Richard Mark Gergel, United States District Judge.
Plaintiff brought this action pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3) seeking judicial review of the final decision of the Commissioner of Social Security denying his claim for Disability Insurance Benefits (`DIB`). In accord with 28 U.S.C. § 636(b) and Local Civil Rule 73.02 DSC, this matter was referred to a United States Magistrate Judge for pre-trial handling. The Magistrate Judge issued a Report and Recommendation (`R & R') on December 10, 2015, recommending that the Commissioner's decision be affirmed. (Dkt. No.
The Magistrate Judge makes only a recommendation to this Court. The recommendation has no presumptive weight, and the responsibility to make a final determination remains with the Court. Mathews v. Weber, 423 U.S. 261, 96 S.Ct. 549, 46 L.Ed.2d 483 (1976). The Court is charged with making a de novo determination of those portions of the Report and Recommendation to which specific objection is made. The Court may accept, reject, or modify, in whole or in part, the recommendation of the Magistrate Judge. 28 U.S.C. § 636(b)(1).
The role of the federal judiciary in the administrative scheme established by the Social Security Act is a limited one. The Act provides that the `findings of the Commissioner of Social Security as to any fact, if supported by substantial evidence, shall be conclusive.' 42 U.S.C. § 405(g). `Substantial evidence has been defined innumerable times as more than a scintilla, but less than preponderance.' Thomas v. Celebrezze, 331 F.2d 541, 543 (4th Cir.1964). This standard precludes de novo review of the factual circumstances that substitutes the Court's findings of fact for those of the Commissioner. Vitek v. Finch, 438 F.2d 1157, 1157 (4th Cir.1971).
Although the federal court's review role is a limited one, `it does not follow, however, that the findings of the administrative agency are to be mechanically accepted. The statutorily granted right of review contemplates more than an uncritical rubber stamping of the administrative action.' Flack v. Cohen, 413 F.2d 278, 279 (4th Cir.1969). Further, the Commissioner's findings of fact are not binding if they were based upon the application of an improper legal standard. Coffman v. Bowen, 829 F.2d 514, 519 (4th Cir.1987).
Under the regulations of the Social Security Administration, the Commissioner is obligated to consider all medical evidence and the opinions of medical sources, including treating physicians. 20 C.F.R. § 404.1527(b). Known popularly as the `Treating Physician Rule,' the regulation requires the Commissioner to `evaluate every medical opinion we receive.' Id. § 404.1527(c). Special consideration is to be given to the opinions of treating physicians of the claimant, based on the view that `these sources are likely to be the medical professionals most able to provide a detailed, longitudinal picture of [the claimant's] medical impairment(s) and may bring a unique perspective to the medical evidence that cannot be obtained from objective medical findings alone or from reports of individual examinations, such as consultative examinations or brief hospitalizations.' Id. § 404.1527(c)(2).
Under some circumstances, the opinions of the treating physicians are to be accorded controlling weight. Even where the opinions of the treating physicians of the claimant are not accorded controlling weight, the Commissioner is obligated to weigh all medical opinions in light of a broad range of factors, including the examining relationship, the treatment relationship, length of treatment, nature and extent of the treatment relationship, supportability of the opinions in the medical record, consistency, and whether the treating physician was a specialist. Id. § 404.1527(c)(1)-(5). The Commissioner is obligated to weigh the findings and opinions of treating physicians and to give `good reasons' in the written decision for the weight given to a treating source's
The Plaintiff has a well-documented history of multiple severe physical and mental impairments
Plaintiff alleges that the Commissioner erred in failing to give proper weight to the opinions of his treating physician, Dr. Anthony Glaser. Plaintiff began his treatment with Dr. Glaser in December 2008, and was then evaluated for `chronic back and neck pain, with muscle spasms in the posterior aspects of both legs.' Dr. Glaser noted in that initial evaluation a significant finding from a 2006 MRI of Plaintiff's lumbar spine: a disc protrusion with contact with the `exiting L4 nerve root.' Tr. 335-36. Dr. Glaser prescribed narcotic pain medications to provide Plaintiff relief from his chronic pain. Tr. 336.
When Plaintiff began his treatment with Dr. Glaser, he was still attempting, when able, to continue his work in construction. When he was out of work, Plaintiff was able to manage his pain with several doses of pain medications daily. However, when Plaintiff was attempting to work, he required 4-5 doses of narcotic pain medications per day, and he had complaints of severe pain in his neck, shoulders, back and legs. Tr. 327, 329, 331, 335. Plaintiff was documented in Dr. Glaser's records in 2010 and early 2011 expressing a desire to continue working but had `to stop every job he starts due to pain.' Tr. 323, 325, 327. The ALJ found that Plaintiff had not engaged in substantial gainful activity since April 6, 2010. Tr. 21.
