of their opinions are not adopted, the ALJ shall provide specific and legitimate reasons supported by substantial evidence in the record.
Accordingly, IT IS HEREBY ORDERED that: