HAIGHT, Senior District Judge:
In this action under § 205(g) of the Social Security Act, 42 U.S.C. §§ 405(g), 1383(c)(3), as amended, Plaintiff Cynthia P. Leroy seeks review of a final decision of the Defendant Commissioner of Social Security denying Plaintiff Disability Insurance Benefits ("DIB").
Plaintiff Leroy applied to the Social Security Agency ("SSA") for DIB, on the basis that during the relevant period of time she was disabled as the result of a combination of medical conditions. Her case was heard by Administrative Law Judge Jane A. Crawford ("ALJ"), who after an evidentiary hearing issued a decision that Leroy was not disabled through September 30, 2010, the date she was last insured. Accordingly, Leroy's application for DIB was denied in its entirety. The SSA Appeals Council denied Leroy's request for a review, thereby rendering the ALJ's decision the final decision of the Commissioner. This action followed.
In a Recommended Ruling ("RR") [Doc. 24], Judge Margolis recommended that Leroy's motion be denied and the Commissioner's cross-motion be granted. Leroy has filed objections to the RR. This opinion considers them.
A threshold question, unaccountably disregarded by the Commissioner, arises because Leroy's objections to the RR were not timely filed under the statutory scheme. The Court raises the timeliness of the objections sua sponte because it impacts the standard of review.
28 U.S.C. § 636(b)(1) provides in pertinent part:
In the case at bar, Judge Margolis dated and filed her Recommended Ruling [Doc. 24] on September 2, 2014. At the inception of the case, Judge Margolis entered an order [Doc. 4] which provided: "This case is designated as an electronically filed case," and specified: "All activity in the case (e.g., documents, orders, notices and calendars) will be filed/sent electronically from this date forward." It follows that September 2, 2014, the date the RR was filed, is also the date Plaintiff was "served with a copy," as that phrase is used in § 636(b)(1). "Written objections" to the RR, which "specified proposed findings or recommendations to which objection is made," had to be filed "within fourteen days" after September 2. Excluding September 2 from the calculation, objections in the proper form were due not later than September 16.
Plaintiff did not file objections to the RR within that statutory period. Instead, on September 19, 2014, she filed [Doc. 25] a self-styled "Objection to Magistrate Judge's Recommended Ruling." That submission did not specify any findings or recommendations in the RR to which Plaintiff objected; instead, Doc. 25 concluded by saying: "Plaintiff will set forth the factual and legal bases for her Objection in a separate Memorandum, but in a Motion filed herewith, plaintiff asks for an Extension of Time of four weeks, until October 18, 2014, to file said Memorandum." The next docket entry recites that on October 14, 2014, Plaintiff filed a singlesentence "Objection" [Doc. 27] to the RR, together with a five-page Memorandum [Doc. 27-1] which for the first time specified the findings and recommendations in the RR to which objection was made.
A party's failure to make objections to a magistrate judge's recommendations is not jurisdictional in nature. That is to say, the failure does not preclude any review by the district court. But it does narrow the scope of that review. "The district court adopts a Magistrate Judge's report and recommendation where no clear error appears on the face of the record. However, the court is required to make a de novo determination of those portions of a report to which objection is made." Lee v. Lending Tree, 473 F.Supp.2d 435, 436 (S.D.N.Y.2007) (citations omitted). "A district court evaluating a Magistrate's report may adopt those portions of the report to which no specific, written objection is made, as long as those sections are not clearly erroneous." Bandhan v. Laboratory Corp. of America, 234 F.Supp.2d 313, 316 (S.D.N.Y.2002) (citations and internal quotation marks omitted). If no timely objection is filed, "the district court can adopt the report without making a de novo determination." United States v. Male Juvenile, 121 F.3d 34, 38 (2d Cir.1997).
In the cited cases, no objections to a Magistrate Judge's report and recommendation were filed. In the case at bar, objections were filed, but beyond the time limit provided by the statute. I think it clear that the consequences should be the same in both situations. The statute provides that a district court must make "a de novo determination" with respect to "specific proposed findings or recommendations to which objection is made" in written objections served and filed "within fourteen days after being served with a copy" of the report. A de novo determination is the most broad, least deferential standard of review known to the law. In § 636(b)(1), Congress conditioned a party's entitlement to de novo review of a magistrate judge's report upon the timing of objections (fourteen days after service) and their form (written and specific).
Congress presumably had its reasons for imposing these limitations. I do not see my way clear to disregarding them. The question arises because in this case, Plaintiff did not file written specific objections to Judge Margolis's report and recommendations until six weeks after counsel was electronically served with a copy. It follows that this Court will not subject any of Leroy's objections to a de novo evaluation. The standard of review will be limited to inquiring whether any aspect of the RR is clearly erroneous, or stated otherwise, whether a clear error appears on the face of the record.
