WILLIAM M. SKRETNY, District Judge.
1. Plaintiff James A. Rossow Jr., challenges an Administrative Law Judge's ("ALJ") determination that he is not disabled within the meaning of the Social Security Act ("the Act"). In June 2011, Plaintiff filed applications for disability insurance benefits and supplemental security income. The Commissioner of Social Security ("Commissioner") denied both applications on November 7, 2011, after which Plaintiff requested an administrative hearing. Plaintiff received that hearing before ALJ Donald McDougall on December 7, 2012. The ALJ considered the case de novo, and on January 24, 2013, issued a decision denying Plaintiff's applications. Plaintiff filed a request for review with the Appeals Council, but the Council denied that request, prompting Plaintiff to file the current civil action on June 30, 2014, challenging Defendant's final decision.
2. On November 10, 2014, Plaintiff filed a motion for judgment on the pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. (Docket No. 8). The Commissioner followed suit with her own motion on January 9, 2015. (Docket No. 10). For the following reasons, the Commissioner's motion is granted and Plaintiff's motion is denied.
3. A court reviewing a denial of disability benefits may not determine de novo whether an individual is disabled. See 42 U.S.C. §§ 405(g), 1383(c)(3); Wagner v. Sec'y of Health & Human Servs., 906 F.2d 856, 860 (2d Cir. 1990). Rather, the Commissioner's determination will be reversed only if it is not supported by substantial evidence or there has been a legal error. See Grey v. Heckler, 721 F.2d 41, 46 (2d Cir. 1983); Marcus v. Califano, 615 F.2d 23, 27 (2d Cir. 1979). Substantial evidence is that which amounts to "more than a mere scintilla"; it has been defined as "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L. Ed. 2d 842 (1971). Where evidence is deemed susceptible to more than one rational interpretation, the Commissioner's conclusion must be upheld. See Rutherford v. Schweiker, 685 F.2d 60, 62 (2d Cir. 1982).
4. "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." Williams on Behalf of Williams v. Bowen, 859 F.2d 255, 258 (2d Cir. 1988). If supported by substantial evidence, the Commissioner's finding must be sustained "even where substantial evidence may support the plaintiff's position and despite that the court's independent analysis of the evidence may differ from the [Commissioner's]." Rosado v. Sullivan, 805 F.Supp. 147, 153 (S.D.N.Y. 1992). In other words, this Court must afford the Commissioner's determination considerable deference, and may not substitute "its own judgment for that of the [Commissioner], even if it might justifiably have reached a different result upon a de novo review." Valente v. Sec'y of Health & Human Servs., 733 F.2d 1037, 1041 (2d Cir. 1984).
5. The Commissioner has established a five-step sequential evaluation process to determine whether an individual is disabled as defined under the Social Security Act.
6. This five-step process is detailed below:
First, the [Commissioner] considers whether the claimant is currently engaged in substantial gainful activity. If he is not, the [Commissioner] next considers whether the claimant has a "severe impairment" which significantly limits his physical or mental ability to do basic work activities. If the claimant suffers such an impairment, the third inquiry is whether, based solely on medical evidence, the claimant has an impairment which is listed in Appendix 1 of the regulations. If the claimant has such an impairment, the [Commissioner] will consider him disabled without considering vocational factors such as age, education, and work experience; the [Commissioner] presumes that a claimant who is afflicted with a "listed" impairment is unable to perform substantial gainful activity. Assuming the claimant does not have a listed impairment, the fourth inquiry is whether, despite the claimant's severe impairment, he has the residual functional capacity to perform his past work. Finally, if the claimant is unable to perform his past work, the [Commissioner] then determines whether there is other work which the claimant could perform.
7. The claimant has the burden of proof as to the first four steps, but the Commissioner has the burden of proof on the fifth and final step.
8. In this case, the ALJ made the following findings: (1) Plaintiff has not engaged in substantial gainful activity since September 1, 2010, his alleged onset date (R. at 15);
9. Plaintiff raises two challenges to the ALJ's decision: First, Plaintiff argues that the ALJ's rejection of Dr. Sofat's treating source opinion was not based on substantial evidence. Second, Plaintiff contends that the ALJ's RFC determination is not supported by the medical opinions that he relied upon. Each argument will be discussed in turn.
