MICHAEL A. TELESCA, District Judge.
Represented by counsel, Randy Shine ("Plaintiff") instituted this action pursuant to Titles II and XVI of the Social Security Act ("the Act"), seeking review of the final decision of the Acting Commissioner of Social Security ("the Commissioner")
Plaintiff protectively filed applications for DIB and SSI on September 17, 2012, alleged disability beginning December 31, 2010, due to major depression, foot deformity, diabetes, arthritis in the feet and knees, high blood pressure, high cholesterol, and neuropathy. The Commissioner denied these applications, and Plaintiff requested a hearing. On March 19, 2014, Administrative Law Judge Robert Harvey ("the ALJ") conducted a hearing at which Plaintiff appeared with his attorney and testified, as did impartial vocational expert Esperanza DiStefano ("the VE"). On May 7, 2014, the ALJ issued a decision finding Plaintiff not disabled within the meaning of the Act. (T.10-26). The Appeals Council denied Plaintiff's request for review on September 2, 2015, making the ALJ's decision the final decision of the Commissioner. Plaintiff timely commenced this action.
At step one, the ALJ found that Plaintiff had not engaged in substantial gainful activity since December 31, 2010, his alleged disability onset date. At step two, the ALJ then found that Plaintiff's diabetes mellitus, diabetic neuropathy, depression, and obesity were severe impairments. At step three, the ALJ determined that Plaintiff's impairments, alone or in combination, did not satisfy the criteria of any listed impairments. The ALJ gave particular consideration to Listing 9.08 (Diabetes mellitus) and Listing 12.04 (Affective disorders).
The ALJ then assessed Plaintiff as having the residual functional capacity ("RFC") to RFC to perform sedentary work except he could not work in areas with unprotected heights; could not work around heavy, moving or dangerous machinery; had occasional limitations in bending, climbing, stooping, squatting, kneeling, balancing or crawling; could not climb ropes, ladders or scaffolds; had occasional limitations in the ability to reach in all directions dominant/non-dominant hand; had occasional limits in the ability in handling (gross manipulations) dominant/non-dominant; had occasional limitations in the ability in fingering (fine manipulations) dominant/non-dominant; had occasional limitations in the ability in feeling (skin receptors) dominant/non-dominant; had occasional limitations in pushing and pulling with the upper extremities; had occasional limitations in the ability to interact appropriately with the general public; had occasional limitations in dealing with stress; and could not work in areas where he would be exposed to cold or dampness. (T.17).
Plaintiff, who was 57 years-old on the onset date of December 31, 2010, was a high school graduate with at least four years of college. He had past relevant work as a house manager and shipping and receiving clerk. At step four, the ALJ relied on the VE's testimony to find that Plaintiff could perform his past relevant work as a shipping and receiving clerk as he actually performed it. (T.22). Although the Dictionary of Occupational Titles ("DOT") classifies shipping clerk as a medium exertional level job, the ALJ found that Plaintiff's testimony established that he actually performed it at the sedentary level. Accordingly, the ALJ did not proceed to step five, and entered a finding of "not disabled."
Plaintiff asserts that the ALJ committed legal error in failing to mention the opinion evidence provided by State Agency Review Psychiatrist Juan C. Echevarria, M.D. As Plaintiff points out, 20 C.F.R. § 404.1527(e)(2)(ii) provides in relevant part that "[u]nless a treating source's opinion is given controlling weight," which did not occur here,
20 C.F.R. § 404.1527(e)(2)(ii).
Dr. Echeverria, the State agency medical consultant, reviewed the record and noted, among other things, the opinion of consultative psychologist Dr. Thomas Ryan that Plaintiff could perform simple and some complex tasks (T.67, 251). Dr. Echeverria then concluded that Plaintiff "appears capable of performing at least simple work-related tasks." (T.67) (emphasis added). Plaintiff contends the ALJ committed reversible error because he did not discuss Dr. Echeverria's opinion.
Plaintiff, however, has mischaracterized Dr. Echeverria's opinion, claiming that Dr. Echeverria found that Plaintiff was "only capable of simple work with simple tasks." (Plaintiff's Memorandum of Law ("Pl's Mem.") at 17 (emphasis added)). His argument, that the VE erred by finding that Plaintiff could perform skilled work, is based on a mistaken premise—that Dr. Echevarria opined that Plaintiff was limited to performing only perform simple work.
The Court agrees with the Commissioner that the more accurate interpretation of the statement that Plaintiff appears capable of performing "at least" simple work-related tasks is that, in Dr. Echeverria's opinion, simple work was the minimum, not the maximum, skill-level that Plaintiff could perform. The ability to perform "at least" simple work-related tasks does not rule out the ability to perform detailed or complex tasks.
Plaintiff contends that the ALJ erred by not weighing two disability forms issued by his primary care physician, Dr. Frank A. Ferraro. (T.218, 484). On December 27, 2010, Dr. Ferraro completed a claim form for New York State disability benefits, stating that he had first treated Plaintiff for his disability on December 13, 2010; that Plaintiff became "unable to work because of this disability" on December 13, 2010; and that Plaintiff "will be able to perform usual work" on June 30, 2011. (T.218).
On October 15, 2013, Dr. Ferraro completed the physician certification on Plaintiff's application to have his Federal student loans discharged based on a permanent and total disability. (T.484). The form states that in order to qualify for a discharge, the applicant "must be unable to engage in any substantial gainful activity (as defined in Section 5) by reason of a medically determinable physical or mental impairment that (1) can be expected to result in death; (2) has lasted for a continuous period of not less than 60 months; or (3) can be expected to last for a continuous period of not less than 60 months." (T.484). Dr. Ferraro signed the certification at the bottom of the form, and stated that Plaintiff "ambulates with great difficulty" but did not indicate any other functional limitations. (T.484). The diagnoses listed were rheumatoid arthritis, diabetes, hypertension, and depression.
