JOANNA SEYBERT, District Judge.
Plaintiff Janos Gagovits ("Plaintiff") commenced this action pursuant to 42 U.S.C. § 405(g) of the Social Security Act ("the Act"), challenging the Commissioner of Social Security's (the "Commissioner") denial of his application for disability insurance benefits under Title II of the Act. Presently before the Court are the Commissioner's motion for judgment on the pleadings (Docket Entry 11) and Plaintiff's cross-motion for judgment on the pleadings (Docket Entry 16). For the following reasons, the Commissioner's motion is DENIED, Plaintiff's motion is GRANTED, and this matter is REMANDED.
Plaintiff initially filed for Social Security disability benefits on March 20, 2007, alleging a disability onset date of March 31, 2006. (R. 87.) Plaintiff's claim was denied and a hearing took place before an administrative law judge on February 2, 2009. (R. 87.) In a decision dated June 5, 2009, the administrative law judge found that Plaintiff was not disabled. (R. 87-92.)
Plaintiff subsequently filed for Social Security disability benefits in February 2011, alleging disability due to a left knee injury. (R. 93, 125.) Plaintiff's application was denied on June 14, 2011. (R. 113.) On or about June 18, 2011, Plaintiff requested a hearing before an administrative law judge. (R. 125.) The hearing took place on April 25, 2012, before administrative law judge Andrew S. Weiss (the "ALJ"). (R. 97. 102.) At the hearing, Plaintiff amended his disability onset date to June 5, 2009. (R. 97.) On May 3, 2012, the ALJ issued his decision finding that Plaintiff is not disabled. (R. 94-105.)
On July 3, 2012, Plaintiff requested review of the ALJ's decision by the Appeals Council. (R. 184-85.) On July 18, 2013, the Appeals Council issued a decision remanding the case to the ALJ. (R. 107-09.) The Appeals Council held that additional development and consideration of the opinions of treating physicians Dr. Zvi Herschman and Dr. Stephen Kottmeier was warranted. (R. 107.) Additionally, the Appeals Council held that the record was not clear as to whether Plaintiff's 2012 earnings constituted substantial gainful activity. (R. 107.) Finally, the Appeals Council held that the ALJ failed to evaluate all of Plaintiff's physical impairments—particularly, his congenital kidney disorder, moderate hydronephrosis, and obesity. (R. 107-08.) The Appeals Council directed the ALJ to "[o]btain updated medical records, if available, from treating sources in order to complete the administrative record in accordance with the regulatory standards regarding consultative examinations and existing medical evidence (20 CFR 404.1512-1513)." (R. 108.)
The ALJ conducted a second hearing on November 19, 2013 (the "Second Hearing"). (R. 14.) Plaintiff was represented by counsel and the ALJ heard testimony from Plaintiff, as well as Osvaldo J. Fulco, an impartial medical expert, and Darren K. Flomberg, an impartial vocational expert. (R. 14.) On December 19, 2013, the ALJ issued a decision finding that Plaintiff is not disabled. (R. 14-23.) On April 10, 2015, the Appeals Council denied Plaintiff's request for review. (R. 1-4.)
Plaintiff then commenced this action on June 4, 2015. (Docket Entry 1.) The Commissioner and Plaintiff filed cross-motions for judgment on the pleadings on December 16, 2015 and February 1, 2016, respectively. (Docket Entries 11, 16.)
Plaintiff was forty-three years old at the time of the Second Hearing. (R. 48.) Plaintiff graduated from high school and attended some college. (R. 32.) He lives with his mother, who performs most of the cooking and cleaning in the house. (R. 49, 55.) Plaintiff was a New York City police officer for thirteen years until he suffered a ruptured patella tendon in his left knee. (R. 32.) He received service connected disability and has not worked since 2006. (R. 32-33, 49.)