That inquiry leads the Court to consider what has come to known in cases of this nature as the "treating physician rule," a
The concept is born of common sense. An individual applying for disability benefits under the SSA claims to be disabled by medical conditions: physical, mental, or a combination. Invariably, prior to applying for benefits, the individual's conditions have been treated by a physician or physicians: hence the descriptive phrase "treating physician." On the core question of whether the individual is disabled by the conditions, a treating physician is uniquely qualified to express an informed professional view. An SSA ALJ is generally required by the regulations and Second Circuit case law to give the opinion of a treating physician more weight than other reports or opinions in the administrative record. See Burgess v. Astrue, 537 F.3d 117, 128-29 (2d Cir.2008).
Circumstances may arise, the Second Circuit has held repeatedly, when an ALJ has the "duty to seek additional information from [a treating physician] sua sponte." Schaal, 134 F.3d at 505. "The ALJ's duty to develop the record reflects the essentially non-adversarial nature of the benefits proceeding. It is the ALJ's duty to investigate the facts and develop the arguments both for and against granting benefits." Swiantek v. Commissioner, 588 Fed.Appx. 82, 83-84 (2d Cir.2015) (citations and internal quotation marks omitted). Whether an ALJ breached that duty in a particular case depends upon the totality of its facts and circumstances.
In the case at bar, Leroy's principal treating physician was S. Javed Shahid, M.D., a board-certified neurological surgeon whose practice is in Norwalk and Danbury, Connecticut. Dr. Shahid performed two spinal neck surgeries on Leroy: the first on June 23, 2004, and the second on February 8, 2006. Leroy's application to the SSA for disability benefits cites February 8, 2006 as the beginning date of her disability. On that date, according to the ALJ's decision at pages 3 and 4, Leroy underwent at Dr. Shahid's hands:
Doc. [8-3] at 12-13 (citations to record omitted).
Following her surgery on February 8, 2006, Leroy continued to have problems involving pain and various degrees of physical limitation. She paid a number of follow-up visits to Dr. Shahid. Those consultations generated a substantial amount of medical notes and reports, most of which comprise the 43-page Exhibit 2F at the administrative hearing (Doc. 8-8 in this Court on these motions). Dr. Shahid's last report in evidence, dated February 17, 2011 (Administrative Exhibit 8F, Doc. 8-9 in this Court), recounts his findings and impressions during a follow-up visit Leroy paid to him on February 15, 2011. After describing certain clinical findings and subjective complaints, Dr. Shahid concludes his report by saying:
Doc. [8-9] at 2 (emphasis added).
The case at bar presents the question whether the ALJ gave appropriate consideration to the opinion of a treating physician that this disability benefits applicant was "disabled." ALJ Crawford discusses Dr. Shahid at pages 10 and 11 of her decision. She begins by saying:
Doc. [8-3] at 19. The ALJ's recognition of Dr. Shahid as Leroy's "treating physician" is an acknowledgment of the obvious. The ALJ gives "great weight" to Dr. Shahid's "treatment relationship" with Leroy, an odd way of putting it because "weight" in this context usually relates to opinions, not the relationships that generate opinions. In any event, the ALJ went on to discount entirely Dr. Shahid's opinion that as the result of Leroy's medical and physical conditions, she "remains disabled." On that core issue, the ALJ said:
Doc. [8-3] at 20.
In Leroy's motion to reverse the Commissioner's denial of benefits, counsel argued that the ALJ failed to give requisite deference to the opinion of Dr. Shahid, a treating physician, that Leroy "remains disabled." Judge Margolis's RR [Doc. 24] rejected that argument. The RR quotes the ALJ's decision giving "little weight" to Dr. Shahid's statement that Leroy "remains disabled" because, the ALJ stated, "the terms `disabled' and disability' are legal terms of art, meaning that the disability analysis is not solely a question of medical fact." The RR accepts that proposition, and expands upon it:
Doc. [24] at 23.
It seems to me, with respect, that while this analysis is correct as far as it goes, it does not go far enough. Judge Calabresi's opinion for a unanimous Second Circuit panel in Snell, cited by the Magistrate Judge, cuts two ways, as the following passage demonstrates:
177 F.3d at 133-134 (one citation omitted).
The Second Circuit's decision in Snell furnishes valuable guidance in the case at bar. The ALJ in the present case chastised Dr. Shahid with a lecture that "the terms `disabled' and `disability' are legal terms of art, meaning that the disability analysis is not solely a question of medical fact" (emphasis added). True enough: But in an SSA analysis, "disability" is partially "a question of medical fact." The ALJ's single-minded concentration upon "disability" as a "legal terrm of art" caused her to lose sight of the fact that it is also a medical term. To state the case in Pentecostal terms: In the world of Social Security Act disability analysis, a physician speaks only in the medical tongue. An ALJ (and the attorneys appearing before those officers) must speak in the medical and vocational tongues. A reviewing court considers whether the agency has given appropriate consideration to the use of the terms "disabled" and "disability" in each of these two frames of reference.
