JACQUELINE CHOOLJIAN, Magistrate Judge.
On February 17, 2017, plaintiff Amber Michelle Crites filed a Complaint seeking review of the Commissioner of Social Security's denial of plaintiff's applications for benefits. The parties have consented to proceed before the undersigned United States Magistrate Judge.
This matter is before the Court on the parties' cross motions for summary judgment, respectively ("Plaintiff's Motion") and ("Defendant's Motion") (collectively "Motions"). The Court has taken the Motions under submission without oral argument.
Based on the record as a whole and the applicable law, the decision of the Commissioner is AFFIRMED. The findings of the Administrative Law Judge ("ALJ") are supported by substantial evidence and are free from material error.
On March 5, 2013, and April 29, 2015, plaintiff filed applications for Supplemental Security Income and Disability Insurance Benefits, respectively, in which she alleged disability beginning on June 1, 2012, due to rheumatoid arthritis. (Administrative Record ("AR") 22, 191, 193, 226). The ALJ examined the medical record and heard testimony from plaintiff (who was represented by counsel) and a vocational expert on October 7, 2015. (AR 57-105).
On November 13, 2015, the ALJ determined that plaintiff was not disabled through the date of the decision. (AR 22-33). Specifically, the ALJ found: (1) plaintiff suffered from severe impairments of rheumatoid arthritis, and morbid obesity (AR 24); (2) plaintiff's impairments, considered singly or in combination, did not meet or medically equal a listed impairment (AR 25); (3) plaintiff retained the residual functional capacity to perform light work (20 C.F.R. §§ 404.1567(b), 416.967(b)) with additional limitations
On December 15, 2016, the Appeals Council denied plaintiff's application for review. (AR 4).
To qualify for disability benefits, a claimant must show that he or she is unable "to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months."
To assess whether a claimant is disabled, an ALJ is required to use the five-step sequential evaluation process set forth in Social Security regulations.
A federal court may set aside a denial of benefits only when the Commissioner's "final decision" was "based on legal error or not supported by substantial evidence in the record." 42 U.S.C. § 405(g);
Substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion."
While an ALJ's decision need not be drafted with "ideal clarity," at a minimum it must describe the ALJ's reasoning with sufficient specificity and clarity to "allow[] for meaningful review."
In Social Security cases, the amount of weight given to medical opinions generally varies depending on the type of medical professional who provided the opinions, namely "treating physicians," "examining physicians," and "nonexamining physicians" (e.g., "State agency medical or psychological consultant[s]"). 20 C.F.R. §§ 404.1527(c)(1)-(2) & (e), 404.1502, 404.1513(a); 416.927(c)(1)-(2) & (e), 416.902, 416.913(a);
Unless a treating physician's opinion has been given "controlling" weight, an ALJ must consider multiple factors when deciding the amount of weight to give the opinion, including (i) "[l]ength of the treatment relationship and the frequency of examination"; (ii) "[n]ature and extent of the treatment relationship"; (iii) "supportability" (i.e., the amount of "relevant evidence" the medical source presents, and the quality/extent of the "explanation a source provides for an opinion"); (iv) "[c]onsistency . . . with the record as a whole"; (v) "[s]pecialization" (i.e., "[whether an] opinion [provided by] a specialist about medical issues related to his or her area of specialty"); and (vi) "[o]ther factors . . . which tend to support or contradict the opinion" (i.e., the extent to which a physician "is familiar with the other information in [a claimant's] case record," or the physician understands Social Security "disability programs and their evidentiary requirements"). 20 C.F.R. §§ 404.1527(c)(2)-(6), 416.927(c)(2)-(6);
A treating physician's opinion, however, is not necessarily conclusive as to either a physical condition or the ultimate issue of disability.
An ALJ may provide "substantial evidence" for rejecting a treating physician's opinion by "setting out a detailed and thorough summary of the facts and conflicting clinical evidence, stating his [or her] interpretation thereof, and making findings."
Here, plaintiff contends that the ALJ failed properly to consider the opinions expressed in a declaration from Dr. Rachel Mory, plaintiff's treating rheumatologist. (Plaintiff's Motion at 4-13). Dr. Mory opined that, as of June 1, 2012, plaintiff had a global functioning status under American College of Rheumatology criteria of "Class III" (i.e., that "[plaintiff] is able to perform usual self-care activities but is limited in vocational and avocational activities"), and that plaintiff's impairments and related limitations essentially would prevent plaintiff from performing even sedentary work (collectively "Dr. Mory's Opinions"). (AR 716-19). A remand or reversal on this basis is not warranted.
First, to the extent Dr. Mory opined about plaintiff's functional abilities for the period from June 1, 2012 (i.e., the onset date alleged here) through April 15, 2014 (when Dr. Mory first began treating plaintiff), such retrospective opinions were not based on Dr. Mory's direct personal knowledge of plaintiff's condition during that time, but instead were based solely on the treating physician's review of plaintiff's historical medical records. (AR 28, 716-19). As the ALJ noted, such opinions were directly contradicted by those of Dr. Powell — a treating physician who, in contrast, did have the opportunity to examine plaintiff around the relevant time period, but assessed plaintiff with a much less restrictive global functioning status (i.e., "Class I"). (AR 30-31, 355-56). Thus, the ALJ properly rejected Dr. Mory's retrospective opinions.
Second, Dr. Mory's declaration suggests that the treating physician only provided opinions regarding plaintiff's functional capacity "[p]rior to December 2013." (AR 718). Nonetheless, to the extent Dr. Mory intended to opine about plaintiff's functional abilities during the time period when Dr. Mory was treating plaintiff, as the ALJ suggested, Dr. Mory's Opinions were inconsistent with the record as a whole, and specifically were not supported by the physician's own treatment notes. (AR 30-31). For example, as the ALJ's detailed and extensive discussion of the medical evidence and the record as a whole suggest, Dr. Mory's treatment records for plaintiff document few, if any, physical limitations for plaintiff much less any objective findings on physical examination that would plausibly support the significant physical limitations the treating physician found for plaintiff. (AR 26-31, 498-503, 505-09, 512-15, 520-24, 591-92). Hence, the ALJ properly rejected Dr. Mory's Opinions on this basis as well.
Third, the ALJ wrote "[t]he functional limitations indicated [in Dr. Mory's Opinions] appear to be a sympathetic rather than objective opinion." (AR 31). Such conclusory finding, however, was not a legitimate basis for rejecting Dr. Mory's Opinions.
Finally, the ALJ properly rejected Dr. Mory's Opinions in favor of the conflicting opinions of the state agency examining physician, Dr. Birgit Siekerkotte — who, as the ALJ noted, essentially opined that plaintiff retained "the residual functional capacity for a range of medium work" (i.e., "could be expected to lift or carry . . . 50 pounds occasionally and 25 pounds frequently," stand or walk up to six hours, in an eight-hour workday, and sit "without limitations") (AR 30, 438), and the state agency reviewing physicians, Dr. R. Fast (AR 114-16) and Dr. Nasrabadi (AR 129-31) — both of whom essentially assessed plaintiff with a residual functional capacity that contained fewer limitations than the ALJ's assessment (
To the extent plaintiff contends that the medical opinion evidence does not support rejection of Dr. Mory's Opinions (Plaintiff's Motion at 11-13), the Court will not second guess the ALJ's reasonable determination otherwise.
Accordingly, a remand or reversal is not warranted on this basis.
For the foregoing reasons, the decision of the Commissioner of Social Security is affirmed.
LET JUDGMENT BE ENTERED ACCORDINGLY.