Plaintiff had two surgeries on his left knee in December 2005 and November 2007. (R. 34.) Plaintiff suffers from swelling and sharp pain if he stands or walks for twenty or thirty minutes (R. 50.) Sitting causes pain, swelling, and fatigue in his knee. (R. 50-51, 55.) Plaintiff must elevate his knee two times per day for about an hour per day or periodically get up. (R. 51.) Plaintiff takes over the counter medication because stronger prescriptions make him "delusional and mess[] with [his] head." (R. 52.) Plaintiff uses Voltaren gel on his knee on a daily basis and has used a TENS unit two to three times per week for two years. (R. 54.) Plaintiff wears a brace with metal supports at all times. (R. 55.) His knee swells daily and the swelling is exacerbated by activity. (R. 55.) Plaintiff sits in an elevated recliner. (R. 56.)
Plaintiff is able to sit at the computer for twenty minutes. (R. 56.) Plaintiff occasionally watches television but cannot not sit and watch an entire football game due to fatigue in his knee. (R. 57.) He can lift up to ten pounds but any additional weight "would cause massive fatigue." (R. 51.) Plaintiff drives to the store or to a doctor's office about five miles away. (R. 58.)
Plaintiff testified that he earned over $12,000 in 2012 from racing greyhounds. (R. 49.) Plaintiff buys the greyhounds and has trainers who race them and care for them. (R. 49-50.)
Plaintiff testified that he is not alleging any mental impairment. (R. 52.) Plaintiff's counsel indicated that Plaintiff is not alleging that his kidney issues render him disabled but "one of the other reasons why he can't take certain medications, pain medications, [is] because of his kidney function." (R. 53.) Plaintiff also testified that his doctors advised that certain medications may be bad for his kidneys. (R. 54.)
Dr. Oslago Fulco,
Keith Thornburg ("Thornburg"), a vocational expert, also testified at the hearing. (R. 66.) The ALJ presented Thornburg with a hypothetical individual who could lift twenty pounds occasionally and ten pounds frequently; stand and walk for two hours and sit for six hours in an eight-hour day; had unlimited abilities to push and pull; and could occasionally climb, balance, stoop, kneel, crouch, and pull. (R. 76.) Thornburg testified that such an individual could not perform Plaintiff's prior work, but could work as a check cashier, telemarketer, or telephone operator. (R. 77.) Additionally, it would not create an issue if that individual needed to keep his leg elevated for fifty percent of the day. (R. 78-79.) However, Thornburg asserted that it would be problematic if that individual had to stand up and move around every half hour and was "off task." (R. 79.) Next, the ALJ inquired about an individual who could sit for only twenty minutes and stand for only fifteen minutes per day. (R. 78.) Mr. Thornburg testified that such an individual could not perform any jobs in the national economy. (R. 78.)
On December 20, 2005, Dr. John Mani performed surgery to repair Plaintiff's left patellar tendon (R. 317.) On July 26, 2006, an MRI revealed that the patellar tendon was thickened and intact with a probable postoperative change in the distal quadriceps tendon; there was an abnormal signal in the anterior horn of the lateral meniscus; and there was an eight-millimeter cystic structure adjacent to the anterior horn of the lateral meniscus that was likely a parameniscal cyst. (R. 323-24.)
On November 6, 2007, Plaintiff saw Dr. Stephen Kottmeier for an assessment of his left knee. (R. 333.) Dr. Kottmeier opined that Plaintiff's history and physical examination suggested position-related pain laterally to the left knee that was likely a left knee lateral meniscal tear. (R. 334.) That same day, imaging showed mild degenerative changes in the left knee and no evidence of fracture or dislocation. (R. 325.)
On November 30, 2007, Dr. Kottmeier performed an arthroscopic left knee partial lateral menisectony. (R. 327.) Dr. Kottmeier's post-operative diagnosis was left knee lateral meniscus tear. (R. 327.) On December 11, 2007, Plaintiff saw Dr. Kottmeier for a follow-up visit. Dr. Kottmeier's examination revealed postsurgical hemarthrosis, and he performed an arthrocentisis and administered a Lidocaine injection. (R. 335.) On December 18, 2007, Dr. Kottmeier noted that Plaintiff had a persistent but diminished effusion in the left knee. (R. 336.) Dr. Kottmeier also noted that Plaintiff would begin physical therapy the following week and was pursuing NSAIDs with cryotherapy. (R. 336.)