Snell is instructive because Dr. Cooley, the claimant's treating physician, reached the "ultimate conclusion that Snell was totally disabled." The ALJ and SSA Appeals Council disagreed. The district court adopted the agency's denial of benefits. The Second Circuit vacated the district court's and remanded the case to the Appeals Council "for a statement of the reasons on the basis of which Dr. Cooley's finding of disability was rejected." 177 F.3d at 133, 134. Dr. Cooley spoke, one should remember, in the tongue of medicine: for him, "disabled" was "a question of medical fact," and he used that term without apology. So did Dr. Shahid.
In Snell, the Second Circuit cited and followed its earlier decision in Schaal v.
In sum, because we are unsure exactly what legal standard the ALJ
The "1991 Regulations," to which the Second Circuit referred in Schaal, include 20 C.F.R. § 404.1527(d)(2), which provides in part: "We will always give good reasons in our notice of determination or decision for the weight we give your treating source's opinion."
During the course of its opinion in Schaal, the Second Circuit included a discussion of relevant principles which I quote at some length because of the bearing of those principles upon the case at bar:
This discussion by the Second Circuit resonates in the case at bar in several ways. In Schaal the ALJ discounted the treating physician's opinion that the claimant was disabled because of a "lack of clinical findings." Judge Cabranes, writing for the court of appeals, briskly disposed of that reasoning: "even if the clinical findings were inadequate, it was the ALJ's duty to seek additional information from Dr. Jobson sua sponte." That holding applies to this case a fortiori. In Schaal, the ALJ complained of a lack of medical data (clinical findings) supporting the treating physician's opinion on disability. In the present case, the ALJ complained of the dearth of "appropriate and accurate vocational data" supporting Dr. Shahid's opinion of February 17, 2011 that Leroy "remained disabled." If, as the Second Circuit held in Schaal, a lack of medical data is an insufficient basis for an ALJ to disregard a treating physician's opinion, that is at least equally true of a lack of vocational data. That proposition follows a fortiori because a physician is expected to speak in medical, not vocational language.
An ALJ bears the duty of further inquiry, the Second Circuit held recently, because "the essentially non-adversarial nature" of an SSA benefits proceeding casts upon an ALJ the "duty to investigate the facts and develop the arguments both for and against granting benefits." Swiantek, 588 Fed.Appx. at 84 (2d Cir.2015) (internal quotation marks omitted). In the case at bar, the ALJ had to consider a February 2011 opinion by Dr. Shahid, a treating physician and surgeon who operated on Leroy in February 8, 2006 and conducted a number of follow-up visits in the interval, dealing at times with various symptoms and complaints recounted by Leroy.
The ALJ's duty at that point, the Second Circuit decisions hold, was to "seek additional information," an obvious source being the treating physician himself. Dr. Shadid could have been asked what this treating physician meant by "disabled"; what specific medical condition or conditions caused him to conclude that Leroy was "disabled"; when in the course of the treatment Leroy became "disabled"; and the like. In Schaal, the Second Circuit remanded the case to the SSA so this sort of inquiry could be made in respect of a treating physician's opinion with which the agency disagreed, and a further explanation given if the agency persisted in that judgment after further inquiry. The Second Circuit made the same decision and
In McIntire v. Astrue, 809 F.Supp.2d 13 (D.Conn.2010), Judge Underhill applied these principles to the conduct of the SSA Appeals Council. In that disability benefits action, the claimant's treating physician, Dr. Delaney, gave an opinion in 2006 that the claimant could perform sedentary work. The ALJ accepted that opinion and denied benefits. Claimant sought review by the Appeals Council. In support of that appeal, claimant submitted to the Appeals council an MRI and a second opinion in 2007 by Dr. Delaney, which repudiated his prior opinion and opined that claimant was incapable of performing even sedentary work. Neither document had been before the ALJ. The Appeals Council "simply accepted the ALJ's determination," 809 F.Supp.2d at 18, and denied benefits.
Judge Underhill concluded that the Appeals Council had committed clear error. He noted the provision in the Regulations that "We will always give good reasons in our notice of determination or decision for the weight we give your treating source's opinion," and held: "Even if the ALJ's decision and analysis regarding Delaney's first opinion were proper, the Commissioner failed to comply with the regulations because the Appeals Council failed to meet its burden of providing plaintiff with good reasons for the lack of weight attributed to the treating physician's second opinion." 809 F.Supp.2d at 19. He remanded the case "to the ALJ for consideration of the new evidence," adding that: "Remand allows the ALJ an opportunity to consider and appropriately weigh Delaney's opinion and to re-contact Delaney for clarification, if necessary." Id. at 23 (emphasis added).
