BERNARD M. JONES, Magistrate Judge.
Plaintiff, Kevin Russell, brings this action pursuant to 42 U.S.C. § 405(g) for judicial review of the Social Security Administration's final decision finding he was not disabled under the Social Security Act. The parties have consented to the exercise of jurisdiction over this matter by a United States Magistrate Judge. See 28 U.S.C. § 636(c). The Commissioner has filed the Administrative Record (AR) [Doc. No. 16], and both parties have briefed their respective positions.
On February 6, 2013, Plaintiff protectively filed an application for disability insurance benefits (DIB). See AR 15. The Social Security Administration denied the application initially and on reconsideration. AR 120, 148. Following a hearing, an Administrative Law Judge (ALJ) issued an unfavorable decision dated April 1, 2016. AR 12-34. The Appeals Council denied Plaintiff's request for review. AR 7-11. Thus, the decision of the ALJ became the final decision of the Commissioner. Krauser v. Astrue, 638 F.3d 1324, 1327 (10th Cir. 2011). Plaintiff seeks judicial review of this final agency decision.
The ALJ followed the sequential evaluation process required by agency regulations. See Fischer-Ross v. Barnhart, 431 F.3d 729, 731 (10th Cir. 2005) (explaining five-step sequential evaluation process); see also 20 C.F.R. § 404.1520. The ALJ first determined Plaintiff had not engaged in substantial gainful activity since July 15, 2013, the amended alleged onset date. AR 17.
At step two, the ALJ determined Plaintiff suffered from the severe impairments of diabetes, chronic neck and back pain, major depressive disorder, dysthymic disorder, and morbid obesity. AR 17-18.
The ALJ next determined Plaintiff's residual functional capacity (RFC), concluding:
AR 20-26. The ALJ determined Plaintiff was unable to perform any past relevant work. AR 26. Relying on the testimony of a vocational expert, the ALJ found there were other jobs that existed in significant numbers in the national economy that Plaintiff could perform—production solderer, mail clerk, and storage rental clerk. AR 27-28. The ALJ concluded, therefore, that Plaintiff was not disabled for purposes of the Social Security Act. AR 28.
Plaintiff contends the ALJ did not appropriately weigh the opinion evidence or consider probative evidence. Further, Plaintiff argues the ALJ erred in her credibility analysis. The Court finds the ALJ erred by failing to consider probative evidence and not addressing the opinion of a medical source. The Court does not reach the merits of Plaintiff's credibility argument.
Judicial review of the Commissioner's final decision is limited to determining whether the factual findings are supported by substantial evidence in the record as a whole and whether the correct legal standards were applied. See Poppa v. Astrue, 569 F.3d 1167, 1169 (10th Cir. 2009). "Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Doyal v. Barnhart, 331 F.3d 758, 760 (10th Cir. 2003) (quotation omitted). A decision is not based on substantial evidence if it is overwhelmed by other evidence in the record or if there is a mere scintilla of evidence supporting it. Branum v. Barnhart, 385 F.3d 1268, 1270 (10th Cir. 2004). The court "meticulously examine[s] the record as a whole, including anything that may undercut or detract from the ALJ's findings in order to determine if the substantiality test has been met." Wall v. Astrue, 561 F.3d 1048, 1052 (10th Cir. 2009) (citations omitted). While the court considers whether the ALJ followed the applicable rules of law in weighing particular types of evidence in disability cases, the court does not reweigh the evidence or substitute its own judgment for that of the Commissioner. Bowman v. Astrue, 511 F.3d 1270, 1272 (10th Cir. 2008) (quotations and citations omitted).
Plaintiff argues the RFC is flawed because the ALJ did not properly consider the opinion of Donald Guthrie, a nurse practitioner.
The ALJ summarized Mr. Guthrie's opinion from a medical source statement dated August 28, 2013, and discussed the weight given to it as follows:
AR 24, 647-648 (internal citations omitted). Among these opinions was a determination that Plaintiff could reach less-than occasionally. AR 648. Plaintiff asserts the ALJ failed to explain how Mr. Guthrie's opinion was unsupported by the record—a claim Plaintiff contends is not supported by the evidence.
Plaintiff further contends the ALJ failed to discuss the report of Dr. Kevin Teal, M.D., which contains probative evidence supporting Mr. Guthrie's opinion.
