ORDER
R. BROOKE JACKSON, District Judge.
This matter is before the Court on review of the Commissioner's decision denying plaintiff Chris Naud's application for Disability Insurance Benefits ("DIB") pursuant to Title II of the Social Security Act ("the Act"). Jurisdiction is proper under 42 U.S.C. § 405(g). This dispute became ripe for decision by this Court upon the filing of plaintiff's Reply Brief on February 24, 2011. The Court apologizes to the parties for the delay in resolving the case.
Facts
Mr. Naud applied for disability benefits on August 1, 2006. R. at 77-79. His claim was denied in December 2006, and a hearing was held on May 29, 2008. R. at 42, 20. The Administrative Law Judge ("ALJ"), William Musseman, issued an unfavorable decision on the claim on July 1, 2008. R. at 11. The ALJ followed the five-step evaluation process provided at 20 C.F.R. § 404.1520(a)(4). See 20 C.F.R. § 404.1520(a)(4). At step one he found the claimant had not engaged in substantial gainful activity since March 22, 2006, the onset date. R. at 13. At step two he determined that "[t]he claimant has the following severe impairments: degenerative changes of the lumbar and cervical spine, and obesity." Id. At step three he found these impairments did not meet or medically equal any of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. At step four he found the claimant unable to perform any past relevant work and that claimant "has the residual functional capacity [RFC] to perform the full range of medium work as defined in 20 CFR 404.1567(c)." R. at 14. At step five, the ALJ used the Medical-Vocational Guidelines to find that claimant was not disabled. R. at 18.
Claimant requested review of the ALJ's unfavorable decision and submitted five pieces of new evidence to the Appeals Council: 1) a cervical MRI report from June 4, 2008; 2) a lumbar MRI report of June 4, 2008; 3) progress notes from Timothy Hall, M.D., on June 10, 2008; 4) the Curriculum Vitae of Timothy Hall, M.D.; and 5) medical records from William L. Lippert, III, M.D., on July 16, 2008. R. at 230-47. The Appeals Council denied Mr. Naud's request for review on June 23, 2010, but included the new evidence in the administrative record. R. at 1, 5.
Standard of Review
This appeal is based upon the administrative record and briefs submitted by the parties. In reviewing a final decision by the Commissioner, the role of the District Court is to examine the record and determine whether it "contains substantial evidence to support the Secretary's decision and whether the Secretary applied the correct legal standards." Ricketts v. Apfel, 16 F.Supp.2d 1280, 1287 (D.Colo.1998). A decision cannot be based on substantial evidence if "it is overwhelmed by other evidence in the record...." Bernal v. Bowen, 851 F.2d 297, 299 (10th Cir.1988). Substantial evidence requires "more than a scintilla, but less than a preponderance." Wall v. Astrue, 561 F.3d 1048, 1052 (10th Cir.2009). Evidence is not substantial if it is "constitutes mere conclusion." Musgrave v. Sullivan, 966 F.2d 1371, 1374 (10th Cir.1992).
The Appeals Council's denial of review means that the ALJ's decision becomes the final decision of the Commissioner. Wilkins v. Sec'y, Dep't of Health and Human Serv., 953 F.2d 93, 96 (10th Cir.1991). This Court reviews the record as a whole, including the new evidence, to determine whether substantial evidence supports the Secretary's findings. O'Dell v. Shalala, 44 F.3d 855, 859 (10th Cir. 1994); see also Corber v. Massanari, 20 Fed.Appx. 816, 818 (10th Cir.2001) (unpublished) (affirming propriety of District Court's evaluation of new evidence).
Conclusions
Plaintiff makes no material challenges to the substance of the ALJ's decision based on the ALJ's consideration of the record before him. Instead, Mr. Naud claims that his medical conditions have progressed in severity and that the two June 4, 2008 MRIs provide objective evidence that his impairments exceed those the ALJ considered. Plaintiff argues that the new evidence provided to the Appeals Council should have led to reconsideration of the ALJ's decision. Mr. Naud also argues that, in light of new evidence, the ALJ's decision was unsupported by substantial evidence.
The Court finds that the Appeals Council's consideration of the new evidence and its decision not to change the ALJ's decision was adequate. The Appeals Council "considered the additional evidence" and "found that this information does not provide a basis for changing the Administrative Law Judge's decision." R. at 1-2. Under this Circuit's precedent, the general practice "is to take a lower tribunal at its word when it declares that it has considered a matter." Hackett v. Barnhart, 395 F.3d 1168, 1173 (10th Cir. 2005); see also Robinson v. Astrue, 397 Fed.Appx. 430, 432 (10th Cir.2010) (unpublished). This practice applies in Social Security cases. Id. Here, claimant offers the Court no reason to depart from the general precedent.
The Court also declines to reopen the decision of the ALJ based on the new medical evidence. As defendant correctly points out, the ALJ already recognized in step two that Mr. Naud suffers from severe impairments. R. at 13. Even if the new evidence demonstrates that Mr. Naud's medical impairments have progressed in severity, which it seems to do, plaintiff has not shown that the increase in impairment limits his activities such that he is unable to perform medium work as defined in 20 CFR § 404.1567(c), and alteration of his RFC is required at step four.
Mr. Naud argues that his impairments limit his ability to perform medium work. However, he fails to offer any new objective medical evidence demonstrating new limits on his current activity, much less his activity dating back to the alleged disability onset date. See R. at 230-47. Rather, in his June 2008 opinion Dr. Hall observed only that the moderate cervical stenosis "may be creating [] [Mr. Naud's] local pain." R. at 237. As defendant fairly points out, Dr. Hall did not modify his 2005 treatment recommendations based on the new evidence of increased impairment severity. R. at 229, 237. Nor did Dr. Hall explore more aggressive treatment options such as surgery; instead, he elected to follow the relatively conservative treatment regime of steroid injection. R. at 237. Similarly, Dr. Lippert evidently felt comfortable waiting to follow-up with Mr. Naud for a month to six weeks after the steroid injections. R. at 246.
Claimant notes that Dr. Hall's April 2008 evaluation indicates that Dr. Naud's symptoms are "markedly affecting him functionally." R. at 229. However, the ALJ expressly considered this opinion and discounted it because it was not associated with recent medical testing and was based on Mr. Naud's subjective complaints. R. at 17. The ALJ also observed that the opinion was preliminary and subject to further testing. Id. The ALJ's discussion demonstrates his thoughtful consideration of Dr. Hall's one sentence statement on Mr. Naud's limitations and sets forth the good reasons he found it lacking. The Court declines to disturb this finding based on new medical evidence that prescribes no disabling restrictions on claimant's activities. The Court finds that the new medical evidence does not sufficiently support claimant's allegations that his activities must be limited in exertional level at step four, such that ALJ's application of the Medical-Vocational Guidelines was inappropriate at step five.
Order
The Commissioner's decision is affirmed.
