ALKA SAGAR, Magistrate Judge.
On October 31, 2017 Plaintiff filed a Complaint seeking review of the Commissioner's denial of Plaintiff's application for a period of disability, and disability insurance benefits ("DIB"). (Docket Entry No. 1). On March 27, 2018, Defendant filed an Answer and the Administrative Record ("A.R."). (Docket Entry Nos. 20-21). The parties have consented to proceed before a United States Magistrate Judge. (Docket Entry Nos. 15, 17). On June 6, 2018, the parties filed a Joint Stipulation ("Joint Stip.") setting forth their respective positions regarding Plaintiff's claim. (Docket Entry No. 22). The Court has taken this matter under submission without oral argument.
On April 10, 2014, Plaintiff, formerly employed as a cleaner and a bench carpenter (
On October 27, 2016, Administrative Law Judge Alan J. Markiewicz ("ALJ") heard testimony from Plaintiff, who was represented by counsel, and vocational expert ("VE") Alan Ey. (AR 42-66). On January 13, 2017, the ALJ issued a decision denying Plaintiff's application. (AR 23-40).
The ALJ applied the requisite five-step process to evaluate Plaintiff's case. At step one, the ALJ found that Plaintiff met the insured status requirements through December 31, 2017, and had not been engaged in substantial gainful activity since his alleged disability onset date of May 14, 2013. (AR 31).
At step two, the ALJ found that Plaintiff had the following severe impairments: disc disease of the lumbar spine, diabetes, and obesity. (AR 31). The ALJ found that Plaintiff's complaints of hypertension, cervical spine disc disease, diabetic retinopathy, and depression were not severe. (AR 32).
At step three, the ALJ determined that Plaintiff's impairments did not meet or equal a listing found in 20 C.F.R Part 404, Subpart P, Appendix 1. (AR 33). Next, the ALJ found that Plaintiff had the following Residual Functional Capacity ("RFC")
(AR 34).
At step four, the ALJ determined, based on the VE's testimony, that Plaintiff is capable of performing past relevant work as a commercial cleaner. (AR 38). In making this finding, the ALJ specifically noted that "this work does not require the performance of work-related activities precluded by the [Plaintiff's] residual functional capacity." (AR 38). Accordingly, the ALJ concluded that Plaintiff is not disabled. (AR 40).
The Appeals Council denied Plaintiff's request to review the ALJ's decision on September 27, 2017. (AR 1-9). Plaintiff now seeks judicial review of the ALJ's decision, which stands as the final decision of the Commissioner.
This Court reviews the Commissioner's decision to determine if it is free of legal error and supported by substantial evidence.
Plaintiff alleges that the ALJ failed to articulate sufficient reasons in rejecting the opinion of one of Plaintiff's examining physicians. (
After considering of the record as a whole, the Court finds that the Commissioner's findings are supported by substantial evidence and are free from material legal error.
An ALJ must take into account all medical opinions of record. 20 C.F.R. § 404.1527(b). Although a treating physician's opinion is generally afforded the greatest weight in disability cases, it is not binding on an ALJ with respect to the existence of an impairment or the ultimate determination of disability.
If a treating or examining doctor's opinion is not contradicted by another doctor, the ALJ can reject the opinion only for "clear and convincing reasons."
Plaintiff asserts that the ALJ failed to provide specific and legitimate reasons for rejecting the opinions of one of Plaintiff's examining physicians, Dr. Steiger, (
Dr. Steiger, a Qualified Medical Examiner
The ALJ noted that Plaintiff had filed a worker's compensation claim following his work-related injury on May 14, 2013 and had been treated by a variety of medical providers including chiropractors, general physicians, an orthopedic surgeon and pain management specialists. (AR 35). The ALJ found the workers' compensation progress reports which placed Plaintiff on temporary total disability (AR 340-343, 349, 411) to have "no probative value" and not entitled to controlling weight (AR 35-36), noting that "medical reports generated in the context of a worker's compensation claim are adversarial in nature," the treating physician often serves as an advocate for the plaintiff and the definition of disability in worker's compensation cases differs from social security claims because worker's compensation cases focus on the claimant's ability to return to the job being performed at the time of the injury. (AR 36). The ALJ carefully assessed the persuasiveness and relevance of the opinions generated by the providers in plaintiff's worker's compensation claim and determined that their clinical findings and opinions regarding plaintiff's functional limitations were entitled to "little weight."