McIntire is procedurally distinguishable from the case at bar because the agency's failure occurred at the Appeals Council stage, rather than, as in this case, during proceedings before the Administrative Law Judge. But that is a distinction without a difference. Judge Underhill's application of the "good reasons" requirement to events first occurring during the Appeals Council stage, and his ruling that the Appeals Council bears the same burden of providing a disability plaintiff with good reasons for disregarding a treating physician's opinion as does an ALJ, demonstrates the overarching importance courts in this Circuit attach to that requirement.
In her ruling recommending affirmance of the Commissioner's denial of benefits to Leroy, Judge Margolis puts forward an alternative basis for rejecting Leroy's invocation of the treating physician rule: "Additionally, for the reasons stated in Section IV.A. supra, substantial evidence supports the ALJ's RFC determination, and plaintiff points to no gaps in the administrative record requiring the ALJ to recontact Dr. Shahid." RR, Doc. 24, at 23. I take this to mean that since the ALJ's calculation of Leroy's RFC ("residual functional capacity") showed she was capable of "light work" as defined in the Regulations, she could not be characterized as "disabled" or deemed eligible for disability benefits. That RFC determination, the RR concludes in effect, trumps the opinion of Dr. Shahid, the treating physician, that Leroy "remains disabled."
The problem with this apologia is that ALJ Crawford did not specifically identify Leroy's RFC (a vocational determination) as a reason for disagreeing with Dr. Shahid's medical opinion that Leroy "remains disabled." The ALJ's decision, after reciting the accurate but incomplete proposition that "disability analysis is not solely a question of medical fact," dismisses Dr. Shahid's medical opinion in "one generalized sentence" for its failure to use "appropriate vocational data." The phrase I have quoted comes from Mott v. Astrue, No.
This reviewing Court cannot accept a rationale supplying "good reasons" if that rationale is fashioned by someone other than the ALJ. "Nor can the court accept the Commissioner's invitation to seek the record for evidence which may supply `good reasons.'" Mott, 2011 WL 4748345, at *5 (citing Snell). In Peralta v. Barnhart, No. 04-cv-4557, 2005 WL 1527669 (E.D.N.Y. June 22, 2005), at *10, the district court said:
The cases cited in this Part teach that an ALJ has a non-delegable duty to explain to a plaintiff the "good reasons" why the ALJ is discounting a treating physician's opinion. No one—neither counsel, nor Commissioner, nor reviewing Court—can perform that function for the ALJ if the ALJ has failed to do it. In the case at bar, the ALJ's terse explanation for her disregard of Dr. Shahid's opinion that Leroy "remains disabled" is inadequate as a matter of law.
The case must be remanded in order to correct an error of law appearing on the face of the record. In making that direction, I follow the course charted by the Second Circuit in Schaal and Snell, and other cases as well; see, e.g., Burgess v. Astrue, 537 F.3d 117, 132 (2d Cir.2008).
Plaintiff's brief in support of her objections to the RR contains other specifications of perceived error. Plaintiff faults the Magistrate Judge for accepting the ALJ's calculation of Leroy's RFC, and for failing (as did the ALJ) to recognize the asserted "effect of Ms. Leroy's obesity on her knee problems." Doc. 27-1 at 2.
For the reasons stated in Part I, these objections are not subject to this Court's de novo evaluation. Unlike the question posed by the treating physician rule, the RR's conclusions on these issues are not clearly erroneous. The objections relating to them will be denied.
For the foregoing reasons, Plaintiff's Objections to the Recommended Ruling of the Magistrate Judge are GRANTED IN PART and DENIED IN PART.
The Objection asserting that the Administrative Law Judge failed to comply with the treating physician rule is GRANTED. The case is remanded to the Social Security Administration, with instructions that the case be resubmitted to the Administrative Law Judge, who is required to consider (1) whether additional information should be obtained from Dr. Shahid and (2) whether the ALJ agrees or disagrees with Dr. Shahid's opinion concerning Plaintiff's disability. If the ALJ disagrees with Dr. Shahid's opinion, the ALJ is to give a full, explicit and comprehensive statement of the reasons for that disagreement
In all other respects, the Plaintiff's Objections are OVERRULED AND DENIED.
Accordingly, Plaintiff's Motion [Doc. # 19] is GRANTED to the extent it seeks a remand for a new hearing, and the Commissioner's Motion [Doc.# 23] is DENIED.
The Report and Recommendation of the Magistrate Judge [Doc. # 24] is ACCEPTED AS MODIFIED by this Ruling.
The Clerk is directed to close the file. It is SO ORDERED.