On January 15, 2008, Plaintiff saw Dr. Kottmeier and an examination revealed persistent effusion. (R. 337.) Dr. Kottemeir recommended cautious use of NSAIDs and additional testing. (R. 337.) On February 26, 2008, Plaintiff saw Dr. Kottmeier and complained of continued swelling and pain in his left knee. (R. 338.) Dr. Kottmeier noted persistent effusion and indicated that Plaintiff would continue with physical therapy. (R. 338.) On January 6, 2009, Plaintiff saw Dr. Kottmeier and reported left knee swelling and discomfort. (R. 339.) Dr. Kottmeier noted that radiographs suggested limited retropatellar degenerative changes. (R. 339.) Plaintiff reported being "content" with respect to the resolution of his medial meniscal symptoms, but Dr. Kottmeier opined that there were likely features of quadriceps weakness and impaired extensor mechanism function. (R. 339.)
On February 17, 2011, Plaintiff began seeing Dr. Zvi Herschman. (R. 367.) Plaintiff complained of pain in his left knee that is worsened by using the stairs. (R. 367.) Plaintiff was taking Pennsaid, Tylenol, and Azor. (R. 367.) Dr. Herschman noted that Plaintiff was "not very active—just some home activities." (R. 367.) Dr. Herschman assessed Plaintiff as suffering from left knee derangement with residual ligamentous pain. (R. 368.)
Plaintiff saw Dr. Herschman on five occasions during 2011 and reported feeling less knee pain with the brace, Flector and TENS unit. (R. 370-74.) Dr. Herschman characterized Plaintiff's injury as "bothersome, but controllable as long as not stressed too much" with Plaintiff responding well to treatment notwithstanding some painful days. (R. 370-72.) Dr. Herschman noted that Plaintiff's range of motion was good with the brace but he had some peri-articular tenderness and swelling. (R. 370-74.) On July 14, 2011, Dr. Herschman noted that when Plaintiff stood for too long he felt pain during the next couple of days; however, Plaintiff responded to Flector and the TENS unit. (R. 372.)
On February 23, 2012, Plaintiff saw Dr. Herschman and reported feeling less pain in his knee with the brace, Flector, and TENS unit; however Dr. Herschman noted "temperature changes are a problem for the pain threshold." (R. 375.) Dr. Herschman also noted that Plaintiff had good range of motion with the brace notwithstanding peri-articular tenderness and swelling, and he was responding well to treatment despite some painful days. (R. 375.) Dr. Herschman refilled Plaintiff's Flector and Pennsaid prescriptions and prescribed Voltaren gel. (R. 375.)
On February 27, 2012, Dr. Herschman completed a Physical Residual Functional Capacity Questionnaire. (R. 362-66.) Dr. Herschman diagnosed Plaintiff with internal knee derangements and ligamentous pain and noted that he was "[n]ot likely to return to normal function." (R. 362.) Dr. Herschman listed Plaintiff's symptoms as "pain, difficulty standing, walking, [and] squatting." (R. 362.) Plaintiff's treatment included topical medication, TENS unit, and an artificial knee brace. (R. 362.) Dr. Herschman opined that Plaintiff is capable of low stress jobs. (R. 363.)
Dr. Herschman further concluded that Plaintiff could sit for twenty minutes and stand for fifteen minutes before needing to get up or sit down, and could stand for less than two hours and sit for about two hours in an eight-hour workday. (R. 363-64.) Plaintiff would also need to walk five times during an eight-hour workday. (R. 364.) Dr. Herschman opined that Plaintiff requires a job where he could shift positions at will, take unscheduled breaks for fifteen to thirty minutes, and elevate his leg off the floor for fifty percent of the day. (R. 364.) Plaintiff requires an assistive device when standing or walking. (R. 364.) Dr. Herschman concluded that Plaintiff could frequently lift less than ten pounds, occasionally lift ten pounds, rarely lift twenty pounds, and never lift fifty pounds. (R. 364.) Plaintiff could frequently twist, rarely stoop, occasionally climb stairs, and never crouch or climb ladders. (R. 365.) Plaintiff was prescribed Lidoderm and Flector. (R. 366.)