At the time the ALJ decided Plaintiff's claim, the Social Security Administration "recognize[d] a `treating physician' rule of deference to the views of the physician who has engaged in the primary treatment of the claimant."
The 2010 form completed by Dr. Ferraro simply provided an opinion by Dr. Ferraro that Plaintiff is disabled from working. A treating source's statement that a claimant "`is disabled' . . . is not considered a `medical opinion' under the treating physician's rule, and is not entitled to controlling weight because it represents an opinion on an issue reserved to the Commissioner."
With regard to the 2013 form, again, Dr. Ferraro's certification that Plaintiff is disabled—as defined by an entity other than the Social Security Administration—is not entitled to any significant weight.
Plaintiff contends that the ALJ abdicated his duty to develop the record by failing to seek another opinion from Dr. Ferraro, since Dr. Ferraro "did not provide any functional limitations" in either the 2010 or 2013 forms he completed on Plaintiff's behalf.
"[W]here there are deficiencies in the record, an ALJ is under an affirmative obligation to develop a claimant's medical history `even when the claimant is represented by counsel or . . . by a paralegal.'"
"Although the Social Security regulations express a clear preference for evidence from the claimant's own treating physicians over the opinion rendered by a consultative examiner," Swiantek v. Comm'r of Soc. Sec., 588 F. App'x 82, 84 (2d Cir. 2015) (unpublished opn.) (citation omitted), the Second Circuit has stated that it "does not always treat the absence of a medical source statement from claimant's treating physicians as fatal to the ALJ's determination,:
Plaintiff contends that the ALJ erred at step four by failing to fully establish the exertional demands of Plaintiff's past relevant work as a shipping clerk. "`Pursuant to both case law and Social Security Ruling 82-62, in order to determine at step four whether a claimant is able to perform [his] past work, the ALJ must make a specific and substantial inquiry into the relevant physical and mental demands associated with the claimant's past work, and compare these demands to the claimant's [RFC].'"
In a Work History Report submitted with his initial application, Plaintiff was asked to "[e]xplain what you lifted, how far you carried it, and how often you did this." (T.196). In connection with the shipping clerk job, he wrote that described what he did "all day" as "packag[ing] materials to be shipped" and "[r]eceiv[ing] incoming materials." (
At the hearing, the ALJ engaged Plaintiff in the following colloquy:
(T.41; emphases supplied).
Then, in connection with his application to the Appeals Council, Plaintiff submitted a November 14, 2014 letter from his former employer, Gary Sheedy, Vice President of Techmotiv Corporation, who indicated that Plaintiff's duties as a shipping clerk included "working on our loading dock, operating fork trucks, loading and unloading tractor trailers[.]" (T.503). According to his former employer, Plaintiff's "duties required him to be on his feet for long periods of time and have the ability to lift manually up to 75 lbs. routinely. . . ." (
The Court therefore turns to consideration of Plaintiff's testimony and Work History Report. According to Plaintiff, he "testified that he lifted on average 5-10 pounds and did nothing but paperwork[.]" (Plaintiff's Reply ("Reply") at 8 (citing T.41; emphasis in original)). However, it does not make sense to say that Plaintiff "did nothing but paperwork" and also lifted five to ten pounds on average. If someone does "nothing but" paperwork, that implies that they did not do anything else. The Commissioner asserts that Plaintiff "did nothing but paperwork." Likewise, this is not an accurate reading of Plaintiff's testimony.
These competing interpretation point to a conclusion that Plaintiff's testimony is ambiguous. When read in tandem with the Work History Report, his testimony creates a question as to whether his past relevant work as he performed it is congruent with the exertional requirements of sedentary work. As noted above, Plaintiff in fact stated, "I really didn't do nothing there . . . but paperwork." (T.41). While he said he lifted on average between five to ten pounds, his testimony does not indicate that he lifted five to ten pounds frequently; rather, since he explained that he mostly did paperwork, the reasonable inference is that any lifting was infrequent. On the Work History Form, he stated that he frequently lifted less than ten pounds, which is consistent with sedentary work. However, he also wrote that the heaviest weight he lifted was twenty pounds, which is not consistent with sedentary work. In addition, Plaintiff stated on the form that he lifted parts weighing between one and twenty-five pounds, which is inconsistent with his previous statement, and also inconsistent with sedentary work.
While SSR 82-62 does not dictate that an ALJ, in assessing a claimant's past relevant work, must question the claimant about the maximum and minimum weights lifted and how frequently those amounts were lifted, it does state that "[d]etailed information about strength, endurance, manipulative ability, mental demands and other job requirements must be obtained as appropriate." Titles II & XVI: A Disability Claimant's Capacity to Do Past Relevant Work, in Gen., SSR 82-62, 1982 WL 31386, at *3 (S.S.A. 1982) (emphasis supplied). This information was not obtained in the present case. SSR 82-62 also notes that "[t]he claimant is the primary source for vocational documentation. . . ."
For the foregoing reasons, the Commissioner's decision is reversed. Defendant's motion for judgment on the pleadings is denied, and Plaintiff's motion for judgment on the pleadings is reversed to the extent that the matter is remanded for further administrative proceedings consistent with this decision and order.
The Clerk of Court is directed to close this case.