10. Plaintiff first contends that the ALJ improperly discounted Dr. Sofat's treating source opinion that Plaintiff had been completely disabled since his second heart attack in 2009. According to the "treating physician rule," the ALJ must give controlling weight to a treating physician's opinion when the opinion is "well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the] record." 20 C.F.R. § 404.1527(c)(2);
Here, Dr. Sofat stated on two different questionnaires that Plaintiff had been disabled since 2009 because of his prior heart attacks in 2004 and 2009. (R. at 20, 328-29, 350-54). ALJ McDougall gave this opinion little weight despite the fact that Dr. Sofat is Plaintiff's current treating cardiologist. (R. at 21). ALJ McDougall supported his rejection of Dr. Sofat's opinion with three reasons.
First, the ALJ found that Dr. Sofat "admitted that his November 2012 medical source statement . . . was based on [Plaintiff's] subjective report of symptoms and limitations." (R. at 21). Plaintiff argues that Dr. Sofat's report does not actually contain this admission, but instead the ALJ improperly relied on a handwritten notation on the bottom of the RFC questionnaire that ambiguously stated "Information obtained from patient[ on] 11-13-12." (Pl's Mem of Law at 14). Plaintiff claims that this assumption was speculative and that the note merely reflected that Plaintiff's reported subjective complaints were from "up to date reports." (
Second, the ALJ further found that Dr. Sofat's opinion was not supported by his treatment records, which "fail to reveal the type of significant clinical and laboratory abnormalities one would expect if the claimant was, in fact, disabled." (R. at 21). As the ALJ notes, Dr. Sofat's objective findings and Plaintiff's subjective complaints from examinations in January and July 2012 were unremarkable. (R. at 20;
Third, as the ALJ concluded, Dr. Sofat's opinion is inconsistent with other evidence in the record. (R. at 21). Plaintiff contends that objective evidence supporting Dr. Sofat's opinion can be found in November 2011 cardiac test results that revealed a left ventricle ejection fraction of 45-50 percent, mild mitrial regurgitation, and trace tricuspid regurgitation.
11. With respect to Plaintiff's second contention, Plaintiff contends that the ALJ's RFC assessment is not supported by the medical opinions on which he relied. The ALJ is solely responsible for determining a claimant's RFC based on his evaluation of medical and other evidence in the record. 20 C.F.R. §§ 404.1527(d)(2). The Second Circuit has noted that "[a] lack of supporting evidence on a matter where the claimant bears the burden of proof, particularly when coupled with other inconsistent record evidence, can constitute substantial evidence supporting a denial of benefits."
Here, the ALJ found that Plaintiff had the RFC:
(R. at 16). Light work involves lifting no more than 20 pounds at a time with frequent lifting or carry of objects weighing up to 10 pounds. 20 C.F.R. §§ 404.1567(b); 416.967(b). In making this RFC determination, the ALJ gave great weight to the medical opinions of consultative examiners Dr. Kelley and Dr. Schwab, as well as treating physician Dr. Conley. He also gave some weight to the medical opinion of primary care physician Dr. Eaton. (R. at 21). Further, the ALJ also expressly relied to an extent on Plaintiff's own testimony regarding his abilities and limitations. (R. at 20-21.)
Initially, Plaintiff is correct that Dr. Conley's conclusory assertion that Plaintiff was released to "[l]ight duty activity" following a January 2012 cardiac catheterization would be, without more, insufficient to support a light duty RFC finding.
Contrary to Plaintiff's argument, Dr. Schwab's opinion that Plaintiff was restricted to "walking [no] more than a quarter mile due to coronary artery disease" is not inconsistent with the ALJ's determination that the Plaintiff could stand for one half-hour every hour. (R. at 267;
Accordingly, this Court finds that the ALJ relied on substantial evidence when rendering his RFC determination, and Plaintiff's second argument is rejected.
12. Having considered Plaintiff's challenges, this Court is satisfied that the ALJ committed no reversible error, and that his decision is based on substantial evidence. Defendant's Motion for Judgment on the Pleadings is therefore granted and Plaintiff's motion seeking the same relief is denied.
IT HEREBY IS ORDERED, that Defendant's Motion for Judgment on the Pleadings (Docket No. 10) is GRANTED.
FURTHER, that Plaintiff's Motion for Judgment on the Pleadings (Docket No. 8) is DENIED.
FURTHER, that the Clerk of Court shall close this case.
SO ORDERED.