On June 1, 2011, Dr. Linell Skeene conducted an orthopedic examination pursuant to a referral from the Division of Disability. (R. 343.) Plaintiff complained of continued left knee pain that he described as sharp, constant, and non-radiating, with 7/10 intensity. (R. 343.) Plaintiff was taking Azor and Zolpidem, and using a Flector patch. (R. 343.) Dr. Skeene observed that Plaintiff did not appear to be in acute distress and did not use an assistive device. (R. 344.) Dr. Skeene noted a limited range of motion in the left knee with 3/5 strength in the left lower extremity. (R. 345.) Dr. Skeene reviewed a left-knee xray. (R. 345.) Dr. Skeene concluded that Plaintiff had moderate limitations for prolonged standing and walking due to the limited range of motion of his lumbar spine. (R. 345.)
On June 7, 2011, an x-ray of Plaintiff's left knee revealed no evidence of an acute fracture, dislocation, or destructive bony lesion; well-maintained joint spaces; tiny inferior patellar osteophyte; and small patellar spurs. (R. 347.) The radiologist's impression was tiny patellar osteophyte. (R. 347.)
On June 14, 2011, S. Collier
On March 24, 2012, Dr. Gerald Greenberg completed a Medical Interrogatory Physical Impairments as an impartial medical expert. (R. 377.) Dr. Greenberg did not personally examine Plaintiff. (R. 377.) Dr. Greenberg concluded that Plaintiff's impairments during the relevant time period do not meet or equal any impairment referenced in the Listing of Impairments. (R. 378.) Dr. Greenberg noted that Plaintiff "has pain and limitations of prolonged walking, climbing, etc. on a regular basis [that] [s]hould not preclude sedentary work." (R. 379.)
On March 8, 2013, Plaintiff saw Dr. Aviva Herschman for a follow-up regarding pain in his left knee. (R. 380.) Dr. Herschman noted that Plaintiff suffered from occasional swelling in his left knee but used the TENS unit with "immediate relief of pain." (R. 381.) Plaintiff's gait was stable, coordinated, and smooth. (R. 381.) Dr. Herschman recommended that Plaintiff continue with the TENS unit and prescribed, Voltaren, Flector patches, and Azor. (R. 382.)
Plaintiff saw Dr. Herschman six times between April 5, 2013 and August 23, 2013. (R. 383-400.) On April 26, 2013, Plaintiff reported difficulty walking on the treadmill but some relief with Voltaren gel; his gait was stable, coordinated, and smooth, but Dr. Herschman noted pain in his left leg with occasional tingling. (R. 386-87.) On May 24, 2013, Plaintiff reported joint pain, muscle cramps, and muscle cramps and muscle aches but no stiffness or swelling. (R. 390.) On June 28, 2013, Plaintiff reported joint pain, joint stiffness or swelling, and muscle aches. (R. 392-93.) Dr. Herschman noted that they discussed using a recumbent bicycle. (R. 393.) On July 26, 2013, Plaintiff reported joint pain and back or neck pain. (R. 395.) On August 23, 2013, Plaintiff reported muscle aches but no joint pain, stiffness, or swelling. (R. 399.) On two occasions, Dr. Herschman noted that Plaintiff had improved weight loss with increased exercise. (R. 396, 400.)
In reviewing the ruling of an ALJ, the Court does not determine
"Substantial evidence is such evidence that a reasonable mind might accept as adequate to support a conclusion."
A claimant must be disabled within the meaning of the Social Security Act (the "Act") to receive disability benefits.
The Commissioner must apply a five-step analysis when determining whether a claimant is disabled as defined by the Act.
The claimant has the burden of proving the first four steps of the analysis, while the Commissioner carries the burden of proof for the last step.