Plaintiff contends that the ALJ's rejection of Dr. Steiger's opinion because it was provided in the context of a worker's compensation claim is improper. However, the regulations provide that "the amount of understanding of our disability programs and their evidentiary requirements that an acceptable medical source has . . . are relevant factors that we will consider in deciding the weight to give to a medical opinion." 20 C.F.R. § 404.1527(c)(6). Although an ALJ is not permitted to disregard a physician's opinion solely because it was generated in a worker's compensation matter, (
Contrary to Plaintiff's contention, the ALJ did not reject Dr. Steiger's opinion solely because it was made in connection with Plaintiff's worker's compensation case. The ALJ conducted a detailed examination of the record, (AR 35-38), and found that Dr. Steiger's examining opinion was contradicted by two other doctors, as well as the "objective evidence as a whole." (AR 35-36). Although the rejection of the opinion of an examining or treating doctor cannot be supported by the opinion of a non-examining doctor, the report of a non-examining doctor, combined with inconsistencies in the record can constitute substantial evidence to support the rejection of an examining doctor's opinion.
Here, the ALJ gave significant weight to the opinions of both Dr. Bernabe, another examining physician, and Dr. Kalmar, the nonexamining State agency medical consultant, finding their opinions regarding Plaintiff's "residual functional capacity [to be] an apt reflection of the [Plaintiff's] physical limitations" based on the record as a whole. (AR 36). As set forth below, the record supports the ALJ's finding.
Dr. Bernabe, an examining physician, performed a "consultative orthopedic evaluation" of Plaintiff in July 2014, (AR 36, 584), and concluded "based both on formal testing, as well as by direct observation of this claimant," that Plaintiff "was limited to medium exertion, frequent postural activities and frequent activities requiring agility." (AR 36, 587-88). Dr. Bernabe stated:
(AR 587-88).
Dr. Kalmar, the State agency medical consultant, reviewed Plaintiff's medical record and "concluded the [Plaintiff] was capable of medium exertion with the following limitations":
(AR 36, 75-76).
In finding Dr. Steiger's opinion inconsistent with the medical record as a whole, the ALJ also considered part of the Third Party Function Report completed by Plaintiff's wife (AR 35-37, 245-53), as well as Plaintiff's own testimony.
The ALJ also pointed out that Dr. Steiger's opinion was contradicted by Plaintiff's own statements. (AR 38). The ALJ noted that Plaintiff "provided inconsistent information regarding . . . the determination of disability . . ." and therefore found "the persuasiveness of the claimant's complaints and alleged functional limitations" to be "further diminished as a result." (AR 38). Specifically, the ALJ noted that Plaintiff reported that he was not able to drive himself, yet testified that he drove himself to a doctor's appointment and drove himself to the hearing. (AR 38, 46, 572, 585). The ALJ also cited Plaintiff's May 2014 function report, in which Plaintiff stated that he "drives, goes out alone, [and] shops in stores. . . ." (AR 38, 266-74). The ALJ found that Plaintiff's treatment history suggested that the treatment of his "allegedly disabling symptoms" has been "generally successful in controlling those symptoms. . . . [and] [Plaintiff] reported feeling much improved overall with treatment." (AR 38, 527-43
The ALJ's finding that Dr. Steiger's opinion was inconsistent with the record as a whole and inconsistent with the statements of Plaintiff and his wife are supported by the record. (AR 36-38). Accordingly, the ALJ properly rejected Dr. Steiger's opinions by articulating specific and legitimate reasons that are supported by substantial evidence in the record.
For the foregoing reasons, the decision of the Commissioner is AFFIRMED.
LET JUDGMENT BE ENTERED ACCORDINGLY.