The Court also notes, as Plaintiff argues, that the ALJ failed to weigh the opinion of Dr. Teal with regard to this functional limitation. The ALJ's duties include evaluating all medical opinions in the record, assigning weight to each opinion, and discussing the weight given to each. See 20 C.F.R. § 404.1527(c); Keyes-Zachary v. Astrue, 695 F.3d 1156, 1161 (10th Cir. 2012). The ALJ's failure to weigh a medical opinion can be considered "harmless" only if, "there is no inconsistency between the opinion and the ALJ's assessment of residual functional capacity." Mays v. Colvin, 739 F.3d 569, 578-579 (10th Cir. 2014). Here, the RFC does not include a limitation as to Plaintiff's ability to reach—overhead or otherwise. As such, the error is not harmless.
The error is not harmless for another reason—the occupations identified by the ALJ require frequent reaching. See DICOT, 813.684-022, 1991 WL 681592 (solderer); DICOT, 209.687-026, 1991 WL 671813 (mail clerk); DICOT, 295.367-026, 1991 WL 672594 (storage-facility rental clerk). Reaching is considered to be "extending the hands and arms in any direction." SSR 85-15, 1985 WL 56857, at *7.
Although the Court determines remand is appropriate for the reasons stated above, other arguments made by Plaintiff regarding his back and neck conditions are unavailing. The Court briefly addresses these arguments.
Plaintiff asserts remand is required because the ALJ did not cite specific examples of inconsistencies between Mr. Guthrie's opinion and the record. While it is true that the ALJ did not list specific examples alongside her discussion of how much weight given to Mr. Guthrie's opinion, she cited examples of "subsequent examinations [that] reveal improvements with medication and treatment" earlier in the decision. AR 21-22. These records addressed many of Plaintiff's asserted limitations (but not reaching).
Plaintiff also argues Mr. Guthrie's treatment notes are consistent with his own opinion because they document Plaintiff's history of shoulder, cervical, and lumbar pain, his August 2014 diagnosis of chronic pain, and the prescription of narcotic pain medication. Pl.'s Br. 14-15, 18. With regard to the cervical and lumbar pain, however, the ALJ considered Mr. Guthrie's treatment notes in the decision and noted the diagnosis of issues with the cervical and lumbar spine. AR 21 (citing AR 689). The ALJ also cited an October 2014 record that Plaintiff's medication was effective at controlling pain.
Plaintiff also contends his records with Dr. Mark A. Diehl, M.D., show his functioning did not improve over time as the ALJ asserted. Pl.'s Br. 17. The ALJ, however, cited these medical visits and addressed their contents. AR 22. In essence, Plaintiff asks the Court to reweigh the evidence—conduct this Court cannot engage in. See Bowman, 511 F.3d at 1272.
Plaintiff also contends the ALJ failed to consider an MRI result that supports Mr. Guthrie's opinion. Pl.'s Br. 15-16. But the ALJ did cite the MRI in the decision. AR 22 (citing AR 522). Plaintiff asserts "the ALJ referred to and summarized only the x-ray of the lumbar spine and never acknowledged the findings on the MRI," Pl.'s Br. 15, n.4, but that assertion is incorrect. The ALJ cited an MRI and x-ray as support for a sentence noting degenerative disc disease, mild disc space height loss, and suspected early facet arthrosis. AR 22 (citing AR 522, 529). The impression of degenerative disc disease appears on the MRI only while the other impressions are included on the x-ray report. AR 522, 529. Thus, to the extent the MRI constitutes uncontroverted or significantly probative evidence, the ALJ did not err because it is clear she discussed the MRI in the decision.
The Court finds Plaintiff's arguments regarding the ALJ's consideration of his back and neck are unfounded.
The Court does not address Plaintiff's credibility argument because the ALJ's analysis may be affected on remand after the ALJ properly considers the evidence.
For the reasons set forth, the Court reverses the decision of the Commissioner and remands the matter for further proceedings consistent with this Memorandum Opinion and Order.
Further, the opinion is consistent with the state-agency medical consultants who determined Plaintiff was "limited overhead in bilat arms." AR 127, 142. The ALJ rejected this opinion, finding "the overall evidence of record does not support limitations on [Plaintiff's] ability to reach overhead." But, the ALJ did not consider the finding of Dr. Teal, which would support the limitation.