The ALJ applied the five-step analysis described above and determined that Plaintiff is not disabled.
At step one, the ALJ found that Plaintiff had not engaged in substantial gainful activity since June 6, 2009. (R. 16.)
At step two, the ALJ found that Plaintiff suffered from the following severe impairments: (1) internal derangement of the left knee, and (2) obesity. (R. 17.) The ALJ also concluded that Plaintiff's hypertension, mild anxiety, and hydronephrosis associated with the absence of his left kidney did not constitute severe impairments. (R. 17.)
At step three, the ALJ concluded that Plaintiff's impairments, either singularly or in combination, did not meet or equal the severity of one of the impairments listed in Appendix 1 of the Social Security regulations. (R. 18.)
At step four, the ALJ concluded that Plaintiff has the residual functional capacity to perform the full range of sedentary work, as defined in 20 C.F.R. § 404.1567(a). (R. 18.) Dr. Z. Herschman's opinion was "not given great weight and was not controlling" based on its lack of evidentiary support and inconsistency with Plaintiff's daily activities, as well as records indicating that Plaintiff's left knee impairment improved with treatment. (R. 21.) Dr. Greenberg's opinion was given "some weight" based on its consistency with the record. (R. 21.) Dr. Fulco's opinion was given "little weight" because it was contradictory and "not fully supported by the record." (R. 21.) Dr. Skeene's opinion was given "substantial weight" based on its consistency with the medical evidence. (R. 21.) The ALJ concluded that Plaintiff could not perform his past relevant work. (R. 21.)
Finally, at step five, the ALJ concluded that Plaintiff could perform other work existing in the national economy based on his age, education, work experience, residual functional capacity, and Mr. Flomberg's testimony. (R. 22.)
The Commissioner filed her motion first and argues that each step of the ALJ's decision is supported by substantial evidence. (
"Where an ALJ excludes certain impairments from the list of severe impairments at the second step, any such error is harmless where the ALJ identifies other severe impairments such that the analysis proceeds and the ALJ considers the effects of the omitted impairments during subsequent steps."
The Court acknowledges that the ALJ's decision fails to reference sleep apnea. However, "[t]he mere presence of a disease or impairment, or establishing that a person has been diagnosed or treated for a disease or impairment is not, itself, sufficient to deem a condition severe."
The medical evidence with respect to Plaintiff's sleep apnea is scant, to say the least. On three occasions, Dr. Z. Herschman referenced a sleep study and noted that "sleep [is] a major issue" for Plaintiff. (R. 370-72.) On February 23, 2012, Dr. Z. Herschman discussed the results of a sleep study with Plaintiff, and noted that Plaintiff was using a nasal CPAP mask and "[s]leep apnea [was] being addressed." (R. 375.) The Court finds that the handful of references to sleep apnea in Dr. Herschman's treatment notes does not establish that Plaintiff's sleep apnea had more than a minimal effect on his ability to work. Accordingly, the ALJ's determination that Plaintiff's sleep apnea does not constitute a severe impairment is supported by substantial evidence.
The "treating physician rule" provides that the medical opinions and reports of a claimant's treating physicians are to be given "special evidentiary weight."
20 C.F.R. § 404.1527(c)(2). Nevertheless, the opinion of a treating physician "need not be given controlling weight where [it is] contradicted by other substantial evidence in the record."
When an ALJ does not accord controlling weight to the opinion of a treating physician, he must consider factors that include: "(1) the length of the treatment relationship and frequency of the examination; (2) the nature and extent of the treatment relationship; (3) the extent to which the opinion is supported by medical and laboratory findings; (4) the physician's consistency with the record as a whole; and (5) whether the physician is a specialist."
As previously noted, the ALJ did not accord controlling weight to the opinion of Dr. Z. Herschman; accorded "some weight" to the opinion of Dr. Greenberg; accorded "little weight" to the opinion of Dr. Fulco; and accorded "substantial weight" to the opinion of Dr. Skeene. (R. 21.) The Court will address the weight accorded to each physician's opinion in turn.