Plaintiff's already compromised condition was complicated by a motorcycle accident on June 4, 2011, when he was struck by an automobile with `moderate impact velocity.' Tr. 313. Dr. Glaser noted in his June 30, 2011 office visit that Plaintiff now had throbbing pain and his baseline pain had worsened since the accident. Tr. 319. Over ensuing office visits, Dr. Glaser consistently diagnosed Plaintiff with chronic neck, shoulder, back and leg pain and prescribed him high dose narcotics to provide him relief. Tr. 350-51, 352-53, 368-69, 370-71, 373-74.
The Administrative Law Judge (`ALJ'), in reaching the decision that Plaintiff retained the capacity to perform light work, accorded `little weight' to Dr. Glaser's opinions. Tr. 25. The ALJ provided several explanations for disregarding the opinions of Plaintiffs long-treating, personal physician. First, he stated that the opinion was `rendered long after the date last insured.' Id. Plaintiff's date last insured was March 31, 2012, and Dr. Glaser's report was prepared a little over a year later on May 2, 2013. Second, the ALJ asserted that Dr. Glaser's opinions were `inconsistent with his own contemporary findings on physical examination.' Id. Third, the ALJ gave `little weight' to Dr. Glaser's opinions because the physician had noted in his medical record that what Plaintiff really wanted was not to be disabled but to get access to insurance and medical care so that he might get treatment that would allow him to work. From this note, the ALJ concluded that `Dr. Glaser appears to have rendered his opinions on disability in an effort to obtain insurance for the claimant rather than rendering opinions on the objective evidence in the record.' Id.
In contrast, the ALJ gave `some weight' to the opinions of a non-examining and non-treating physician, Dr. Angela Saito, who concluded that Plaintiff was capable of performing light work.
The ALJ's adoption of the opinions of the non-treating and non-examining physician and rejection of the opinions of the treating physician of the claimant under these circumstances constituted multiple violations of the Treating Physician Rule. The ALJ is required to weigh the respective opinions of all of the expert witnesses in light of their examining relationship, treatment relationship, nature and extent of treatment relationship, supportability of the opinions in the medical record, and consistency. 20 C.F.R. § 404.1527(c). There is no indication that the ALJ weighed the competing testimony of Dr. Glaser and Dr. Saito in light of the standards set forth in the Treating Physician Rule. In particular, there is not the slightest suggestion in the ALJ's decision that any weight was accorded to the opinions of Dr. Glaser because of his long-term treating and examining relationship and the special knowledge and insights he had acquired from his treatment of Plaintiff. The regulations further require that if weight is to be given to the opinions of a non-examining physician it must be based on the `supporting explanations.' § 404.1527(c)(3). In this case, Dr. Saito provided no explanation of the basis of her opinions that Plaintiff could sit, stand and walk for six hours. Tr. 88.
Furthermore, the ALJ's decision flies in the face of Bird v. Commissioner of Social Security Admin., 699 F.3d 337, 340-341 (4th Cir.2012). The ALJ rejected Dr. Glaser's opinions issued on May 2, 2013, because it was `long after the date last insured' of March 31, 2012. However, Bird held that medical opinions rendered after the date last insured may be considered retrospectively where `the evidence permits an inference of linkage with the claimant's pre-DLI condition.' A review of Dr. Glaser's medical records and his report of May 2, 2013 demonstrate a consistent linkage between Plaintiff's condition prior to the date last insured and his condition in the year following the date last insured. In fact, Plaintiff's severe degenerative disc disorder, osteoarthritis, and chronic pain were clearly documented and described in Dr. Glaser's medical records years before Plaintiff's date last insured, making it wholly inappropriate under Bird for the ALJ to disregard Dr. Glaser's opinion because of when it was prepared.
Additionally, the ALJ's conclusion that Dr. Glaser's opinions were not sincere but simply a means to obtain insurance for his patient is baffling to the Court. Dr. Glaser's office note in question indicates that the Plaintiff was not seeking disability simply to avoid work, but hoped that by getting disability and access to medical care he might improve and return to work. Tr. 368. Turning this very positive statement about his patient into an attack on Dr. Glaser's professionalism is unreasonable and profoundly unfair. Moreover, the ALJ's finding that Dr. Glaser's opinions did not represent his honest professional judgment and were, instead, a ruse to obtain his patient health insurance is wholly
Finally, the ALJ's statement that Dr. Glaser's opinions are not consistent with his office records is not supported by substantial evidence. Indeed, a review of Dr. Glaser's medical records demonstrate that the physician consistently documented Plaintiff's severe and chronic pain condition. This included a reference Plaintiff's nerve root compression at L4 diagnosed by an MRI, consistent complaints of severe neck, shoulder, back and leg pain, and the chronic need for powerful narcotic pain medications to get through the day. Tr. 319-20, 321-22, 323-24, 325-26, 327-28, 329-30, 331-32, 333-34, 335-36, 350-51, 352-53, 368-69 370-71, 373-74.
Based on the foregoing, the Court
AND IT IS SO ORDERED.