WILLIAM M. SKRETNY, Chief District Judge.
1. In this action, Plaintiff Lois Baker challenges an Administrative Law Judge's ("ALJ") determination that she was not disabled within the meaning of the Social Security Act ("the Act").
2. On October 19, 2010, Baker protectively filed for Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI of the Act, claiming she had been unable to work since July 1, 2010 due to diabetes mellitus. (R. 174-84.)
3. The ALJ considered her applications de novo and, on May 16, 2012, issued a written decision finding Baker was not disabled under the Act. (R. 17-24.) The Appeals Council denied Baker's request for review in June 2013, at which time the ALJ's decision became the Commissioner's final decision. (R. 5-8.) Baker commenced this action on August 30, 2013, challenging that final decision.
4. On January 24, 2014 and March 19, 2014, respectively, Baker and the Commissioner filed motions for judgment on the pleadings under Rule 12(c) of the Federal Rules of Civil Procedure. (Docket Nos. 9 and 13.) The motions were deemed fully briefed as of May 5, 2014, at which time this Court took the matter under advisement.
5. A court reviewing a denial of disability benefits may not determine de novo whether an individual is disabled.
6. "To determine on appeal whether the ALJ's findings are supported by substantial evidence, a reviewing court considers the whole record, examining the evidence from both sides, because an analysis of the substantiality of the evidence must also include that which detracts from its weight."
7. The Commissioner has established a five-step sequential evaluation process to determine whether an individual is disabled as defined under the Act.
8. The five-step process is detailed below:
9. Although the claimant has the burden of proof as to the first four steps, the Commissioner has the burden of proof on the fifth and final step.
10. Applying the sequential evaluation in the instant case, the ALJ found: (1) Baker had not engaged in substantial gainful activity since July 1, 2010 (R. 19); (2) her diabetes mellitus, controlled high blood pressure, asthma, depression and obesity were severe impairments within the meaning of the Act (
11. Baker contends the ALJ failed to properly apply the treating physician rule, and that her credibility and RFC determinations are not supported by substantial evidence.
12. The Social Security Act recognizes a "treating physician" rule, entitling deference to the opinions of treating sources, including but not limited to medical doctors and psychologists. 20 C.F.R. § 404.1502. The regulations state that a treating source's opinion regarding the nature and severity of an impairment will be given "controlling weight" if the opinion is well supported by medically acceptable evidence and is not inconsistent with the other substantial evidence in the case record.
When an ALJ refuses to assign a treating physician's opinion controlling weight, he must consider a number of factors to determine the appropriate weight to assign, including: (i) the frequency of the examination and the length, nature and extent of the treatment relationship; (ii) the evidence in support of the treating physician's opinion; (iii) the consistency of the opinion with the record as a whole; (iv) whether the opinion is from a specialist; and (v) other factors brought to the Social Security Administration's attention that tend to support or contradict the opinion. See 20 C.F.R. § 404.1527(d)(2). "Failure to provide `good reasons' for not crediting the opinion of a claimant's treating physician is a ground for remand."
13. As noted, the ALJ concluded that Baker can perform a reduced range of light work. Specifically, she can lift, carry, push and pull 10 lbs. frequently and 20 lbs. occasionally, sit, stand and walk for 6 hours in an 8-hour workday, and perform simple, repetitive tasks, but is limited to performing postural activities on an occasional basis because of obesity, must be allowed a 15 minute break every 3 hours to have a snack and check her blood glucose, and should avoid unprotected heights, moving machinery and high concentrations of pulmonary irritants.
In arriving at this determination, the ALJ gave "greater weight" to Dr. Malaret, a non-examining medical expert who testified at the hearing, than to Dr. Wittig, Baker's primary care physician. Baker maintains the ALJ failed to provide good reasons for declining to give Dr. Wittig's opinion controlling weight, erroneously determined Wittig's opinion is inconsistent with his treatment notes, and failed to consider all the requisite factors for determining the weight to be given a treating physician's opinion.
With regard to the medical opinions, the ALJ wrote:
(R. 23.) This is an adequate statement of "good reasons" for declining to give Dr. Wittig's RFC assessment controlling or primary weight.
Baker next contends that Dr. Wittig's RFC assessment is consistent with his notes regarding her labile blood sugars, which were "still frustratingly labile" a few weeks after Baker received an insulin pump. (R. 402, 411, 423-24, 426, 436, 446, 450.) However, other than noting a ready fluctuation in glucose levels, Dr. Wittig's findings were unremarkable; he did not report any complications or exertional limitations/restrictions related to diabetes or any other impairment. Most recently, Dr. Wittig reported that Baker continues to do well with her insulin pump and her "blood sugars generally have been pretty good." (R. 450.) Having fully reviewed the treatment notes and opinions, the Court finds no error in the ALJ's determination that Dr. Malaret's less restrictive RFC is more consistent with the unremarkable findings contained in Dr. Wittig's treatment notes.
Also, the Court is satisfied that the ALJ considered Dr. Wittig's treatment relationship with Baker. She specifically acknowledged Baker "follows her diabetes with family physician Dr. Geoffrey Wittig." (R. 21.) And while the ALJ did not expressly note the length of that treatment relationship, she clearly reviewed Dr. Wittig's RFC assessment, which includes that information. In sum, the Court finds no reversible error in the ALJ's assessment of Dr. Wittig's opinion. Though it is by no means a routine occurrence, the Commissioner's regulations permit the opinions of nonexamining sources to override treating sources' opinions, provided they are supported by evidence in the record.
14. Turning to the ALJ's credibility assessment, it is well-established that a claimant's testimony regarding pain and functional limitations is "entitled to great weight where . . . it is supported by objective medical evidence."
15. Here, the ALJ acknowledged that Baker's medically determinable impairments could reasonably be expected to cause the alleged symptoms, but found her statements concerning the intensity, persistence and limiting effects of her symptoms were not credible. In particular, she found that "[t]he treatment record as a whole does not report marked limitations, and the claimant's treatment frequency does not reflect marked difficulties." (R. 23.)
Having reviewed the record, the Court is satisfied that the ALJ applied the proper legal standard in analyzing Baker' subjective complaints and the credibility assessment is supported by substantial evidence. Baker stated in a function report that she can do everything she did before her illness as long as she has her pump on at all times. (R. 241.) She then qualified her response, noting that she cannot do certain things if her sugar changes. (R. 242-44.) At the hearing, Baker testified that, on a typical day, she gets her children up for school, and does laundry, cooks, and does housework, but that her ability to engage in these activities depends on her "sugar ranges." Her attorney attempted to elicit testimony as to how often she is unable to perform such tasks, but received only vague responses. (R. 34-37.) As the ALJ noted, the record contains no objective evidence that Baker struggles with activities of daily living in the manner she suggests.
16. Finally, Baker contends the ALJ erred in providing the vocational expert with a hypothetical that did not include Dr. Wittig's opinion regarding her exertional limitations and her own statements regarding her symptoms. Having found no reversible error in the ALJ's assessment of Dr. Wittig's opinion or Baker's subjective complaints, remand on this basis is unwarranted.
IT HEREBY IS ORDERED, that Plaintiff's Motion for Judgment on the Pleadings (Docket No. 9) is DENIED;
FURTHER, that Defendant's Motion for Judgment on the Pleadings (Docket No. 13) is GRANTED;
FURTHER, that the Clerk of the Court shall close this case.
SO ORDERED.