As set forth above, the ALJ held that Dr. Z. Herschman's opinion "was not given great weight and was not controlling." (R. 21.) In declining to accord Dr. Herschman's opinion controlling or great weight, the ALJ found that:
(R. 21.)
Accordingly, on remand the ALJ should identify the degree of weight given to Dr. Z. Herschman's opinion and explain why Dr. Herschman's opinion deserves such weight.
As previously noted, the ALJ declined to accord Dr. Z. Herschman's opinion controlling weight based on,
Additionally, as addressed more fully
The Court makes no determination as to the appropriate amount of weight to be accorded to Dr. Z. Herschman's opinion and acknowledges, as noted by the ALJ, that Dr. Herschman's treatment records also speak to Plaintiff's improvement. (
The Commissioner alleges that Dr. Z. Herschman's license to practice medicine was revoked in 2013 following his conviction for grand larceny in connection with Medicare fraud. (Comm'r Br. at 7 n.5.) Plaintiff does not dispute that Dr. Herschman's license was suspended but argues that the status of Dr. Herschman's license is irrelevant because it was not considered by the ALJ. (Pl.'s Br. at 19 n.4.) However, Plaintiff concedes that the status of Dr. Herschman's license "may be relevant to the weight attributed to his opinion in any future agency proceedings on Plaintiff's February 2011 application for benefits." (Pl.'s Br. at 19 n.4.) The Court acknowledges that Dr. Herschman's alleged loss of his license and/or conviction may render it difficult or impossible for the ALJ to further develop the record. On remand, the Court directs the ALJ to use his best efforts to re-contact Dr. Herschman or otherwise develop the record in a manner consistent with this Memorandum and Order. The Court makes no determination as to whether Dr. Herschman's license revocation and/or conviction is relevant to the ALJ's reevaluation of Dr. Herschman's opinion on remand.
Plaintiff argues that the ALJ erred in according "some weight" to Dr. Greenberg's opinion because he did not personally examine Plaintiff; he is a pulmonologist, not a musculoskeletal specialist; and his opinion was vague. (Pl.'s Br. at 22-23.) The Court agrees.
Generally, "`the written reports of medical advisors who have not personally examined a claimant . . . deserve little weight in the overall evaluation of disability.'"
The record indicates that Dr. Greenberg, a Diplomate of the American Board of Internal Medicine who is certified by the Subspecialty Board in Pulmonary Disease,
In according Dr. Greenberg's opinion "some weight," the ALJ acknowledged that this non-examining opinion was vague but held that it was consistent with the record. (R. 21.) However, the Court finds that Dr. Greenberg's opinion—which uses the term "moderate" without additional information or development—is "so vague as to render [it] useless in evaluating the claimant's [residual functional capacity]."
The Court finds that the ALJ's accordance of "little weight" to Dr. Fulco's opinion is supported by substantial evidence. (R. 21.) Dr. Fulco is a board certified internist who did not examine Plaintiff. (R. 58-59, 74.) As noted by the ALJ, Dr. Fulco's opinion that Plaintiff had limitations from 2009 to 2012 but was able to stand and walk for two hours and sit for six hours as of August 1, 2012, was vague, to say the least. (R. 21, 62-63.) Dr. Fulco testified that he agreed with Dr. Skeene and Dr. Z. Herschman, but that Dr. Herschman's opinion "override[d]" Dr. Skeene's opinion because Dr. Herschman was Plaintiff's treating physician. (R. 65.) However, when asked whether it was fair to say that Plaintiff had severe knee pain from 2009 to 2011, Dr. Fulco responded "I really cannot answer that without medical evidence." (R. 68.) Similarly, Dr. Fulco equivocally opined that "[i]t's possible" that Plaintiff's knee pain improved and then got worse. (R. 68.) The Court finds that the fact that Dr. Fulco is not a specialist, did not examine Plaintiff, and posited a vague opinion supports the ALJ's determination.
