ALKA SAGAR, Magistrate Judge.
Pursuant to Sentence 4 of 42 U.S.C. § 405(g), IT IS HEREBY ORDERED that this matter is remanded for further administrative action consistent with this Opinion.
On August 8, 2016, Bradley J. Sullivan ("Plaintiff") filed a Complaint pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3) seeking review of the Commissioner's denial of Plaintiff's application for Disability Insurance Benefits. (Docket Entry No. 1). On January 24, 2017, Defendant filed an Answer to the Complaint and the Certified Administrative Record ("AR"). (Docket Entry Nos. 21-22). The parties have consented to proceed before a United States Magistrate Judge. (Docket Entry Nos. 14, 16). On April 17, 2017, the parties filed a Joint Stipulation ("Joint Stip."), setting forth their respective positions on Plaintiff's claim. (Docket Entry No. 23).
On December 12, 2012, Plaintiff, formerly employed as a chiropractor, (
The ALJ applied the five-step process in evaluating Plaintiff's case. At step one, the ALJ determined that Plaintiff had not engaged in substantial gainful activity between the alleged onset date of June 1, 2008, and the date last insured of March 31, 2014. (AR 11). At step two, the ALJ found that, through the date last insured, Plaintiff had the following severe impairments: diabetes mellitus, hepatitis, kidney disease, degenerative disc disease/degenerative joint disease, obstructive sleep apnea, neuropathy, obesity, depression, and anxiety. (AR 11-12). At step three, the ALJ determined that Plaintiff's impairments or combination of impairments did not meet or equal a Listing found in 20 C.F.R. Part 404, Subpart P, Appendix 1. (AR 12-13).
Before proceeding to step four, the ALJ found that Plaintiff had the residual functional capacity ("RFC")
At step four, the ALJ determined that Plaintiff was not able to perform his past relevant work as a chiropractor. (AR 18). At step five, the ALJ found that, considering Plaintiff's age, education, work experience, and RFC, there were jobs existing in significant numbers in the national economy that Plaintiff could perform, including management aide in social services (DOT 195.367-014), general office clerk (DOT 219.362-010), and office assistant (DOT 235.462-010). (AR 19-20). Consequently, the ALJ concluded that Plaintiff was not disabled within the meaning of the Social Security Act. (AR 20).
Plaintiff requested that the Appeals Council review the ALJ's Decision, which was denied on July 11, 2016. (AR 1-5). The ALJ's Decision then became the final decision of the Commissioner, allowing this Court to review the decision.
The Court reviews the ALJ's decision to determine if it is free of legal error and supported by substantial evidence.
Plaintiff contends that the ALJ failed to properly consider the opinion of psychiatric consultative examiner, Dr. Tanya Scurry, regarding the limitations caused by Plaintiff's mental impairments. (
After reviewing the record, the Court finds that the ALJ did not give clear and convincing reasons for rejecting Dr. Scurry's opinion. The Court therefore remands for further consideration.
Plaintiff contends that the ALJ failed to provide specific and legitimate reasons for rejecting consultative examiner Dr. Scurry's opinion, because "the ALJ failed to identify any evidence whatsoever that would cast doubt on Dr. Scurry's findings, nor did he identify any other records that would support less-than-moderate limitations in the work-related abilities in question." (Joint Stip. at 3-5).
Defendant asserts that the ALJ properly gave "not great weight"
On May 4, 2013, Plaintiff underwent a Comprehensive Psychiatric Evaluation by Tanya Scurry, MD. (
"[T]he Commissioner must provide clear and convincing reasons for rejecting the uncontradicted opinion of an examining physician. . . . [T]he opinion of an examining doctor, even if contradicted by another doctor, can only be rejected for specific and legitimate reasons that are supported by substantial evidence in the record."
The ALJ set forth the following two reasons for rejecting Dr. Scurry's opinion: (1) "[t]here was no treatment records during the adjudication period that supported such restrictive functional limitations" regarding Plaintiff's mental health limitations; and (2) "the claimant made no allegations regarding limitations in social functioning or an inability to perform work related activities because of his mental health issues for any other reason other than his inability to concentrate." (AR 18).
As set forth below, the ALJ's boilerplate statement that Dr. Scurry's opinion was not supported by the medical record and his finding that Plaintiff himself did not mention social limitations in connection with his disability claim did not constitute clear and convincing reasons for rejecting the opinion.
The ALJ erred in rejecting Dr. Scurry's opinion because he needed to provide further explanation to substantiate his finding that no treatment records supported that opinion. "[A]n ALJ errs when he rejects a medical opinion or assigns it little weight while doing nothing more than ignoring it, asserting without explanation that another medical opinion is more persuasive, or criticizing it with boilerplate language that fails to offer a substantive basis for his conclusion."
Dr. Scurry conducted a Comprehensive Psychiatric Evaluation that included clinical evidence that supported her opinion regarding Plaintiff's limitations. (
The remaining reason the ALJ gave in his decision — that Plaintiff did not mention limitations "in social functioning or an inability to perform work related activities because of his mental health issues . . . " — is not a clear and convincing reason to reject Dr. Scurry's opinion. (AR 18). A claimant's failure to mention a health condition does not permit the ALJ to infer that the condition does not exist.
The decision whether to remand for further proceedings or order an immediate award of benefits is within the district court's discretion.
Here, because the ALJ failed to properly reject the opinion of Dr. Scurry, remand is appropriate. Had the ALJ given Dr. Scurry's opinion more weight, Plaintiff's RFC may have been altered, which would have impacted the ALJ's ultimate conclusions regarding disability. Because outstanding issues must be resolved before a determination of disability can be made, and "when the record as a whole creates serious doubt as to whether the [Plaintiff] is, in fact, disabled within the meaning of the Social Security Act," further administrative proceedings would serve a useful purpose and remedy defects.
For the foregoing reasons, the decision of the Administrative Law Judge is VACATED, and the matter is REMANDED, without benefits, for further proceedings pursuant to Sentence 4 of 42 U.S.C. § 405(g).
LET JUDGMENT BE ENTERED ACCORDINGLY.