Parenthetically, Plaintiff argues that the ALJ erred in finding that Dr. Fulco's testimony that he agreed with the opinions of both Dr. Skeene and Dr. Z. Herschman was contradictory and unsupported by the record. (R. 21; Pl.'s Br. at 23-24.) The Court concurs that the opinions of Drs. Skeene and Z. Herschman are not necessarily contradictory and, as noted, Dr. Fulco ultimately concluded that Dr. Z. Herschman's opinion "override[d]" Dr. Skeene's opinion. (R. 65.) Nevertheless, the previously noted deficiencies in Dr. Fulco's opinion support the accordance of "little weight."
Finally, Plaintiff argues that the ALJ erred in according "substantial weight" to Dr. Skeene's opinion. (R. 21; Pl.'s Br. at 24.) The ALJ held that while Dr. Skeene only examined Plaintiff once and posited a vague opinion, his opinion "was consistent with the objective medical evidence," and, thus, entitled to "substantial weight." (R. 21.) However, as noted by Plaintiff, Dr. Skeene's opinion is inconsistent. (
Plaintiff argues that the ALJ also did not fully develop the record by failing to obtain treatment notes from his internist, Dr. Geffken, and failing to request a medical source statement from Dr. A. Herschman. (Pl.'s Br. at 12-14.) The Court agrees.
The Appeals Council's decision remanding this matter directs the ALJ to "[o]btain updated medical records, if available, from treating sources[.]" (R. 108.) Plaintiff's Disability Report form indicates that Dr. Geffken of Bethpage Primary Medical Care treated him for "[g]eneral care, hypertension, [and] left knee pain," between 2000 and 2011. (R. 259.) A disability worksheet states that the Agency contacted Dr. Geffken's practice on two occasions in 2011, but apparently received no response. (R. 355.) However, the record does not indicate that the ALJ attempted to obtain medical records from Dr. Geffken subsequent to the Appeals Council's 2013 decision. The Commissioner's argument that updated records from Dr. Geffken were not available, (Comm'r Reply Br., at 2), is unpersuasive in light of the ALJ's failure to make any attempt to obtain such records. Additionally, while the Commissioner notes Plaintiff's counsel's failure to object to the absence of these records at the hearing and/or request the issuance of a subpoena, (Comm'r Br. at 2), the ALJ has a duty to develop the record even when the plaintiff is represented by an attorney.
The Court finds that the ALJ also erred in failing to request a medical source statement from Dr. A. Herschman. The Second Circuit has held that "remand is not always required when an ALJ fails in his duty to request opinions, particularly where . . . the record contains sufficient evidence from which an ALJ can assess the petitioner's residual functional capacity."
Here, the record contains Dr. Skeene's opinion dated June 1, 2011 (R. 343); S. Collier's opinion dated June 14, 2011 (R. 349-54); Dr. Z. Herschman's treatment notes from February 17, 2011 through February 23, 2012 and opinion dated February 23, 2012 (R. 362-75); and Dr. Greenberg's opinion dated March 24, 2012 (R. 377-80). The only medical evidence for 2013 consists of Dr. A. Herschman's treatment notes, which do not contain an assessment of Plaintiff's physical abilities. (
"A treating physician's opinion is a significant part of the evidence that is weighed in determining credibility of a claimant under 20 C.F.R. § 404.1529."
Plaintiff argues that the ALJ erred in determining that Plaintiff's knee impairment does not meet the criteria in Section 1.02A or 1.03 of the Listings. (Pl.'s Br. at 25-27; R. 18.) On remand, the ALJ should reevaluate whether Plaintiff's knee impairment satisfies the Listings after the record is further developed.
Plaintiff requests that this matter be remanded to a different ALJ. (Pl.'s Br. at 28.) Generally, the decision to assign a case to a different ALJ is within the Commissioner's discretion.
For the foregoing reasons, the Commissioner's motion (Docket Entry 11) is DENIED, Plaintiff's motion (Docket Entry 16) is GRANTED, and this action is REMANDED for further proceedings consistent with this Memorandum and Order. The Clerk of the Court is directed to mark this matter CLOSED.
SO ORDERED